*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
E1121 - Type 2 diabetes mellitus with diabetic nephropathy - as a primary diagnosis code | E1121 - Type 2 diabetes mellitus with diabetic nephropathy - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.99 | |
Readmission Rate (%) | 30.16 | |
Unplanned Readmission Rate (%) | 18.88 | |
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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 674: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 105,234 | ||||
Total Hospitalizations with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 1,281 | ||||
DRG Share of Total Hospitalizations | 0.32 | ||||
% of Total ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy in DRG | 38.83 | ||||
Avg LOS at DRG | 4.18 | ||||
Avg LOS with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 5.12 | ||||
Readmission Rate at DRG | 24.62 | ||||
Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 23.41 | ||||
Unplanned Readmission Rate at DRG | 17.79 | ||||
Unplanned Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 18.6 | ||||
Total Medicare payments at DRG | $723,145,698 | ||||
Total Medicare payments with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $9,202,474 | ||||
Total Medicare payment per Day at DRG | $1,644 | ||||
Total Medicare payment per Day with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $1,403 | ||||
Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
Total Medicare payment per Hospitalization with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $7,184 | ||||
Total Medicare Charges at DRG | $3,557,869,598 | ||||
Total Medicare Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $53,317,315 | ||||
Avg Charges at DRG | $33,809 | ||||
Avg Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $41,622 | ||||
Mortality Rate at DRG | 0.27 | ||||
Mortality Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | NA | ||||
SNF Discharge Rate at DRG | 20.33 | ||||
SNF Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 15.07 | ||||
Home Discharge Rate at DRG | 48.52 | ||||
Home Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 60.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 008: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | |
---|---|---|---|---|
Total Hospitalizations at DRG | 28,634 | |||
Total Hospitalizations with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 76 | |||
DRG Share of Total Hospitalizations | 0.09 | |||
% of Total ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy in DRG | 2.3 | |||
Avg LOS at DRG | 11.28 | |||
Avg LOS with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 12.43 | |||
Readmission Rate at DRG | 31.61 | |||
Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 28.17 | |||
Unplanned Readmission Rate at DRG | 20.7 | |||
Unplanned Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 19.72 | |||
Total Medicare payments at DRG | $694,538,967 | |||
Total Medicare payments with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $1,814,257 | |||
Total Medicare payment per Day at DRG | $2,151 | |||
Total Medicare payment per Day with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $1,920 | |||
Total Medicare payment per Hospitalization at DRG | $24,256 | |||
Total Medicare payment per Hospitalization with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $23,872 | |||
Total Medicare Charges at DRG | $3,311,277,166 | |||
Total Medicare Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $9,590,779 | |||
Avg Charges at DRG | $115,641 | |||
Avg Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $126,194 | |||
Mortality Rate at DRG | 4.08 | |||
Mortality Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | NA | |||
SNF Discharge Rate at DRG | 28.26 | |||
SNF Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 28.95 | |||
Home Discharge Rate at DRG | 36.18 | |||
Home Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 39.47 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
PIEDMONT ATLANTA HOSPITAL | 1968 PEACHTREE RD NW | ATLANTA | GA | 30309 | 50 |
CLEVELAND CLINIC HOSPITAL | 3100 WESTON RD | WESTON | FL | 33331 | 45 |
METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 44 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ROBERT M NARAGHI | 2200 W 3RD ST | LOS ANGELES | CA | 90057 | 27 |
Dr. DIEGO C REINO | 185 S ORANGE AVE # MSBG-506 | NEWARK | NJ | 07103 | 18 |
Dr. PAUL JEFFREY CAMPSEN | 30 N 1900 E | SALT LAKE CITY | UT | 84132 | 17 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ROBERT M NARAGHI | 2200 W 3RD ST | LOS ANGELES | CA | 90057 | 24 |
Dr. PAUL JEFFREY CAMPSEN | 30 N 1900 E | SALT LAKE CITY | UT | 84132 | 17 |
Dr. DIEGO C REINO | 185 S ORANGE AVE # MSBG-506 | NEWARK | NJ | 07103 | 15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,013,774 | ||||
Total Hospitalizations with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 40,645 | ||||
DRG Share of Total Hospitalizations | 3.08 | ||||
% of Total ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy in DRG | 8.73 | ||||
Avg LOS at DRG | 5.34 | ||||
Avg LOS with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 6.11 | ||||
Readmission Rate at DRG | 28.25 | ||||
Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 30.88 | ||||
Unplanned Readmission Rate at DRG | 21.93 | ||||
Unplanned Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 23.84 | ||||
Total Medicare payments at DRG | $9,469,067,156 | ||||
Total Medicare payments with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $395,941,637 | ||||
Total Medicare payment per Day at DRG | $1,751 | ||||
Total Medicare payment per Day with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $1,594 | ||||
Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
Total Medicare payment per Hospitalization with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $9,741 | ||||
Total Medicare Charges at DRG | $43,343,716,813 | ||||
Total Medicare Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $2,086,556,088 | ||||
Avg Charges at DRG | $42,755 | ||||
Avg Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $51,336 | ||||
Mortality Rate at DRG | 3.72 | ||||
Mortality Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 2.54 | ||||
SNF Discharge Rate at DRG | 20.84 | ||||
SNF Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 18.78 | ||||
Home Discharge Rate at DRG | 37.68 | ||||
Home Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 41.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 231,812 | ||||
Total Hospitalizations with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 8,311 | ||||
DRG Share of Total Hospitalizations | 0.71 | ||||
% of Total ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy in DRG | 1.78 | ||||
Avg LOS at DRG | 4.41 | ||||
Avg LOS with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 3.87 | ||||
Readmission Rate at DRG | 29.12 | ||||
Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 32.48 | ||||
Unplanned Readmission Rate at DRG | 22.82 | ||||
Unplanned Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 26.28 | ||||
Total Medicare payments at DRG | $1,743,376,418 | ||||
Total Medicare payments with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $61,483,095 | ||||
Total Medicare payment per Day at DRG | $1,704 | ||||
Total Medicare payment per Day with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $1,910 | ||||
Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
Total Medicare payment per Hospitalization with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $7,398 | ||||
Total Medicare Charges at DRG | $8,543,867,896 | ||||
Total Medicare Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $324,132,084 | ||||
Avg Charges at DRG | $36,857 | ||||
Avg Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $39,000 | ||||
Mortality Rate at DRG | 2.89 | ||||
Mortality Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 1.53 | ||||
SNF Discharge Rate at DRG | 22.92 | ||||
SNF Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 15.2 | ||||
Home Discharge Rate at DRG | 43.02 | ||||
Home Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 57.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 174,196 | ||||
Total Hospitalizations with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 7,402 | ||||
DRG Share of Total Hospitalizations | 0.53 | ||||
% of Total ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy in DRG | 1.59 | ||||
Avg LOS at DRG | 3.86 | ||||
Avg LOS with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 4.72 | ||||
Readmission Rate at DRG | 23.62 | ||||
Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 24.75 | ||||
Unplanned Readmission Rate at DRG | 17.61 | ||||
Unplanned Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 18.47 | ||||
Total Medicare payments at DRG | $959,872,570 | ||||
Total Medicare payments with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $45,715,179 | ||||
Total Medicare payment per Day at DRG | $1,426 | ||||
Total Medicare payment per Day with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $1,308 | ||||
Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
Total Medicare payment per Hospitalization with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $6,176 | ||||
Total Medicare Charges at DRG | $4,945,131,055 | ||||
Total Medicare Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $259,926,544 | ||||
Avg Charges at DRG | $28,388 | ||||
Avg Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $35,116 | ||||
Mortality Rate at DRG | 0.24 | ||||
Mortality Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 0.28 | ||||
SNF Discharge Rate at DRG | 14.83 | ||||
SNF Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 18.09 | ||||
Home Discharge Rate at DRG | 53.93 | ||||
Home Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 46.91 |
*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 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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 | 100,926 | ||||
Total Hospitalizations with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 4,982 | ||||
DRG Share of Total Hospitalizations | 0.31 | ||||
% of Total ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy in DRG | 1.07 | ||||
Avg LOS at DRG | 5.47 | ||||
Avg LOS with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 6.38 | ||||
Readmission Rate at DRG | 29.88 | ||||
Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 31.86 | ||||
Unplanned Readmission Rate at DRG | 23.17 | ||||
Unplanned Readmission Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 24.14 | ||||
Total Medicare payments at DRG | $916,940,883 | ||||
Total Medicare payments with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $49,139,378 | ||||
Total Medicare payment per Day at DRG | $1,661 | ||||
Total Medicare payment per Day with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $1,545 | ||||
Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
Total Medicare payment per Hospitalization with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $9,863 | ||||
Total Medicare Charges at DRG | $4,566,782,465 | ||||
Total Medicare Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $264,867,973 | ||||
Avg Charges at DRG | $45,249 | ||||
Avg Charges with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | $53,165 | ||||
Mortality Rate at DRG | 2.29 | ||||
Mortality Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 2.11 | ||||
SNF Discharge Rate at DRG | 23.51 | ||||
SNF Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 25.01 | ||||
Home Discharge Rate at DRG | 40.88 | ||||
Home Discharge Rate with ICD E1121 - Type 2 diabetes mellitus with diabetic nephropathy | 37.43 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 2,645 |
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 2,102 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 2,007 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. BRAJESH BHATLA | 4402 E SESAME DR | HARLINGEN | TX | 78550 | 334 |
Dr. LUIS GUTIERREZ-PERRY | 3406 BOB ROGERS DR. | EAGLE PASS | TX | 78852 | 239 |
Dr. OLADAYO A SANUSI | 1901 PEASE ST | HARLINGEN | TX | 78550 | 226 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 974 |
Dr. BRAJESH BHATLA | 4402 E SESAME DR | HARLINGEN | TX | 78550 | 460 |
Dr. BAQIR M SYED | 1926 10TH AVE N | LAKE WORTH | FL | 33461 | 370 |