*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1010 - Type 1 diabetes mellitus with ketoacidosis without coma - as a primary diagnosis code | E1010 - Type 1 diabetes mellitus with ketoacidosis without coma - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.97 | |
| Readmission Rate (%) | 36.08 | |
| Unplanned Readmission Rate (%) | 30.24 | |
| 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) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 20,153 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma in DRG | 46.18 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 3.22 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 33.4 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 28.63 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $104,542,295 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $1,612 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $5,187 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $528,411,256 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $26,220 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 5.55 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 74.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,168 | ||||
| Total Hospitalizations with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 102 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma in DRG | 0.23 | ||||
| Avg LOS at DRG | 15.11 | ||||
| Avg LOS with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 10.46 | ||||
| Readmission Rate at DRG | 37.86 | ||||
| Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 46.81 | ||||
| Unplanned Readmission Rate at DRG | 22.9 | ||||
| Unplanned Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 35.11 | ||||
| Total Medicare payments at DRG | $164,953,893 | ||||
| Total Medicare payments with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $2,358,425 | ||||
| Total Medicare payment per Day at DRG | $1,770 | ||||
| Total Medicare payment per Day with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $2,210 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,743 | ||||
| Total Medicare payment per Hospitalization with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $23,122 | ||||
| Total Medicare Charges at DRG | $778,025,983 | ||||
| Total Medicare Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $10,285,990 | ||||
| Avg Charges at DRG | $126,139 | ||||
| Avg Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $100,843 | ||||
| Mortality Rate at DRG | 3.57 | ||||
| Mortality Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | NA | ||||
| SNF Discharge Rate at DRG | 38.49 | ||||
| SNF Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 26.47 | ||||
| Home Discharge Rate at DRG | 14.88 | ||||
| Home Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 36.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,142 | ||||
| Total Hospitalizations with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 48 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma in DRG | 0.11 | ||||
| Avg LOS at DRG | 5.88 | ||||
| Avg LOS with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 5.13 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 15.33 | ||||
| Unplanned Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 31.25 | ||||
| Total Medicare payments at DRG | $317,761,689 | ||||
| Total Medicare payments with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $448,948 | ||||
| Total Medicare payment per Day at DRG | $1,919 | ||||
| Total Medicare payment per Day with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $1,825 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,291 | ||||
| Total Medicare payment per Hospitalization with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $9,353 | ||||
| Total Medicare Charges at DRG | $1,612,718,515 | ||||
| Total Medicare Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $2,126,514 | ||||
| Avg Charges at DRG | $57,306 | ||||
| Avg Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $44,302 | ||||
| Mortality Rate at DRG | 0.56 | ||||
| Mortality Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | NA | ||||
| SNF Discharge Rate at DRG | 18.42 | ||||
| SNF Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | NA | ||||
| Home Discharge Rate at DRG | 50.45 | ||||
| Home Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 81.25 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 126 |
| DCH REGIONAL MEDICAL CENTER | 809 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 124 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 114 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JESSICA MCABEE COLEMAN | 16 KEMMERLIN LN STE A | BEAUFORT | SC | 29907 | 19 |
| Dr. HOWARD STANLEY SNYDER | 47 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 14 |
| Dr. TERRANCE J TRUITT | 2210 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HOWARD M ROSEN | 2790 CLAY EDWARDS DR | NORTH KANSAS CITY | MO | 64116 | 32 |
| Dr. MHAMAD BADRADDIN JIBRINI | 7210 TURFWAY RD | FLORENCE | KY | 41042 | 24 |
| Dr. ZHENGJIN CAO | 1515 DELHI ST | DUBUQUE | IA | 52001 | 22 |
*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) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 20,294 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma in DRG | 32.06 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 3.23 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 33.43 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 28.64 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $105,340,853 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $1,607 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $5,191 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $533,948,841 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $26,311 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 5.62 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 74.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 1,025 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma in DRG | 1.62 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 13.95 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 45.94 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 22.8 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $34,647,889 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $2,423 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $33,803 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $163,257,659 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $159,276 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 6.93 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 25.76 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 20.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,001 | ||||
| Total Hospitalizations with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 413 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma in DRG | 0.65 | ||||
| Avg LOS at DRG | 5.32 | ||||
| Avg LOS with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 6.36 | ||||
| Readmission Rate at DRG | 23.7 | ||||
| Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 31.13 | ||||
| Unplanned Readmission Rate at DRG | 16.43 | ||||
| Unplanned Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 22.69 | ||||
| Total Medicare payments at DRG | $2,854,117,533 | ||||
| Total Medicare payments with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $8,951,737 | ||||
| Total Medicare payment per Day at DRG | $4,006 | ||||
| Total Medicare payment per Day with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $3,409 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,299 | ||||
| Total Medicare payment per Hospitalization with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $21,675 | ||||
| Total Medicare Charges at DRG | $16,607,700,460 | ||||
| Total Medicare Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $51,658,859 | ||||
| Avg Charges at DRG | $123,937 | ||||
| Avg Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $125,082 | ||||
| Mortality Rate at DRG | 3.88 | ||||
| Mortality Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 4.36 | ||||
| SNF Discharge Rate at DRG | 10.96 | ||||
| SNF Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 8.96 | ||||
| Home Discharge Rate at DRG | 62.82 | ||||
| Home Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 60.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 316 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma in DRG | 0.5 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 5.02 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 36.81 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 31.6 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $3,442,896 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $2,169 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $10,895 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $16,039,921 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | $50,759 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | NA | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 16.46 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD E1010 - Type 1 diabetes mellitus with ketoacidosis without coma | 58.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 171 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 168 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 168 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JESSICA MCABEE COLEMAN | 16 KEMMERLIN LN STE A | BEAUFORT | SC | 29907 | 22 |
| Dr. SHREEKANT CHOPRA | 830 OAK ST | BROCKTON | MA | 02301 | 15 |
| Dr. HOWARD STANLEY SNYDER | 47 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZHENGJIN CAO | 1515 DELHI ST | DUBUQUE | IA | 52001 | 41 |
| Dr. HOWARD M ROSEN | 2790 CLAY EDWARDS DR | NORTH KANSAS CITY | MO | 64116 | 38 |
| Dr. RANDALL SCOTT SCHWARTZ | 36100 EUCLID AVE | WILLOUGHBY | OH | 44094 | 28 |