*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E108 - Type 1 diabetes mellitus with unspecified complications - as a primary diagnosis code | E108 - Type 1 diabetes mellitus with unspecified complications - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.05 | |
| Readmission Rate (%) | 27.83 | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 174,196 |
| Total Hospitalizations with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 15 |
| DRG Share of Total Hospitalizations | 0.53 |
| % of Total ICD E108 - Type 1 diabetes mellitus with unspecified complications in DRG | 57.69 |
| Avg LOS at DRG | 3.86 |
| Avg LOS with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 3.33 |
| Readmission Rate at DRG | 23.62 |
| Readmission Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA |
| Unplanned Readmission Rate at DRG | 17.61 |
| Unplanned Readmission Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA |
| Total Medicare payments at DRG | $959,872,570 |
| Total Medicare payments with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $73,347 |
| Total Medicare payment per Day at DRG | $1,426 |
| Total Medicare payment per Day with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $1,467 |
| Total Medicare payment per Hospitalization at DRG | $5,510 |
| Total Medicare payment per Hospitalization with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $4,890 |
| Total Medicare Charges at DRG | $4,945,131,055 |
| Total Medicare Charges with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $346,741 |
| Avg Charges at DRG | $28,388 |
| Avg Charges with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $23,116 |
| Mortality Rate at DRG | 0.24 |
| Mortality Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA |
| SNF Discharge Rate at DRG | 14.83 |
| SNF Discharge Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA |
| Home Discharge Rate at DRG | 53.93 |
| Home Discharge Rate with ICD E108 - Type 1 diabetes mellitus with unspecified 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 218 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD E108 - Type 1 diabetes mellitus with unspecified complications in DRG | 6.9 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 10.92 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 27.59 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 17.24 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $1,709,158 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $718 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $7,840 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $4,807,124 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $22,051 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 74.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 58 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD E108 - Type 1 diabetes mellitus with unspecified complications in DRG | 1.84 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 3.62 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 21.43 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $324,182 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $1,544 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $5,589 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $1,354,796 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $23,359 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 18.97 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 45 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD E108 - Type 1 diabetes mellitus with unspecified complications in DRG | 1.42 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 4.16 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 34.88 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $277,876 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $1,486 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $6,175 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $1,277,493 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $28,389 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 55.56 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 37 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD E108 - Type 1 diabetes mellitus with unspecified complications in DRG | 1.17 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 5.59 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 36.36 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 33.33 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $374,370 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $1,809 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $10,118 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $1,463,662 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD E108 - Type 1 diabetes mellitus with unspecified complications | $39,558 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD E108 - Type 1 diabetes mellitus with unspecified complications | 62.16 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ASPIRE BEHAVIORAL HEALTH HOSPITAL CONROE | 2006 S LOOP 336 W | CONROE | TX | 77304 | 57 |
| ALLIANCE HEALTHCARE SYSTEM | 1430 HWY 4-EAST | HOLLY SPRINGS | MS | 38634 | 15 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FERNANDO GUILLERMO TORRES | 2006 S LOOP 336 W | CONROE | TX | 77304 | 48 |
| Dr. KENNETH WILLIAMS | 1938 CRESCENT MEADOW DRIVE | HOLLY SPRINGS | MS | 38635 | 15 |