*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene - as a primary diagnosis code | E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.91 | |
| Readmission Rate (%) | 30.18 | |
| Unplanned Readmission Rate (%) | 15.71 | |
| 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 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 254: OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 88,795 | |
| Total Hospitalizations with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 17 | |
| DRG Share of Total Hospitalizations | 0.27 | |
| % of Total ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 23.61 | |
| Avg LOS at DRG | 5.34 | |
| Avg LOS with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 6.76 | |
| Readmission Rate at DRG | 25.16 | |
| Readmission Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | |
| Unplanned Readmission Rate at DRG | 13.58 | |
| Unplanned Readmission Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | |
| Total Medicare payments at DRG | $1,520,761,343 | |
| Total Medicare payments with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $329,568 | |
| Total Medicare payment per Day at DRG | $3,209 | |
| Total Medicare payment per Day with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $2,866 | |
| Total Medicare payment per Hospitalization at DRG | $17,127 | |
| Total Medicare payment per Hospitalization with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $19,386 | |
| Total Medicare Charges at DRG | $8,019,705,683 | |
| Total Medicare Charges with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $2,209,075 | |
| Avg Charges at DRG | $90,317 | |
| Avg Charges with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $129,946 | |
| Mortality Rate at DRG | 0.47 | |
| Mortality Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | |
| SNF Discharge Rate at DRG | 20.42 | |
| SNF Discharge Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | |
| Home Discharge Rate at DRG | 47.78 | |
| Home Discharge Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 47 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 5.22 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 6.21 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 35.56 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 33.33 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $415,236 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $8,835 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,894,897 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $40,317 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 23.4 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 34.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 254: OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 15 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 1.67 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 7.33 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $391,253 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $3,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $26,084 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,597,370 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $106,491 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 14 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 1.56 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 7.57 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $184,829 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,744 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $13,202 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $853,993 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $61,000 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 422,757 |
| Total Hospitalizations with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 11 |
| DRG Share of Total Hospitalizations | 1.29 |
| % of Total ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene in DRG | 1.22 |
| Avg LOS at DRG | 4.14 |
| Avg LOS with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | 4.27 |
| Readmission Rate at DRG | 24.43 |
| Readmission Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA |
| Unplanned Readmission Rate at DRG | 18.48 |
| Unplanned Readmission Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA |
| Total Medicare payments at DRG | $2,636,135,714 |
| Total Medicare payments with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $75,204 |
| Total Medicare payment per Day at DRG | $1,507 |
| Total Medicare payment per Day with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $1,600 |
| Total Medicare payment per Hospitalization at DRG | $6,236 |
| Total Medicare payment per Hospitalization with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $6,837 |
| Total Medicare Charges at DRG | $11,980,955,733 |
| Total Medicare Charges with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $289,341 |
| Avg Charges at DRG | $28,340 |
| Avg Charges with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | $26,304 |
| Mortality Rate at DRG | 1.01 |
| Mortality Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA |
| SNF Discharge Rate at DRG | 16.05 |
| SNF Discharge Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA |
| Home Discharge Rate at DRG | 47.18 |
| Home Discharge Rate with ICD E1351 - Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 17 |
| GULF COAST MEDICAL CENTER | 13681 DOCTORS WAY | FORT MYERS | FL | 33912 | 16 |
| HEALTHSOUTH OF MANATI | CARRETERA #2 KILOMETRO 47.7 | MANATI | PR | 00674 | 13 |