*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.25 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 108 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified in DRG | 8.72 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 10.6 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 22.22 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 13.13 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $843,455 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $737 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $7,810 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $1,992,312 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $18,447 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 75.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 27 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified in DRG | 2.18 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 13.67 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 52.0 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $314,032 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $851 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $11,631 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $3,458,667 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $128,099 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 70.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 21 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified in DRG | 1.69 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 4.05 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $136,477 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $1,606 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $6,499 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $444,862 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $21,184 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 57.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 16 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified in DRG | 1.29 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 11.88 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $258,252 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $1,359 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $16,141 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $592,307 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | $37,019 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD E0840 - Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 43 |
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 20 |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 20 |