*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M3210 - Systemic lupus erythematosus, organ or system involvement unspecified - as a primary diagnosis code | M3210 - Systemic lupus erythematosus, organ or system involvement unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.98 | |
| Readmission Rate (%) | 25.83 | |
| 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 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 14,526 | |
| Total Hospitalizations with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 24 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified in DRG | 58.54 | |
| Avg LOS at DRG | 5.12 | |
| Avg LOS with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 5.79 | |
| Readmission Rate at DRG | 23.17 | |
| Readmission Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | |
| Unplanned Readmission Rate at DRG | 15.83 | |
| Unplanned Readmission Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | |
| Total Medicare payments at DRG | $123,348,417 | |
| Total Medicare payments with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $197,341 | |
| Total Medicare payment per Day at DRG | $1,658 | |
| Total Medicare payment per Day with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $1,420 | |
| Total Medicare payment per Hospitalization at DRG | $8,492 | |
| Total Medicare payment per Hospitalization with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $8,223 | |
| Total Medicare Charges at DRG | $565,151,481 | |
| Total Medicare Charges with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $1,056,994 | |
| Avg Charges at DRG | $38,906 | |
| Avg Charges with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $44,041 | |
| Mortality Rate at DRG | 0.34 | |
| Mortality Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | |
| SNF Discharge Rate at DRG | 16.01 | |
| SNF Discharge Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | |
| Home Discharge Rate at DRG | 53.61 | |
| Home Discharge Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 79.17 |
*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 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 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 72 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified in DRG | 6.81 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 12.29 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 25.71 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 15.71 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $728,883 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $824 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $10,123 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $1,654,929 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $22,985 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 84.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 19 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified in DRG | 1.8 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 13.74 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $355,960 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $1,364 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $18,735 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $740,305 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $38,963 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 15 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified in DRG | 1.42 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 3.73 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $95,585 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $1,707 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $6,372 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $420,087 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $28,006 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 13 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified in DRG | 1.23 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | 6.62 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $130,969 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $1,523 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $10,075 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $609,392 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | $46,876 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD M3210 - Systemic lupus erythematosus, organ or system involvement unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH REHABILITATION HOSPITAL OF MEMPHIS | 1282 UNION AVE | MEMPHIS | TN | 38104 | 22 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 20 |
| FLORIDA HOSPITAL TAMPA | 3100 E FLETCHER AVE | TAMPA | FL | 33613 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PATRICK WILLIAM DONOVAN | 1011 COLLIER ST | FORT WORTH | TX | 76102 | 11 |