*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1129 - Type 2 diabetes mellitus with other diabetic kidney complication - as a primary diagnosis code | E1129 - Type 2 diabetes mellitus with other diabetic kidney complication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.09 | |
| Readmission Rate (%) | 26.58 | |
| Unplanned Readmission Rate (%) | 10.78 | |
| 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 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||
| Total Hospitalizations with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 60 | ||
| DRG Share of Total Hospitalizations | 0.32 | ||
| % of Total ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication in DRG | 54.55 | ||
| Avg LOS at DRG | 4.18 | ||
| Avg LOS with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 3.32 | ||
| Readmission Rate at DRG | 24.62 | ||
| Readmission Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 20.69 | ||
| Unplanned Readmission Rate at DRG | 17.79 | ||
| Unplanned Readmission Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | NA | ||
| Total Medicare payments at DRG | $723,145,698 | ||
| Total Medicare payments with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $364,099 | ||
| Total Medicare payment per Day at DRG | $1,644 | ||
| Total Medicare payment per Day with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $1,830 | ||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||
| Total Medicare payment per Hospitalization with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $6,068 | ||
| Total Medicare Charges at DRG | $3,557,869,598 | ||
| Total Medicare Charges with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $1,545,059 | ||
| Avg Charges at DRG | $33,809 | ||
| Avg Charges with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $25,751 | ||
| Mortality Rate at DRG | 0.27 | ||
| Mortality Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | NA | ||
| SNF Discharge Rate at DRG | 20.33 | ||
| SNF Discharge Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 18.33 | ||
| Home Discharge Rate at DRG | 48.52 | ||
| Home Discharge Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 53.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 1,839 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication in DRG | 7.78 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 6.65 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 28.06 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 20.19 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $21,934,909 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $1,794 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $11,928 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $117,474,647 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $63,880 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 11.58 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 27.57 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 25.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 473 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication in DRG | 2.0 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 4.43 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 26.28 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 19.15 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $3,071,259 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $6,493 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $13,349,927 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $28,224 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 15.01 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 50.11 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 352 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication in DRG | 1.49 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 3.8 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 31.6 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 24.23 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $2,631,921 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $1,966 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $7,477 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $12,842,466 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $36,484 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 17.33 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 55.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 253 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication in DRG | 1.07 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 4.45 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 28.16 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 25.31 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $1,756,882 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $1,559 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $6,944 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $8,995,791 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | $35,556 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 17.0 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD E1129 - Type 2 diabetes mellitus with other diabetic kidney complication | 49.8 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 560 |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 1301 PENNSYLVANIA AVE | FORT WORTH | TX | 76104 | 277 |
| SUTTER MEDICAL CENTER SACRAMENTO | 2825 CAPITOL AVENUE | SACRAMENTO | CA | 95616 | 183 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER ROBERT WILSON | 425 E ALTON GLOOR BLVD | BROWNSVILLE | TX | 78526 | 36 |
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 21 |
| Dr. JONATHAN ELIOT LEVINE | 6160 S YALE AVE | TULSA | OK | 74136 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PEDRO E MCDOUGAL | 1010 JAMES ST | WESLACO | TX | 78596 | 65 |
| Dr. CHRISTOPHER ROBERT WILSON | 425 E ALTON GLOOR BLVD | BROWNSVILLE | TX | 78526 | 63 |
| Dr. JONATHAN ELIOT LEVINE | 6160 S YALE AVE | TULSA | OK | 74136 | 55 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z794 | Long term (current) use of insulin |