*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9641 - Presence of insulin pump (external) (internal) - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.48 | |
| 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 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD Z9641 - Presence of insulin pump (external) (internal) | 4,774 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD Z9641 - Presence of insulin pump (external) (internal) in DRG | 7.97 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD Z9641 - Presence of insulin pump (external) (internal) | 2.83 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 20.21 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 16.19 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD Z9641 - Presence of insulin pump (external) (internal) | $22,377,889 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD Z9641 - Presence of insulin pump (external) (internal) | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD Z9641 - Presence of insulin pump (external) (internal) | $4,687 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD Z9641 - Presence of insulin pump (external) (internal) | $111,784,334 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD Z9641 - Presence of insulin pump (external) (internal) | $23,415 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 3.88 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 78.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z9641 - Presence of insulin pump (external) (internal) | 1,223 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z9641 - Presence of insulin pump (external) (internal) in DRG | 2.04 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z9641 - Presence of insulin pump (external) (internal) | 2.7 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 13.44 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 4.48 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z9641 - Presence of insulin pump (external) (internal) | $13,716,565 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z9641 - Presence of insulin pump (external) (internal) | $4,158 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z9641 - Presence of insulin pump (external) (internal) | $11,216 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z9641 - Presence of insulin pump (external) (internal) | $72,996,600 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z9641 - Presence of insulin pump (external) (internal) | $59,687 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 22.16 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 29.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,227 | ||||
| Total Hospitalizations with ICD Z9641 - Presence of insulin pump (external) (internal) | 848 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD Z9641 - Presence of insulin pump (external) (internal) in DRG | 1.42 | ||||
| Avg LOS at DRG | 8.02 | ||||
| Avg LOS with ICD Z9641 - Presence of insulin pump (external) (internal) | 3.33 | ||||
| Readmission Rate at DRG | 30.44 | ||||
| Readmission Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 17.51 | ||||
| Unplanned Readmission Rate at DRG | 20.14 | ||||
| Unplanned Readmission Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 14.47 | ||||
| Total Medicare payments at DRG | $641,315,623 | ||||
| Total Medicare payments with ICD Z9641 - Presence of insulin pump (external) (internal) | $8,564,185 | ||||
| Total Medicare payment per Day at DRG | $1,808 | ||||
| Total Medicare payment per Day with ICD Z9641 - Presence of insulin pump (external) (internal) | $3,032 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,501 | ||||
| Total Medicare payment per Hospitalization with ICD Z9641 - Presence of insulin pump (external) (internal) | $10,099 | ||||
| Total Medicare Charges at DRG | $3,055,824,019 | ||||
| Total Medicare Charges with ICD Z9641 - Presence of insulin pump (external) (internal) | $25,926,364 | ||||
| Avg Charges at DRG | $69,094 | ||||
| Avg Charges with ICD Z9641 - Presence of insulin pump (external) (internal) | $30,574 | ||||
| Mortality Rate at DRG | 3.89 | ||||
| Mortality Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | NA | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 3.77 | ||||
| Home Discharge Rate at DRG | 45.86 | ||||
| Home Discharge Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 78.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z9641 - Presence of insulin pump (external) (internal) | 618 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z9641 - Presence of insulin pump (external) (internal) in DRG | 1.03 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z9641 - Presence of insulin pump (external) (internal) | 4.65 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 27.75 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 19.9 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z9641 - Presence of insulin pump (external) (internal) | $5,366,355 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z9641 - Presence of insulin pump (external) (internal) | $1,866 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z9641 - Presence of insulin pump (external) (internal) | $8,683 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z9641 - Presence of insulin pump (external) (internal) | $24,571,394 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z9641 - Presence of insulin pump (external) (internal) | $39,760 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 1.94 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 9.55 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z9641 - Presence of insulin pump (external) (internal) | 60.84 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ALBANY MEDICAL CENTER | 43 NEW SCOTLAND AVE | ALBANY | NY | 12208 | 321 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 222 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 213 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JON S ODORICO | 600 HIGHLAND AVE | MADISON | WI | 53792 | 16 |
| Dr. SAMUEL J CONGELLO | 250 S CRESCENT DR | MASON CITY | IA | 50401 | 13 |
| Dr. DARRYL A STERN | 9669 KENTON AVE | SKOKIE | IL | 60076 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM KEITH DEBELL | 701 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 31 |
| Dr. HAMDI MANSOUR KHILFEH | 2955 W. 95TH ST | EVERGREEN PARK | IL | 60805 | 26 |
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 24 |