*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene - as a primary diagnosis code | E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.13 | |
| Readmission Rate (%) | 43.08 | |
| Unplanned Readmission Rate (%) | 20.34 | |
| 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 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 256: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,865 | |||
| Total Hospitalizations with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | 28 | |||
| DRG Share of Total Hospitalizations | 0.09 | |||
| % of Total ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene in DRG | 23.33 | |||
| Avg LOS at DRG | 13.03 | |||
| Avg LOS with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | 10.25 | |||
| Readmission Rate at DRG | 51.45 | |||
| Readmission Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | 66.67 | |||
| Unplanned Readmission Rate at DRG | 19.42 | |||
| Unplanned Readmission Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | NA | |||
| Total Medicare payments at DRG | $870,378,024 | |||
| Total Medicare payments with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $749,740 | |||
| Total Medicare payment per Day at DRG | $2,314 | |||
| Total Medicare payment per Day with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $2,612 | |||
| Total Medicare payment per Hospitalization at DRG | $30,153 | |||
| Total Medicare payment per Hospitalization with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $26,776 | |||
| Total Medicare Charges at DRG | $3,978,441,182 | |||
| Total Medicare Charges with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $3,641,011 | |||
| Avg Charges at DRG | $137,829 | |||
| Avg Charges with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $130,036 | |||
| Mortality Rate at DRG | 5.71 | |||
| Mortality Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | NA | |||
| SNF Discharge Rate at DRG | 45.97 | |||
| SNF Discharge Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | 46.43 | |||
| Home Discharge Rate at DRG | 5.52 | |||
| Home Discharge Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 256: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | 41 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene in DRG | 11.42 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | 15.27 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | 48.57 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | 31.43 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $1,667,137 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $2,663 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $40,662 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $8,061,680 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $196,626 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | 41.46 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with 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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 38,029 | |
| Total Hospitalizations with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | 11 | |
| DRG Share of Total Hospitalizations | 0.12 | |
| % of Total ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene in DRG | 3.06 | |
| Avg LOS at DRG | 7.14 | |
| Avg LOS with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | 6.55 | |
| Readmission Rate at DRG | 23.6 | |
| Readmission Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | NA | |
| Unplanned Readmission Rate at DRG | 10.44 | |
| Unplanned Readmission Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | NA | |
| Total Medicare payments at DRG | $484,755,193 | |
| Total Medicare payments with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $137,161 | |
| Total Medicare payment per Day at DRG | $1,786 | |
| Total Medicare payment per Day with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $1,905 | |
| Total Medicare payment per Hospitalization at DRG | $12,747 | |
| Total Medicare payment per Hospitalization with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $12,469 | |
| Total Medicare Charges at DRG | $2,463,395,263 | |
| Total Medicare Charges with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $724,907 | |
| Avg Charges at DRG | $64,777 | |
| Avg Charges with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | $65,901 | |
| Mortality Rate at DRG | 0.11 | |
| Mortality Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | NA | |
| SNF Discharge Rate at DRG | 26.57 | |
| SNF Discharge Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | NA | |
| Home Discharge Rate at DRG | 30.05 | |
| Home Discharge Rate with ICD E1352 - Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene | NA |