*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma - as a primary diagnosis code | E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.14 | |
| Readmission Rate (%) | 25.39 | |
| Unplanned Readmission Rate (%) | 15.69 | |
| 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 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||||
| Total Hospitalizations with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 1,578 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma in DRG | 56.2 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 6.25 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 24.02 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 16.97 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $15,166,696 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $1,538 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $9,611 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $87,084,271 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $55,186 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 4.12 | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 29.72 | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 31.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|
| Total Hospitalizations at DRG | 45,478 |
| Total Hospitalizations with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 12 |
| DRG Share of Total Hospitalizations | 0.14 |
| % of Total ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma in DRG | 0.43 |
| Avg LOS at DRG | 25.29 |
| Avg LOS with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 20.25 |
| Readmission Rate at DRG | 74.5 |
| Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA |
| Unplanned Readmission Rate at DRG | 8.79 |
| Unplanned Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA |
| Total Medicare payments at DRG | $3,386,848,549 |
| Total Medicare payments with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $834,069 |
| Total Medicare payment per Day at DRG | $2,945 |
| Total Medicare payment per Day with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $3,432 |
| Total Medicare payment per Hospitalization at DRG | $74,472 |
| Total Medicare payment per Hospitalization with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $69,506 |
| Total Medicare Charges at DRG | $15,882,518,852 |
| Total Medicare Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $3,266,339 |
| Avg Charges at DRG | $349,235 |
| Avg Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $272,195 |
| Mortality Rate at DRG | 13.7 |
| Mortality Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA |
| SNF Discharge Rate at DRG | 17.77 |
| SNF Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA |
| Home Discharge Rate at DRG | 1.95 |
| Home Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 24 |
| NEW HANOVER REGIONAL MEDICAL CENTER | 2131 S 17TH ST | WILMINGTON | NC | 28401 | 18 |
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 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 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||||
| Total Hospitalizations with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 1,764 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma in DRG | 30.82 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 6.16 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 24.34 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 17.21 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $16,877,009 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $1,552 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $9,567 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $97,491,793 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $55,267 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 4.08 | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 29.08 | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 31.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,844 | ||||
| Total Hospitalizations with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 132 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma in DRG | 2.31 | ||||
| Avg LOS at DRG | 2.54 | ||||
| Avg LOS with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 2.61 | ||||
| Readmission Rate at DRG | 18.61 | ||||
| Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 15.83 | ||||
| Unplanned Readmission Rate at DRG | 14.34 | ||||
| Unplanned Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 11.67 | ||||
| Total Medicare payments at DRG | $148,012,031 | ||||
| Total Medicare payments with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $500,264 | ||||
| Total Medicare payment per Day at DRG | $1,465 | ||||
| Total Medicare payment per Day with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $1,454 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,715 | ||||
| Total Medicare payment per Hospitalization with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $3,790 | ||||
| Total Medicare Charges at DRG | $766,782,026 | ||||
| Total Medicare Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $2,852,073 | ||||
| Avg Charges at DRG | $19,245 | ||||
| Avg Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $21,607 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA | ||||
| SNF Discharge Rate at DRG | 8.9 | ||||
| SNF Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA | ||||
| Home Discharge Rate at DRG | 66.87 | ||||
| Home Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 59.85 |
*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 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 66 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma in DRG | 1.15 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 6.41 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 33.87 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 19.35 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $841,030 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $1,988 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $12,743 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $4,541,263 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $68,807 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 28.79 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 24.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 62,680 | ||||
| Total Hospitalizations with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 35 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma in DRG | 0.61 | ||||
| Avg LOS at DRG | 7.42 | ||||
| Avg LOS with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | 7.06 | ||||
| Readmission Rate at DRG | 28.38 | ||||
| Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA | ||||
| Unplanned Readmission Rate at DRG | 19.73 | ||||
| Unplanned Readmission Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA | ||||
| Total Medicare payments at DRG | $784,253,159 | ||||
| Total Medicare payments with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $433,978 | ||||
| Total Medicare payment per Day at DRG | $1,686 | ||||
| Total Medicare payment per Day with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $1,757 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,512 | ||||
| Total Medicare payment per Hospitalization with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $12,399 | ||||
| Total Medicare Charges at DRG | $3,210,257,310 | ||||
| Total Medicare Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $1,961,918 | ||||
| Avg Charges at DRG | $51,217 | ||||
| Avg Charges with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | $56,055 | ||||
| Mortality Rate at DRG | 4.21 | ||||
| Mortality Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA | ||||
| SNF Discharge Rate at DRG | 30.71 | ||||
| SNF Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA | ||||
| Home Discharge Rate at DRG | 21.91 | ||||
| Home Discharge Rate with ICD E1101 - Type 2 diabetes mellitus with hyperosmolarity with coma | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 37 |
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 35 |
| NEW HANOVER REGIONAL MEDICAL CENTER | 2131 S 17TH ST | WILMINGTON | NC | 28401 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MAZHAR SALIM | 1 TRILLIUM WAY | CORBIN | KY | 40701 | 12 |