Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | Back to Top |
| DRG Code | DRG Description | Category | Sub Category | DRG Group | Surgical Category | Case Mix Level | Total National Projected Hospitalizations - Annualized | Total Medicare Hospitalizations - Jan 2017 to Dec 2017 | Total Medicare Hospitalizations - Jan 2013 to Dec 2017 | Total Medicare Hospitalizations After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 637 | DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Diabetes | Diabetes | Non Surgical | 28.88 | NA | 35,251 | 144,249 | 133,832 | ||||||||||||
| 639 | DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Diabetes | Diabetes | Non Surgical | 15.29 | NA | 13,302 | 76,353 | 72,666 | ||||||||||||
| 638 | DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Diabetes | Diabetes | Non Surgical | 55.83 | NA | 60,402 | 278,879 | 266,254 |
DEMOGRAPHIC DETAILS OF DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 92,983 | 64.46 |
| Black | 39,019 | 27.05 |
| Hispanic | 5,226 | 3.62 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 62,168 | 43.1 |
| 65 to 69 | 20,668 | 14.33 |
| 70 to 74 | 17,853 | 12.38 |
TOP ICD DIAGNOSIS CODES FOR DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| Z794 | Long term (current) use of insulin | 40,441 | 28.04 |
| V5867 | Long-term (current) use of insulin | 29,480 | 20.44 |
| 2724 | Other and unspecified hyperlipidemia | 27,410 | 19.0 |
TOP ICD PROCEDURE CODES FOR DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 3995 | Hemodialysis | 14,312 | 9.92 |
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 7,895 | 5.47 |
| 3893 | Venous Catheterization, Not Elsewhere Classified | 6,301 | 4.37 |
TOP HOSPITALS ASSOCIATED WITH DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 528 | 0.37 |
| Methodist University Hospital | 1265 UNION AVE | Memphis | TN | 38104 | 399 | 0.28 |
| Vidant Medical Center | 2100 STANTONSBURG RD | Greenville | NC | 27834 | 356 | 0.25 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. MHAMAD BADRADDIN JIBRINI | 7210 TURFWAY RD | FLORENCE | KY | 41042 | 57 | 0.04 |
| DR. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 57 | 0.04 |
| DR. ARMEN HOVHANNISYAN | 5250 W CENTURY BLVD STE 333 | LOS ANGELES | CA | 90045 | 52 | 0.04 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 42 | 0.03 |
DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | Back to Top |
| Category | Sub Category | DRG Group | ICD Codes | ICD Description | National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - All) Jan 2013 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 to Dec 2017 | Total Discharges After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gastroenterology & Endocrinology | Diabetes | Diabetes | Z794 | Long term (current) use of insulin | 36,690 | 40,441 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E785 | Hyperlipidemia, unspecified | 25,160 | 31,916 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | V5867 | Long-term (current) use of insulin | NA | 29,480 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | 2724 | Other and unspecified hyperlipidemia | NA | 27,410 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | N179 | Acute kidney failure, unspecified | 24,786 | 25,532 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | I10 | Essential (primary) hypertension | 25,882 | 23,585 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 16,141 | 23,077 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | 4019 | Unspecified essential hypertension | NA | 22,247 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | 5849 | Acute kidney failure, unspecified | NA | 22,217 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | G9341 | Metabolic encephalopathy | 16,626 | 21,495 |