*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
Z794 - Long term (current) use of insulin - as a primary diagnosis code | Z794 - Long term (current) use of insulin - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.52 | |
Readmission Rate (%) | 26.73 | |
Unplanned Readmission Rate (%) | NA | |
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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|
Total Hospitalizations at DRG | 120,351 | |
Total Hospitalizations with ICD Z794 - Long term (current) use of insulin | 24 | |
DRG Share of Total Hospitalizations | 0.37 | |
% of Total ICD Z794 - Long term (current) use of insulin in DRG | 53.33 | |
Avg LOS at DRG | 12.45 | |
Avg LOS with ICD Z794 - Long term (current) use of insulin | 5.79 | |
Readmission Rate at DRG | 17.61 | |
Readmission Rate with ICD Z794 - Long term (current) use of insulin | NA | |
Unplanned Readmission Rate at DRG | 12.6 | |
Unplanned Readmission Rate with ICD Z794 - Long term (current) use of insulin | NA | |
Total Medicare payments at DRG | $2,245,410,425 | |
Total Medicare payments with ICD Z794 - Long term (current) use of insulin | $177,461 | |
Total Medicare payment per Day at DRG | $1,499 | |
Total Medicare payment per Day with ICD Z794 - Long term (current) use of insulin | $1,277 | |
Total Medicare payment per Hospitalization at DRG | $18,657 | |
Total Medicare payment per Hospitalization with ICD Z794 - Long term (current) use of insulin | $7,394 | |
Total Medicare Charges at DRG | $5,810,478,166 | |
Total Medicare Charges with ICD Z794 - Long term (current) use of insulin | $781,803 | |
Avg Charges at DRG | $48,279 | |
Avg Charges with ICD Z794 - Long term (current) use of insulin | $32,575 | |
Mortality Rate at DRG | 0.55 | |
Mortality Rate with ICD Z794 - Long term (current) use of insulin | NA | |
SNF Discharge Rate at DRG | 14.77 | |
SNF Discharge Rate with ICD Z794 - Long term (current) use of insulin | NA | |
Home Discharge Rate at DRG | 22.27 | |
Home Discharge Rate with ICD Z794 - Long term (current) use of insulin | 54.17 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD Z794 - Long term (current) use of insulin | 191,877 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD Z794 - Long term (current) use of insulin in DRG | 5.7 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD Z794 - Long term (current) use of insulin | 6.14 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD Z794 - Long term (current) use of insulin | 27.46 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD Z794 - Long term (current) use of insulin | 19.65 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD Z794 - Long term (current) use of insulin | $2,214,086,412 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD Z794 - Long term (current) use of insulin | $1,881 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD Z794 - Long term (current) use of insulin | $11,539 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD Z794 - Long term (current) use of insulin | $10,899,154,350 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD Z794 - Long term (current) use of insulin | $56,803 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD Z794 - Long term (current) use of insulin | 8.41 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD Z794 - Long term (current) use of insulin | 30.03 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD Z794 - Long term (current) use of insulin | 27.36 |
*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) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 422,757 | ||||
Total Hospitalizations with ICD Z794 - Long term (current) use of insulin | 60,942 | ||||
DRG Share of Total Hospitalizations | 1.29 | ||||
% of Total ICD Z794 - Long term (current) use of insulin in DRG | 1.81 | ||||
Avg LOS at DRG | 4.14 | ||||
Avg LOS with ICD Z794 - Long term (current) use of insulin | 4.2 | ||||
Readmission Rate at DRG | 24.43 | ||||
Readmission Rate with ICD Z794 - Long term (current) use of insulin | 27.22 | ||||
Unplanned Readmission Rate at DRG | 18.48 | ||||
Unplanned Readmission Rate with ICD Z794 - Long term (current) use of insulin | 20.61 | ||||
Total Medicare payments at DRG | $2,636,135,714 | ||||
Total Medicare payments with ICD Z794 - Long term (current) use of insulin | $381,104,804 | ||||
Total Medicare payment per Day at DRG | $1,507 | ||||
Total Medicare payment per Day with ICD Z794 - Long term (current) use of insulin | $1,487 | ||||
Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
Total Medicare payment per Hospitalization with ICD Z794 - Long term (current) use of insulin | $6,254 | ||||
Total Medicare Charges at DRG | $11,980,955,733 | ||||
Total Medicare Charges with ICD Z794 - Long term (current) use of insulin | $1,737,546,573 | ||||
Avg Charges at DRG | $28,340 | ||||
Avg Charges with ICD Z794 - Long term (current) use of insulin | $28,511 | ||||
Mortality Rate at DRG | 1.01 | ||||
Mortality Rate with ICD Z794 - Long term (current) use of insulin | 0.64 | ||||
SNF Discharge Rate at DRG | 16.05 | ||||
SNF Discharge Rate with ICD Z794 - Long term (current) use of insulin | 15.07 | ||||
Home Discharge Rate at DRG | 47.18 | ||||
Home Discharge Rate with ICD Z794 - Long term (current) use of insulin | 49.54 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 474,314 | ||||
Total Hospitalizations with ICD Z794 - Long term (current) use of insulin | 51,001 | ||||
DRG Share of Total Hospitalizations | 1.44 | ||||
% of Total ICD Z794 - Long term (current) use of insulin in DRG | 1.51 | ||||
Avg LOS at DRG | 3.53 | ||||
Avg LOS with ICD Z794 - Long term (current) use of insulin | 3.64 | ||||
Readmission Rate at DRG | 18.03 | ||||
Readmission Rate with ICD Z794 - Long term (current) use of insulin | 20.8 | ||||
Unplanned Readmission Rate at DRG | 12.55 | ||||
Unplanned Readmission Rate with ICD Z794 - Long term (current) use of insulin | 15.04 | ||||
Total Medicare payments at DRG | $2,312,733,090 | ||||
Total Medicare payments with ICD Z794 - Long term (current) use of insulin | $254,609,510 | ||||
Total Medicare payment per Day at DRG | $1,380 | ||||
Total Medicare payment per Day with ICD Z794 - Long term (current) use of insulin | $1,373 | ||||
Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
Total Medicare payment per Hospitalization with ICD Z794 - Long term (current) use of insulin | $4,992 | ||||
Total Medicare Charges at DRG | $11,559,952,314 | ||||
Total Medicare Charges with ICD Z794 - Long term (current) use of insulin | $1,285,141,928 | ||||
Avg Charges at DRG | $24,372 | ||||
Avg Charges with ICD Z794 - Long term (current) use of insulin | $25,198 | ||||
Mortality Rate at DRG | 0.22 | ||||
Mortality Rate with ICD Z794 - Long term (current) use of insulin | 0.15 | ||||
SNF Discharge Rate at DRG | 25.96 | ||||
SNF Discharge Rate with ICD Z794 - Long term (current) use of insulin | 26.12 | ||||
Home Discharge Rate at DRG | 43.58 | ||||
Home Discharge Rate with ICD Z794 - Long term (current) use of insulin | 42.92 |
*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 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 522,791 | ||||
Total Hospitalizations with ICD Z794 - Long term (current) use of insulin | 41,811 | ||||
DRG Share of Total Hospitalizations | 1.59 | ||||
% of Total ICD Z794 - Long term (current) use of insulin in DRG | 1.24 | ||||
Avg LOS at DRG | 3.14 | ||||
Avg LOS with ICD Z794 - Long term (current) use of insulin | 3.14 | ||||
Readmission Rate at DRG | 17.1 | ||||
Readmission Rate with ICD Z794 - Long term (current) use of insulin | 20.73 | ||||
Unplanned Readmission Rate at DRG | 12.62 | ||||
Unplanned Readmission Rate with ICD Z794 - Long term (current) use of insulin | 16.07 | ||||
Total Medicare payments at DRG | $2,290,151,156 | ||||
Total Medicare payments with ICD Z794 - Long term (current) use of insulin | $188,690,508 | ||||
Total Medicare payment per Day at DRG | $1,394 | ||||
Total Medicare payment per Day with ICD Z794 - Long term (current) use of insulin | $1,438 | ||||
Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
Total Medicare payment per Hospitalization with ICD Z794 - Long term (current) use of insulin | $4,513 | ||||
Total Medicare Charges at DRG | $13,619,287,561 | ||||
Total Medicare Charges with ICD Z794 - Long term (current) use of insulin | $1,108,755,633 | ||||
Avg Charges at DRG | $26,051 | ||||
Avg Charges with ICD Z794 - Long term (current) use of insulin | $26,518 | ||||
Mortality Rate at DRG | 0.18 | ||||
Mortality Rate with ICD Z794 - Long term (current) use of insulin | 0.14 | ||||
SNF Discharge Rate at DRG | 8.57 | ||||
SNF Discharge Rate with ICD Z794 - Long term (current) use of insulin | 10.14 | ||||
Home Discharge Rate at DRG | 72.49 | ||||
Home Discharge Rate with ICD Z794 - Long term (current) use of insulin | 68.89 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 7,953 |
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 7,639 |
YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 7,635 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 390 |
Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 383 |
Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 252 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 2,059 |
Dr. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 792 |
Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 767 |