*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M3214 - Glomerular disease in systemic lupus erythematosus - as a primary diagnosis code | M3214 - Glomerular disease in systemic lupus erythematosus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.45 | |
| Readmission Rate (%) | 35.81 | |
| Unplanned Readmission Rate (%) | 27.63 | |
| 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 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,608 | ||||
| Total Hospitalizations with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 831 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M3214 - Glomerular disease in systemic lupus erythematosus in DRG | 52.17 | ||||
| Avg LOS at DRG | 8.22 | ||||
| Avg LOS with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 7.82 | ||||
| Readmission Rate at DRG | 31.98 | ||||
| Readmission Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 42.35 | ||||
| Unplanned Readmission Rate at DRG | 20.53 | ||||
| Unplanned Readmission Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 33.83 | ||||
| Total Medicare payments at DRG | $206,660,882 | ||||
| Total Medicare payments with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $14,543,853 | ||||
| Total Medicare payment per Day at DRG | $2,166 | ||||
| Total Medicare payment per Day with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $2,239 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,803 | ||||
| Total Medicare payment per Hospitalization with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $17,502 | ||||
| Total Medicare Charges at DRG | $902,384,310 | ||||
| Total Medicare Charges with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $64,850,665 | ||||
| Avg Charges at DRG | $77,738 | ||||
| Avg Charges with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $78,039 | ||||
| Mortality Rate at DRG | 5.53 | ||||
| Mortality Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 2.65 | ||||
| SNF Discharge Rate at DRG | 19.03 | ||||
| SNF Discharge Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 7.46 | ||||
| Home Discharge Rate at DRG | 38.57 | ||||
| Home Discharge Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 67.87 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 19 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 17 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 14 |
*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 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 1,733 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M3214 - Glomerular disease in systemic lupus erythematosus in DRG | 6.01 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 6.95 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 37.39 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 29.71 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $22,738,120 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $1,887 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $13,121 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $125,825,883 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $72,606 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 7.16 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 8.89 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 54.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 1,011 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M3214 - Glomerular disease in systemic lupus erythematosus in DRG | 3.51 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 5.13 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 37.25 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 32.86 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $10,163,762 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $1,958 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $10,053 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $47,447,274 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $46,931 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 1.58 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 7.22 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 66.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH 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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 638 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD M3214 - Glomerular disease in systemic lupus erythematosus in DRG | 2.21 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 4.4 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 37.52 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 31.58 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $5,928,305 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $2,110 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $9,292 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $25,959,054 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $40,688 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 4.39 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 75.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 304: HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 368 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD M3214 - Glomerular disease in systemic lupus erythematosus in DRG | 1.28 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 6.96 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 30.27 | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 20.47 | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $4,851,987 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $1,893 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $13,185 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $27,840,925 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD M3214 - Glomerular disease in systemic lupus erythematosus | $75,655 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 3.53 | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD M3214 - Glomerular disease in systemic lupus erythematosus | 75.82 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| EMORY UNIVERSITY HOSPITAL | 1364 CLIFTON RD NE | ATLANTA | GA | 30322 | 226 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 215 |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 206 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. IDELBERTO RAUL BADELL | 1364 CLIFTON RD NE | ATLANTA | GA | 30322 | 17 |
| Dr. CHRISTOPHER JOHNSON | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 15 |
| Dr. GAETANO CIANCIO | 1801 NW 9TH AVE FL 3 | MIAMI | FL | 33136 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROWEN GUMPAS DIANO | 48 N FULLERTON AVE | MONTCLAIR | NJ | 07042 | 38 |
| Dr. CARLOS SAMUEL MARTINEZ | 4214 BEVERLY BLVD STE 212 | LOS ANGELES | CA | 90004 | 23 |
| Dr. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 20 |