*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy - as a primary diagnosis code | E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.62 | |
| Readmission Rate (%) | 32.24 | |
| Unplanned Readmission Rate (%) | 13.57 | |
| 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 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,397 | ||||
| Total Hospitalizations with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 52 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy in DRG | 22.61 | ||||
| Avg LOS at DRG | 5.9 | ||||
| Avg LOS with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 5.65 | ||||
| Readmission Rate at DRG | 31.34 | ||||
| Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 26.0 | ||||
| Unplanned Readmission Rate at DRG | 10.0 | ||||
| Unplanned Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | NA | ||||
| Total Medicare payments at DRG | $256,680,181 | ||||
| Total Medicare payments with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $736,805 | ||||
| Total Medicare payment per Day at DRG | $2,499 | ||||
| Total Medicare payment per Day with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $2,506 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,754 | ||||
| Total Medicare payment per Hospitalization with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $14,169 | ||||
| Total Medicare Charges at DRG | $1,413,120,578 | ||||
| Total Medicare Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $3,299,689 | ||||
| Avg Charges at DRG | $81,228 | ||||
| Avg Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $63,456 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | NA | ||||
| SNF Discharge Rate at DRG | 22.36 | ||||
| SNF Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 23.08 | ||||
| Home Discharge Rate at DRG | 35.7 | ||||
| Home Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 26.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 27,406 |
| Total Hospitalizations with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 19 |
| DRG Share of Total Hospitalizations | 0.08 |
| % of Total ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy in DRG | 8.26 |
| Avg LOS at DRG | 6.58 |
| Avg LOS with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 6.58 |
| Readmission Rate at DRG | 36.99 |
| Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | NA |
| Unplanned Readmission Rate at DRG | 29.68 |
| Unplanned Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | NA |
| Total Medicare payments at DRG | $307,178,067 |
| Total Medicare payments with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $247,690 |
| Total Medicare payment per Day at DRG | $1,702 |
| Total Medicare payment per Day with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $1,982 |
| Total Medicare payment per Hospitalization at DRG | $11,208 |
| Total Medicare payment per Hospitalization with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $13,036 |
| Total Medicare Charges at DRG | $1,317,771,005 |
| Total Medicare Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $947,422 |
| Avg Charges at DRG | $48,083 |
| Avg Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $49,864 |
| Mortality Rate at DRG | 1.04 |
| Mortality Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | NA |
| SNF Discharge Rate at DRG | 15.36 |
| SNF Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | NA |
| Home Discharge Rate at DRG | 48.86 |
| Home Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 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 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 329 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy in DRG | 7.56 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 4.37 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 26.09 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 17.73 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $1,882,615 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $1,310 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $5,722 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $11,105,126 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $33,754 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 7.29 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 59.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT 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 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 | 15,548 | ||||
| Total Hospitalizations with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 97 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy in DRG | 2.23 | ||||
| Avg LOS at DRG | 7.55 | ||||
| Avg LOS with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 7.67 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 19.57 | ||||
| Unplanned Readmission Rate at DRG | 13.93 | ||||
| Unplanned Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 11.96 | ||||
| Total Medicare payments at DRG | $225,408,950 | ||||
| Total Medicare payments with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $1,381,671 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $1,857 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,498 | ||||
| Total Medicare payment per Hospitalization with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $14,244 | ||||
| Total Medicare Charges at DRG | $1,165,672,078 | ||||
| Total Medicare Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $7,578,627 | ||||
| Avg Charges at DRG | $74,972 | ||||
| Avg Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $78,130 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | NA | ||||
| SNF Discharge Rate at DRG | 27.84 | ||||
| SNF Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 21.65 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 27.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH 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 | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 74 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy in DRG | 1.7 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 5.16 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 34.33 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 25.37 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $682,982 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $1,788 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $9,229 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $3,345,852 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $45,214 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 50.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,726 | ||||
| Total Hospitalizations with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 57 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy in DRG | 1.31 | ||||
| Avg LOS at DRG | 6.68 | ||||
| Avg LOS with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 4.82 | ||||
| Readmission Rate at DRG | 24.76 | ||||
| Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 30.36 | ||||
| Unplanned Readmission Rate at DRG | 14.45 | ||||
| Unplanned Readmission Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 23.21 | ||||
| Total Medicare payments at DRG | $902,862,104 | ||||
| Total Medicare payments with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $1,045,329 | ||||
| Total Medicare payment per Day at DRG | $2,565 | ||||
| Total Medicare payment per Day with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $3,801 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,124 | ||||
| Total Medicare payment per Hospitalization with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $18,339 | ||||
| Total Medicare Charges at DRG | $4,216,562,728 | ||||
| Total Medicare Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $5,353,461 | ||||
| Avg Charges at DRG | $79,971 | ||||
| Avg Charges with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | $93,920 | ||||
| Mortality Rate at DRG | 0.83 | ||||
| Mortality Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | NA | ||||
| SNF Discharge Rate at DRG | 22.41 | ||||
| SNF Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 22.81 | ||||
| Home Discharge Rate at DRG | 43.51 | ||||
| Home Discharge Rate with ICD E10610 - Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 33.33 |
| 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 | 39 |
| UNIVERSITY OF MINNESOTA MEDICAL CENTER | 2450 RIVERSIDE AVE | MINNEAPOLIS | MN | 55454 | 36 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM P GRANT | 760 INDEPENDENCE BLVD | VIRGINIA BEACH | VA | 23455 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM P GRANT | 760 INDEPENDENCE BLVD | VIRGINIA BEACH | VA | 23455 | 12 |