*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E139 - Other specified diabetes mellitus without complications - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.39 | |
| 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD E139 - Other specified diabetes mellitus without complications | 223 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD E139 - Other specified diabetes mellitus without complications in DRG | 5.08 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD E139 - Other specified diabetes mellitus without complications | 14.34 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD E139 - Other specified diabetes mellitus without complications | 27.14 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD E139 - Other specified diabetes mellitus without complications | 11.43 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD E139 - Other specified diabetes mellitus without complications | $2,004,649 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD E139 - Other specified diabetes mellitus without complications | $627 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD E139 - Other specified diabetes mellitus without complications | $8,989 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD E139 - Other specified diabetes mellitus without complications | $6,018,843 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD E139 - Other specified diabetes mellitus without complications | $26,990 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD E139 - Other specified diabetes mellitus without complications | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD E139 - Other specified diabetes mellitus without complications | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD E139 - Other specified diabetes mellitus without complications | 76.68 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES 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 | 408,103 | ||||
| Total Hospitalizations with ICD E139 - Other specified diabetes mellitus without complications | 87 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD E139 - Other specified diabetes mellitus without complications in DRG | 1.98 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD E139 - Other specified diabetes mellitus without complications | 3.09 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD E139 - Other specified diabetes mellitus without complications | 16.46 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD E139 - Other specified diabetes mellitus without complications | 15.19 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD E139 - Other specified diabetes mellitus without complications | $511,946 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD E139 - Other specified diabetes mellitus without complications | $1,903 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD E139 - Other specified diabetes mellitus without complications | $5,884 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD E139 - Other specified diabetes mellitus without complications | $2,513,423 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD E139 - Other specified diabetes mellitus without complications | $28,890 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD E139 - Other specified diabetes mellitus without complications | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD E139 - Other specified diabetes mellitus without complications | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD E139 - Other specified diabetes mellitus without complications | 73.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD E139 - Other specified diabetes mellitus without complications | 59 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD E139 - Other specified diabetes mellitus without complications in DRG | 1.34 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD E139 - Other specified diabetes mellitus without complications | 3.98 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD E139 - Other specified diabetes mellitus without complications | 25.42 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD E139 - Other specified diabetes mellitus without complications | 20.34 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD E139 - Other specified diabetes mellitus without complications | $313,383 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD E139 - Other specified diabetes mellitus without complications | $1,334 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD E139 - Other specified diabetes mellitus without complications | $5,312 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD E139 - Other specified diabetes mellitus without complications | $1,644,667 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD E139 - Other specified diabetes mellitus without complications | $27,876 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD E139 - Other specified diabetes mellitus without complications | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD E139 - Other specified diabetes mellitus without complications | 23.73 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD E139 - Other specified diabetes mellitus without complications | 42.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD E139 - Other specified diabetes mellitus without complications | 54 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD E139 - Other specified diabetes mellitus without complications in DRG | 1.23 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD E139 - Other specified diabetes mellitus without complications | 3.37 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD E139 - Other specified diabetes mellitus without complications | 21.15 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD E139 - Other specified diabetes mellitus without complications | NA | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD E139 - Other specified diabetes mellitus without complications | $332,634 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD E139 - Other specified diabetes mellitus without complications | $1,828 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD E139 - Other specified diabetes mellitus without complications | $6,160 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD E139 - Other specified diabetes mellitus without complications | $1,281,199 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD E139 - Other specified diabetes mellitus without complications | $23,726 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD E139 - Other specified diabetes mellitus without complications | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD E139 - Other specified diabetes mellitus without complications | NA | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD E139 - Other specified diabetes mellitus without complications | 79.63 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VILLA MARIA NURSING CENTER | 1050 NE 125TH ST | NORTH MIAMI | FL | 33161 | 114 |
| NYC HEALTH + HOSPITALS/ELMHURST | 7901 BROADWAY | ELMHURST | NY | 11373 | 75 |
| ROGERS BEHAVIORAL HEALTH | 34700 VALLEY RD | OCONOMOWOC | WI | 53066 | 66 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HENRY HUSON MIDDLETON | 8208 LOUISIANA BLVD NE | ALBUQUERQUE | NM | 87113 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LINA HURTADO | 8850 NW 122ND ST | HIALEAH GARDENS | FL | 33018 | 50 |
| Dr. FERNANDO GUILLERMO TORRES | 2006 S LOOP 336 W | CONROE | TX | 77304 | 36 |
| Dr. MANISH MANUBHAI PATEL | 1150 N UNIVERSITY DR | PEMBROKE PINES | FL | 33024 | 35 |