*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 20.86 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | 57 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy in DRG | 6.6 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | 9.54 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | 25.53 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $1,037,497 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $1,907 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $18,202 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $6,837,317 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $119,953 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | 40.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | 17 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy in DRG | 1.97 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | 2.94 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $247,221 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $4,944 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $14,542 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $1,299,599 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $76,447 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | 13 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy in DRG | 1.51 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | 6.77 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $66,368 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $754 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $5,105 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $666,719 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $51,286 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 522,791 |
| Total Hospitalizations with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | 11 |
| DRG Share of Total Hospitalizations | 1.59 |
| % of Total ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy in DRG | 1.27 |
| Avg LOS at DRG | 3.14 |
| Avg LOS with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | 3.91 |
| Readmission Rate at DRG | 17.1 |
| Readmission Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA |
| Unplanned Readmission Rate at DRG | 12.62 |
| Unplanned Readmission Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA |
| Total Medicare payments at DRG | $2,290,151,156 |
| Total Medicare payments with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $49,529 |
| Total Medicare payment per Day at DRG | $1,394 |
| Total Medicare payment per Day with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $1,152 |
| Total Medicare payment per Hospitalization at DRG | $4,381 |
| Total Medicare payment per Hospitalization with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $4,503 |
| Total Medicare Charges at DRG | $13,619,287,561 |
| Total Medicare Charges with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $373,508 |
| Avg Charges at DRG | $26,051 |
| Avg Charges with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | $33,955 |
| Mortality Rate at DRG | 0.18 |
| Mortality Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA |
| SNF Discharge Rate at DRG | 8.57 |
| SNF Discharge Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA |
| Home Discharge Rate at DRG | 72.49 |
| Home Discharge Rate with ICD E0942 - Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. LUKE'S REHABILITATION HOSPITAL | 14709 OLIVE BLVD | CHESTERFIELD | MO | 63017 | 43 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 24 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RONALD FISCHER | 226 S WOODS MILL RD | CHESTERFIELD | MO | 63017 | 32 |