| V5830 - Encounter for change or removal of nonsurgical wound dressing - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.16 | |
| 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 885: PSYCHOSES | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 856 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD V5830 - Encounter for change or removal of nonsurgical wound dressing in DRG | 26.66 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 13.05 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 25.28 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 8.83 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $7,644,477 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $684 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $8,930 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $19,935,986 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $23,290 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 3.39 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 83.88 |
| DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,367 | ||||
| Total Hospitalizations with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 71 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD V5830 - Encounter for change or removal of nonsurgical wound dressing in DRG | 2.21 | ||||
| Avg LOS at DRG | 10.94 | ||||
| Avg LOS with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 15.01 | ||||
| Readmission Rate at DRG | 20.99 | ||||
| Readmission Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Unplanned Readmission Rate at DRG | 12.24 | ||||
| Unplanned Readmission Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Total Medicare payments at DRG | $937,263,376 | ||||
| Total Medicare payments with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $802,078 | ||||
| Total Medicare payment per Day at DRG | $854 | ||||
| Total Medicare payment per Day with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $752 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,338 | ||||
| Total Medicare payment per Hospitalization with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $11,297 | ||||
| Total Medicare Charges at DRG | $2,966,860,937 | ||||
| Total Medicare Charges with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $1,526,025 | ||||
| Avg Charges at DRG | $29,560 | ||||
| Avg Charges with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $21,493 | ||||
| Mortality Rate at DRG | 0.71 | ||||
| Mortality Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| SNF Discharge Rate at DRG | 40.39 | ||||
| SNF Discharge Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 36.62 | ||||
| Home Discharge Rate at DRG | 26.25 | ||||
| Home Discharge Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 29.58 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 881: DEPRESSIVE NEUROSES | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 28 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD V5830 - Encounter for change or removal of nonsurgical wound dressing in DRG | 0.87 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 7.32 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $286,143 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $1,396 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $10,219 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $1,317,169 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $47,042 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA |
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,382 | ||||
| Total Hospitalizations with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 23 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD V5830 - Encounter for change or removal of nonsurgical wound dressing in DRG | 0.72 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | 4.7 | ||||
| Readmission Rate at DRG | 18.51 | ||||
| Readmission Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Unplanned Readmission Rate at DRG | 12.91 | ||||
| Unplanned Readmission Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Total Medicare payments at DRG | $1,761,365,865 | ||||
| Total Medicare payments with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $123,492 | ||||
| Total Medicare payment per Day at DRG | $1,270 | ||||
| Total Medicare payment per Day with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $1,143 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,781 | ||||
| Total Medicare payment per Hospitalization with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $5,369 | ||||
| Total Medicare Charges at DRG | $7,996,276,956 | ||||
| Total Medicare Charges with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $438,730 | ||||
| Avg Charges at DRG | $21,706 | ||||
| Avg Charges with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | $19,075 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| SNF Discharge Rate at DRG | 27.88 | ||||
| SNF Discharge Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Home Discharge Rate at DRG | 42.37 | ||||
| Home Discharge Rate with ICD V5830 - Encounter for change or removal of nonsurgical wound dressing | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| WINDSOR LAURELWOOD CENTER FOR BEHAVIORAL MEDICINE | 35900 EUCLID AVENUE | WILLOUGHBY | OH | 44094 | 98 |
| HEINZ REHAB HOSPITAL | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 90 |
| SUTTER ROSEVILLE MEDICAL CENTER | 1 MEDICAL PLAZA DR | ROSEVILLE | CA | 95661 | 74 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 47 |
| Dr. KARANJIT SINGH BASRAI | 1121 MAIDU DR | AUBURN | CA | 95603 | 28 |
| Dr. ADORA L MATTHEWS | 6 MEDICAL PLAZA | ROSEVILLE | CA | 95661 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM R. PREBOLA | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 51 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 46 |
| Dr. KARANJIT SINGH BASRAI | 1121 MAIDU DR | AUBURN | CA | 95603 | 28 |