*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy - as a primary diagnosis code | E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.2 | |
| Readmission Rate (%) | 33.47 | |
| Unplanned Readmission Rate (%) | 20.66 | |
| 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 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES 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 E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 143 | |||
| DRG Share of Total Hospitalizations | 0.2 | |||
| % of Total ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy in DRG | 55.43 | |||
| Avg LOS at DRG | 4.93 | |||
| Avg LOS with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 4.3 | |||
| Readmission Rate at DRG | 23.47 | |||
| Readmission Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 18.32 | |||
| Unplanned Readmission Rate at DRG | 16.32 | |||
| Unplanned Readmission Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 14.5 | |||
| Total Medicare payments at DRG | $519,464,020 | |||
| Total Medicare payments with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $1,019,327 | |||
| Total Medicare payment per Day at DRG | $1,566 | |||
| Total Medicare payment per Day with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $1,657 | |||
| Total Medicare payment per Hospitalization at DRG | $7,726 | |||
| Total Medicare payment per Hospitalization with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $7,128 | |||
| Total Medicare Charges at DRG | $2,306,121,861 | |||
| Total Medicare Charges with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $4,614,982 | |||
| Avg Charges at DRG | $34,299 | |||
| Avg Charges with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $32,273 | |||
| Mortality Rate at DRG | 0.07 | |||
| Mortality Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | NA | |||
| SNF Discharge Rate at DRG | 14.97 | |||
| SNF Discharge Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 15.38 | |||
| Home Discharge Rate at DRG | 53.9 | |||
| Home Discharge Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 51.05 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 3,703 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy in DRG | 9.93 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 3.6 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 34.3 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 28.28 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $19,688,322 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $1,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $5,317 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $100,524,720 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $27,147 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 8.94 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 66.84 |
*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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 769 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy in DRG | 2.06 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 13.38 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 46.3 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 21.92 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $25,494,152 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $2,478 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $33,152 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $109,965,674 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $142,998 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 4.16 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 29.91 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 16.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 461 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy in DRG | 1.24 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 4.04 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 43.74 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 35.46 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $3,373,935 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $1,812 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $7,319 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $15,998,508 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $34,704 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 12.15 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 63.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 394 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy in DRG | 1.06 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 7.96 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 44.02 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 30.71 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $8,906,149 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $2,838 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $22,604 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $42,535,014 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | $107,957 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | NA | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 19.8 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD E1042 - Type 1 diabetes mellitus with diabetic polyneuropathy | 43.65 |
| 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 | 271 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 256 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 208 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN CHRISTOPHER MOORE | 141 ASHELAND AVE | ASHEVILLE | NC | 28801 | 18 |
| Dr. JAMES S CHRZAN | 28 PACIFIC ST. | ROCKLAND | MA | 02370 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM KEITH DEBELL | 701 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 36 |
| Dr. SOFRONIO SAGUCIO SORIANO | 501 S RANCHO DR | LAS VEGAS | NV | 89106 | 34 |
| Dr. HOWARD M ROSEN | 2790 CLAY EDWARDS DR | NORTH KANSAS CITY | MO | 64116 | 23 |