*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E11621 - Type 2 diabetes mellitus with foot ulcer - as a primary diagnosis code | E11621 - Type 2 diabetes mellitus with foot ulcer - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.1 | |
| Readmission Rate (%) | 32.04 | |
| Unplanned Readmission Rate (%) | 14.74 | |
| 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 17,274 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E11621 - Type 2 diabetes mellitus with foot ulcer in DRG | 30.65 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 5.03 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 25.46 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 16.14 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $105,861,257 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $1,218 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $6,128 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $558,970,823 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $32,359 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 0.22 | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 16.35 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 41.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,845 | ||||
| Total Hospitalizations with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 2,269 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD E11621 - Type 2 diabetes mellitus with foot ulcer in DRG | 4.03 | ||||
| Avg LOS at DRG | 12.92 | ||||
| Avg LOS with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 13.23 | ||||
| Readmission Rate at DRG | 39.3 | ||||
| Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 39.97 | ||||
| Unplanned Readmission Rate at DRG | 17.73 | ||||
| Unplanned Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 17.21 | ||||
| Total Medicare payments at DRG | $202,932,489 | ||||
| Total Medicare payments with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $58,262,127 | ||||
| Total Medicare payment per Day at DRG | $2,001 | ||||
| Total Medicare payment per Day with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $1,941 | ||||
| Total Medicare payment per Hospitalization at DRG | $25,868 | ||||
| Total Medicare payment per Hospitalization with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $25,677 | ||||
| Total Medicare Charges at DRG | $961,606,240 | ||||
| Total Medicare Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $280,804,142 | ||||
| Avg Charges at DRG | $122,576 | ||||
| Avg Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $123,757 | ||||
| Mortality Rate at DRG | 3.43 | ||||
| Mortality Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 3.92 | ||||
| SNF Discharge Rate at DRG | 39.87 | ||||
| SNF Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 40.94 | ||||
| Home Discharge Rate at DRG | 12.77 | ||||
| Home Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 11.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 624: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 618: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 630: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURSE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,349 | ||||
| Total Hospitalizations with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 592 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD E11621 - Type 2 diabetes mellitus with foot ulcer in DRG | 1.05 | ||||
| Avg LOS at DRG | 3.5 | ||||
| Avg LOS with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 4.27 | ||||
| Readmission Rate at DRG | 13.29 | ||||
| Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 15.7 | ||||
| Unplanned Readmission Rate at DRG | 8.17 | ||||
| Unplanned Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 9.35 | ||||
| Total Medicare payments at DRG | $9,495,518 | ||||
| Total Medicare payments with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $4,171,708 | ||||
| Total Medicare payment per Day at DRG | $2,009 | ||||
| Total Medicare payment per Day with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $1,652 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,039 | ||||
| Total Medicare payment per Hospitalization with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $7,047 | ||||
| Total Medicare Charges at DRG | $59,205,230 | ||||
| Total Medicare Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $20,285,405 | ||||
| Avg Charges at DRG | $43,888 | ||||
| Avg Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $34,266 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | NA | ||||
| SNF Discharge Rate at DRG | 9.27 | ||||
| SNF Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 12.16 | ||||
| Home Discharge Rate at DRG | 63.38 | ||||
| Home Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 49.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,723 | ||||
| Total Hospitalizations with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 123 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD E11621 - Type 2 diabetes mellitus with foot ulcer in DRG | 0.22 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 5.37 | ||||
| Readmission Rate at DRG | 12.89 | ||||
| Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 13.68 | ||||
| Unplanned Readmission Rate at DRG | 7.1 | ||||
| Unplanned Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | NA | ||||
| Total Medicare payments at DRG | $122,697,695 | ||||
| Total Medicare payments with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $1,413,350 | ||||
| Total Medicare payment per Day at DRG | $3,328 | ||||
| Total Medicare payment per Day with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $2,141 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,466 | ||||
| Total Medicare payment per Hospitalization with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $11,491 | ||||
| Total Medicare Charges at DRG | $633,485,759 | ||||
| Total Medicare Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $4,888,913 | ||||
| Avg Charges at DRG | $54,038 | ||||
| Avg Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $39,747 | ||||
| Mortality Rate at DRG | 0.25 | ||||
| Mortality Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | NA | ||||
| SNF Discharge Rate at DRG | 9.06 | ||||
| SNF Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | NA | ||||
| Home Discharge Rate at DRG | 70.16 | ||||
| Home Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 49.59 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 238 |
| NORTON AUDUBON HOSPITAL | 1 AUDUBON PLAZA DR | LOUISVILLE | KY | 40217 | 212 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 190 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN CHRISTOPHER MOORE | 141 ASHELAND AVE | ASHEVILLE | NC | 28801 | 100 |
| Dr. PETER BRIAN WOOD | 3600 GASTON AVE | DALLAS | TX | 75246 | 91 |
| Dr. MONIQUE LEONA CONSOER | 46 LOUIS PRIMA DR | COVINGTON | LA | 70433 | 75 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GERALD B HOGSETTE | 3333 SILAS CREEK PKWY | WINSTON SALEM | NC | 27103 | 56 |
| Dr. SUMEET SHETTY | 2776 CLEVELAND AVE | FORT MYERS | FL | 33901 | 48 |
| Dr. JOHN CHRISTOPHER MOORE | 141 ASHELAND AVE | ASHEVILLE | NC | 28801 | 48 |
*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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 29,135 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E11621 - Type 2 diabetes mellitus with foot ulcer in DRG | 8.25 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 5.46 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 25.9 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 16.52 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $186,537,377 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $1,173 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $6,403 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $1,042,435,574 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $35,779 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 0.23 | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 18.18 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 39.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,548 | ||||
| Total Hospitalizations with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 10,217 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD E11621 - Type 2 diabetes mellitus with foot ulcer in DRG | 2.89 | ||||
| Avg LOS at DRG | 7.55 | ||||
| Avg LOS with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 7.75 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 25.4 | ||||
| Unplanned Readmission Rate at DRG | 13.93 | ||||
| Unplanned Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 12.97 | ||||
| Total Medicare payments at DRG | $225,408,950 | ||||
| Total Medicare payments with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $148,981,908 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $1,881 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,498 | ||||
| Total Medicare payment per Hospitalization with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $14,582 | ||||
| Total Medicare Charges at DRG | $1,165,672,078 | ||||
| Total Medicare Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $767,012,189 | ||||
| Avg Charges at DRG | $74,972 | ||||
| Avg Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $75,072 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 0.11 | ||||
| SNF Discharge Rate at DRG | 27.84 | ||||
| SNF Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 29.84 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 23.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,865 | ||||
| Total Hospitalizations with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 7,788 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD E11621 - Type 2 diabetes mellitus with foot ulcer in DRG | 2.21 | ||||
| Avg LOS at DRG | 13.03 | ||||
| Avg LOS with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 13.22 | ||||
| Readmission Rate at DRG | 51.45 | ||||
| Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 50.39 | ||||
| Unplanned Readmission Rate at DRG | 19.42 | ||||
| Unplanned Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 19.17 | ||||
| Total Medicare payments at DRG | $870,378,024 | ||||
| Total Medicare payments with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $232,439,564 | ||||
| Total Medicare payment per Day at DRG | $2,314 | ||||
| Total Medicare payment per Day with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $2,258 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,153 | ||||
| Total Medicare payment per Hospitalization with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $29,846 | ||||
| Total Medicare Charges at DRG | $3,978,441,182 | ||||
| Total Medicare Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $1,078,321,010 | ||||
| Avg Charges at DRG | $137,829 | ||||
| Avg Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $138,459 | ||||
| Mortality Rate at DRG | 5.71 | ||||
| Mortality Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 3.74 | ||||
| SNF Discharge Rate at DRG | 45.97 | ||||
| SNF Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 47.1 | ||||
| Home Discharge Rate at DRG | 5.52 | ||||
| Home Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 5.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,845 | ||||
| Total Hospitalizations with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 5,348 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD E11621 - Type 2 diabetes mellitus with foot ulcer in DRG | 1.51 | ||||
| Avg LOS at DRG | 12.92 | ||||
| Avg LOS with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 12.71 | ||||
| Readmission Rate at DRG | 39.3 | ||||
| Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 37.84 | ||||
| Unplanned Readmission Rate at DRG | 17.73 | ||||
| Unplanned Readmission Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 16.65 | ||||
| Total Medicare payments at DRG | $202,932,489 | ||||
| Total Medicare payments with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $137,069,993 | ||||
| Total Medicare payment per Day at DRG | $2,001 | ||||
| Total Medicare payment per Day with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $2,017 | ||||
| Total Medicare payment per Hospitalization at DRG | $25,868 | ||||
| Total Medicare payment per Hospitalization with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $25,630 | ||||
| Total Medicare Charges at DRG | $961,606,240 | ||||
| Total Medicare Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $644,273,183 | ||||
| Avg Charges at DRG | $122,576 | ||||
| Avg Charges with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | $120,470 | ||||
| Mortality Rate at DRG | 3.43 | ||||
| Mortality Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 3.14 | ||||
| SNF Discharge Rate at DRG | 39.87 | ||||
| SNF Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 40.89 | ||||
| Home Discharge Rate at DRG | 12.77 | ||||
| Home Discharge Rate with ICD E11621 - Type 2 diabetes mellitus with foot ulcer | 12.72 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 1,050 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,010 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 957 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PETER BRIAN WOOD | 3600 GASTON AVE | DALLAS | TX | 75246 | 253 |
| Dr. WILLIAM J NAMEN | 1351 13TH AVENUE SOUTH | JACKSONVILLE BEACH | FL | 32250 | 235 |
| Dr. JOSEPH F BENDER | 812 LINDBERG AVE | MCALLEN | TX | 78501 | 229 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 189 |
| Dr. CHRISTOPHER JOSEPH ABULARRAGE | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 143 |
| Dr. GERALD B HOGSETTE | 3333 SILAS CREEK PKWY | WINSTON SALEM | NC | 27103 | 140 |