*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication - as a primary diagnosis code | E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.87 | |
| Readmission Rate (%) | 32.64 | |
| 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||||
| Total Hospitalizations with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 174 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication in DRG | 7.32 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 5.11 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 39.75 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 30.43 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $1,570,475 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $1,765 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $9,026 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $7,647,665 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $43,952 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 13.79 | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 55.17 |
*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 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 27,406 | ||||
| Total Hospitalizations with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 46 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication in DRG | 1.94 | ||||
| Avg LOS at DRG | 6.58 | ||||
| Avg LOS with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 4.63 | ||||
| Readmission Rate at DRG | 36.99 | ||||
| Readmission Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 38.1 | ||||
| Unplanned Readmission Rate at DRG | 29.68 | ||||
| Unplanned Readmission Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 38.1 | ||||
| Total Medicare payments at DRG | $307,178,067 | ||||
| Total Medicare payments with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $394,944 | ||||
| Total Medicare payment per Day at DRG | $1,702 | ||||
| Total Medicare payment per Day with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $1,854 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,208 | ||||
| Total Medicare payment per Hospitalization with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $8,586 | ||||
| Total Medicare Charges at DRG | $1,317,771,005 | ||||
| Total Medicare Charges with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $1,666,605 | ||||
| Avg Charges at DRG | $48,083 | ||||
| Avg Charges with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $36,231 | ||||
| Mortality Rate at DRG | 1.04 | ||||
| Mortality Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| SNF Discharge Rate at DRG | 15.36 | ||||
| SNF Discharge Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| Home Discharge Rate at DRG | 48.86 | ||||
| Home Discharge Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 73.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,844 | ||||
| Total Hospitalizations with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 34 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication in DRG | 1.43 | ||||
| Avg LOS at DRG | 2.54 | ||||
| Avg LOS with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 2.5 | ||||
| Readmission Rate at DRG | 18.61 | ||||
| Readmission Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| Unplanned Readmission Rate at DRG | 14.34 | ||||
| Unplanned Readmission Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| Total Medicare payments at DRG | $148,012,031 | ||||
| Total Medicare payments with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $119,761 | ||||
| Total Medicare payment per Day at DRG | $1,465 | ||||
| Total Medicare payment per Day with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $1,409 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,715 | ||||
| Total Medicare payment per Hospitalization with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $3,522 | ||||
| Total Medicare Charges at DRG | $766,782,026 | ||||
| Total Medicare Charges with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $677,741 | ||||
| Avg Charges at DRG | $19,245 | ||||
| Avg Charges with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $19,934 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| SNF Discharge Rate at DRG | 8.9 | ||||
| SNF Discharge Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| Home Discharge Rate at DRG | 66.87 | ||||
| Home Discharge Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 76.47 |
*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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 31 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication in DRG | 1.3 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 4.42 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $213,625 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $1,559 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $6,891 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $1,071,237 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | $34,556 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD E1039 - Type 1 diabetes mellitus with other diabetic ophthalmic complication | 58.06 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 32 |
| DARTMOUTH-HITCHCOCK MEDICAL CENTER | ONE MEDICAL CENTER DR | LEBANON | NH | 03756 | 28 |
| LAHEY HOSPITAL & MEDICAL CENTER | 41 MALL RD | BURLINGTON | MA | 01805 | 25 |