*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1136 - Type 2 diabetes mellitus with diabetic cataract - as a primary diagnosis code | E1136 - Type 2 diabetes mellitus with diabetic cataract - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.01 | |
| Readmission Rate (%) | 24.85 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 11,033 |
| Total Hospitalizations with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 14 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD E1136 - Type 2 diabetes mellitus with diabetic cataract in DRG | 58.33 |
| Avg LOS at DRG | 3.12 |
| Avg LOS with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 7.64 |
| Readmission Rate at DRG | 14.43 |
| Readmission Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | NA |
| Unplanned Readmission Rate at DRG | 9.53 |
| Unplanned Readmission Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | NA |
| Total Medicare payments at DRG | $51,804,064 |
| Total Medicare payments with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $68,768 |
| Total Medicare payment per Day at DRG | $1,505 |
| Total Medicare payment per Day with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $643 |
| Total Medicare payment per Hospitalization at DRG | $4,695 |
| Total Medicare payment per Hospitalization with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $4,912 |
| Total Medicare Charges at DRG | $301,182,636 |
| Total Medicare Charges with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $422,317 |
| Avg Charges at DRG | $27,298 |
| Avg Charges with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $30,166 |
| Mortality Rate at DRG | 0.11 |
| Mortality Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | NA |
| SNF Discharge Rate at DRG | 17.96 |
| SNF Discharge Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | NA |
| Home Discharge Rate at DRG | 57.38 |
| Home Discharge Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | NA |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 913 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD E1136 - Type 2 diabetes mellitus with diabetic cataract in DRG | 5.19 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 5.66 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 28.4 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 21.84 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $9,616,221 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $1,862 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $10,533 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $44,628,146 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $48,881 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 3.18 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 18.73 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 39.43 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 277 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E1136 - Type 2 diabetes mellitus with diabetic cataract in DRG | 1.57 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 5.27 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 22.81 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 16.35 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $1,868,201 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $1,279 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $6,744 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $9,937,696 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $35,876 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 20.94 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 45.49 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 220 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD E1136 - Type 2 diabetes mellitus with diabetic cataract in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 3.48 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 19.9 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 16.42 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $1,183,826 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $1,545 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $5,381 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $6,083,085 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $27,650 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 25.45 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 38.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 193 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD E1136 - Type 2 diabetes mellitus with diabetic cataract in DRG | 1.1 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 6.02 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 35.81 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 12.16 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $2,349,580 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $2,024 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $12,174 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $11,848,363 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | $61,390 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 13.99 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 23.32 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD E1136 - Type 2 diabetes mellitus with diabetic cataract | 16.06 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 456 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 230 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 161 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LUCINDA TRIPPE MYERS | 3000 HERRING AVE | WACO | TX | 76708 | 22 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 21 |
| Dr. CLYDE HERBERT WEISSBART | 3 BARKER AVE | WHITE PLAINS | NY | 10601 | 14 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E785 | Hyperlipidemia, unspecified |