*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1149 - Type 2 diabetes mellitus with other diabetic neurological complication - as a primary diagnosis code | E1149 - Type 2 diabetes mellitus with other diabetic neurological complication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.59 | |
| Readmission Rate (%) | 25.15 | |
| Unplanned Readmission Rate (%) | 12.03 | |
| 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 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | |
|---|---|---|---|
| Total Hospitalizations at DRG | 67,236 | ||
| Total Hospitalizations with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 109 | ||
| DRG Share of Total Hospitalizations | 0.2 | ||
| % of Total ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication in DRG | 65.66 | ||
| Avg LOS at DRG | 4.93 | ||
| Avg LOS with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 3.74 | ||
| Readmission Rate at DRG | 23.47 | ||
| Readmission Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 16.35 | ||
| Unplanned Readmission Rate at DRG | 16.32 | ||
| Unplanned Readmission Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 11.54 | ||
| Total Medicare payments at DRG | $519,464,020 | ||
| Total Medicare payments with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $689,050 | ||
| Total Medicare payment per Day at DRG | $1,566 | ||
| Total Medicare payment per Day with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $1,689 | ||
| Total Medicare payment per Hospitalization at DRG | $7,726 | ||
| Total Medicare payment per Hospitalization with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $6,322 | ||
| Total Medicare Charges at DRG | $2,306,121,861 | ||
| Total Medicare Charges with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $3,907,564 | ||
| Avg Charges at DRG | $34,299 | ||
| Avg Charges with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $35,849 | ||
| Mortality Rate at DRG | 0.07 | ||
| Mortality Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | NA | ||
| SNF Discharge Rate at DRG | 14.97 | ||
| SNF Discharge Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 24.77 | ||
| Home Discharge Rate at DRG | 53.9 | ||
| Home Discharge Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 45.87 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 1,778 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication in DRG | 6.43 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 6.25 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 26.0 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 18.58 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $20,283,625 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $1,825 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $11,408 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $97,022,540 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $54,568 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 8.32 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 30.88 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 25.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 527 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication in DRG | 1.9 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 2.82 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 12.4 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 4.84 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $6,458,857 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $4,349 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $12,256 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $32,608,209 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $61,875 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 37.0 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 20.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 430 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication in DRG | 1.55 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 4.14 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 18.47 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 13.55 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $2,366,156 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $1,330 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $5,503 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $10,898,664 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $25,346 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 19.07 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 48.6 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 369 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication in DRG | 1.33 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 4.74 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 24.43 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 17.33 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $3,028,606 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $1,732 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $8,208 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $13,670,779 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | $37,048 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 23.31 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD E1149 - Type 2 diabetes mellitus with other diabetic neurological complication | 39.02 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 456 |
| CARILION ROANOKE MEMORIAL HOSPITAL | 1906 BELLEVIEW AVE SE | ROANOKE | VA | 24014 | 377 |
| OCHSNER MEDICAL CENTER | 1516 JEFFERSON HWY | NEW ORLEANS | LA | 70121 | 281 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN R CLEMENTS | 3 RIVERSIDE CIR | ROANOKE | VA | 24016 | 25 |
| Dr. BHAVIN VIJAY MEHTA | 1975 HIGHWAY 54 W | PEACHTREE CITY | GA | 30269 | 20 |
| Dr. MICHAEL E LEBEAU | 222 N 7TH ST | BISMARCK | ND | 58501 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS MCILRAITH | 3000 Q ST | SACRAMENTO | CA | 95816 | 39 |
| Dr. MICHAEL E LEBEAU | 222 N 7TH ST | BISMARCK | ND | 58501 | 31 |
| Dr. ALI GHAZVINI | 23961 CALLE DE LA MAGDALENA | LAGUNA HILLS | CA | 92653 | 26 |