*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1365 - Other specified diabetes mellitus with hyperglycemia - as a primary diagnosis code | E1365 - Other specified diabetes mellitus with hyperglycemia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.34 | |
| Readmission Rate (%) | 28.71 | |
| Unplanned Readmission Rate (%) | 13.33 | |
| 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 E1365 - Other specified diabetes mellitus with hyperglycemia | 89 | ||
| DRG Share of Total Hospitalizations | 0.53 | ||
| % of Total ICD E1365 - Other specified diabetes mellitus with hyperglycemia in DRG | 61.81 | ||
| Avg LOS at DRG | 3.86 | ||
| Avg LOS with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 3.3 | ||
| Readmission Rate at DRG | 23.62 | ||
| Readmission Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 19.54 | ||
| Unplanned Readmission Rate at DRG | 17.61 | ||
| Unplanned Readmission Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 16.09 | ||
| Total Medicare payments at DRG | $959,872,570 | ||
| Total Medicare payments with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $488,998 | ||
| Total Medicare payment per Day at DRG | $1,426 | ||
| Total Medicare payment per Day with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $1,663 | ||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||
| Total Medicare payment per Hospitalization with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $5,494 | ||
| Total Medicare Charges at DRG | $4,945,131,055 | ||
| Total Medicare Charges with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $2,247,264 | ||
| Avg Charges at DRG | $28,388 | ||
| Avg Charges with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $25,250 | ||
| Mortality Rate at DRG | 0.24 | ||
| Mortality Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | NA | ||
| SNF Discharge Rate at DRG | 14.83 | ||
| SNF Discharge Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | NA | ||
| Home Discharge Rate at DRG | 53.93 | ||
| Home Discharge Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 58.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 195 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E1365 - Other specified diabetes mellitus with hyperglycemia in DRG | 5.96 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 6.86 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 26.88 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 21.25 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $2,260,709 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $1,691 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $11,593 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $11,127,717 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $57,065 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 7.69 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 27.69 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 32.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 61 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD E1365 - Other specified diabetes mellitus with hyperglycemia in DRG | 1.86 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 8.07 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 40.68 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 28.81 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $640,229 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $1,301 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $10,496 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $3,459,774 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $56,718 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 21.31 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 45.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 48 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD E1365 - Other specified diabetes mellitus with hyperglycemia in DRG | 1.47 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 4.88 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 26.09 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $263,270 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $1,125 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $5,485 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $1,719,699 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $35,827 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 75.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 39 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD E1365 - Other specified diabetes mellitus with hyperglycemia in DRG | 1.19 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 6.03 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | NA | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $411,532 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $1,751 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $10,552 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $1,930,640 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | $49,504 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD E1365 - Other specified diabetes mellitus with hyperglycemia | 38.46 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 46 |
| WAKEMED RALEIGH CAMPUS | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 46 |
| GULF COAST MEDICAL CENTER | 13681 DOCTORS WAY | FORT MYERS | FL | 33912 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WING K NG | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 40 |