*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1059 - Type 1 diabetes mellitus with other circulatory complications - as a primary diagnosis code | E1059 - Type 1 diabetes mellitus with other circulatory complications - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.11 | |
| Readmission Rate (%) | 31.78 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 67 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E1059 - Type 1 diabetes mellitus with other circulatory complications in DRG | 5.61 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 7.22 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 32.69 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 32.69 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $768,410 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $1,588 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $11,469 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $4,484,278 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $66,930 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 29.85 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 37.31 |
*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 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 23 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD E1059 - Type 1 diabetes mellitus with other circulatory complications in DRG | 1.92 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 4.39 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $265,156 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $2,625 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $11,529 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $1,624,554 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $70,633 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 65.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 17 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD E1059 - Type 1 diabetes mellitus with other circulatory complications in DRG | 1.42 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 4.35 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $118,891 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $1,607 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $6,994 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $519,759 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $30,574 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 12 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD E1059 - Type 1 diabetes mellitus with other circulatory complications in DRG | 1.0 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | 4.5 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $131,795 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $2,441 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $10,983 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $473,852 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | $39,488 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD E1059 - Type 1 diabetes mellitus with other circulatory complications | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 22 |
| MEMORIAL HOSPITAL BELLEVILLE | 4500 MEMORIAL DR | BELLEVILLE | IL | 62226 | 17 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 16 |