*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M329 - Systemic lupus erythematosus, unspecified - as a primary diagnosis code | M329 - Systemic lupus erythematosus, unspecified - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.62 | |
Readmission Rate (%) | 26.23 | |
Unplanned Readmission Rate (%) | 24.12 | |
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) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|
Total Hospitalizations at DRG | 14,526 | |||
Total Hospitalizations with ICD M329 - Systemic lupus erythematosus, unspecified | 1,396 | |||
DRG Share of Total Hospitalizations | 0.04 | |||
% of Total ICD M329 - Systemic lupus erythematosus, unspecified in DRG | 49.63 | |||
Avg LOS at DRG | 5.12 | |||
Avg LOS with ICD M329 - Systemic lupus erythematosus, unspecified | 4.52 | |||
Readmission Rate at DRG | 23.17 | |||
Readmission Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 27.21 | |||
Unplanned Readmission Rate at DRG | 15.83 | |||
Unplanned Readmission Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 21.78 | |||
Total Medicare payments at DRG | $123,348,417 | |||
Total Medicare payments with ICD M329 - Systemic lupus erythematosus, unspecified | $10,588,185 | |||
Total Medicare payment per Day at DRG | $1,658 | |||
Total Medicare payment per Day with ICD M329 - Systemic lupus erythematosus, unspecified | $1,680 | |||
Total Medicare payment per Hospitalization at DRG | $8,492 | |||
Total Medicare payment per Hospitalization with ICD M329 - Systemic lupus erythematosus, unspecified | $7,585 | |||
Total Medicare Charges at DRG | $565,151,481 | |||
Total Medicare Charges with ICD M329 - Systemic lupus erythematosus, unspecified | $52,287,668 | |||
Avg Charges at DRG | $38,906 | |||
Avg Charges with ICD M329 - Systemic lupus erythematosus, unspecified | $37,455 | |||
Mortality Rate at DRG | 0.34 | |||
Mortality Rate with ICD M329 - Systemic lupus erythematosus, unspecified | NA | |||
SNF Discharge Rate at DRG | 16.01 | |||
SNF Discharge Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 6.88 | |||
Home Discharge Rate at DRG | 53.61 | |||
Home Discharge Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 70.42 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 47 |
DCH REGIONAL MEDICAL CENTER | 809 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 27 |
HACKENSACK UNIVERSITY MEDICAL CENTER | 30 PROSPECT AVE | HACKENSACK | NJ | 07601 | 18 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ABBASEH SAEDI | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 22 |
Dr. SASAN MICHAEL PARANGI | 9 YALE CT | PARAMUS | NJ | 07652 | 14 |
Dr. ARTHUR STEVEN HUPPERT | 231 N BROAD ST | PHILADELPHIA | PA | 19107 | 12 |
*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 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) | DRG 885: PSYCHOSES | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD M329 - Systemic lupus erythematosus, unspecified | 10,600 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD M329 - Systemic lupus erythematosus, unspecified in DRG | 5.82 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD M329 - Systemic lupus erythematosus, unspecified | 6.63 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 29.69 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 21.3 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD M329 - Systemic lupus erythematosus, unspecified | $124,652,435 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD M329 - Systemic lupus erythematosus, unspecified | $1,773 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD M329 - Systemic lupus erythematosus, unspecified | $11,760 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD M329 - Systemic lupus erythematosus, unspecified | $689,874,689 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD M329 - Systemic lupus erythematosus, unspecified | $65,083 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 9.79 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 19.49 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 36.29 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 499,133 | ||||
Total Hospitalizations with ICD M329 - Systemic lupus erythematosus, unspecified | 3,337 | ||||
DRG Share of Total Hospitalizations | 1.52 | ||||
% of Total ICD M329 - Systemic lupus erythematosus, unspecified in DRG | 1.83 | ||||
Avg LOS at DRG | 4.34 | ||||
Avg LOS with ICD M329 - Systemic lupus erythematosus, unspecified | 4.63 | ||||
Readmission Rate at DRG | 17.57 | ||||
Readmission Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 21.35 | ||||
Unplanned Readmission Rate at DRG | 12.56 | ||||
Unplanned Readmission Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 16.36 | ||||
Total Medicare payments at DRG | $3,254,711,780 | ||||
Total Medicare payments with ICD M329 - Systemic lupus erythematosus, unspecified | $22,226,092 | ||||
Total Medicare payment per Day at DRG | $1,504 | ||||
Total Medicare payment per Day with ICD M329 - Systemic lupus erythematosus, unspecified | $1,440 | ||||
Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
Total Medicare payment per Hospitalization with ICD M329 - Systemic lupus erythematosus, unspecified | $6,661 | ||||
Total Medicare Charges at DRG | $16,863,396,143 | ||||
Total Medicare Charges with ICD M329 - Systemic lupus erythematosus, unspecified | $130,653,257 | ||||
Avg Charges at DRG | $33,785 | ||||
Avg Charges with ICD M329 - Systemic lupus erythematosus, unspecified | $39,153 | ||||
Mortality Rate at DRG | 1.33 | ||||
Mortality Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 0.54 | ||||
SNF Discharge Rate at DRG | 19.89 | ||||
SNF Discharge Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 14.08 | ||||
Home Discharge Rate at DRG | 49.27 | ||||
Home Discharge Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 56.88 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 535,322 | ||||
Total Hospitalizations with ICD M329 - Systemic lupus erythematosus, unspecified | 2,572 | ||||
DRG Share of Total Hospitalizations | 1.63 | ||||
% of Total ICD M329 - Systemic lupus erythematosus, unspecified in DRG | 1.41 | ||||
Avg LOS at DRG | 4.68 | ||||
Avg LOS with ICD M329 - Systemic lupus erythematosus, unspecified | 4.86 | ||||
Readmission Rate at DRG | 23.65 | ||||
Readmission Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 26.17 | ||||
Unplanned Readmission Rate at DRG | 18.66 | ||||
Unplanned Readmission Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 21.25 | ||||
Total Medicare payments at DRG | $3,844,806,408 | ||||
Total Medicare payments with ICD M329 - Systemic lupus erythematosus, unspecified | $18,341,364 | ||||
Total Medicare payment per Day at DRG | $1,536 | ||||
Total Medicare payment per Day with ICD M329 - Systemic lupus erythematosus, unspecified | $1,466 | ||||
Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
Total Medicare payment per Hospitalization with ICD M329 - Systemic lupus erythematosus, unspecified | $7,131 | ||||
Total Medicare Charges at DRG | $19,258,468,078 | ||||
Total Medicare Charges with ICD M329 - Systemic lupus erythematosus, unspecified | $102,205,318 | ||||
Avg Charges at DRG | $35,975 | ||||
Avg Charges with ICD M329 - Systemic lupus erythematosus, unspecified | $39,738 | ||||
Mortality Rate at DRG | 1.27 | ||||
Mortality Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 1.01 | ||||
SNF Discharge Rate at DRG | 14.61 | ||||
SNF Discharge Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 11.31 | ||||
Home Discharge Rate at DRG | 52.12 | ||||
Home Discharge Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 57.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 422,757 | ||||
Total Hospitalizations with ICD M329 - Systemic lupus erythematosus, unspecified | 1,946 | ||||
DRG Share of Total Hospitalizations | 1.29 | ||||
% of Total ICD M329 - Systemic lupus erythematosus, unspecified in DRG | 1.07 | ||||
Avg LOS at DRG | 4.14 | ||||
Avg LOS with ICD M329 - Systemic lupus erythematosus, unspecified | 4.19 | ||||
Readmission Rate at DRG | 24.43 | ||||
Readmission Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 29.09 | ||||
Unplanned Readmission Rate at DRG | 18.48 | ||||
Unplanned Readmission Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 22.31 | ||||
Total Medicare payments at DRG | $2,636,135,714 | ||||
Total Medicare payments with ICD M329 - Systemic lupus erythematosus, unspecified | $12,176,058 | ||||
Total Medicare payment per Day at DRG | $1,507 | ||||
Total Medicare payment per Day with ICD M329 - Systemic lupus erythematosus, unspecified | $1,493 | ||||
Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
Total Medicare payment per Hospitalization with ICD M329 - Systemic lupus erythematosus, unspecified | $6,257 | ||||
Total Medicare Charges at DRG | $11,980,955,733 | ||||
Total Medicare Charges with ICD M329 - Systemic lupus erythematosus, unspecified | $59,741,809 | ||||
Avg Charges at DRG | $28,340 | ||||
Avg Charges with ICD M329 - Systemic lupus erythematosus, unspecified | $30,700 | ||||
Mortality Rate at DRG | 1.01 | ||||
Mortality Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 0.62 | ||||
SNF Discharge Rate at DRG | 16.05 | ||||
SNF Discharge Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 13.21 | ||||
Home Discharge Rate at DRG | 47.18 | ||||
Home Discharge Rate with ICD M329 - Systemic lupus erythematosus, unspecified | 50.05 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 881 |
METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 632 |
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 617 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 38 |
Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 38 |
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 34 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 102 |
Dr. ARASH MILANI | 12830 HESPERIA RD STE D | VICTORVILLE | CA | 92395 | 57 |
Dr. JOSEPH L PRATT | 121 PRATT DR | CORINTH | MS | 38834 | 54 |