*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1169 - Type 2 diabetes mellitus with other specified complication - as a primary diagnosis code | E1169 - Type 2 diabetes mellitus with other specified complication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.63 | |
| Readmission Rate (%) | 29.65 | |
| Unplanned Readmission Rate (%) | 13.09 | |
| 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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,029 | ||||
| Total Hospitalizations with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 24,301 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD E1169 - Type 2 diabetes mellitus with other specified complication in DRG | 38.73 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 7.02 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 22.12 | ||||
| Unplanned Readmission Rate at DRG | 10.44 | ||||
| Unplanned Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 9.98 | ||||
| Total Medicare payments at DRG | $484,755,193 | ||||
| Total Medicare payments with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $310,501,902 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $1,820 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,747 | ||||
| Total Medicare payment per Hospitalization with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $12,777 | ||||
| Total Medicare Charges at DRG | $2,463,395,263 | ||||
| Total Medicare Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $1,569,570,964 | ||||
| Avg Charges at DRG | $64,777 | ||||
| Avg Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $64,589 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 0.09 | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 26.77 | ||||
| Home Discharge Rate at DRG | 30.05 | ||||
| Home Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 30.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT 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 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,623 | ||||
| Total Hospitalizations with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 3,640 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD E1169 - Type 2 diabetes mellitus with other specified complication in DRG | 5.8 | ||||
| Avg LOS at DRG | 7.78 | ||||
| Avg LOS with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 11.05 | ||||
| Readmission Rate at DRG | 23.58 | ||||
| Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 23.72 | ||||
| Unplanned Readmission Rate at DRG | 13.65 | ||||
| Unplanned Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 12.25 | ||||
| Total Medicare payments at DRG | $226,801,356 | ||||
| Total Medicare payments with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $55,896,500 | ||||
| Total Medicare payment per Day at DRG | $1,655 | ||||
| Total Medicare payment per Day with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $1,390 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,870 | ||||
| Total Medicare payment per Hospitalization with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $15,356 | ||||
| Total Medicare Charges at DRG | $1,136,631,439 | ||||
| Total Medicare Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $325,931,402 | ||||
| Avg Charges at DRG | $64,497 | ||||
| Avg Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $89,542 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | NA | ||||
| SNF Discharge Rate at DRG | 24.31 | ||||
| SNF Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 31.29 | ||||
| Home Discharge Rate at DRG | 32.21 | ||||
| Home Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 22.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES 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 618: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 591 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD E1169 - Type 2 diabetes mellitus with other specified complication in DRG | 0.94 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 20.18 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 34.42 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 17.5 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $23,388,782 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $1,961 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $39,575 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $93,666,868 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $158,489 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 3.21 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 40.44 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 8.97 |
*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 630: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURSE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,349 | |||
| Total Hospitalizations with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 18 | |||
| DRG Share of Total Hospitalizations | 0.0 | |||
| % of Total ICD E1169 - Type 2 diabetes mellitus with other specified complication in DRG | 0.03 | |||
| Avg LOS at DRG | 3.5 | |||
| Avg LOS with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 4.11 | |||
| Readmission Rate at DRG | 13.29 | |||
| Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | NA | |||
| Unplanned Readmission Rate at DRG | 8.17 | |||
| Unplanned Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | NA | |||
| Total Medicare payments at DRG | $9,495,518 | |||
| Total Medicare payments with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $121,181 | |||
| Total Medicare payment per Day at DRG | $2,009 | |||
| Total Medicare payment per Day with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $1,638 | |||
| Total Medicare payment per Hospitalization at DRG | $7,039 | |||
| Total Medicare payment per Hospitalization with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $6,732 | |||
| Total Medicare Charges at DRG | $59,205,230 | |||
| Total Medicare Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $484,445 | |||
| Avg Charges at DRG | $43,888 | |||
| Avg Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $26,914 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | NA | |||
| SNF Discharge Rate at DRG | 9.27 | |||
| SNF Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | NA | |||
| Home Discharge Rate at DRG | 63.38 | |||
| Home Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 235 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 212 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 178 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAVIER LA FONTAINE | 701 S ZARZAMORA ST | SAN ANTONIO | TX | 78207 | 69 |
| Dr. XINGBO SUN | 3031 W MARCH LN | STOCKTON | CA | 95219 | 64 |
| Dr. DAN D PARK | 3231 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | 64 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 53 |
| Dr. CHRISTOPHER JOSEPH ABULARRAGE | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 46 |
| Dr. SALMAN S. ALY | 1201 CREEKWAY DRIVE | SUGAR LAND | TX | 77478 | 46 |
*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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,029 | ||||
| Total Hospitalizations with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 29,261 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD E1169 - Type 2 diabetes mellitus with other specified complication in DRG | 13.19 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 7.06 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 22.4 | ||||
| Unplanned Readmission Rate at DRG | 10.44 | ||||
| Unplanned Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 10.03 | ||||
| Total Medicare payments at DRG | $484,755,193 | ||||
| Total Medicare payments with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $373,365,743 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $1,808 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,747 | ||||
| Total Medicare payment per Hospitalization with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $12,760 | ||||
| Total Medicare Charges at DRG | $2,463,395,263 | ||||
| Total Medicare Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $1,898,989,989 | ||||
| Avg Charges at DRG | $64,777 | ||||
| Avg Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $64,898 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 0.1 | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 26.72 | ||||
| Home Discharge Rate at DRG | 30.05 | ||||
| Home Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 30.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 6,316 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD E1169 - Type 2 diabetes mellitus with other specified complication in DRG | 2.85 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 8.94 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 28.41 | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 12.32 | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $97,996,205 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $1,735 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $15,516 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $555,768,889 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $87,994 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 0.25 | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 34.82 | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 17.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 4,188 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD E1169 - Type 2 diabetes mellitus with other specified complication in DRG | 1.89 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 5.94 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 32.79 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 25.13 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $40,827,247 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $1,642 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $9,749 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $223,781,088 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $53,434 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 2.72 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 22.68 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 33.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,890 | ||||
| Total Hospitalizations with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 2,418 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD E1169 - Type 2 diabetes mellitus with other specified complication in DRG | 1.09 | ||||
| Avg LOS at DRG | 10.59 | ||||
| Avg LOS with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 13.81 | ||||
| Readmission Rate at DRG | 36.54 | ||||
| Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 37.78 | ||||
| Unplanned Readmission Rate at DRG | 24.18 | ||||
| Unplanned Readmission Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 19.3 | ||||
| Total Medicare payments at DRG | $238,209,359 | ||||
| Total Medicare payments with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $61,869,576 | ||||
| Total Medicare payment per Day at DRG | $2,274 | ||||
| Total Medicare payment per Day with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $1,852 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,086 | ||||
| Total Medicare payment per Hospitalization with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $25,587 | ||||
| Total Medicare Charges at DRG | $1,169,040,084 | ||||
| Total Medicare Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $323,432,586 | ||||
| Avg Charges at DRG | $118,204 | ||||
| Avg Charges with ICD E1169 - Type 2 diabetes mellitus with other specified complication | $133,760 | ||||
| Mortality Rate at DRG | 3.83 | ||||
| Mortality Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 3.1 | ||||
| SNF Discharge Rate at DRG | 29.08 | ||||
| SNF Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 44.21 | ||||
| Home Discharge Rate at DRG | 33.43 | ||||
| Home Discharge Rate with ICD E1169 - Type 2 diabetes mellitus with other specified complication | 10.13 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. JUDE MEDICAL CENTER | 2767 E IMPERIAL HWY | BREA | CA | 92821 | 916 |
| PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE | 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 738 |
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 683 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PETER BRIAN WOOD | 3600 GASTON AVE | DALLAS | TX | 75246 | 183 |
| Dr. JAVIER LA FONTAINE | 701 S ZARZAMORA ST | SAN ANTONIO | TX | 78207 | 120 |
| Dr. XINGBO SUN | 3031 W MARCH LN | STOCKTON | CA | 95219 | 120 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 163 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 102 |
| Dr. CHRISTOPHER JOSEPH ABULARRAGE | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 96 |