DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%)
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
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 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 51,294 67.18
Black 18,260 23.92
Hispanic 3,010 3.94
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 33,446 43.8
65 to 69 10,657 13.96
70 to 74 8,868 11.61

TOP ICD DIAGNOSIS CODES FOR DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
4019 Unspecified essential hypertension 24,041 31.49
V5867 Long-term (current) use of insulin 19,766 25.89
2724 Other and unspecified hyperlipidemia 17,779 23.29

TOP ICD PROCEDURE CODES FOR DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
9929 Injection Or Infusion Of Other Therapeutic Or Prophylactic Substance 757 0.99
3893 Venous Catheterization, Not Elsewhere Classified 717 0.94
9917 Injection Of Insulin 694 0.91

TOP HOSPITALS ASSOCIATED WITH DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 285 0.37
Montefiore Medical Center 111 E 210TH ST Bronx NY 10467 181 0.24
Lakeland Regional Medical Center 1324 LAKELAND HILLS BLVD Lakeland FL 33805 161 0.21

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. AHSAN MAHMOOD 620 8TH AVE TERRE HAUTE IN 47804 43 0.06
DR. MATHEWS JOHN 620 8TH AVE TERRE HAUTE IN 47804 40 0.05
DR. PETER J. POWERS 1185 N 1000 W LINTON IN 47441 34 0.04

DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 4019 Unspecified essential hypertension NA 24,041
Gastroenterology & Endocrinology Diabetes Diabetes V5867 Long-term (current) use of insulin NA 19,766
Gastroenterology & Endocrinology Diabetes Diabetes 2724 Other and unspecified hyperlipidemia NA 17,779
Gastroenterology & Endocrinology Diabetes Diabetes Z794 Long term (current) use of insulin 55,806 17,514
Gastroenterology & Endocrinology Diabetes Diabetes I10 Essential (primary) hypertension 37,281 17,375
Gastroenterology & Endocrinology Diabetes Diabetes 25080 Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled NA 14,855
Gastroenterology & Endocrinology Diabetes Diabetes E785 Hyperlipidemia, unspecified 23,472 12,511
Gastroenterology & Endocrinology Diabetes Diabetes 25013 Diabetes with ketoacidosis, type I [juvenile type], uncontrolled NA 9,115
Gastroenterology & Endocrinology Diabetes Diabetes E11649 Type 2 diabetes mellitus with hypoglycemia without coma 13,030 8,920
Gastroenterology & Endocrinology Diabetes Diabetes E1165 Type 2 diabetes mellitus with hyperglycemia 21,874 8,432