*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1021 - Type 1 diabetes mellitus with diabetic nephropathy - as a primary diagnosis code | E1021 - Type 1 diabetes mellitus with diabetic nephropathy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.5 | |
| Readmission Rate (%) | 37.32 | |
| Unplanned Readmission Rate (%) | 29.02 | |
| 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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 008: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | DRG 652: KIDNEY TRANSPLANT | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 156 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy in DRG | 31.33 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 4.95 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 39.73 | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 32.19 | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $1,097,118 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $1,421 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $7,033 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $6,454,652 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $41,376 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 12.18 | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 64.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 010: PANCREAS TRANSPLANT | |
|---|---|
| Total Hospitalizations at DRG | 140 |
| Total Hospitalizations with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 14 |
| DRG Share of Total Hospitalizations | 0.0 |
| % of Total ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy in DRG | 2.81 |
| Avg LOS at DRG | 8.39 |
| Avg LOS with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 8.21 |
| Readmission Rate at DRG | 47.48 |
| Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | NA |
| Unplanned Readmission Rate at DRG | 27.34 |
| Unplanned Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | NA |
| Total Medicare payments at DRG | $4,848,126 |
| Total Medicare payments with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $446,204 |
| Total Medicare payment per Day at DRG | $4,130 |
| Total Medicare payment per Day with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $3,880 |
| Total Medicare payment per Hospitalization at DRG | $34,629 |
| Total Medicare payment per Hospitalization with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $31,872 |
| Total Medicare Charges at DRG | $39,254,434 |
| Total Medicare Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $4,178,792 |
| Avg Charges at DRG | $280,389 |
| Avg Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $298,485 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | NA |
| SNF Discharge Rate at DRG | NA |
| SNF Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | NA |
| Home Discharge Rate at DRG | 74.29 |
| Home Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 85.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL | 5777 E MAYO BLVD | PHOENIX | AZ | 85054 | 13 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 12 |
| OCHSNER MEDICAL CENTER | 1516 JEFFERSON HWY | NEW ORLEANS | LA | 70121 | 12 |
*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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||||
| Total Hospitalizations with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 3,170 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy in DRG | 8.34 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 5.11 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 43.75 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 37.14 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $27,309,094 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $1,688 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $8,615 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $138,468,740 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $43,681 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 1.01 | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 12.15 | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 58.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 27,406 | ||||
| Total Hospitalizations with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 993 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy in DRG | 2.61 | ||||
| Avg LOS at DRG | 6.58 | ||||
| Avg LOS with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 4.79 | ||||
| Readmission Rate at DRG | 36.99 | ||||
| Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 53.77 | ||||
| Unplanned Readmission Rate at DRG | 29.68 | ||||
| Unplanned Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 47.1 | ||||
| Total Medicare payments at DRG | $307,178,067 | ||||
| Total Medicare payments with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $8,638,988 | ||||
| Total Medicare payment per Day at DRG | $1,702 | ||||
| Total Medicare payment per Day with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $1,817 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,208 | ||||
| Total Medicare payment per Hospitalization with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $8,700 | ||||
| Total Medicare Charges at DRG | $1,317,771,005 | ||||
| Total Medicare Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $39,130,666 | ||||
| Avg Charges at DRG | $48,083 | ||||
| Avg Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $39,407 | ||||
| Mortality Rate at DRG | 1.04 | ||||
| Mortality Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | NA | ||||
| SNF Discharge Rate at DRG | 15.36 | ||||
| SNF Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 4.83 | ||||
| Home Discharge Rate at DRG | 48.86 | ||||
| Home Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 73.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 620 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy in DRG | 1.63 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 8.05 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 38.44 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 26.36 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $13,831,235 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $2,771 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $22,308 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $67,948,035 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $109,594 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 1.94 | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 15.48 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 51.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 008: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 544 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy in DRG | 1.43 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 6.68 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 44.97 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 33.68 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $6,949,064 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $1,912 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $12,774 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $33,747,654 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | $62,036 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 14.52 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD E1021 - Type 1 diabetes mellitus with diabetic nephropathy | 54.6 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 368 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 330 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 193 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RASHID AHMED DALAL | 4550 MEMORIAL DR | BELLEVILLE | IL | 62226 | 28 |
| Dr. ERLANDAS ULOZAS | 611 W. PARK ST. | URBANA | IL | 61801 | 20 |
| Dr. SHREEKANT CHOPRA | 830 OAK ST | BROCKTON | MA | 02301 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ASHOK KUMAR BANSAL | 26206 W 12 MILE RD | SOUTHFIELD | MI | 48034 | 32 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 26 |
| Dr. MATHIAS M STROEMEL | 301 W POPLAR | WALLA WALLA | WA | 99362 | 23 |