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 | 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | 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 | 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) | Back to Top |
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 | 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 | 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 |