*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E119 - Type 2 diabetes mellitus without complications - as a primary diagnosis code | E119 - Type 2 diabetes mellitus without complications - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.21 | |
| Readmission Rate (%) | 21.71 | |
| Unplanned Readmission Rate (%) | 7.39 | |
| 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) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | |||
| Total Hospitalizations with ICD E119 - Type 2 diabetes mellitus without complications | 498 | |||
| DRG Share of Total Hospitalizations | 0.53 | |||
| % of Total ICD E119 - Type 2 diabetes mellitus without complications in DRG | 43.04 | |||
| Avg LOS at DRG | 3.86 | |||
| Avg LOS with ICD E119 - Type 2 diabetes mellitus without complications | 3.88 | |||
| Readmission Rate at DRG | 23.62 | |||
| Readmission Rate with ICD E119 - Type 2 diabetes mellitus without complications | 13.56 | |||
| Unplanned Readmission Rate at DRG | 17.61 | |||
| Unplanned Readmission Rate with ICD E119 - Type 2 diabetes mellitus without complications | 7.63 | |||
| Total Medicare payments at DRG | $959,872,570 | |||
| Total Medicare payments with ICD E119 - Type 2 diabetes mellitus without complications | $2,922,392 | |||
| Total Medicare payment per Day at DRG | $1,426 | |||
| Total Medicare payment per Day with ICD E119 - Type 2 diabetes mellitus without complications | $1,512 | |||
| Total Medicare payment per Hospitalization at DRG | $5,510 | |||
| Total Medicare payment per Hospitalization with ICD E119 - Type 2 diabetes mellitus without complications | $5,868 | |||
| Total Medicare Charges at DRG | $4,945,131,055 | |||
| Total Medicare Charges with ICD E119 - Type 2 diabetes mellitus without complications | $10,614,320 | |||
| Avg Charges at DRG | $28,388 | |||
| Avg Charges with ICD E119 - Type 2 diabetes mellitus without complications | $21,314 | |||
| Mortality Rate at DRG | 0.24 | |||
| Mortality Rate with ICD E119 - Type 2 diabetes mellitus without complications | NA | |||
| SNF Discharge Rate at DRG | 14.83 | |||
| SNF Discharge Rate with ICD E119 - Type 2 diabetes mellitus without complications | 13.45 | |||
| Home Discharge Rate at DRG | 53.93 | |||
| Home Discharge Rate with ICD E119 - Type 2 diabetes mellitus without complications | 58.84 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HAMILTON CENTER | 620 8TH AVE | TERRE HAUTE | IN | 47804 | 55 |
| BILLINGS CLINIC HOSPITAL | 2800 10TH AVE N | BILLINGS | MT | 59101 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AHSAN MAHMOOD | 620 8TH AVE | TERRE HAUTE | IN | 47804 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E119 - Type 2 diabetes mellitus without complications | 268,286 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E119 - Type 2 diabetes mellitus without complications in DRG | 5.23 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E119 - Type 2 diabetes mellitus without complications | 6.0 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E119 - Type 2 diabetes mellitus without complications | 24.17 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E119 - Type 2 diabetes mellitus without complications | 16.73 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E119 - Type 2 diabetes mellitus without complications | $3,099,250,727 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E119 - Type 2 diabetes mellitus without complications | $1,926 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E119 - Type 2 diabetes mellitus without complications | $11,552 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E119 - Type 2 diabetes mellitus without complications | $15,134,054,344 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E119 - Type 2 diabetes mellitus without complications | $56,410 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E119 - Type 2 diabetes mellitus without complications | 11.28 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E119 - Type 2 diabetes mellitus without complications | 28.08 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E119 - Type 2 diabetes mellitus without complications | 26.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD E119 - Type 2 diabetes mellitus without complications | 91,923 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD E119 - Type 2 diabetes mellitus without complications in DRG | 1.79 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD E119 - Type 2 diabetes mellitus without complications | 4.21 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD E119 - Type 2 diabetes mellitus without complications | 17.23 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD E119 - Type 2 diabetes mellitus without complications | 12.35 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD E119 - Type 2 diabetes mellitus without complications | $596,052,470 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD E119 - Type 2 diabetes mellitus without complications | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD E119 - Type 2 diabetes mellitus without complications | $6,484 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD E119 - Type 2 diabetes mellitus without complications | $3,080,992,471 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD E119 - Type 2 diabetes mellitus without complications | $33,517 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD E119 - Type 2 diabetes mellitus without complications | 1.2 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD E119 - Type 2 diabetes mellitus without complications | 19.78 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD E119 - Type 2 diabetes mellitus without complications | 50.51 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD E119 - Type 2 diabetes mellitus without complications | 73,071 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD E119 - Type 2 diabetes mellitus without complications in DRG | 1.42 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD E119 - Type 2 diabetes mellitus without complications | 3.53 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD E119 - Type 2 diabetes mellitus without complications | 18.38 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD E119 - Type 2 diabetes mellitus without complications | 14.29 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD E119 - Type 2 diabetes mellitus without complications | $432,876,760 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD E119 - Type 2 diabetes mellitus without complications | $1,681 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD E119 - Type 2 diabetes mellitus without complications | $5,924 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD E119 - Type 2 diabetes mellitus without complications | $2,406,772,043 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD E119 - Type 2 diabetes mellitus without complications | $32,937 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD E119 - Type 2 diabetes mellitus without complications | 0.67 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD E119 - Type 2 diabetes mellitus without complications | 14.14 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD E119 - Type 2 diabetes mellitus without complications | 63.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD E119 - Type 2 diabetes mellitus without complications | 64,558 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD E119 - Type 2 diabetes mellitus without complications in DRG | 1.26 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD E119 - Type 2 diabetes mellitus without complications | 12.27 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD E119 - Type 2 diabetes mellitus without complications | 16.49 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD E119 - Type 2 diabetes mellitus without complications | 10.22 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD E119 - Type 2 diabetes mellitus without complications | $1,065,693,211 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD E119 - Type 2 diabetes mellitus without complications | $1,346 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD E119 - Type 2 diabetes mellitus without complications | $16,508 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD E119 - Type 2 diabetes mellitus without complications | $2,747,097,710 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD E119 - Type 2 diabetes mellitus without complications | $42,552 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD E119 - Type 2 diabetes mellitus without complications | 0.26 | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD E119 - Type 2 diabetes mellitus without complications | 27.51 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD E119 - Type 2 diabetes mellitus without complications | 26.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 16,668 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 13,563 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 12,018 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 944 |
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 700 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 520 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 2,523 |
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 1,306 |
| Dr. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 1,299 |