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 | 32.35 | NA | 35,251 | 144,249 | 32,832 | ||||||||||||
| 639 | DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Diabetes | Diabetes | Non Surgical | 12.21 | NA | 13,302 | 76,353 | 12,597 | ||||||||||||
| 638 | DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Diabetes | Diabetes | Non Surgical | 55.44 | NA | 60,402 | 278,879 | 57,464 |
DEMOGRAPHIC DETAILS OF DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 22,796 | 64.67 |
| Black | 9,337 | 26.49 |
| Hispanic | 1,222 | 3.47 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 14,454 | 41.0 |
| 65 to 69 | 5,370 | 15.23 |
| 70 to 74 | 4,734 | 13.43 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| Z794 | Long term (current) use of insulin | 19,038 | 54.01 |
| G9341 | Metabolic encephalopathy | 10,954 | 31.07 |
| E11649 | Type 2 diabetes mellitus with hypoglycemia without coma | 10,244 | 29.06 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 3,341 | 9.48 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 2,856 | 8.1 |
| 5A1D70Z | 1,814 | 5.15 | |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 161 | 0.46 |
| Methodist University Hospital | 1265 UNION AVE | Memphis | TN | 38104 | 98 | 0.28 |
| Huntsville Hospital | 101 SIVLEY RD SW | Huntsville | AL | 35801 | 88 | 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. MHAMAD BADRADDIN JIBRINI | 7210 TURFWAY RD | FLORENCE | KY | 41042 | 33 | 0.09 |
| DR. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 18 | 0.05 |
| DR. CHARLES W AMPADU | 100 N 8TH ST STE 238 | EAST SAINT LOUIS | IL | 62201 | 16 | 0.05 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JESSICA MCABEE COLEMAN | 16 KEMMERLIN LN STE A | BEAUFORT | SC | 29907 | 17 | 0.05 |
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 2017 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 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 | 19,038 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E785 | Hyperlipidemia, unspecified | 25,160 | 15,189 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | N179 | Acute kidney failure, unspecified | 24,786 | 12,246 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E1122 | Type 2 diabetes mellitus with diabetic chronic kidney disease | 7,046 | 11,374 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | G9341 | Metabolic encephalopathy | 16,626 | 10,954 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 16,141 | 10,932 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E11649 | Type 2 diabetes mellitus with hypoglycemia without coma | 15,882 | 10,244 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | I10 | Essential (primary) hypertension | 25,882 | 10,125 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E1165 | Type 2 diabetes mellitus with hyperglycemia | 19,626 | 9,290 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E860 | Dehydration | 18,445 | 8,443 |