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 | 12.21 | NA | 13,302 | 76,353 | 12,597 | ||||||||||||
| 638 | DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Diabetes | Diabetes | Non Surgical | 55.44 | NA | 60,402 | 278,879 | 57,464 | ||||||||||||
| 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 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 9,090 | 68.34 |
| Black | 3,024 | 22.73 |
| Hispanic | 481 | 3.62 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 6,024 | 45.29 |
| 65 to 69 | 1,997 | 15.01 |
| 70 to 74 | 1,581 | 11.89 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| E11649 | Type 2 diabetes mellitus with hypoglycemia without coma | 3,691 | 27.75 |
| E1010 | Type 1 diabetes mellitus with ketoacidosis without coma | 2,495 | 18.76 |
| E1310 | Other specified diabetes mellitus with ketoacidosis without coma | 1,754 | 13.19 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 199 | 1.5 |
| 3E0234Z | Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach | 137 | 1.03 |
| 0DB68ZX | Excision of Stomach, Via Natural or Artificial Opening Endoscopic, Diagnostic | 69 | 0.52 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Montefiore Medical Center | 111 E 210TH ST | Bronx | NY | 10467 | 39 | 0.29 |
| Lakeland Regional Medical Center | 1324 LAKELAND HILLS BLVD | Lakeland | FL | 33805 | 35 | 0.26 |
| Sinai-Grace Hospital | 6071 W OUTER DR | Detroit | MI | 48235 | 35 | 0.26 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. AHSAN MAHMOOD | 620 8TH AVE | TERRE HAUTE | IN | 47804 | 30 | 0.23 |
| DR. JOHNNY KEVIN INGRAM | 1154 LOGAN SEWELL DR | VIDALIA | LA | 71373 | NA | NA |
| DR. TIMOTHY HARRY TROEH | 1921 SUMNER AVENUE | ABERDEEN | WA | 98520 | NA | NA |
TOP OPERATING 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | NA | NA |
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 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 | 55,806 | 7,512 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | I10 | Essential (primary) hypertension | 37,281 | 7,275 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E785 | Hyperlipidemia, unspecified | 23,472 | 5,280 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E11649 | Type 2 diabetes mellitus with hypoglycemia without coma | 13,030 | 3,691 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E1165 | Type 2 diabetes mellitus with hyperglycemia | 21,874 | 3,406 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 9,184 | 2,810 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | K219 | Gastro-esophageal reflux disease without esophagitis | 9,838 | 2,642 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E1010 | Type 1 diabetes mellitus with ketoacidosis without coma | 43,299 | 2,495 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | E860 | Dehydration | 24,348 | 2,329 | |||||||||||||||||
| Gastroenterology & Endocrinology | Diabetes | Diabetes | Z87891 | Personal history of nicotine dependence | 8,296 | 2,286 |