*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1311 - Other specified diabetes mellitus with ketoacidosis with coma - as a primary diagnosis code | E1311 - Other specified diabetes mellitus with ketoacidosis with coma - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.32 | |
| Readmission Rate (%) | 31.71 | |
| Unplanned Readmission Rate (%) | 14.79 | |
| 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 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | |||
| Total Hospitalizations with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 460 | |||
| DRG Share of Total Hospitalizations | 0.31 | |||
| % of Total ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma in DRG | 72.9 | |||
| Avg LOS at DRG | 5.47 | |||
| Avg LOS with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 6.93 | |||
| Readmission Rate at DRG | 29.88 | |||
| Readmission Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 25.45 | |||
| Unplanned Readmission Rate at DRG | 23.17 | |||
| Unplanned Readmission Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 14.03 | |||
| Total Medicare payments at DRG | $916,940,883 | |||
| Total Medicare payments with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $4,559,010 | |||
| Total Medicare payment per Day at DRG | $1,661 | |||
| Total Medicare payment per Day with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $1,431 | |||
| Total Medicare payment per Hospitalization at DRG | $9,085 | |||
| Total Medicare payment per Hospitalization with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $9,911 | |||
| Total Medicare Charges at DRG | $4,566,782,465 | |||
| Total Medicare Charges with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $31,213,505 | |||
| Avg Charges at DRG | $45,249 | |||
| Avg Charges with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $67,855 | |||
| Mortality Rate at DRG | 2.29 | |||
| Mortality Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 11.52 | |||
| SNF Discharge Rate at DRG | 23.51 | |||
| SNF Discharge Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 25.65 | |||
| Home Discharge Rate at DRG | 40.88 | |||
| Home Discharge Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 30.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||||
| Total Hospitalizations with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 484 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma in DRG | 27.13 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 6.99 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 25.06 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 14.14 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $4,809,003 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $1,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $9,936 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $32,973,444 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $68,127 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 11.78 | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 25.41 | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 30.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 68 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma in DRG | 3.81 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 13.1 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 44.0 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 22.0 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $2,760,207 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $3,098 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $40,591 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $14,034,115 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $206,384 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 23.53 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 36.76 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 22 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma in DRG | 1.23 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 8.23 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | NA | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $295,974 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $1,635 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $13,453 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $2,057,615 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $93,528 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | NA | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 296: CARDIAC ARREST, UNEXPLAINED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | |||
| Total Hospitalizations with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 12 | |||
| DRG Share of Total Hospitalizations | 0.31 | |||
| % of Total ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma in DRG | 0.67 | |||
| Avg LOS at DRG | 4.68 | |||
| Avg LOS with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | 6.83 | |||
| Readmission Rate at DRG | 32.74 | |||
| Readmission Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | NA | |||
| Unplanned Readmission Rate at DRG | 13.79 | |||
| Unplanned Readmission Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | NA | |||
| Total Medicare payments at DRG | $922,969,291 | |||
| Total Medicare payments with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $101,857 | |||
| Total Medicare payment per Day at DRG | $1,941 | |||
| Total Medicare payment per Day with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $1,242 | |||
| Total Medicare payment per Hospitalization at DRG | $9,089 | |||
| Total Medicare payment per Hospitalization with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $8,488 | |||
| Total Medicare Charges at DRG | $4,727,523,206 | |||
| Total Medicare Charges with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $1,081,992 | |||
| Avg Charges at DRG | $46,555 | |||
| Avg Charges with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | $90,166 | |||
| Mortality Rate at DRG | 2.95 | |||
| Mortality Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | NA | |||
| SNF Discharge Rate at DRG | 13.87 | |||
| SNF Discharge Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | NA | |||
| Home Discharge Rate at DRG | 43.04 | |||
| Home Discharge Rate with ICD E1311 - Other specified diabetes mellitus with ketoacidosis with coma | NA |