Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
638 | DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Diabetes | Diabetes | Non Surgical | 55.83 | NA | 60,402 | 278,879 | 266,254 | ||||||||||||
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 | ||||||||||||
637 | DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Diabetes | Diabetes | Non Surgical | 28.88 | NA | 35,251 | 144,249 | 133,832 |
DEMOGRAPHIC DETAILS OF DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 186,964 | 67.04 |
Black | 68,519 | 24.57 |
Hispanic | 10,483 | 3.76 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
Less than 65 | 124,730 | 44.73 |
65 to 69 | 43,472 | 15.59 |
70 to 74 | 35,447 | 12.71 |
TOP ICD DIAGNOSIS CODES FOR DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 70,766 | 25.38 |
4019 | Unspecified essential hypertension | 63,400 | 22.73 |
V5867 | Long-term (current) use of insulin | 63,129 | 22.64 |
TOP ICD PROCEDURE CODES FOR DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|
3995 | Hemodialysis | 8,817 | 3.16 |
3893 | Venous Catheterization, Not Elsewhere Classified | 7,629 | 2.74 |
02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 7,234 | 2.59 |
TOP HOSPITALS ASSOCIATED WITH DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 995 | 0.36 |
Montefiore Medical Center | 111 E 210TH ST | Bronx | NY | 10467 | 707 | 0.25 |
Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 698 | 0.25 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 112 | 0.04 |
DR. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 70 | 0.03 |
DR. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 69 | 0.02 |
DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) 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 | 103,670 | 70,766 | |||||||||||||||||
Gastroenterology & Endocrinology | Diabetes | Diabetes | 4019 | Unspecified essential hypertension | NA | 63,400 | |||||||||||||||||
Gastroenterology & Endocrinology | Diabetes | Diabetes | V5867 | Long-term (current) use of insulin | NA | 63,129 | |||||||||||||||||
Gastroenterology & Endocrinology | Diabetes | Diabetes | 2724 | Other and unspecified hyperlipidemia | NA | 60,927 | |||||||||||||||||
Gastroenterology & Endocrinology | Diabetes | Diabetes | E785 | Hyperlipidemia, unspecified | 65,875 | 57,342 | |||||||||||||||||
Gastroenterology & Endocrinology | Diabetes | Diabetes | I10 | Essential (primary) hypertension | 85,807 | 56,191 | |||||||||||||||||
Gastroenterology & Endocrinology | Diabetes | Diabetes | 25080 | Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | NA | 50,683 | |||||||||||||||||
Gastroenterology & Endocrinology | Diabetes | Diabetes | 5849 | Acute kidney failure, unspecified | NA | 45,806 | |||||||||||||||||
Gastroenterology & Endocrinology | Diabetes | Diabetes | N179 | Acute kidney failure, unspecified | 71,667 | 45,394 | |||||||||||||||||
Gastroenterology & Endocrinology | Diabetes | Diabetes | E1165 | Type 2 diabetes mellitus with hyperglycemia | 63,410 | 43,475 |