*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1049 - Type 1 diabetes mellitus with other diabetic neurological complication - as a primary diagnosis code | E1049 - Type 1 diabetes mellitus with other diabetic neurological complication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.57 | |
| Readmission Rate (%) | 32.5 | |
| 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES 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 E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 128 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication in DRG | 8.15 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 3.08 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 36.97 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 31.93 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $619,233 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $1,572 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $4,838 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $3,094,460 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $24,175 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 71.88 |
*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 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,236 | ||||
| Total Hospitalizations with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 27 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication in DRG | 1.72 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 4.07 | ||||
| Readmission Rate at DRG | 23.47 | ||||
| Readmission Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| Unplanned Readmission Rate at DRG | 16.32 | ||||
| Unplanned Readmission Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| Total Medicare payments at DRG | $519,464,020 | ||||
| Total Medicare payments with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $155,199 | ||||
| Total Medicare payment per Day at DRG | $1,566 | ||||
| Total Medicare payment per Day with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $1,411 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,726 | ||||
| Total Medicare payment per Hospitalization with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $5,748 | ||||
| Total Medicare Charges at DRG | $2,306,121,861 | ||||
| Total Medicare Charges with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $648,170 | ||||
| Avg Charges at DRG | $34,299 | ||||
| Avg Charges with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $24,006 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| SNF Discharge Rate at DRG | 14.97 | ||||
| SNF Discharge Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| Home Discharge Rate at DRG | 53.9 | ||||
| Home Discharge Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 70.37 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 27,406 | ||||
| Total Hospitalizations with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 24 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication in DRG | 1.53 | ||||
| Avg LOS at DRG | 6.58 | ||||
| Avg LOS with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 4.75 | ||||
| Readmission Rate at DRG | 36.99 | ||||
| Readmission Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| Unplanned Readmission Rate at DRG | 29.68 | ||||
| Unplanned Readmission Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| Total Medicare payments at DRG | $307,178,067 | ||||
| Total Medicare payments with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $194,939 | ||||
| Total Medicare payment per Day at DRG | $1,702 | ||||
| Total Medicare payment per Day with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $1,710 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,208 | ||||
| Total Medicare payment per Hospitalization with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $8,122 | ||||
| Total Medicare Charges at DRG | $1,317,771,005 | ||||
| Total Medicare Charges with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $716,297 | ||||
| Avg Charges at DRG | $48,083 | ||||
| Avg Charges with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $29,846 | ||||
| Mortality Rate at DRG | 1.04 | ||||
| Mortality Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| SNF Discharge Rate at DRG | 15.36 | ||||
| SNF Discharge Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| Home Discharge Rate at DRG | 48.86 | ||||
| Home Discharge Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 75.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 17 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication in DRG | 1.08 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | 5.0 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $153,697 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $1,808 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $9,041 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $821,762 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | $48,339 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD E1049 - Type 1 diabetes mellitus with other diabetic neurological complication | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 36 |
| WINCHESTER MEDICAL CENTER | 1840 AMHERST ST | WINCHESTER | VA | 22601 | 27 |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 22 |