*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene - as a primary diagnosis code | E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.63 | |
| Readmission Rate (%) | 29.43 | |
| Unplanned Readmission Rate (%) | 16.37 | |
| 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 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 254: OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,795 | ||||
| Total Hospitalizations with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 5,401 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 23.67 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 5.81 | ||||
| Readmission Rate at DRG | 25.16 | ||||
| Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 27.91 | ||||
| Unplanned Readmission Rate at DRG | 13.58 | ||||
| Unplanned Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 14.49 | ||||
| Total Medicare payments at DRG | $1,520,761,343 | ||||
| Total Medicare payments with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $93,286,041 | ||||
| Total Medicare payment per Day at DRG | $3,209 | ||||
| Total Medicare payment per Day with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $2,972 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,127 | ||||
| Total Medicare payment per Hospitalization with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $17,272 | ||||
| Total Medicare Charges at DRG | $8,019,705,683 | ||||
| Total Medicare Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $521,976,845 | ||||
| Avg Charges at DRG | $90,317 | ||||
| Avg Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $96,644 | ||||
| Mortality Rate at DRG | 0.47 | ||||
| Mortality Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| SNF Discharge Rate at DRG | 20.42 | ||||
| SNF Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 24.5 | ||||
| Home Discharge Rate at DRG | 47.78 | ||||
| Home Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 39.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 61,098 | ||||
| Total Hospitalizations with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 1,690 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 7.41 | ||||
| Avg LOS at DRG | 5.7 | ||||
| Avg LOS with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 7.77 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 39.23 | ||||
| Unplanned Readmission Rate at DRG | 18.13 | ||||
| Unplanned Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 26.08 | ||||
| Total Medicare payments at DRG | $598,307,989 | ||||
| Total Medicare payments with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $20,019,392 | ||||
| Total Medicare payment per Day at DRG | $1,718 | ||||
| Total Medicare payment per Day with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,793 | ||||
| Total Medicare payment per Hospitalization with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $11,846 | ||||
| Total Medicare Charges at DRG | $2,857,501,478 | ||||
| Total Medicare Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $100,616,858 | ||||
| Avg Charges at DRG | $46,769 | ||||
| Avg Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $59,537 | ||||
| Mortality Rate at DRG | 4.95 | ||||
| Mortality Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 4.26 | ||||
| SNF Discharge Rate at DRG | 20.44 | ||||
| SNF Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 23.67 | ||||
| Home Discharge Rate at DRG | 39.23 | ||||
| Home Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 27.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 301: PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 272: OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 256: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 241: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,440 | ||||
| Total Hospitalizations with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 629 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 2.76 | ||||
| Avg LOS at DRG | 2.86 | ||||
| Avg LOS with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 3.62 | ||||
| Readmission Rate at DRG | 15.9 | ||||
| Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 31.34 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 13.95 | ||||
| Total Medicare payments at DRG | $154,750,228 | ||||
| Total Medicare payments with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $3,660,672 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,606 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,367 | ||||
| Total Medicare payment per Hospitalization with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $5,820 | ||||
| Total Medicare Charges at DRG | $799,968,950 | ||||
| Total Medicare Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $17,601,451 | ||||
| Avg Charges at DRG | $22,572 | ||||
| Avg Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $27,983 | ||||
| Mortality Rate at DRG | 1.53 | ||||
| Mortality Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| SNF Discharge Rate at DRG | 11.09 | ||||
| SNF Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 11.61 | ||||
| Home Discharge Rate at DRG | 61.14 | ||||
| Home Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 56.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 269: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,794 | ||||
| Total Hospitalizations with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 93 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 0.41 | ||||
| Avg LOS at DRG | 8.41 | ||||
| Avg LOS with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 8.43 | ||||
| Readmission Rate at DRG | 39.0 | ||||
| Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 27.38 | ||||
| Unplanned Readmission Rate at DRG | 23.06 | ||||
| Unplanned Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 14.29 | ||||
| Total Medicare payments at DRG | $111,368,499 | ||||
| Total Medicare payments with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,721,473 | ||||
| Total Medicare payment per Day at DRG | $1,948 | ||||
| Total Medicare payment per Day with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $2,196 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,392 | ||||
| Total Medicare payment per Hospitalization with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $18,510 | ||||
| Total Medicare Charges at DRG | $527,352,144 | ||||
| Total Medicare Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $7,014,147 | ||||
| Avg Charges at DRG | $77,620 | ||||
| Avg Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $75,421 | ||||
| Mortality Rate at DRG | 2.31 | ||||
| Mortality Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 21.51 | ||||
| Home Discharge Rate at DRG | 26.41 | ||||
| Home Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 33.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 211 |
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 200 |
| LAFAYETTE GENERAL MEDICAL CENTER | 1214 COOLIDGE AVE. | LAFAYETTE | LA | 70503 | 136 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID EMMIT ALLIE | 2730 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70506 | 65 |
| Dr. PRAKASH KRISHNAN | 5 E 98TH ST | NEW YORK | NY | 10029 | 60 |
| Dr. LAWRENCE F. POLETTI | 1911 THOMSON DR | LYNCHBURG | VA | 24501 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID EMMIT ALLIE | 2730 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70506 | 103 |
| Dr. PRAKASH KRISHNAN | 5 E 98TH ST | NEW YORK | NY | 10029 | 60 |
| Dr. LAWRENCE F. POLETTI | 1911 THOMSON DR | LYNCHBURG | VA | 24501 | 37 |
*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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 41,133 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 6.83 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 5.61 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 32.78 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 25.6 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $388,755,662 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,685 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $9,451 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,871,512,310 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $45,499 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 3.2 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 20.87 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 37.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 9,464 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 1.57 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 4.55 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 21.57 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 14.59 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $51,851,951 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,205 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $5,479 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $277,407,627 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $29,312 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 0.13 | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 19.7 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 41.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 9,130 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 1.52 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 7.9 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 36.52 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 23.07 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $208,519,540 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $2,892 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $22,839 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,098,963,843 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $120,368 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 3.81 | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 26.43 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 35.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,029 | ||||
| Total Hospitalizations with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 7,376 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 1.22 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 7.4 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 23.76 | ||||
| Unplanned Readmission Rate at DRG | 10.44 | ||||
| Unplanned Readmission Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 10.08 | ||||
| Total Medicare payments at DRG | $484,755,193 | ||||
| Total Medicare payments with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $95,345,770 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,748 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,747 | ||||
| Total Medicare payment per Hospitalization with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $12,926 | ||||
| Total Medicare Charges at DRG | $2,463,395,263 | ||||
| Total Medicare Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $523,758,070 | ||||
| Avg Charges at DRG | $64,777 | ||||
| Avg Charges with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | $71,008 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 29.89 | ||||
| Home Discharge Rate at DRG | 30.05 | ||||
| Home Discharge Rate with ICD E1151 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene | 26.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 2,626 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 2,017 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 1,861 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRAJESH BHATLA | 4402 E SESAME DR | HARLINGEN | TX | 78550 | 207 |
| Dr. CHRISTOPHER ROBERT WILSON | 425 E ALTON GLOOR BLVD | BROWNSVILLE | TX | 78526 | 203 |
| Dr. DAVID EMMIT ALLIE | 2730 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70506 | 125 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 914 |
| Dr. SOFRONIO SAGUCIO SORIANO | 501 S RANCHO DR | LAS VEGAS | NV | 89106 | 427 |
| Dr. ANIL GUPTA | 409 E MERCED AVE | WEST COVINA | CA | 91790 | 413 |