*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M328 - Other forms of systemic lupus erythematosus - as a primary diagnosis code | M328 - Other forms of systemic lupus erythematosus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.23 | |
| Readmission Rate (%) | 26.04 | |
| Unplanned Readmission Rate (%) | 27.72 | |
| 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) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||
| Total Hospitalizations with ICD M328 - Other forms of systemic lupus erythematosus | 57 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD M328 - Other forms of systemic lupus erythematosus in DRG | 52.29 | ||
| Avg LOS at DRG | 5.12 | ||
| Avg LOS with ICD M328 - Other forms of systemic lupus erythematosus | 5.21 | ||
| Readmission Rate at DRG | 23.17 | ||
| Readmission Rate with ICD M328 - Other forms of systemic lupus erythematosus | 29.63 | ||
| Unplanned Readmission Rate at DRG | 15.83 | ||
| Unplanned Readmission Rate with ICD M328 - Other forms of systemic lupus erythematosus | 22.22 | ||
| Total Medicare payments at DRG | $123,348,417 | ||
| Total Medicare payments with ICD M328 - Other forms of systemic lupus erythematosus | $522,118 | ||
| Total Medicare payment per Day at DRG | $1,658 | ||
| Total Medicare payment per Day with ICD M328 - Other forms of systemic lupus erythematosus | $1,758 | ||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||
| Total Medicare payment per Hospitalization with ICD M328 - Other forms of systemic lupus erythematosus | $9,160 | ||
| Total Medicare Charges at DRG | $565,151,481 | ||
| Total Medicare Charges with ICD M328 - Other forms of systemic lupus erythematosus | $2,238,639 | ||
| Avg Charges at DRG | $38,906 | ||
| Avg Charges with ICD M328 - Other forms of systemic lupus erythematosus | $39,274 | ||
| Mortality Rate at DRG | 0.34 | ||
| Mortality Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||
| SNF Discharge Rate at DRG | 16.01 | ||
| SNF Discharge Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||
| Home Discharge Rate at DRG | 53.61 | ||
| Home Discharge Rate with ICD M328 - Other forms of systemic lupus erythematosus | 75.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||||
| Total Hospitalizations with ICD M328 - Other forms of systemic lupus erythematosus | 73 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M328 - Other forms of systemic lupus erythematosus in DRG | 5.48 | ||||
| Avg LOS at DRG | 5.12 | ||||
| Avg LOS with ICD M328 - Other forms of systemic lupus erythematosus | 5.22 | ||||
| Readmission Rate at DRG | 23.17 | ||||
| Readmission Rate with ICD M328 - Other forms of systemic lupus erythematosus | 30.43 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD M328 - Other forms of systemic lupus erythematosus | 24.64 | ||||
| Total Medicare payments at DRG | $123,348,417 | ||||
| Total Medicare payments with ICD M328 - Other forms of systemic lupus erythematosus | $676,244 | ||||
| Total Medicare payment per Day at DRG | $1,658 | ||||
| Total Medicare payment per Day with ICD M328 - Other forms of systemic lupus erythematosus | $1,775 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||||
| Total Medicare payment per Hospitalization with ICD M328 - Other forms of systemic lupus erythematosus | $9,264 | ||||
| Total Medicare Charges at DRG | $565,151,481 | ||||
| Total Medicare Charges with ICD M328 - Other forms of systemic lupus erythematosus | $2,908,494 | ||||
| Avg Charges at DRG | $38,906 | ||||
| Avg Charges with ICD M328 - Other forms of systemic lupus erythematosus | $39,842 | ||||
| Mortality Rate at DRG | 0.34 | ||||
| Mortality Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 16.01 | ||||
| SNF Discharge Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| Home Discharge Rate at DRG | 53.61 | ||||
| Home Discharge Rate with ICD M328 - Other forms of systemic lupus erythematosus | 72.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M328 - Other forms of systemic lupus erythematosus | 26 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M328 - Other forms of systemic lupus erythematosus in DRG | 1.95 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M328 - Other forms of systemic lupus erythematosus | 4.04 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M328 - Other forms of systemic lupus erythematosus | $178,264 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M328 - Other forms of systemic lupus erythematosus | $1,698 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M328 - Other forms of systemic lupus erythematosus | $6,856 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M328 - Other forms of systemic lupus erythematosus | $653,581 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M328 - Other forms of systemic lupus erythematosus | $25,138 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M328 - Other forms of systemic lupus erythematosus | 76.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD M328 - Other forms of systemic lupus erythematosus | 18 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD M328 - Other forms of systemic lupus erythematosus in DRG | 1.35 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD M328 - Other forms of systemic lupus erythematosus | 15.67 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD M328 - Other forms of systemic lupus erythematosus | $806,400 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD M328 - Other forms of systemic lupus erythematosus | $2,860 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD M328 - Other forms of systemic lupus erythematosus | $44,800 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD M328 - Other forms of systemic lupus erythematosus | $4,405,112 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD M328 - Other forms of systemic lupus erythematosus | $244,728 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD M328 - Other forms of systemic lupus erythematosus | 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 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD M328 - Other forms of systemic lupus erythematosus | 15 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD M328 - Other forms of systemic lupus erythematosus in DRG | 1.13 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD M328 - Other forms of systemic lupus erythematosus | 5.93 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD M328 - Other forms of systemic lupus erythematosus | $325,374 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD M328 - Other forms of systemic lupus erythematosus | $3,656 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD M328 - Other forms of systemic lupus erythematosus | $21,692 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD M328 - Other forms of systemic lupus erythematosus | $1,437,749 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD M328 - Other forms of systemic lupus erythematosus | $95,850 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD M328 - Other forms of systemic lupus erythematosus | NA | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD M328 - Other forms of systemic lupus erythematosus | 73.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 15 |
| MANATI MEDICAL CENTER DR. OTERO LOPEZ | CALLE HERNANDEZ CARRION | MANATI | PR | 00674 | 12 |
| THE MEDICAL CENTER, NAVICENT HEALTH | 777 HEMLOCK ST | MACON | GA | 31201 | 11 |