*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D6862 - Lupus anticoagulant syndrome - as a primary diagnosis code | D6862 - Lupus anticoagulant syndrome - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.0 | |
| Readmission Rate (%) | 27.16 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 8,939 | ||
| Total Hospitalizations with ICD D6862 - Lupus anticoagulant syndrome | 31 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD D6862 - Lupus anticoagulant syndrome in DRG | 46.27 | ||
| Avg LOS at DRG | 3.88 | ||
| Avg LOS with ICD D6862 - Lupus anticoagulant syndrome | 4.1 | ||
| Readmission Rate at DRG | 23.69 | ||
| Readmission Rate with ICD D6862 - Lupus anticoagulant syndrome | NA | ||
| Unplanned Readmission Rate at DRG | 15.05 | ||
| Unplanned Readmission Rate with ICD D6862 - Lupus anticoagulant syndrome | NA | ||
| Total Medicare payments at DRG | $57,943,027 | ||
| Total Medicare payments with ICD D6862 - Lupus anticoagulant syndrome | $229,033 | ||
| Total Medicare payment per Day at DRG | $1,671 | ||
| Total Medicare payment per Day with ICD D6862 - Lupus anticoagulant syndrome | $1,803 | ||
| Total Medicare payment per Hospitalization at DRG | $6,482 | ||
| Total Medicare payment per Hospitalization with ICD D6862 - Lupus anticoagulant syndrome | $7,388 | ||
| Total Medicare Charges at DRG | $302,109,342 | ||
| Total Medicare Charges with ICD D6862 - Lupus anticoagulant syndrome | $1,086,787 | ||
| Avg Charges at DRG | $33,797 | ||
| Avg Charges with ICD D6862 - Lupus anticoagulant syndrome | $35,058 | ||
| Mortality Rate at DRG | 0.58 | ||
| Mortality Rate with ICD D6862 - Lupus anticoagulant syndrome | NA | ||
| SNF Discharge Rate at DRG | 13.86 | ||
| SNF Discharge Rate with ICD D6862 - Lupus anticoagulant syndrome | NA | ||
| Home Discharge Rate at DRG | 57.72 | ||
| Home Discharge Rate with ICD D6862 - Lupus anticoagulant syndrome | 70.97 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | 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 D6862 - Lupus anticoagulant syndrome | 699 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD D6862 - Lupus anticoagulant syndrome in DRG | 4.64 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD D6862 - Lupus anticoagulant syndrome | 7.48 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD D6862 - Lupus anticoagulant syndrome | 30.03 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD D6862 - Lupus anticoagulant syndrome | 21.48 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD D6862 - Lupus anticoagulant syndrome | $8,951,852 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD D6862 - Lupus anticoagulant syndrome | $1,713 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD D6862 - Lupus anticoagulant syndrome | $12,807 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD D6862 - Lupus anticoagulant syndrome | $51,041,647 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD D6862 - Lupus anticoagulant syndrome | $73,021 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD D6862 - Lupus anticoagulant syndrome | 8.73 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD D6862 - Lupus anticoagulant syndrome | 25.61 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD D6862 - Lupus anticoagulant syndrome | 29.18 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD D6862 - Lupus anticoagulant syndrome | 232 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD D6862 - Lupus anticoagulant syndrome in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD D6862 - Lupus anticoagulant syndrome | 3.79 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD D6862 - Lupus anticoagulant syndrome | 19.27 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD D6862 - Lupus anticoagulant syndrome | 17.43 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD D6862 - Lupus anticoagulant syndrome | $1,310,943 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD D6862 - Lupus anticoagulant syndrome | $1,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD D6862 - Lupus anticoagulant syndrome | $5,651 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD D6862 - Lupus anticoagulant syndrome | $8,606,196 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD D6862 - Lupus anticoagulant syndrome | $37,096 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD D6862 - Lupus anticoagulant syndrome | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD D6862 - Lupus anticoagulant syndrome | 7.33 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD D6862 - Lupus anticoagulant syndrome | 70.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD D6862 - Lupus anticoagulant syndrome | 192 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD D6862 - Lupus anticoagulant syndrome in DRG | 1.28 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD D6862 - Lupus anticoagulant syndrome | 7.59 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD D6862 - Lupus anticoagulant syndrome | 33.93 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD D6862 - Lupus anticoagulant syndrome | 26.79 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD D6862 - Lupus anticoagulant syndrome | $2,525,979 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD D6862 - Lupus anticoagulant syndrome | $1,732 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD D6862 - Lupus anticoagulant syndrome | $13,156 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD D6862 - Lupus anticoagulant syndrome | $13,572,392 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD D6862 - Lupus anticoagulant syndrome | $70,690 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD D6862 - Lupus anticoagulant syndrome | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD D6862 - Lupus anticoagulant syndrome | 16.15 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD D6862 - Lupus anticoagulant syndrome | 43.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD D6862 - Lupus anticoagulant syndrome | 173 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD D6862 - Lupus anticoagulant syndrome in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD D6862 - Lupus anticoagulant syndrome | 3.95 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD D6862 - Lupus anticoagulant syndrome | 17.28 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD D6862 - Lupus anticoagulant syndrome | 9.88 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD D6862 - Lupus anticoagulant syndrome | $841,201 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD D6862 - Lupus anticoagulant syndrome | $1,230 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD D6862 - Lupus anticoagulant syndrome | $4,862 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD D6862 - Lupus anticoagulant syndrome | $4,868,076 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD D6862 - Lupus anticoagulant syndrome | $28,139 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD D6862 - Lupus anticoagulant syndrome | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD D6862 - Lupus anticoagulant syndrome | 7.51 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD D6862 - Lupus anticoagulant syndrome | 67.63 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 185 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 127 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 106 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ARTI PANDEY | 4810 HARKEY LANE | TUSCALOOSA | AL | 35406 | 15 |
| Dr. BEEJADI N MUKUNDA | 6559 WILSON MILLS RD | MAYFIELD VILLAGE | OH | 44143 | 12 |
| Dr. LIVIU RAPPAPORT | 508 HAMBURG TURNPIKE | WAYNE | NJ | 07470 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z86718 | Personal history of other venous thrombosis and embolism |
| 2 | Z7901 | Long term (current) use of anticoagulants |