*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1036 - Type 1 diabetes mellitus with diabetic cataract - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 21.09 | |
| 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 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||||
| Total Hospitalizations with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 59 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD E1036 - Type 1 diabetes mellitus with diabetic cataract in DRG | 7.01 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 5.29 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 39.22 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 31.37 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $604,267 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $1,937 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $10,242 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $2,902,564 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $49,196 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 61.02 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 18 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD E1036 - Type 1 diabetes mellitus with diabetic cataract in DRG | 2.14 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 4.06 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $108,686 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $1,489 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $6,038 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $477,612 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $26,534 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 61.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 12 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD E1036 - Type 1 diabetes mellitus with diabetic cataract in DRG | 1.43 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 8.0 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $128,064 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $1,334 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $10,672 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $836,500 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $69,708 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 115,984 |
| Total Hospitalizations with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 11 |
| DRG Share of Total Hospitalizations | 0.35 |
| % of Total ICD E1036 - Type 1 diabetes mellitus with diabetic cataract in DRG | 1.31 |
| Avg LOS at DRG | 7.52 |
| Avg LOS with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | 5.45 |
| Readmission Rate at DRG | 33.13 |
| Readmission Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA |
| Unplanned Readmission Rate at DRG | 21.93 |
| Unplanned Readmission Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA |
| Total Medicare payments at DRG | $2,639,352,445 |
| Total Medicare payments with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $273,941 |
| Total Medicare payment per Day at DRG | $3,027 |
| Total Medicare payment per Day with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $4,566 |
| Total Medicare payment per Hospitalization at DRG | $22,756 |
| Total Medicare payment per Hospitalization with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $24,904 |
| Total Medicare Charges at DRG | $12,757,805,634 |
| Total Medicare Charges with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $995,549 |
| Avg Charges at DRG | $109,996 |
| Avg Charges with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | $90,504 |
| Mortality Rate at DRG | 4.68 |
| Mortality Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA |
| SNF Discharge Rate at DRG | 20.97 |
| SNF Discharge Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA |
| Home Discharge Rate at DRG | 44.26 |
| Home Discharge Rate with ICD E1036 - Type 1 diabetes mellitus with diabetic cataract | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 14 |