*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L4050 - Arthropathic psoriasis, unspecified - as a primary diagnosis code | L4050 - Arthropathic psoriasis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.31 | |
| Readmission Rate (%) | 20.46 | |
| Unplanned Readmission Rate (%) | 13.32 | |
| 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 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||||
| Total Hospitalizations with ICD L4050 - Arthropathic psoriasis, unspecified | 231 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L4050 - Arthropathic psoriasis, unspecified in DRG | 44.51 | ||||
| Avg LOS at DRG | 5.12 | ||||
| Avg LOS with ICD L4050 - Arthropathic psoriasis, unspecified | 5.0 | ||||
| Readmission Rate at DRG | 23.17 | ||||
| Readmission Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 21.08 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 15.7 | ||||
| Total Medicare payments at DRG | $123,348,417 | ||||
| Total Medicare payments with ICD L4050 - Arthropathic psoriasis, unspecified | $2,013,491 | ||||
| Total Medicare payment per Day at DRG | $1,658 | ||||
| Total Medicare payment per Day with ICD L4050 - Arthropathic psoriasis, unspecified | $1,743 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||||
| Total Medicare payment per Hospitalization with ICD L4050 - Arthropathic psoriasis, unspecified | $8,716 | ||||
| Total Medicare Charges at DRG | $565,151,481 | ||||
| Total Medicare Charges with ICD L4050 - Arthropathic psoriasis, unspecified | $7,485,282 | ||||
| Avg Charges at DRG | $38,906 | ||||
| Avg Charges with ICD L4050 - Arthropathic psoriasis, unspecified | $32,404 | ||||
| Mortality Rate at DRG | 0.34 | ||||
| Mortality Rate with ICD L4050 - Arthropathic psoriasis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 16.01 | ||||
| SNF Discharge Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 19.05 | ||||
| Home Discharge Rate at DRG | 53.61 | ||||
| Home Discharge Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 57.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTHWESTERN MEMORIAL HOSPITAL | 251 E HURON ST | CHICAGO | IL | 60611 | 16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD L4050 - Arthropathic psoriasis, unspecified | 3,607 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD L4050 - Arthropathic psoriasis, unspecified in DRG | 7.12 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD L4050 - Arthropathic psoriasis, unspecified | 2.43 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 8.77 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 3.21 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD L4050 - Arthropathic psoriasis, unspecified | $42,110,804 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD L4050 - Arthropathic psoriasis, unspecified | $4,810 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD L4050 - Arthropathic psoriasis, unspecified | $11,675 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD L4050 - Arthropathic psoriasis, unspecified | $216,478,666 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD L4050 - Arthropathic psoriasis, unspecified | $60,016 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD L4050 - Arthropathic psoriasis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 20.4 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 29.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD L4050 - Arthropathic psoriasis, unspecified | 972 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD L4050 - Arthropathic psoriasis, unspecified in DRG | 1.92 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD L4050 - Arthropathic psoriasis, unspecified | 9.87 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 25.57 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 12.08 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD L4050 - Arthropathic psoriasis, unspecified | $8,006,923 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD L4050 - Arthropathic psoriasis, unspecified | $835 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD L4050 - Arthropathic psoriasis, unspecified | $8,238 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD L4050 - Arthropathic psoriasis, unspecified | $28,423,816 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD L4050 - Arthropathic psoriasis, unspecified | $29,243 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD L4050 - Arthropathic psoriasis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 3.91 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 83.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD L4050 - Arthropathic psoriasis, unspecified | 584 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD L4050 - Arthropathic psoriasis, unspecified in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD L4050 - Arthropathic psoriasis, unspecified | 3.47 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 19.82 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 6.14 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD L4050 - Arthropathic psoriasis, unspecified | $14,949,300 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD L4050 - Arthropathic psoriasis, unspecified | $7,368 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD L4050 - Arthropathic psoriasis, unspecified | $25,598 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD L4050 - Arthropathic psoriasis, unspecified | $70,068,916 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD L4050 - Arthropathic psoriasis, unspecified | $119,981 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD L4050 - Arthropathic psoriasis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 15.75 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 50.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,438 | ||||
| Total Hospitalizations with ICD L4050 - Arthropathic psoriasis, unspecified | 483 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L4050 - Arthropathic psoriasis, unspecified in DRG | 0.95 | ||||
| Avg LOS at DRG | 2.51 | ||||
| Avg LOS with ICD L4050 - Arthropathic psoriasis, unspecified | 2.57 | ||||
| Readmission Rate at DRG | 10.86 | ||||
| Readmission Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 9.68 | ||||
| Unplanned Readmission Rate at DRG | 8.03 | ||||
| Unplanned Readmission Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 7.31 | ||||
| Total Medicare payments at DRG | $3,352,957,239 | ||||
| Total Medicare payments with ICD L4050 - Arthropathic psoriasis, unspecified | $6,190,416 | ||||
| Total Medicare payment per Day at DRG | $4,952 | ||||
| Total Medicare payment per Day with ICD L4050 - Arthropathic psoriasis, unspecified | $4,984 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,444 | ||||
| Total Medicare payment per Hospitalization with ICD L4050 - Arthropathic psoriasis, unspecified | $12,817 | ||||
| Total Medicare Charges at DRG | $22,958,558,443 | ||||
| Total Medicare Charges with ICD L4050 - Arthropathic psoriasis, unspecified | $40,413,798 | ||||
| Avg Charges at DRG | $85,209 | ||||
| Avg Charges with ICD L4050 - Arthropathic psoriasis, unspecified | $83,672 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD L4050 - Arthropathic psoriasis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 2.62 | ||||
| SNF Discharge Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 2.28 | ||||
| Home Discharge Rate at DRG | 88.57 | ||||
| Home Discharge Rate with ICD L4050 - Arthropathic psoriasis, unspecified | 88.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 255 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 216 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 185 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHANN ELI GUDJONSSON | 1500 E MEDICAL CENTER DR | ANN ARBOR | MI | 48109 | 26 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 12 |
| Dr. THOMAS PETER SCULCO | 535 E 70TH ST | NEW YORK | NY | 10021 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RONALDO D FACTORIZA | 795 PAREDES LINE RD | BROWNSVILLE | TX | 78521 | 19 |
| Dr. JONATHAN ELIOT LEVINE | 6160 S YALE AVE | TULSA | OK | 74136 | 18 |
| Dr. TARIQ KAKISH | 32121 WOODWARD AVE | ROYAL OAK | MI | 48073 | 17 |