*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 19.09 | |
| 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 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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH 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 | 1,013,774 | ||||
| Total Hospitalizations with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 572 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye in DRG | 7.05 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 5.31 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 27.7 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 20.07 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $5,894,805 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $1,942 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $10,306 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $24,449,791 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $42,744 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 18.01 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 46.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 165 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye in DRG | 2.04 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 5.47 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 24.26 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 16.91 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $2,160,313 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $2,395 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $13,093 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $10,657,774 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $64,593 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 11.52 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 46.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 117 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye in DRG | 1.44 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 4.27 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 23.15 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 17.59 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $1,052,456 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $2,105 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $8,995 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $3,720,518 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $31,799 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 14.53 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 57.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 652: KIDNEY TRANSPLANT | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 89 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye in DRG | 1.1 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 4.1 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 39.24 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $559,524 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $1,533 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $6,287 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $3,150,418 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | $35,398 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 25.84 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD E113599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye | 13.48 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 151 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 102 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 101 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SATNAM SANDHU | 4200 WARRENSVILLE CENTER RD | WARRENSVILLE HEIGHTS | OH | 44122 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL TAIWO ADENEYE | 812 W MAPLE ST | FARMINGTON | NM | 87401 | 25 |
| Dr. JANE S. DISA-SMITH | 4110 WARRENSVILLE CENTER RD | BEACHWOOD | OH | 44122 | 17 |
| Dr. ROBERT ORLANDO FLORES | 11273 LAUREL CANYON BLVD | SAN FERNANDO | CA | 91340 | 14 |