*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema - as a primary diagnosis code | E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.99 | |
| Readmission Rate (%) | 34.62 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 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 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||||
| Total Hospitalizations with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 3,850 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema in DRG | 8.0 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 4.95 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 42.53 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 36.31 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $33,298,369 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $1,747 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $8,649 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $163,964,932 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $42,588 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 0.99 | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 13.25 | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 58.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 979 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema in DRG | 2.03 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 4.87 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 36.22 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 28.12 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $9,542,095 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $2,003 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $9,747 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $40,687,678 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $41,560 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 1.53 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 11.54 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 61.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 735 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema in DRG | 1.53 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 4.32 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 28.8 | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 20.34 | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $5,434,948 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $1,711 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $7,394 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $29,886,528 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $40,662 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 5.58 | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 73.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 008: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | DRG 652: KIDNEY TRANSPLANT | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 609 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema in DRG | 1.27 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 5.13 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 29.56 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 21.77 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $5,353,704 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $1,713 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $8,791 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $26,704,682 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | $43,850 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 10.84 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD E10319 - Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema | 66.01 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 396 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 380 |
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 328 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHREEKANT CHOPRA | 830 OAK ST | BROCKTON | MA | 02301 | 30 |
| Dr. JON S ODORICO | 600 HIGHLAND AVE | MADISON | WI | 53792 | 26 |
| Dr. ROBERT M NARAGHI | 2200 W 3RD ST | LOS ANGELES | CA | 90057 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JONATHAN AARON FRIDELL | 550 UNIVERSITY BLVD | INDIANAPOLIS | IN | 46202 | 52 |
| Dr. RAJA KANDASWAMY | 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A | MINNEAPOLIS | MN | 55455 | 32 |
| Dr. JOSE M FIGUEIRO | 1801 NW 9TH AVE | MIAMI | FL | 33136 | 30 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z794 | Long term (current) use of insulin |