*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E099 - Drug or chemical induced diabetes mellitus without complications - as a primary diagnosis code | E099 - Drug or chemical induced diabetes mellitus without complications - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.31 | |
| Readmission Rate (%) | 30.79 | |
| Unplanned Readmission Rate (%) | 14.77 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 174,196 | |
| Total Hospitalizations with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 65 | |
| DRG Share of Total Hospitalizations | 0.53 | |
| % of Total ICD E099 - Drug or chemical induced diabetes mellitus without complications in DRG | 69.15 | |
| Avg LOS at DRG | 3.86 | |
| Avg LOS with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 2.77 | |
| Readmission Rate at DRG | 23.62 | |
| Readmission Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 19.35 | |
| Unplanned Readmission Rate at DRG | 17.61 | |
| Unplanned Readmission Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | NA | |
| Total Medicare payments at DRG | $959,872,570 | |
| Total Medicare payments with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $322,226 | |
| Total Medicare payment per Day at DRG | $1,426 | |
| Total Medicare payment per Day with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $1,790 | |
| Total Medicare payment per Hospitalization at DRG | $5,510 | |
| Total Medicare payment per Hospitalization with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $4,957 | |
| Total Medicare Charges at DRG | $4,945,131,055 | |
| Total Medicare Charges with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $1,196,568 | |
| Avg Charges at DRG | $28,388 | |
| Avg Charges with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $18,409 | |
| Mortality Rate at DRG | 0.24 | |
| Mortality Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | NA | |
| SNF Discharge Rate at DRG | 14.83 | |
| SNF Discharge Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | NA | |
| Home Discharge Rate at DRG | 53.93 | |
| Home Discharge Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 63.08 |
*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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 1,424 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E099 - Drug or chemical induced diabetes mellitus without complications in DRG | 6.71 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 7.28 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 31.57 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 22.54 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $17,895,323 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $1,726 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $12,567 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $100,219,697 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $70,379 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 8.01 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 21.28 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 34.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 452 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD E099 - Drug or chemical induced diabetes mellitus without complications in DRG | 2.13 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 6.7 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 33.1 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 24.88 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $4,441,642 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $1,466 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $9,827 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $24,988,498 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $55,284 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 2.43 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 21.02 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 38.72 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 268 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD E099 - Drug or chemical induced diabetes mellitus without complications in DRG | 1.26 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 9.21 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 39.8 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 22.45 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $4,508,494 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $1,828 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $16,823 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $29,031,433 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $108,326 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 17.16 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 15.67 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 22.76 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 227 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD E099 - Drug or chemical induced diabetes mellitus without complications in DRG | 1.07 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 4.26 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 29.41 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 17.65 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $1,448,357 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $1,498 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $6,380 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $7,866,932 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD E099 - Drug or chemical induced diabetes mellitus without complications | $34,656 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 9.69 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD E099 - Drug or chemical induced diabetes mellitus without complications | 64.32 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LOYOLA UNIVERSITY MEDICAL CENTER | 2160 S 1ST AVE | MAYWOOD | IL | 60153 | 242 |
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 201 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 173 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES P GAGERMEIER | 2160 S FIRST AVE | MAYWOOD | IL | 60153 | 19 |
| Dr. BRADFORD BEMISS | 2160 S 1ST AVE | MAYWOOD | IL | 60153 | 17 |
| Dr. PLAS T JAMES | 3200 DOWNWOOD CIR NW STE 500 | ATLANTA | GA | 30327 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES P GAGERMEIER | 2160 S FIRST AVE | MAYWOOD | IL | 60153 | 45 |
| Dr. STEPHEN LACKEY CHASTAIN | 5850 SE COMMUNITY DR | STUART | FL | 34997 | 44 |
| Dr. SANA QUDDUS | 2160 S 1ST AVE | MAYWOOD | IL | 60153 | 41 |