DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) - 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) 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 (%)
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)

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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)

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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 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)

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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)

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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 995 0.36
Montefiore Medical Center 111 E 210TH ST Bronx NY 10467 707 0.25
Christiana Hospital 501 W 14TH ST Wilmington DE 19801 698 0.25

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC)

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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. 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

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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 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