*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia - as a primary diagnosis code | E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.33 | |
| Readmission Rate (%) | 31.52 | |
| Unplanned Readmission Rate (%) | 15.85 | |
| 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||
| Total Hospitalizations with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 430 | ||
| DRG Share of Total Hospitalizations | 0.53 | ||
| % of Total ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia in DRG | 69.58 | ||
| Avg LOS at DRG | 3.86 | ||
| Avg LOS with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 3.26 | ||
| Readmission Rate at DRG | 23.62 | ||
| Readmission Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 22.6 | ||
| Unplanned Readmission Rate at DRG | 17.61 | ||
| Unplanned Readmission Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 16.11 | ||
| Total Medicare payments at DRG | $959,872,570 | ||
| Total Medicare payments with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $2,448,592 | ||
| Total Medicare payment per Day at DRG | $1,426 | ||
| Total Medicare payment per Day with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $1,745 | ||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||
| Total Medicare payment per Hospitalization with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $5,694 | ||
| Total Medicare Charges at DRG | $4,945,131,055 | ||
| Total Medicare Charges with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $11,900,091 | ||
| Avg Charges at DRG | $28,388 | ||
| Avg Charges with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $27,675 | ||
| Mortality Rate at DRG | 0.24 | ||
| Mortality Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | NA | ||
| SNF Discharge Rate at DRG | 14.83 | ||
| SNF Discharge Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 10.23 | ||
| Home Discharge Rate at DRG | 53.93 | ||
| Home Discharge Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 58.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 1,031 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia in DRG | 7.5 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 6.46 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 28.17 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 22.49 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $8,241,928 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $1,237 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $7,994 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $48,390,175 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $46,935 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 14.94 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 48.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 384 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia in DRG | 2.79 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 6.95 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 27.15 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 18.56 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $3,657,610 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $1,370 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $9,525 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $21,548,502 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $56,116 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 15.1 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 50.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||||
| Total Hospitalizations with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 186 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia in DRG | 1.35 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 5.31 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 27.91 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 14.53 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $1,690,964 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $1,713 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $9,091 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $8,156,900 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $43,854 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | NA | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 17.74 | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 38.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 148 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia in DRG | 1.08 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 9.72 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 39.09 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 23.64 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $2,606,904 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $1,812 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $17,614 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $16,353,081 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | $110,494 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 18.92 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 15.54 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD E0965 - Drug or chemical induced diabetes mellitus with hyperglycemia | 25.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 197 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 130 |
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 105 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HECTOR J STELLA ESTEVEZ | 630 CALLE ALDEBARAN | SAN JUAN | PR | 00920 | 23 |
| Dr. KAMRAN KHANMORADI | 5401 OLD YORK RD | PHILADELPHIA | PA | 19141 | 20 |
| Dr. ROLANDO STALIN CAMPOS FLORES | 5401 OLD YORK RD | PHILADELPHIA | PA | 19141 | 15 |
| 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 | 54 |
| Dr. HECTOR J STELLA ESTEVEZ | 630 CALLE ALDEBARAN | SAN JUAN | PR | 00920 | 23 |
| Dr. KAMRAN KHANMORADI | 5401 OLD YORK RD | PHILADELPHIA | PA | 19141 | 21 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | T380X5A | Adverse effect of glucocorticoids and synthetic analogues, initial encounter |