*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication - as a primary diagnosis code | E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.03 | |
| Readmission Rate (%) | 25.03 | |
| Unplanned Readmission Rate (%) | 15.56 | |
| 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) | DRG 124: OTHER DISORDERS OF THE EYE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 11,033 | |
| Total Hospitalizations with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 93 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication in DRG | 65.03 | |
| Avg LOS at DRG | 3.12 | |
| Avg LOS with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 2.71 | |
| Readmission Rate at DRG | 14.43 | |
| Readmission Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | NA | |
| Unplanned Readmission Rate at DRG | 9.53 | |
| Unplanned Readmission Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | NA | |
| Total Medicare payments at DRG | $51,804,064 | |
| Total Medicare payments with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $396,562 | |
| Total Medicare payment per Day at DRG | $1,505 | |
| Total Medicare payment per Day with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $1,574 | |
| Total Medicare payment per Hospitalization at DRG | $4,695 | |
| Total Medicare payment per Hospitalization with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $4,264 | |
| Total Medicare Charges at DRG | $301,182,636 | |
| Total Medicare Charges with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $2,713,511 | |
| Avg Charges at DRG | $27,298 | |
| Avg Charges with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $29,178 | |
| Mortality Rate at DRG | 0.11 | |
| Mortality Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | NA | |
| SNF Discharge Rate at DRG | 17.96 | |
| SNF Discharge Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | NA | |
| Home Discharge Rate at DRG | 57.38 | |
| Home Discharge Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 75.27 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 1,634 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication in DRG | 5.82 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 6.66 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 26.74 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 17.75 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $20,497,950 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $1,883 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $12,545 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $100,993,997 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $61,808 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 11.02 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 30.72 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 22.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 455 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication in DRG | 1.62 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 4.49 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 18.43 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 12.44 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $3,165,660 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $1,549 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $6,957 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $16,612,869 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $36,512 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 23.3 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 46.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 363 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication in DRG | 1.29 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 4.38 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 24.48 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 18.51 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $2,545,533 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $1,602 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $7,012 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $10,574,769 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $29,132 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 13.22 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 46.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 329 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication in DRG | 1.17 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 13.2 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 37.02 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 19.38 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $11,815,163 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $2,721 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $35,912 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $52,004,646 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | $158,069 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 7.29 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 42.25 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD E1139 - Type 2 diabetes mellitus with other diabetic ophthalmic complication | 12.46 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 718 |
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 289 |
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 260 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLYDE HERBERT WEISSBART | 3 BARKER AVE | WHITE PLAINS | NY | 10601 | 28 |
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 18 |
| Dr. VIJAY KHATIWALA | 640 E 233RD ST | BRONX | NY | 10466 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 38 |
| Dr. CLYDE HERBERT WEISSBART | 3 BARKER AVE | WHITE PLAINS | NY | 10601 | 33 |
| Dr. LAWRENCE A GREENBERG | 115 E LONG LAKE RD | TROY | MI | 48085 | 27 |