*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E10628 - Type 1 diabetes mellitus with other skin complications - as a primary diagnosis code | E10628 - Type 1 diabetes mellitus with other skin complications - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.32 | |
| Readmission Rate (%) | 31.96 | |
| Unplanned Readmission Rate (%) | 19.22 | |
| 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 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 384 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E10628 - Type 1 diabetes mellitus with other skin complications in DRG | 57.4 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 4.07 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 27.91 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 20.93 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $1,955,436 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $1,251 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $5,092 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $10,141,326 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $26,410 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 9.64 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 55.21 |
*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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,548 | |||
| Total Hospitalizations with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 20 | |||
| DRG Share of Total Hospitalizations | 0.05 | |||
| % of Total ICD E10628 - Type 1 diabetes mellitus with other skin complications in DRG | 2.99 | |||
| Avg LOS at DRG | 7.55 | |||
| Avg LOS with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 10.15 | |||
| Readmission Rate at DRG | 25.61 | |||
| Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | NA | |||
| Unplanned Readmission Rate at DRG | 13.93 | |||
| Unplanned Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | NA | |||
| Total Medicare payments at DRG | $225,408,950 | |||
| Total Medicare payments with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $318,727 | |||
| Total Medicare payment per Day at DRG | $1,921 | |||
| Total Medicare payment per Day with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $1,570 | |||
| Total Medicare payment per Hospitalization at DRG | $14,498 | |||
| Total Medicare payment per Hospitalization with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $15,936 | |||
| Total Medicare Charges at DRG | $1,165,672,078 | |||
| Total Medicare Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $1,643,968 | |||
| Avg Charges at DRG | $74,972 | |||
| Avg Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $82,198 | |||
| Mortality Rate at DRG | 0.19 | |||
| Mortality Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | NA | |||
| SNF Discharge Rate at DRG | 27.84 | |||
| SNF Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | NA | |||
| Home Discharge Rate at DRG | 27.39 | |||
| Home Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 658 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E10628 - Type 1 diabetes mellitus with other skin complications in DRG | 22.33 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 4.22 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 28.64 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 20.94 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $3,472,016 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $1,249 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $5,277 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $18,949,118 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $28,798 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 9.27 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 54.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 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 | 100,926 | ||||
| Total Hospitalizations with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 106 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD E10628 - Type 1 diabetes mellitus with other skin complications in DRG | 3.6 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 7.15 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 41.0 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 37.0 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $913,308 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $1,205 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $8,616 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $5,968,608 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $56,308 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | NA | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 20.75 | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 45.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,865 | ||||
| Total Hospitalizations with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 59 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD E10628 - Type 1 diabetes mellitus with other skin complications in DRG | 2.0 | ||||
| Avg LOS at DRG | 13.03 | ||||
| Avg LOS with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 11.02 | ||||
| Readmission Rate at DRG | 51.45 | ||||
| Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 50.0 | ||||
| Unplanned Readmission Rate at DRG | 19.42 | ||||
| Unplanned Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 19.64 | ||||
| Total Medicare payments at DRG | $870,378,024 | ||||
| Total Medicare payments with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $1,663,233 | ||||
| Total Medicare payment per Day at DRG | $2,314 | ||||
| Total Medicare payment per Day with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $2,559 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,153 | ||||
| Total Medicare payment per Hospitalization with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $28,190 | ||||
| Total Medicare Charges at DRG | $3,978,441,182 | ||||
| Total Medicare Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $6,627,921 | ||||
| Avg Charges at DRG | $137,829 | ||||
| Avg Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $112,338 | ||||
| Mortality Rate at DRG | 5.71 | ||||
| Mortality Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | NA | ||||
| SNF Discharge Rate at DRG | 45.97 | ||||
| SNF Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 33.9 | ||||
| Home Discharge Rate at DRG | 5.52 | ||||
| Home Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin 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 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 474: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,687 | ||||
| Total Hospitalizations with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 34 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD E10628 - Type 1 diabetes mellitus with other skin complications in DRG | 1.15 | ||||
| Avg LOS at DRG | 8.41 | ||||
| Avg LOS with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 8.56 | ||||
| Readmission Rate at DRG | 44.27 | ||||
| Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 54.55 | ||||
| Unplanned Readmission Rate at DRG | 12.34 | ||||
| Unplanned Readmission Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | NA | ||||
| Total Medicare payments at DRG | $417,585,098 | ||||
| Total Medicare payments with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $575,738 | ||||
| Total Medicare payment per Day at DRG | $2,011 | ||||
| Total Medicare payment per Day with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $1,978 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,915 | ||||
| Total Medicare payment per Hospitalization with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $16,933 | ||||
| Total Medicare Charges at DRG | $2,030,361,518 | ||||
| Total Medicare Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $2,918,101 | ||||
| Avg Charges at DRG | $82,244 | ||||
| Avg Charges with ICD E10628 - Type 1 diabetes mellitus with other skin complications | $85,827 | ||||
| Mortality Rate at DRG | 0.45 | ||||
| Mortality Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | NA | ||||
| SNF Discharge Rate at DRG | 46.91 | ||||
| SNF Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | 35.29 | ||||
| Home Discharge Rate at DRG | 7.81 | ||||
| Home Discharge Rate with ICD E10628 - Type 1 diabetes mellitus with other skin complications | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 23 |
| SENTARA PRINCESS ANNE HOSPITAL | 2025 GLENN MITCHELL DR | VIRGINIA BEACH | VA | 23456 | 19 |
| NEW HANOVER REGIONAL MEDICAL CENTER | 2131 S 17TH ST | WILMINGTON | NC | 28401 | 18 |