*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L930 - Discoid lupus erythematosus - as a primary diagnosis code | L930 - Discoid lupus erythematosus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.36 | |
| Readmission Rate (%) | 22.93 | |
| Unplanned Readmission Rate (%) | 17.58 | |
| 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 596: MAJOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 595: MAJOR SKIN DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 9,361 | |
| Total Hospitalizations with ICD L930 - Discoid lupus erythematosus | 131 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD L930 - Discoid lupus erythematosus in DRG | 73.6 | |
| Avg LOS at DRG | 4.43 | |
| Avg LOS with ICD L930 - Discoid lupus erythematosus | 3.69 | |
| Readmission Rate at DRG | 19.61 | |
| Readmission Rate with ICD L930 - Discoid lupus erythematosus | 13.71 | |
| Unplanned Readmission Rate at DRG | 13.62 | |
| Unplanned Readmission Rate with ICD L930 - Discoid lupus erythematosus | 10.48 | |
| Total Medicare payments at DRG | $61,755,606 | |
| Total Medicare payments with ICD L930 - Discoid lupus erythematosus | $863,853 | |
| Total Medicare payment per Day at DRG | $1,488 | |
| Total Medicare payment per Day with ICD L930 - Discoid lupus erythematosus | $1,785 | |
| Total Medicare payment per Hospitalization at DRG | $6,597 | |
| Total Medicare payment per Hospitalization with ICD L930 - Discoid lupus erythematosus | $6,594 | |
| Total Medicare Charges at DRG | $286,579,798 | |
| Total Medicare Charges with ICD L930 - Discoid lupus erythematosus | $3,347,507 | |
| Avg Charges at DRG | $30,614 | |
| Avg Charges with ICD L930 - Discoid lupus erythematosus | $25,553 | |
| Mortality Rate at DRG | 0.6 | |
| Mortality Rate with ICD L930 - Discoid lupus erythematosus | NA | |
| SNF Discharge Rate at DRG | 18.52 | |
| SNF Discharge Rate with ICD L930 - Discoid lupus erythematosus | NA | |
| Home Discharge Rate at DRG | 53.82 | |
| Home Discharge Rate with ICD L930 - Discoid lupus erythematosus | 79.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L930 - Discoid lupus erythematosus | 912 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L930 - Discoid lupus erythematosus in DRG | 4.91 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L930 - Discoid lupus erythematosus | 6.24 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L930 - Discoid lupus erythematosus | 29.92 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L930 - Discoid lupus erythematosus | 20.6 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L930 - Discoid lupus erythematosus | $10,350,223 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L930 - Discoid lupus erythematosus | $1,819 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L930 - Discoid lupus erythematosus | $11,349 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L930 - Discoid lupus erythematosus | $52,299,522 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L930 - Discoid lupus erythematosus | $57,346 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L930 - Discoid lupus erythematosus | 9.32 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L930 - Discoid lupus erythematosus | 20.5 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L930 - Discoid lupus erythematosus | 33.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD L930 - Discoid lupus erythematosus | 370 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD L930 - Discoid lupus erythematosus in DRG | 1.99 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD L930 - Discoid lupus erythematosus | 4.54 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD L930 - Discoid lupus erythematosus | 21.47 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD L930 - Discoid lupus erythematosus | 15.29 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD L930 - Discoid lupus erythematosus | $2,513,865 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD L930 - Discoid lupus erythematosus | $1,498 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD L930 - Discoid lupus erythematosus | $6,794 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD L930 - Discoid lupus erythematosus | $13,096,968 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD L930 - Discoid lupus erythematosus | $35,397 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD L930 - Discoid lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD L930 - Discoid lupus erythematosus | 14.32 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD L930 - Discoid lupus erythematosus | 54.86 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L930 - Discoid lupus erythematosus | 266 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L930 - Discoid lupus erythematosus in DRG | 1.43 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L930 - Discoid lupus erythematosus | 3.86 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L930 - Discoid lupus erythematosus | 14.4 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L930 - Discoid lupus erythematosus | 9.88 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L930 - Discoid lupus erythematosus | $1,262,762 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L930 - Discoid lupus erythematosus | $1,228 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L930 - Discoid lupus erythematosus | $4,747 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L930 - Discoid lupus erythematosus | $6,421,033 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L930 - Discoid lupus erythematosus | $24,139 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L930 - Discoid lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L930 - Discoid lupus erythematosus | 11.28 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L930 - Discoid lupus erythematosus | 56.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD L930 - Discoid lupus erythematosus | 194 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD L930 - Discoid lupus erythematosus in DRG | 1.04 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD L930 - Discoid lupus erythematosus | 3.75 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD L930 - Discoid lupus erythematosus | 18.23 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD L930 - Discoid lupus erythematosus | 13.26 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD L930 - Discoid lupus erythematosus | $1,165,756 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD L930 - Discoid lupus erythematosus | $1,601 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD L930 - Discoid lupus erythematosus | $6,009 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD L930 - Discoid lupus erythematosus | $5,409,023 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD L930 - Discoid lupus erythematosus | $27,882 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD L930 - Discoid lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD L930 - Discoid lupus erythematosus | NA | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD L930 - Discoid lupus erythematosus | 64.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 72 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 67 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 57 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 28 |
| Dr. ALFONSO CHAVEZ | 1250 E CLIFF DR | EL PASO | TX | 79902 | 13 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 36 |
| Dr. ALFONSO CHAVEZ | 1250 E CLIFF DR | EL PASO | TX | 79902 | 19 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 15 |