*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E0865 - Diabetes mellitus due to underlying condition with hyperglycemia - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.39 | |
| 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 274 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia in DRG | 8.84 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 13.85 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 30.68 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 17.05 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $4,492,483 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $1,183 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $16,396 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $37,650,759 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $137,412 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | NA | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 68.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 75 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia in DRG | 2.42 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 14.88 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 41.18 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 17.65 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $2,278,288 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $2,041 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $30,377 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $14,139,122 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $188,522 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | NA | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | NA | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 61.33 |
*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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 38 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia in DRG | 1.23 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 3.84 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $219,927 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $1,506 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $5,788 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $1,369,672 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $36,044 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 63.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 007: LUNG TRANSPLANT | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,737 | ||||
| Total Hospitalizations with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 32 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia in DRG | 1.03 | ||||
| Avg LOS at DRG | 19.46 | ||||
| Avg LOS with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 19.28 | ||||
| Readmission Rate at DRG | 41.59 | ||||
| Readmission Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 53.13 | ||||
| Unplanned Readmission Rate at DRG | 14.24 | ||||
| Unplanned Readmission Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | NA | ||||
| Total Medicare payments at DRG | $156,025,957 | ||||
| Total Medicare payments with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $2,854,841 | ||||
| Total Medicare payment per Day at DRG | $4,616 | ||||
| Total Medicare payment per Day with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $4,627 | ||||
| Total Medicare payment per Hospitalization at DRG | $89,825 | ||||
| Total Medicare payment per Hospitalization with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $89,214 | ||||
| Total Medicare Charges at DRG | $1,052,278,268 | ||||
| Total Medicare Charges with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $18,857,000 | ||||
| Avg Charges at DRG | $605,802 | ||||
| Avg Charges with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | $589,281 | ||||
| Mortality Rate at DRG | 0.81 | ||||
| Mortality Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | NA | ||||
| SNF Discharge Rate at DRG | 1.32 | ||||
| SNF Discharge Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | NA | ||||
| Home Discharge Rate at DRG | 46.98 | ||||
| Home Discharge Rate with ICD E0865 - Diabetes mellitus due to underlying condition with hyperglycemia | 37.5 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HARSHA BEHAVIORAL CENTER | 1420 E CROSSING BLVD | TERRE HAUTE | IN | 47802 | 224 |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 74 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WING K NG | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 12 |
| Dr. DOUGLAS B. EVANS | 9200 W WISCONSIN AVENUE | MILWAUKEE | WI | 53226 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PARAS HARSHAWAT | 4733 S 7TH ST | TERRE HAUTE | IN | 47802 | 133 |
| Dr. DARLA JEANNE HINSHAW | 4733 S 7TH ST | TERRE HAUTE | IN | 47802 | 58 |
| Dr. JAMES DAVIDSON FINKLEA | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 24 |