*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M352 - Behçet's disease - as a primary diagnosis code | M352 - Behçet's disease - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.39 | |
| Readmission Rate (%) | 26.03 | |
| Unplanned Readmission Rate (%) | 18.32 | |
| 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 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||
| Total Hospitalizations with ICD M352 - Behçet's disease | 120 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD M352 - Behçet's disease in DRG | 59.7 | ||
| Avg LOS at DRG | 5.12 | ||
| Avg LOS with ICD M352 - Behçet's disease | 5.02 | ||
| Readmission Rate at DRG | 23.17 | ||
| Readmission Rate with ICD M352 - Behçet's disease | 22.32 | ||
| Unplanned Readmission Rate at DRG | 15.83 | ||
| Unplanned Readmission Rate with ICD M352 - Behçet's disease | 16.96 | ||
| Total Medicare payments at DRG | $123,348,417 | ||
| Total Medicare payments with ICD M352 - Behçet's disease | $801,194 | ||
| Total Medicare payment per Day at DRG | $1,658 | ||
| Total Medicare payment per Day with ICD M352 - Behçet's disease | $1,331 | ||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||
| Total Medicare payment per Hospitalization with ICD M352 - Behçet's disease | $6,677 | ||
| Total Medicare Charges at DRG | $565,151,481 | ||
| Total Medicare Charges with ICD M352 - Behçet's disease | $4,985,199 | ||
| Avg Charges at DRG | $38,906 | ||
| Avg Charges with ICD M352 - Behçet's disease | $41,543 | ||
| Mortality Rate at DRG | 0.34 | ||
| Mortality Rate with ICD M352 - Behçet's disease | NA | ||
| SNF Discharge Rate at DRG | 16.01 | ||
| SNF Discharge Rate with ICD M352 - Behçet's disease | NA | ||
| Home Discharge Rate at DRG | 53.61 | ||
| Home Discharge Rate with ICD M352 - Behçet's disease | 80.0 |
*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 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M352 - Behçet's disease | 170 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M352 - Behçet's disease in DRG | 5.75 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M352 - Behçet's disease | 6.32 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M352 - Behçet's disease | 28.47 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M352 - Behçet's disease | 18.98 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M352 - Behçet's disease | $1,937,205 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M352 - Behçet's disease | $1,802 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M352 - Behçet's disease | $11,395 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M352 - Behçet's disease | $10,878,330 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M352 - Behçet's disease | $63,990 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M352 - Behçet's disease | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M352 - Behçet's disease | 19.41 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M352 - Behçet's disease | 34.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M352 - Behçet's disease | 73 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M352 - Behçet's disease in DRG | 2.47 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M352 - Behçet's disease | 4.95 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M352 - Behçet's disease | 29.41 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M352 - Behçet's disease | 25.0 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M352 - Behçet's disease | $433,378 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M352 - Behçet's disease | $1,200 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M352 - Behçet's disease | $5,937 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M352 - Behçet's disease | $2,973,972 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M352 - Behçet's disease | $40,739 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M352 - Behçet's disease | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M352 - Behçet's disease | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M352 - Behçet's disease | 64.38 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD M352 - Behçet's disease | 41 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD M352 - Behçet's disease in DRG | 1.39 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD M352 - Behçet's disease | 13.85 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD M352 - Behçet's disease | 38.71 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD M352 - Behçet's disease | NA | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD M352 - Behçet's disease | $1,340,144 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD M352 - Behçet's disease | $2,359 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD M352 - Behçet's disease | $32,686 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD M352 - Behçet's disease | $7,985,439 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD M352 - Behçet's disease | $194,767 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD M352 - Behçet's disease | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD M352 - Behçet's disease | 29.27 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD M352 - Behçet's disease | 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 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 135,138 | ||||
| Total Hospitalizations with ICD M352 - Behçet's disease | 35 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD M352 - Behçet's disease in DRG | 1.18 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M352 - Behçet's disease | 3.6 | ||||
| Readmission Rate at DRG | 16.48 | ||||
| Readmission Rate with ICD M352 - Behçet's disease | NA | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD M352 - Behçet's disease | NA | ||||
| Total Medicare payments at DRG | $705,646,122 | ||||
| Total Medicare payments with ICD M352 - Behçet's disease | $218,175 | ||||
| Total Medicare payment per Day at DRG | $1,592 | ||||
| Total Medicare payment per Day with ICD M352 - Behçet's disease | $1,732 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,222 | ||||
| Total Medicare payment per Hospitalization with ICD M352 - Behçet's disease | $6,234 | ||||
| Total Medicare Charges at DRG | $4,131,642,258 | ||||
| Total Medicare Charges with ICD M352 - Behçet's disease | $1,184,008 | ||||
| Avg Charges at DRG | $30,574 | ||||
| Avg Charges with ICD M352 - Behçet's disease | $33,829 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD M352 - Behçet's disease | NA | ||||
| SNF Discharge Rate at DRG | 16.47 | ||||
| SNF Discharge Rate with ICD M352 - Behçet's disease | NA | ||||
| Home Discharge Rate at DRG | 56.97 | ||||
| Home Discharge Rate with ICD M352 - Behçet's disease | 68.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AUGUSTA HEALTH | 78 MEDICAL CENTER DR | FISHERSVILLE | VA | 22939 | 42 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 32 |
| VIRGINIA MASON MEDICAL CENTER | 925 SENECA ST | SEATTLE | WA | 98101 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NICHOLAS NISSEN | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 14 |
| Dr. WOJCIECH L. DULOWSKI | 1401 W LOCUST ST | STILWELL | OK | 74960 | 14 |