*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D6861 - Antiphospholipid syndrome - as a primary diagnosis code | D6861 - Antiphospholipid syndrome - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.03 | |
| Readmission Rate (%) | 29.52 | |
| Unplanned Readmission Rate (%) | 19.27 | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,220 | ||
| Total Hospitalizations with ICD D6861 - Antiphospholipid syndrome | 104 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD D6861 - Antiphospholipid syndrome in DRG | 48.37 | ||
| Avg LOS at DRG | 6.42 | ||
| Avg LOS with ICD D6861 - Antiphospholipid syndrome | 11.05 | ||
| Readmission Rate at DRG | 28.76 | ||
| Readmission Rate with ICD D6861 - Antiphospholipid syndrome | 31.52 | ||
| Unplanned Readmission Rate at DRG | 19.73 | ||
| Unplanned Readmission Rate with ICD D6861 - Antiphospholipid syndrome | 18.48 | ||
| Total Medicare payments at DRG | $64,234,604 | ||
| Total Medicare payments with ICD D6861 - Antiphospholipid syndrome | $1,855,627 | ||
| Total Medicare payment per Day at DRG | $1,918 | ||
| Total Medicare payment per Day with ICD D6861 - Antiphospholipid syndrome | $1,615 | ||
| Total Medicare payment per Hospitalization at DRG | $12,305 | ||
| Total Medicare payment per Hospitalization with ICD D6861 - Antiphospholipid syndrome | $17,843 | ||
| Total Medicare Charges at DRG | $310,509,885 | ||
| Total Medicare Charges with ICD D6861 - Antiphospholipid syndrome | $10,894,207 | ||
| Avg Charges at DRG | $59,485 | ||
| Avg Charges with ICD D6861 - Antiphospholipid syndrome | $104,752 | ||
| Mortality Rate at DRG | 5.4 | ||
| Mortality Rate with ICD D6861 - Antiphospholipid syndrome | NA | ||
| SNF Discharge Rate at DRG | 19.56 | ||
| SNF Discharge Rate with ICD D6861 - Antiphospholipid syndrome | 10.58 | ||
| Home Discharge Rate at DRG | 41.51 | ||
| Home Discharge Rate with ICD D6861 - Antiphospholipid syndrome | 46.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD D6861 - Antiphospholipid syndrome | 1,671 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D6861 - Antiphospholipid syndrome in DRG | 5.58 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D6861 - Antiphospholipid syndrome | 7.56 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D6861 - Antiphospholipid syndrome | 33.88 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D6861 - Antiphospholipid syndrome | 24.87 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D6861 - Antiphospholipid syndrome | $21,723,113 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D6861 - Antiphospholipid syndrome | $1,720 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D6861 - Antiphospholipid syndrome | $13,000 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D6861 - Antiphospholipid syndrome | $124,468,204 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D6861 - Antiphospholipid syndrome | $74,487 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D6861 - Antiphospholipid syndrome | 9.1 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D6861 - Antiphospholipid syndrome | 21.24 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D6861 - Antiphospholipid syndrome | 33.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD D6861 - Antiphospholipid syndrome | 460 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD D6861 - Antiphospholipid syndrome in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD D6861 - Antiphospholipid syndrome | 4.06 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD D6861 - Antiphospholipid syndrome | 18.31 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD D6861 - Antiphospholipid syndrome | 13.62 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD D6861 - Antiphospholipid syndrome | $2,804,031 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD D6861 - Antiphospholipid syndrome | $1,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD D6861 - Antiphospholipid syndrome | $6,096 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD D6861 - Antiphospholipid syndrome | $16,576,864 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD D6861 - Antiphospholipid syndrome | $36,037 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD D6861 - Antiphospholipid syndrome | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD D6861 - Antiphospholipid syndrome | 8.26 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD D6861 - Antiphospholipid syndrome | 67.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD D6861 - Antiphospholipid syndrome | 403 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD D6861 - Antiphospholipid syndrome in DRG | 1.35 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD D6861 - Antiphospholipid syndrome | 4.33 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD D6861 - Antiphospholipid syndrome | 25.85 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD D6861 - Antiphospholipid syndrome | 19.58 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD D6861 - Antiphospholipid syndrome | $2,507,692 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD D6861 - Antiphospholipid syndrome | $1,439 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD D6861 - Antiphospholipid syndrome | $6,223 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD D6861 - Antiphospholipid syndrome | $14,100,314 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD D6861 - Antiphospholipid syndrome | $34,988 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD D6861 - Antiphospholipid syndrome | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD D6861 - Antiphospholipid syndrome | 12.41 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD D6861 - Antiphospholipid syndrome | 60.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD D6861 - Antiphospholipid syndrome | 337 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD D6861 - Antiphospholipid syndrome in DRG | 1.13 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD D6861 - Antiphospholipid syndrome | 17.24 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD D6861 - Antiphospholipid syndrome | 46.93 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD D6861 - Antiphospholipid syndrome | 25.99 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD D6861 - Antiphospholipid syndrome | $14,346,684 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD D6861 - Antiphospholipid syndrome | $2,469 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD D6861 - Antiphospholipid syndrome | $42,572 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD D6861 - Antiphospholipid syndrome | $80,531,802 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD D6861 - Antiphospholipid syndrome | $238,967 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD D6861 - Antiphospholipid syndrome | 12.76 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD D6861 - Antiphospholipid syndrome | 27.0 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD D6861 - Antiphospholipid syndrome | 17.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 287 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 203 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 196 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VIPUL MODY | 185 ROSEBERRY ST | PHILLIPSBURG | NJ | 08865 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AUSTIN OSCAR WILLIAMS | 7015 ALMEDA RD # 5 | HOUSTON | TX | 77054 | 23 |
| Dr. PAUL W PIERCE | 2080 S FRONTAGE RD | VICKSBURG | MS | 39180 | 21 |
| Dr. VIREN GORDHANBHAI AMIN | 34 CARRIAGE RD | ROSLYN | NY | 11576 | 17 |