*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified - as a primary diagnosis code | E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.03 | |
| Readmission Rate (%) | 34.13 | |
| Unplanned Readmission Rate (%) | 21.8 | |
| 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 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | |
|---|---|---|---|
| Total Hospitalizations at DRG | 67,236 | ||
| Total Hospitalizations with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 121 | ||
| DRG Share of Total Hospitalizations | 0.2 | ||
| % of Total ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified in DRG | 54.75 | ||
| Avg LOS at DRG | 4.93 | ||
| Avg LOS with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 3.99 | ||
| Readmission Rate at DRG | 23.47 | ||
| Readmission Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 29.91 | ||
| Unplanned Readmission Rate at DRG | 16.32 | ||
| Unplanned Readmission Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 23.93 | ||
| Total Medicare payments at DRG | $519,464,020 | ||
| Total Medicare payments with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $846,236 | ||
| Total Medicare payment per Day at DRG | $1,566 | ||
| Total Medicare payment per Day with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $1,752 | ||
| Total Medicare payment per Hospitalization at DRG | $7,726 | ||
| Total Medicare payment per Hospitalization with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $6,994 | ||
| Total Medicare Charges at DRG | $2,306,121,861 | ||
| Total Medicare Charges with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $3,665,164 | ||
| Avg Charges at DRG | $34,299 | ||
| Avg Charges with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $30,291 | ||
| Mortality Rate at DRG | 0.07 | ||
| Mortality Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | NA | ||
| SNF Discharge Rate at DRG | 14.97 | ||
| SNF Discharge Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 13.22 | ||
| Home Discharge Rate at DRG | 53.9 | ||
| Home Discharge Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 63.64 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 4,643 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified in DRG | 9.65 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 3.53 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 34.1 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 28.14 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $24,763,850 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $1,512 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $5,334 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $126,737,735 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $27,297 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 7.75 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 68.81 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 856 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified in DRG | 1.78 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 12.5 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 45.14 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 22.97 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $28,213,552 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $2,637 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $32,960 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $118,490,428 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $138,423 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 8.06 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 25.0 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 20.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,236 | ||||
| Total Hospitalizations with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 598 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified in DRG | 1.24 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 3.9 | ||||
| Readmission Rate at DRG | 23.47 | ||||
| Readmission Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 40.36 | ||||
| Unplanned Readmission Rate at DRG | 16.32 | ||||
| Unplanned Readmission Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 35.18 | ||||
| Total Medicare payments at DRG | $519,464,020 | ||||
| Total Medicare payments with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $3,606,649 | ||||
| Total Medicare payment per Day at DRG | $1,566 | ||||
| Total Medicare payment per Day with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $1,545 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,726 | ||||
| Total Medicare payment per Hospitalization with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $6,031 | ||||
| Total Medicare Charges at DRG | $2,306,121,861 | ||||
| Total Medicare Charges with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $17,779,244 | ||||
| Avg Charges at DRG | $34,299 | ||||
| Avg Charges with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $29,731 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.97 | ||||
| SNF Discharge Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 5.02 | ||||
| Home Discharge Rate at DRG | 53.9 | ||||
| Home Discharge Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 75.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,029 | ||||
| Total Hospitalizations with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 557 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified in DRG | 1.16 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 7.31 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 27.17 | ||||
| Unplanned Readmission Rate at DRG | 10.44 | ||||
| Unplanned Readmission Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 11.83 | ||||
| Total Medicare payments at DRG | $484,755,193 | ||||
| Total Medicare payments with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $7,020,110 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $1,723 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,747 | ||||
| Total Medicare payment per Hospitalization with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $12,603 | ||||
| Total Medicare Charges at DRG | $2,463,395,263 | ||||
| Total Medicare Charges with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $33,999,121 | ||||
| Avg Charges at DRG | $64,777 | ||||
| Avg Charges with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | $61,040 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 17.24 | ||||
| Home Discharge Rate at DRG | 30.05 | ||||
| Home Discharge Rate with ICD E1040 - Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 34.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 247 |
| ALBANY MEDICAL CENTER | 43 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 223 |
| UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 219 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JON S ODORICO | 600 HIGHLAND AVE | MADISON | WI | 53792 | 20 |
| Dr. SHREEKANT CHOPRA | 830 OAK ST | BROCKTON | MA | 02301 | 18 |
| Dr. REGINALD DWAIN GLADISH | 1216 SOMERVILLE ROAD SE | DECATUR | AL | 35601 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JONATHAN AARON FRIDELL | 550 UNIVERSITY BLVD | INDIANAPOLIS | IN | 46202 | 38 |
| Dr. JON S ODORICO | 600 HIGHLAND AVE | MADISON | WI | 53792 | 23 |
| Dr. AAMER BHURGRI | 901 N MACOMB ST | MONROE | MI | 48162 | 22 |