*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
E109 - Type 1 diabetes mellitus without complications - as a primary diagnosis code | E109 - Type 1 diabetes mellitus without complications - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.13 | |
Readmission Rate (%) | 24.51 | |
Unplanned Readmission Rate (%) | 23.29 | |
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 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 010: PANCREAS TRANSPLANT | |
---|---|---|---|
Total Hospitalizations at DRG | 174,196 | ||
Total Hospitalizations with ICD E109 - Type 1 diabetes mellitus without complications | 28 | ||
DRG Share of Total Hospitalizations | 0.53 | ||
% of Total ICD E109 - Type 1 diabetes mellitus without complications in DRG | 35.9 | ||
Avg LOS at DRG | 3.86 | ||
Avg LOS with ICD E109 - Type 1 diabetes mellitus without complications | 3.57 | ||
Readmission Rate at DRG | 23.62 | ||
Readmission Rate with ICD E109 - Type 1 diabetes mellitus without complications | NA | ||
Unplanned Readmission Rate at DRG | 17.61 | ||
Unplanned Readmission Rate with ICD E109 - Type 1 diabetes mellitus without complications | NA | ||
Total Medicare payments at DRG | $959,872,570 | ||
Total Medicare payments with ICD E109 - Type 1 diabetes mellitus without complications | $169,533 | ||
Total Medicare payment per Day at DRG | $1,426 | ||
Total Medicare payment per Day with ICD E109 - Type 1 diabetes mellitus without complications | $1,695 | ||
Total Medicare payment per Hospitalization at DRG | $5,510 | ||
Total Medicare payment per Hospitalization with ICD E109 - Type 1 diabetes mellitus without complications | $6,055 | ||
Total Medicare Charges at DRG | $4,945,131,055 | ||
Total Medicare Charges with ICD E109 - Type 1 diabetes mellitus without complications | $586,646 | ||
Avg Charges at DRG | $28,388 | ||
Avg Charges with ICD E109 - Type 1 diabetes mellitus without complications | $20,952 | ||
Mortality Rate at DRG | 0.24 | ||
Mortality Rate with ICD E109 - Type 1 diabetes mellitus without complications | NA | ||
SNF Discharge Rate at DRG | 14.83 | ||
SNF Discharge Rate with ICD E109 - Type 1 diabetes mellitus without complications | NA | ||
Home Discharge Rate at DRG | 53.93 | ||
Home Discharge Rate with ICD E109 - Type 1 diabetes mellitus without complications | 64.29 |
*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 E109 - Type 1 diabetes mellitus without complications | 2,166 | ||||
DRG Share of Total Hospitalizations | 3.35 | ||||
% of Total ICD E109 - Type 1 diabetes mellitus without complications in DRG | 5.36 | ||||
Avg LOS at DRG | 11.86 | ||||
Avg LOS with ICD E109 - Type 1 diabetes mellitus without complications | 10.39 | ||||
Readmission Rate at DRG | 27.58 | ||||
Readmission Rate with ICD E109 - Type 1 diabetes mellitus without complications | 28.32 | ||||
Unplanned Readmission Rate at DRG | 13.34 | ||||
Unplanned Readmission Rate with ICD E109 - Type 1 diabetes mellitus without complications | 15.04 | ||||
Total Medicare payments at DRG | $9,312,828,663 | ||||
Total Medicare payments with ICD E109 - Type 1 diabetes mellitus without complications | $16,184,766 | ||||
Total Medicare payment per Day at DRG | $713 | ||||
Total Medicare payment per Day with ICD E109 - Type 1 diabetes mellitus without complications | $719 | ||||
Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
Total Medicare payment per Hospitalization with ICD E109 - Type 1 diabetes mellitus without complications | $7,472 | ||||
Total Medicare Charges at DRG | $32,341,464,302 | ||||
Total Medicare Charges with ICD E109 - Type 1 diabetes mellitus without complications | $52,944,794 | ||||
Avg Charges at DRG | $29,378 | ||||
Avg Charges with ICD E109 - Type 1 diabetes mellitus without complications | $24,444 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD E109 - Type 1 diabetes mellitus without complications | NA | ||||
SNF Discharge Rate at DRG | 5.83 | ||||
SNF Discharge Rate with ICD E109 - Type 1 diabetes mellitus without complications | 4.62 | ||||
Home Discharge Rate at DRG | 79.47 | ||||
Home Discharge Rate with ICD E109 - Type 1 diabetes mellitus without complications | 81.49 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 474,314 | ||||
Total Hospitalizations with ICD E109 - Type 1 diabetes mellitus without complications | 732 | ||||
DRG Share of Total Hospitalizations | 1.44 | ||||
% of Total ICD E109 - Type 1 diabetes mellitus without complications in DRG | 1.81 | ||||
Avg LOS at DRG | 3.53 | ||||
Avg LOS with ICD E109 - Type 1 diabetes mellitus without complications | 3.3 | ||||
Readmission Rate at DRG | 18.03 | ||||
Readmission Rate with ICD E109 - Type 1 diabetes mellitus without complications | 23.72 | ||||
Unplanned Readmission Rate at DRG | 12.55 | ||||
Unplanned Readmission Rate with ICD E109 - Type 1 diabetes mellitus without complications | 17.61 | ||||
Total Medicare payments at DRG | $2,312,733,090 | ||||
Total Medicare payments with ICD E109 - Type 1 diabetes mellitus without complications | $3,741,752 | ||||
Total Medicare payment per Day at DRG | $1,380 | ||||
Total Medicare payment per Day with ICD E109 - Type 1 diabetes mellitus without complications | $1,551 | ||||
Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
Total Medicare payment per Hospitalization with ICD E109 - Type 1 diabetes mellitus without complications | $5,112 | ||||
Total Medicare Charges at DRG | $11,559,952,314 | ||||
Total Medicare Charges with ICD E109 - Type 1 diabetes mellitus without complications | $16,692,922 | ||||
Avg Charges at DRG | $24,372 | ||||
Avg Charges with ICD E109 - Type 1 diabetes mellitus without complications | $22,805 | ||||
Mortality Rate at DRG | 0.22 | ||||
Mortality Rate with ICD E109 - Type 1 diabetes mellitus without complications | NA | ||||
SNF Discharge Rate at DRG | 25.96 | ||||
SNF Discharge Rate with ICD E109 - Type 1 diabetes mellitus without complications | 18.17 | ||||
Home Discharge Rate at DRG | 43.58 | ||||
Home Discharge Rate with ICD E109 - Type 1 diabetes mellitus without complications | 55.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 434,264 | ||||
Total Hospitalizations with ICD E109 - Type 1 diabetes mellitus without complications | 499 | ||||
DRG Share of Total Hospitalizations | 1.32 | ||||
% of Total ICD E109 - Type 1 diabetes mellitus without complications in DRG | 1.23 | ||||
Avg LOS at DRG | 3.94 | ||||
Avg LOS with ICD E109 - Type 1 diabetes mellitus without complications | 3.47 | ||||
Readmission Rate at DRG | 22.76 | ||||
Readmission Rate with ICD E109 - Type 1 diabetes mellitus without complications | 25.8 | ||||
Unplanned Readmission Rate at DRG | 16.46 | ||||
Unplanned Readmission Rate with ICD E109 - Type 1 diabetes mellitus without complications | 20.04 | ||||
Total Medicare payments at DRG | $2,472,138,198 | ||||
Total Medicare payments with ICD E109 - Type 1 diabetes mellitus without complications | $2,794,047 | ||||
Total Medicare payment per Day at DRG | $1,444 | ||||
Total Medicare payment per Day with ICD E109 - Type 1 diabetes mellitus without complications | $1,611 | ||||
Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
Total Medicare payment per Hospitalization with ICD E109 - Type 1 diabetes mellitus without complications | $5,599 | ||||
Total Medicare Charges at DRG | $12,478,361,060 | ||||
Total Medicare Charges with ICD E109 - Type 1 diabetes mellitus without complications | $12,516,787 | ||||
Avg Charges at DRG | $28,735 | ||||
Avg Charges with ICD E109 - Type 1 diabetes mellitus without complications | $25,084 | ||||
Mortality Rate at DRG | 0.91 | ||||
Mortality Rate with ICD E109 - Type 1 diabetes mellitus without complications | NA | ||||
SNF Discharge Rate at DRG | 22.02 | ||||
SNF Discharge Rate with ICD E109 - Type 1 diabetes mellitus without complications | 14.43 | ||||
Home Discharge Rate at DRG | 46.68 | ||||
Home Discharge Rate with ICD E109 - Type 1 diabetes mellitus without complications | 59.12 |
*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 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 365,119 | ||||
Total Hospitalizations with ICD E109 - Type 1 diabetes mellitus without complications | 411 | ||||
DRG Share of Total Hospitalizations | 1.11 | ||||
% of Total ICD E109 - Type 1 diabetes mellitus without complications in DRG | 1.02 | ||||
Avg LOS at DRG | 5.91 | ||||
Avg LOS with ICD E109 - Type 1 diabetes mellitus without complications | 5.43 | ||||
Readmission Rate at DRG | 27.73 | ||||
Readmission Rate with ICD E109 - Type 1 diabetes mellitus without complications | 36.0 | ||||
Unplanned Readmission Rate at DRG | 20.3 | ||||
Unplanned Readmission Rate with ICD E109 - Type 1 diabetes mellitus without complications | 26.67 | ||||
Total Medicare payments at DRG | $3,552,910,533 | ||||
Total Medicare payments with ICD E109 - Type 1 diabetes mellitus without complications | $4,047,427 | ||||
Total Medicare payment per Day at DRG | $1,646 | ||||
Total Medicare payment per Day with ICD E109 - Type 1 diabetes mellitus without complications | $1,813 | ||||
Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
Total Medicare payment per Hospitalization with ICD E109 - Type 1 diabetes mellitus without complications | $9,848 | ||||
Total Medicare Charges at DRG | $16,860,985,198 | ||||
Total Medicare Charges with ICD E109 - Type 1 diabetes mellitus without complications | $18,230,688 | ||||
Avg Charges at DRG | $46,179 | ||||
Avg Charges with ICD E109 - Type 1 diabetes mellitus without complications | $44,357 | ||||
Mortality Rate at DRG | 5.06 | ||||
Mortality Rate with ICD E109 - Type 1 diabetes mellitus without complications | 2.68 | ||||
SNF Discharge Rate at DRG | 28.7 | ||||
SNF Discharge Rate with ICD E109 - Type 1 diabetes mellitus without complications | 22.63 | ||||
Home Discharge Rate at DRG | 32.16 | ||||
Home Discharge Rate with ICD E109 - Type 1 diabetes mellitus without complications | 44.77 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ABINGTON MEMORIAL HOSPITAL | 1200 OLD YORK RD | ABINGTON | PA | 19001 | 126 |
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 112 |
UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 106 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 58 |
Dr. FRANCIS KEVIN BUTLER | 2753 STATE ROAD 580 | CLEARWATER | FL | 33761 | 14 |
Dr. KAREN S GUADAGNINI | 102 NORTH ST | BRISTOL | CT | 06010 | 13 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 59 |
Dr. JEFFREY DEAN VOREIS | 41 CAMBRIDGE CT | WETUMPKA | AL | 36093 | 55 |
Dr. SYLVIA FOSTER | 8TH STREET AND GIRARD AVE | PHILADELPHIA | PA | 19122 | 39 |
No | ICD Diagnosis Code | Description |
---|---|---|
1 | Z940 | Kidney transplant status |
2 | Z794 | Long term (current) use of insulin |
3 | K219 | Gastro-esophageal reflux disease without esophagitis |
4 | E785 | Hyperlipidemia, unspecified |
5 | E871 | Hypo-osmolality and hyponatremia |
6 | I10 | Essential (primary) hypertension |