| 70724 - Pressure ulcer, stage IV - as a primary diagnosis code | 70724 - Pressure ulcer, stage IV - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 14.76 | |
| Readmission Rate (%) | 38.44 | |
| Unplanned Readmission Rate (%) | 16.36 | |
| 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 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,315 | ||||
| Total Hospitalizations with ICD 70724 - Pressure ulcer, stage IV | 30 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 70724 - Pressure ulcer, stage IV in DRG | 16.85 | ||||
| Avg LOS at DRG | 14.28 | ||||
| Avg LOS with ICD 70724 - Pressure ulcer, stage IV | 7.83 | ||||
| Readmission Rate at DRG | 31.56 | ||||
| Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | NA | ||||
| Unplanned Readmission Rate at DRG | 17.73 | ||||
| Unplanned Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | NA | ||||
| Total Medicare payments at DRG | $298,666,942 | ||||
| Total Medicare payments with ICD 70724 - Pressure ulcer, stage IV | $305,252 | ||||
| Total Medicare payment per Day at DRG | $1,142 | ||||
| Total Medicare payment per Day with ICD 70724 - Pressure ulcer, stage IV | $1,299 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,307 | ||||
| Total Medicare payment per Hospitalization with ICD 70724 - Pressure ulcer, stage IV | $10,175 | ||||
| Total Medicare Charges at DRG | $1,122,285,198 | ||||
| Total Medicare Charges with ICD 70724 - Pressure ulcer, stage IV | $1,254,545 | ||||
| Avg Charges at DRG | $61,277 | ||||
| Avg Charges with ICD 70724 - Pressure ulcer, stage IV | $41,818 | ||||
| Mortality Rate at DRG | 5.84 | ||||
| Mortality Rate with ICD 70724 - Pressure ulcer, stage IV | NA | ||||
| SNF Discharge Rate at DRG | 38.38 | ||||
| SNF Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | NA | ||||
| Home Discharge Rate at DRG | 9.8 | ||||
| Home Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | NA |
| DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 17,418 | |
| Total Hospitalizations with ICD 70724 - Pressure ulcer, stage IV | 17 | |
| DRG Share of Total Hospitalizations | 0.08 | |
| % of Total ICD 70724 - Pressure ulcer, stage IV in DRG | 9.55 | |
| Avg LOS at DRG | 5.54 | |
| Avg LOS with ICD 70724 - Pressure ulcer, stage IV | 10.41 | |
| Readmission Rate at DRG | 19.49 | |
| Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | NA | |
| Unplanned Readmission Rate at DRG | 9.61 | |
| Unplanned Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | NA | |
| Total Medicare payments at DRG | $168,687,224 | |
| Total Medicare payments with ICD 70724 - Pressure ulcer, stage IV | $185,320 | |
| Total Medicare payment per Day at DRG | $1,747 | |
| Total Medicare payment per Day with ICD 70724 - Pressure ulcer, stage IV | $1,047 | |
| Total Medicare payment per Hospitalization at DRG | $9,685 | |
| Total Medicare payment per Hospitalization with ICD 70724 - Pressure ulcer, stage IV | $10,901 | |
| Total Medicare Charges at DRG | $833,201,616 | |
| Total Medicare Charges with ICD 70724 - Pressure ulcer, stage IV | $1,018,164 | |
| Avg Charges at DRG | $47,836 | |
| Avg Charges with ICD 70724 - Pressure ulcer, stage IV | $59,892 | |
| Mortality Rate at DRG | 0.17 | |
| Mortality Rate with ICD 70724 - Pressure ulcer, stage IV | NA | |
| SNF Discharge Rate at DRG | 18.39 | |
| SNF Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | NA | |
| Home Discharge Rate at DRG | 41.83 | |
| Home Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | 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 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 70724 - Pressure ulcer, stage IV | 25,305 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 70724 - Pressure ulcer, stage IV in DRG | 17.1 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 70724 - Pressure ulcer, stage IV | 8.82 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | 36.55 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | 22.43 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 70724 - Pressure ulcer, stage IV | $345,221,451 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 70724 - Pressure ulcer, stage IV | $1,546 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 70724 - Pressure ulcer, stage IV | $13,642 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 70724 - Pressure ulcer, stage IV | $1,581,625,074 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 70724 - Pressure ulcer, stage IV | $62,502 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 70724 - Pressure ulcer, stage IV | 15.29 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | 36.64 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | 6.62 |
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 573: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 76,393 | ||||
| Total Hospitalizations with ICD 70724 - Pressure ulcer, stage IV | 5,202 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD 70724 - Pressure ulcer, stage IV in DRG | 3.52 | ||||
| Avg LOS at DRG | 6.52 | ||||
| Avg LOS with ICD 70724 - Pressure ulcer, stage IV | 6.78 | ||||
| Readmission Rate at DRG | 27.8 | ||||
| Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | 34.17 | ||||
| Unplanned Readmission Rate at DRG | 20.05 | ||||
| Unplanned Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | 24.24 | ||||
| Total Medicare payments at DRG | $810,198,003 | ||||
| Total Medicare payments with ICD 70724 - Pressure ulcer, stage IV | $52,961,140 | ||||
| Total Medicare payment per Day at DRG | $1,627 | ||||
| Total Medicare payment per Day with ICD 70724 - Pressure ulcer, stage IV | $1,502 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,606 | ||||
| Total Medicare payment per Hospitalization with ICD 70724 - Pressure ulcer, stage IV | $10,181 | ||||
| Total Medicare Charges at DRG | $3,422,113,136 | ||||
| Total Medicare Charges with ICD 70724 - Pressure ulcer, stage IV | $221,131,923 | ||||
| Avg Charges at DRG | $44,796 | ||||
| Avg Charges with ICD 70724 - Pressure ulcer, stage IV | $42,509 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD 70724 - Pressure ulcer, stage IV | 2.56 | ||||
| SNF Discharge Rate at DRG | 32.3 | ||||
| SNF Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | 38.18 | ||||
| Home Discharge Rate at DRG | 28.25 | ||||
| Home Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | 12.09 |
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,577 | ||||
| Total Hospitalizations with ICD 70724 - Pressure ulcer, stage IV | 3,383 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD 70724 - Pressure ulcer, stage IV in DRG | 2.29 | ||||
| Avg LOS at DRG | 14.65 | ||||
| Avg LOS with ICD 70724 - Pressure ulcer, stage IV | 24.83 | ||||
| Readmission Rate at DRG | 37.54 | ||||
| Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | 44.83 | ||||
| Unplanned Readmission Rate at DRG | 20.58 | ||||
| Unplanned Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | 23.41 | ||||
| Total Medicare payments at DRG | $1,729,486,111 | ||||
| Total Medicare payments with ICD 70724 - Pressure ulcer, stage IV | $153,917,920 | ||||
| Total Medicare payment per Day at DRG | $2,430 | ||||
| Total Medicare payment per Day with ICD 70724 - Pressure ulcer, stage IV | $1,832 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,603 | ||||
| Total Medicare payment per Hospitalization with ICD 70724 - Pressure ulcer, stage IV | $45,497 | ||||
| Total Medicare Charges at DRG | $7,235,174,566 | ||||
| Total Medicare Charges with ICD 70724 - Pressure ulcer, stage IV | $572,298,765 | ||||
| Avg Charges at DRG | $148,942 | ||||
| Avg Charges with ICD 70724 - Pressure ulcer, stage IV | $169,169 | ||||
| Mortality Rate at DRG | 9.66 | ||||
| Mortality Rate with ICD 70724 - Pressure ulcer, stage IV | 9.31 | ||||
| SNF Discharge Rate at DRG | 30.41 | ||||
| SNF Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | 42.51 | ||||
| Home Discharge Rate at DRG | 22.89 | ||||
| Home Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | 4.79 |
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES 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 | 235,369 | ||||
| Total Hospitalizations with ICD 70724 - Pressure ulcer, stage IV | 2,162 | ||||
| DRG Share of Total Hospitalizations | 1.03 | ||||
| % of Total ICD 70724 - Pressure ulcer, stage IV in DRG | 1.46 | ||||
| Avg LOS at DRG | 6.39 | ||||
| Avg LOS with ICD 70724 - Pressure ulcer, stage IV | 8.54 | ||||
| Readmission Rate at DRG | 29.0 | ||||
| Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | 34.17 | ||||
| Unplanned Readmission Rate at DRG | 21.04 | ||||
| Unplanned Readmission Rate with ICD 70724 - Pressure ulcer, stage IV | 22.9 | ||||
| Total Medicare payments at DRG | $2,435,030,298 | ||||
| Total Medicare payments with ICD 70724 - Pressure ulcer, stage IV | $24,224,469 | ||||
| Total Medicare payment per Day at DRG | $1,619 | ||||
| Total Medicare payment per Day with ICD 70724 - Pressure ulcer, stage IV | $1,312 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,346 | ||||
| Total Medicare payment per Hospitalization with ICD 70724 - Pressure ulcer, stage IV | $11,205 | ||||
| Total Medicare Charges at DRG | $10,227,015,588 | ||||
| Total Medicare Charges with ICD 70724 - Pressure ulcer, stage IV | $112,496,832 | ||||
| Avg Charges at DRG | $43,451 | ||||
| Avg Charges with ICD 70724 - Pressure ulcer, stage IV | $52,034 | ||||
| Mortality Rate at DRG | 5.93 | ||||
| Mortality Rate with ICD 70724 - Pressure ulcer, stage IV | 6.71 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | 43.2 | ||||
| Home Discharge Rate at DRG | 34.42 | ||||
| Home Discharge Rate with ICD 70724 - Pressure ulcer, stage IV | 8.51 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 597 |
| MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 542 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 542 |
| 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 | 257 |
| Dr. NORMAN C. BAUTISTA | 1848 N ALVARADO ST | LOS ANGELES | CA | 90026 | 128 |
| Dr. WILLIAM M JACOBSEN | 2400 E ARIZONA BILTMORE CIR | PHOENIX | AZ | 85016 | 126 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 208 |
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 169 |
| Dr. GUTTI J RAO | 1604 LEFLORE AVE | GREENWOOD | MS | 38930 | 155 |