| 70723 - Pressure ulcer, stage III - as a primary diagnosis code | 70723 - Pressure ulcer, stage III - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.57 | |
| Readmission Rate (%) | 35.47 | |
| Unplanned Readmission Rate (%) | 18.18 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
| DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 10,787 | |
| Total Hospitalizations with ICD 70723 - Pressure ulcer, stage III | 22 | |
| DRG Share of Total Hospitalizations | 0.05 | |
| % of Total ICD 70723 - Pressure ulcer, stage III in DRG | 30.56 | |
| Avg LOS at DRG | 6.33 | |
| Avg LOS with ICD 70723 - Pressure ulcer, stage III | 8.0 | |
| Readmission Rate at DRG | 23.23 | |
| Readmission Rate with ICD 70723 - Pressure ulcer, stage III | NA | |
| Unplanned Readmission Rate at DRG | 12.9 | |
| Unplanned Readmission Rate with ICD 70723 - Pressure ulcer, stage III | NA | |
| Total Medicare payments at DRG | $79,169,455 | |
| Total Medicare payments with ICD 70723 - Pressure ulcer, stage III | $188,004 | |
| Total Medicare payment per Day at DRG | $1,160 | |
| Total Medicare payment per Day with ICD 70723 - Pressure ulcer, stage III | $1,068 | |
| Total Medicare payment per Hospitalization at DRG | $7,339 | |
| Total Medicare payment per Hospitalization with ICD 70723 - Pressure ulcer, stage III | $8,546 | |
| Total Medicare Charges at DRG | $309,492,287 | |
| Total Medicare Charges with ICD 70723 - Pressure ulcer, stage III | $676,275 | |
| Avg Charges at DRG | $28,691 | |
| Avg Charges with ICD 70723 - Pressure ulcer, stage III | $30,740 | |
| Mortality Rate at DRG | 0.75 | |
| Mortality Rate with ICD 70723 - Pressure ulcer, stage III | NA | |
| SNF Discharge Rate at DRG | 29.79 | |
| SNF Discharge Rate with ICD 70723 - Pressure ulcer, stage III | NA | |
| Home Discharge Rate at DRG | 27.68 | |
| Home Discharge Rate with ICD 70723 - Pressure ulcer, stage III | NA |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 70723 - Pressure ulcer, stage III | 25,728 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 70723 - Pressure ulcer, stage III in DRG | 16.49 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 70723 - Pressure ulcer, stage III | 8.92 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 70723 - Pressure ulcer, stage III | 34.08 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 70723 - Pressure ulcer, stage III | 22.65 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 70723 - Pressure ulcer, stage III | $355,601,022 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 70723 - Pressure ulcer, stage III | $1,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 70723 - Pressure ulcer, stage III | $13,822 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 70723 - Pressure ulcer, stage III | $1,661,508,388 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 70723 - Pressure ulcer, stage III | $64,580 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 70723 - Pressure ulcer, stage III | 15.01 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 70723 - Pressure ulcer, stage III | 40.09 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 70723 - Pressure ulcer, stage III | 6.72 |
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 76,393 | ||||
| Total Hospitalizations with ICD 70723 - Pressure ulcer, stage III | 4,591 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD 70723 - Pressure ulcer, stage III in DRG | 2.94 | ||||
| Avg LOS at DRG | 6.52 | ||||
| Avg LOS with ICD 70723 - Pressure ulcer, stage III | 6.93 | ||||
| Readmission Rate at DRG | 27.8 | ||||
| Readmission Rate with ICD 70723 - Pressure ulcer, stage III | 32.02 | ||||
| Unplanned Readmission Rate at DRG | 20.05 | ||||
| Unplanned Readmission Rate with ICD 70723 - Pressure ulcer, stage III | 24.11 | ||||
| Total Medicare payments at DRG | $810,198,003 | ||||
| Total Medicare payments with ICD 70723 - Pressure ulcer, stage III | $46,976,587 | ||||
| Total Medicare payment per Day at DRG | $1,627 | ||||
| Total Medicare payment per Day with ICD 70723 - Pressure ulcer, stage III | $1,476 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,606 | ||||
| Total Medicare payment per Hospitalization with ICD 70723 - Pressure ulcer, stage III | $10,232 | ||||
| Total Medicare Charges at DRG | $3,422,113,136 | ||||
| Total Medicare Charges with ICD 70723 - Pressure ulcer, stage III | $197,940,543 | ||||
| Avg Charges at DRG | $44,796 | ||||
| Avg Charges with ICD 70723 - Pressure ulcer, stage III | $43,115 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD 70723 - Pressure ulcer, stage III | 2.9 | ||||
| SNF Discharge Rate at DRG | 32.3 | ||||
| SNF Discharge Rate with ICD 70723 - Pressure ulcer, stage III | 41.23 | ||||
| Home Discharge Rate at DRG | 28.25 | ||||
| Home Discharge Rate with ICD 70723 - Pressure ulcer, stage III | 12.98 |
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 72,734 | ||||
| Total Hospitalizations with ICD 70723 - Pressure ulcer, stage III | 3,450 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD 70723 - Pressure ulcer, stage III in DRG | 2.21 | ||||
| Avg LOS at DRG | 15.55 | ||||
| Avg LOS with ICD 70723 - Pressure ulcer, stage III | 18.07 | ||||
| Readmission Rate at DRG | 41.51 | ||||
| Readmission Rate with ICD 70723 - Pressure ulcer, stage III | 46.83 | ||||
| Unplanned Readmission Rate at DRG | 18.87 | ||||
| Unplanned Readmission Rate with ICD 70723 - Pressure ulcer, stage III | 27.09 | ||||
| Total Medicare payments at DRG | $3,073,561,577 | ||||
| Total Medicare payments with ICD 70723 - Pressure ulcer, stage III | $158,126,109 | ||||
| Total Medicare payment per Day at DRG | $2,717 | ||||
| Total Medicare payment per Day with ICD 70723 - Pressure ulcer, stage III | $2,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $42,258 | ||||
| Total Medicare payment per Hospitalization with ICD 70723 - Pressure ulcer, stage III | $45,834 | ||||
| Total Medicare Charges at DRG | $13,191,940,014 | ||||
| Total Medicare Charges with ICD 70723 - Pressure ulcer, stage III | $676,332,583 | ||||
| Avg Charges at DRG | $181,372 | ||||
| Avg Charges with ICD 70723 - Pressure ulcer, stage III | $196,038 | ||||
| Mortality Rate at DRG | 36.0 | ||||
| Mortality Rate with ICD 70723 - Pressure ulcer, stage III | 31.48 | ||||
| SNF Discharge Rate at DRG | 25.65 | ||||
| SNF Discharge Rate with ICD 70723 - Pressure ulcer, stage III | 34.7 | ||||
| Home Discharge Rate at DRG | 5.1 | ||||
| Home Discharge Rate with ICD 70723 - Pressure ulcer, stage III | 3.51 |
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 119,208 | ||||
| Total Hospitalizations with ICD 70723 - Pressure ulcer, stage III | 2,367 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD 70723 - Pressure ulcer, stage III in DRG | 1.52 | ||||
| Avg LOS at DRG | 5.97 | ||||
| Avg LOS with ICD 70723 - Pressure ulcer, stage III | 6.65 | ||||
| Readmission Rate at DRG | 28.49 | ||||
| Readmission Rate with ICD 70723 - Pressure ulcer, stage III | 33.53 | ||||
| Unplanned Readmission Rate at DRG | 21.2 | ||||
| Unplanned Readmission Rate with ICD 70723 - Pressure ulcer, stage III | 25.24 | ||||
| Total Medicare payments at DRG | $1,381,744,311 | ||||
| Total Medicare payments with ICD 70723 - Pressure ulcer, stage III | $28,592,676 | ||||
| Total Medicare payment per Day at DRG | $1,942 | ||||
| Total Medicare payment per Day with ICD 70723 - Pressure ulcer, stage III | $1,817 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,591 | ||||
| Total Medicare payment per Hospitalization with ICD 70723 - Pressure ulcer, stage III | $12,080 | ||||
| Total Medicare Charges at DRG | $6,006,105,446 | ||||
| Total Medicare Charges with ICD 70723 - Pressure ulcer, stage III | $120,084,334 | ||||
| Avg Charges at DRG | $50,383 | ||||
| Avg Charges with ICD 70723 - Pressure ulcer, stage III | $50,733 | ||||
| Mortality Rate at DRG | 6.32 | ||||
| Mortality Rate with ICD 70723 - Pressure ulcer, stage III | 5.83 | ||||
| SNF Discharge Rate at DRG | 24.09 | ||||
| SNF Discharge Rate with ICD 70723 - Pressure ulcer, stage III | 48.25 | ||||
| Home Discharge Rate at DRG | 39.74 | ||||
| Home Discharge Rate with ICD 70723 - Pressure ulcer, stage III | 10.48 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 516 |
| LANCASTER GENERAL HOSPITAL | 555 N DUKE ST | LANCASTER | PA | 17602 | 502 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 458 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. NAJI KAMAL BADDOURA | 14434 BRUCE B DOWNS BLVD | TAMPA | FL | 33613 | 131 |
| Dr. QUYEN NGOC LUU | 458 HEMLOCK ST | MACON | GA | 31201 | 122 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 99 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 154 |
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 136 |
| Dr. GUTTI J RAO | 1604 LEFLORE AVE | GREENWOOD | MS | 38930 | 123 |