*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E089 - Diabetes mellitus due to underlying condition without complications - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.9 | |
| 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 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD E089 - Diabetes mellitus due to underlying condition without complications | 678 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD E089 - Diabetes mellitus due to underlying condition without complications in DRG | 14.51 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD E089 - Diabetes mellitus due to underlying condition without complications | 12.07 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | 27.16 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | 12.24 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD E089 - Diabetes mellitus due to underlying condition without complications | $10,692,541 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E089 - Diabetes mellitus due to underlying condition without complications | $1,306 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD E089 - Diabetes mellitus due to underlying condition without complications | $15,771 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD E089 - Diabetes mellitus due to underlying condition without complications | $76,455,245 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD E089 - Diabetes mellitus due to underlying condition without complications | $112,766 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | 1.77 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | NA | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | 71.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,762 | ||||
| Total Hospitalizations with ICD E089 - Diabetes mellitus due to underlying condition without complications | 85 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD E089 - Diabetes mellitus due to underlying condition without complications in DRG | 1.82 | ||||
| Avg LOS at DRG | 5.4 | ||||
| Avg LOS with ICD E089 - Diabetes mellitus due to underlying condition without complications | 6.53 | ||||
| Readmission Rate at DRG | 26.53 | ||||
| Readmission Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 17.68 | ||||
| Unplanned Readmission Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | 14.81 | ||||
| Total Medicare payments at DRG | $258,625,689 | ||||
| Total Medicare payments with ICD E089 - Diabetes mellitus due to underlying condition without complications | $1,026,861 | ||||
| Total Medicare payment per Day at DRG | $1,859 | ||||
| Total Medicare payment per Day with ICD E089 - Diabetes mellitus due to underlying condition without complications | $1,850 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,039 | ||||
| Total Medicare payment per Hospitalization with ICD E089 - Diabetes mellitus due to underlying condition without complications | $12,081 | ||||
| Total Medicare Charges at DRG | $1,285,891,031 | ||||
| Total Medicare Charges with ICD E089 - Diabetes mellitus due to underlying condition without complications | $6,639,731 | ||||
| Avg Charges at DRG | $49,914 | ||||
| Avg Charges with ICD E089 - Diabetes mellitus due to underlying condition without complications | $78,114 | ||||
| Mortality Rate at DRG | 3.49 | ||||
| Mortality Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | NA | ||||
| SNF Discharge Rate at DRG | 21.29 | ||||
| SNF Discharge Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | NA | ||||
| Home Discharge Rate at DRG | 40.23 | ||||
| Home Discharge Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | 69.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD E089 - Diabetes mellitus due to underlying condition without complications | 59 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD E089 - Diabetes mellitus due to underlying condition without complications in DRG | 1.26 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD E089 - Diabetes mellitus due to underlying condition without complications | 4.61 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | 27.45 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD E089 - Diabetes mellitus due to underlying condition without complications | $374,420 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD E089 - Diabetes mellitus due to underlying condition without complications | $1,377 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD E089 - Diabetes mellitus due to underlying condition without complications | $6,346 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD E089 - Diabetes mellitus due to underlying condition without complications | $1,953,995 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD E089 - Diabetes mellitus due to underlying condition without complications | $33,119 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | NA | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | 72.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,116 | ||||
| Total Hospitalizations with ICD E089 - Diabetes mellitus due to underlying condition without complications | 39 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD E089 - Diabetes mellitus due to underlying condition without complications in DRG | 0.83 | ||||
| Avg LOS at DRG | 6.14 | ||||
| Avg LOS with ICD E089 - Diabetes mellitus due to underlying condition without complications | 5.59 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | NA | ||||
| Unplanned Readmission Rate at DRG | 18.3 | ||||
| Unplanned Readmission Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | NA | ||||
| Total Medicare payments at DRG | $472,915,537 | ||||
| Total Medicare payments with ICD E089 - Diabetes mellitus due to underlying condition without complications | $464,198 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD E089 - Diabetes mellitus due to underlying condition without complications | $2,129 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,789 | ||||
| Total Medicare payment per Hospitalization with ICD E089 - Diabetes mellitus due to underlying condition without complications | $11,903 | ||||
| Total Medicare Charges at DRG | $2,356,079,688 | ||||
| Total Medicare Charges with ICD E089 - Diabetes mellitus due to underlying condition without complications | $2,159,410 | ||||
| Avg Charges at DRG | $58,732 | ||||
| Avg Charges with ICD E089 - Diabetes mellitus due to underlying condition without complications | $55,369 | ||||
| Mortality Rate at DRG | 10.79 | ||||
| Mortality Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | NA | ||||
| SNF Discharge Rate at DRG | 10.16 | ||||
| SNF Discharge Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | NA | ||||
| Home Discharge Rate at DRG | 35.89 | ||||
| Home Discharge Rate with ICD E089 - Diabetes mellitus due to underlying condition without complications | 41.03 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF KANSAS HOSPITAL | 4000 Cambridge St. | KANSAS CITY | KS | 66160 | 121 |
| UNIVERSITY OF MINNESOTA MEDICAL CENTER | 2450 RIVERSIDE AVE | MINNEAPOLIS | MN | 55454 | 121 |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 119 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TITUS G SHEERS | 1 PERKINS SQ | AKRON | OH | 44308 | 35 |
| Dr. LEONARD SICILIAN | 55 FRUIT STREET BUL 148 | BOSTON | MA | 02114 | 20 |
| Dr. DOUGLAS B. EVANS | 9200 W WISCONSIN AVENUE | MILWAUKEE | WI | 53226 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TITUS G SHEERS | 1 PERKINS SQ | AKRON | OH | 44308 | 40 |
| Dr. LEONARD SICILIAN | 55 FRUIT STREET BUL 148 | BOSTON | MA | 02114 | 34 |
| Dr. JOEL H WEINBERG | 5200 CENTRE AVE | PITTSBURGH | PA | 15232 | 31 |