*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E118 - Type 2 diabetes mellitus with unspecified complications - as a primary diagnosis code | E118 - Type 2 diabetes mellitus with unspecified complications - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.03 | |
| Readmission Rate (%) | 23.34 | |
| Unplanned Readmission Rate (%) | 8.67 | |
| 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 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||
| Total Hospitalizations with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 78 | ||
| DRG Share of Total Hospitalizations | 0.53 | ||
| % of Total ICD E118 - Type 2 diabetes mellitus with unspecified complications in DRG | 48.75 | ||
| Avg LOS at DRG | 3.86 | ||
| Avg LOS with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 3.79 | ||
| Readmission Rate at DRG | 23.62 | ||
| Readmission Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 18.57 | ||
| Unplanned Readmission Rate at DRG | 17.61 | ||
| Unplanned Readmission Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | NA | ||
| Total Medicare payments at DRG | $959,872,570 | ||
| Total Medicare payments with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $448,752 | ||
| Total Medicare payment per Day at DRG | $1,426 | ||
| Total Medicare payment per Day with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $1,516 | ||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||
| Total Medicare payment per Hospitalization with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $5,753 | ||
| Total Medicare Charges at DRG | $4,945,131,055 | ||
| Total Medicare Charges with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $1,701,126 | ||
| Avg Charges at DRG | $28,388 | ||
| Avg Charges with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $21,809 | ||
| Mortality Rate at DRG | 0.24 | ||
| Mortality Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | NA | ||
| SNF Discharge Rate at DRG | 14.83 | ||
| SNF Discharge Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 14.1 | ||
| Home Discharge Rate at DRG | 53.93 | ||
| Home Discharge Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 52.56 |
*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 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 6,344 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E118 - Type 2 diabetes mellitus with unspecified complications in DRG | 5.58 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 6.65 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 24.79 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 16.86 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $77,612,713 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $1,841 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $12,234 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $389,937,772 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $61,466 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 11.76 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 29.16 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 25.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 2,467 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD E118 - Type 2 diabetes mellitus with unspecified complications in DRG | 2.17 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 4.41 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 25.78 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 20.07 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $15,948,041 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $6,465 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $69,721,048 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $28,261 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 0.85 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 15.0 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 48.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 1,637 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD E118 - Type 2 diabetes mellitus with unspecified complications in DRG | 1.44 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 4.98 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 24.02 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 18.46 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $12,391,253 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $1,521 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $7,569 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $63,485,062 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $38,781 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 1.28 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 15.76 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 50.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 1,455 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD E118 - Type 2 diabetes mellitus with unspecified complications in DRG | 1.28 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 3.6 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 20.1 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 15.5 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $8,806,586 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $1,683 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $6,053 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $47,203,294 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD E118 - Type 2 diabetes mellitus with unspecified complications | $32,442 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 14.57 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD E118 - Type 2 diabetes mellitus with unspecified complications | 61.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 597 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SALISBURY | 220 TILGHMAN RD | SALISBURY | MD | 21804 | 502 |
| GOOD SAMARITAN MEDICAL CENTER | 235 N PEARL ST | BROCKTON | MA | 02301 | 474 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 128 |
| Dr. JOSE AUDIE LIM | 1209 BROOK AVE | WICHITA FALLS | TX | 76301 | 53 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ARTI PATEL | 3901 ARMORY ROAD | WICHITA FALLS | TX | 76302 | 166 |
| Dr. MANDIP SINGH PARMAR | 100 E CARROLL ST | SALISBURY | MD | 21801 | 156 |
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 152 |