*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E10649 - Type 1 diabetes mellitus with hypoglycemia without coma - as a primary diagnosis code | E10649 - Type 1 diabetes mellitus with hypoglycemia without coma - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.94 | |
| Readmission Rate (%) | 35.72 | |
| Unplanned Readmission Rate (%) | 25.42 | |
| 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 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 2,854 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma in DRG | 46.19 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 3.12 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 31.24 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 25.95 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $14,933,734 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $1,678 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $5,233 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $75,491,909 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $26,451 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 13.91 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 58.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 010: PANCREAS TRANSPLANT | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 33 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma in DRG | 0.53 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 9.88 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 40.0 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | NA | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $872,490 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $2,676 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $26,439 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $4,131,982 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $125,212 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | NA | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER | 8260 ATLEE RD | MECHANICSVILLE | VA | 23116 | 37 |
| SOUTH SHORE HOSPITAL | 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 30 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 25 |
*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 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 5,058 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma in DRG | 12.09 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 3.81 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 32.6 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 27.41 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $27,238,653 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $1,414 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $5,385 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $146,078,535 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $28,881 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 13.38 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 60.99 |
*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 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 697 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma in DRG | 1.67 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 6.27 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 37.91 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 29.64 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $7,004,873 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $1,604 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $10,050 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $33,040,707 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $47,404 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 1.58 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 18.08 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 48.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 477 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma in DRG | 1.14 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 5.99 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 35.29 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 27.15 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $4,189,905 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $1,466 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $8,784 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $23,544,862 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $49,360 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 19.08 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 51.57 |
*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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 420 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma in DRG | 1.0 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 7.01 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 37.67 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 24.66 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $4,861,546 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $1,652 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $11,575 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $27,116,432 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | $64,563 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 15.48 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD E10649 - Type 1 diabetes mellitus with hypoglycemia without coma | 43.81 |
| 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 | 251 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 206 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 153 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JESSICA MCABEE COLEMAN | 16 KEMMERLIN LN STE A | BEAUFORT | SC | 29907 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 15 |
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 15 |
| Dr. PAUL JAMES GARVIN | 10004 KENNERLY RD | SAINT LOUIS | MO | 63128 | 15 |