DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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)

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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)

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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)

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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)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Florida Hospital 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)

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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)

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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

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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