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 | 55.44 | NA | 60,402 | 278,879 | 57,464 | ||||||||||||
| 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 | ||||||||||||
| 637 | DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Diabetes | Diabetes | Non Surgical | 32.35 | NA | 35,251 | 144,249 | 32,832 |
DEMOGRAPHIC DETAILS OF DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 41,635 | 68.93 |
| Black | 13,556 | 22.44 |
| Hispanic | 2,219 | 3.67 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 26,444 | 43.78 |
| 65 to 69 | 9,888 | 16.37 |
| 70 to 74 | 8,082 | 13.38 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| Z794 | Long term (current) use of insulin | 32,442 | 53.71 |
| E1165 | Type 2 diabetes mellitus with hyperglycemia | 19,291 | 31.94 |
| E11649 | Type 2 diabetes mellitus with hypoglycemia without coma | 11,436 | 18.93 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 3,704 | 6.13 |
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 1,480 | 2.45 |
| B548ZZA | Ultrasonography of Superior Vena Cava, Guidance | 832 | 1.38 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 197 | 0.33 |
| Montefiore Medical Center | 111 E 210TH ST | Bronx | NY | 10467 | 138 | 0.23 |
| Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 135 | 0.22 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 31 | 0.05 |
| DR. RAJU SINGLA | 289 PLEASANT ST | FALL RIVER | MA | 02721 | 18 | 0.03 |
| DR. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 18 | 0.03 |
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 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 | 103,670 | 32,442 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E785 | Hyperlipidemia, unspecified | 65,875 | 26,687 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | I10 | Essential (primary) hypertension | 85,807 | 24,003 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | N179 | Acute kidney failure, unspecified | 71,667 | 20,777 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E1165 | Type 2 diabetes mellitus with hyperglycemia | 63,410 | 19,291 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 32,151 | 17,078 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E1122 | Type 2 diabetes mellitus with diabetic chronic kidney disease | 13,629 | 16,412 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E860 | Dehydration | 54,038 | 13,866 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | K219 | Gastro-esophageal reflux disease without esophagitis | 26,681 | 13,461 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E871 | Hypo-osmolality and hyponatremia | 51,140 | 12,838 |