| 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled - as a primary diagnosis code | 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.59 | |
| Readmission Rate (%) | 23.38 | |
| Unplanned Readmission Rate (%) | 10.36 | |
| 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 | ||
| 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) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 108,430 | |||
| Total Hospitalizations with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 2,487 | |||
| DRG Share of Total Hospitalizations | 0.47 | |||
| % of Total ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled in DRG | 56.2 | |||
| Avg LOS at DRG | 4.3 | |||
| Avg LOS with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 2.94 | |||
| Readmission Rate at DRG | 23.84 | |||
| Readmission Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 15.3 | |||
| Unplanned Readmission Rate at DRG | 17.3 | |||
| Unplanned Readmission Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 10.28 | |||
| Total Medicare payments at DRG | $625,714,200 | |||
| Total Medicare payments with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $12,211,785 | |||
| Total Medicare payment per Day at DRG | $1,343 | |||
| Total Medicare payment per Day with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $1,672 | |||
| Total Medicare payment per Hospitalization at DRG | $5,771 | |||
| Total Medicare payment per Hospitalization with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $4,910 | |||
| Total Medicare Charges at DRG | $2,802,144,531 | |||
| Total Medicare Charges with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $40,140,835 | |||
| Avg Charges at DRG | $25,843 | |||
| Avg Charges with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $16,140 | |||
| Mortality Rate at DRG | 0.32 | |||
| Mortality Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | |||
| SNF Discharge Rate at DRG | 15.22 | |||
| SNF Discharge Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 10.98 | |||
| Home Discharge Rate at DRG | 53.6 | |||
| Home Discharge Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 60.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| HAMILTON CENTER | 620 8TH AVE | TERRE HAUTE | IN | 47804 | 32 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 25 |
| DCH REGIONAL MEDICAL CENTER | 809 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MATHEWS JOHN | 620 8TH AVE | TERRE HAUTE | IN | 47804 | 31 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 214,864 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled in DRG | 4.09 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 6.67 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 26.85 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 18.21 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $2,647,235,118 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $1,848 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $12,321 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $11,483,412,408 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $53,445 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 14.82 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 30.17 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 22.34 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 126,415 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled in DRG | 2.41 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 5.78 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 29.76 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 22.73 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $1,210,509,615 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $1,656 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $9,576 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $5,161,967,218 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $40,834 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 5.16 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 22.42 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 36.15 |
| 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 293,121 | ||||
| Total Hospitalizations with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 75,567 | ||||
| DRG Share of Total Hospitalizations | 1.28 | ||||
| % of Total ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled in DRG | 1.44 | ||||
| Avg LOS at DRG | 3.78 | ||||
| Avg LOS with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 3.86 | ||||
| Readmission Rate at DRG | 17.73 | ||||
| Readmission Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 19.26 | ||||
| Unplanned Readmission Rate at DRG | 13.44 | ||||
| Unplanned Readmission Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 14.8 | ||||
| Total Medicare payments at DRG | $1,776,508,891 | ||||
| Total Medicare payments with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $461,719,882 | ||||
| Total Medicare payment per Day at DRG | $1,604 | ||||
| Total Medicare payment per Day with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $1,583 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,061 | ||||
| Total Medicare payment per Hospitalization with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $6,110 | ||||
| Total Medicare Charges at DRG | $8,470,312,778 | ||||
| Total Medicare Charges with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $2,242,224,643 | ||||
| Avg Charges at DRG | $28,897 | ||||
| Avg Charges with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $29,672 | ||||
| Mortality Rate at DRG | 0.95 | ||||
| Mortality Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 0.83 | ||||
| SNF Discharge Rate at DRG | 14.94 | ||||
| SNF Discharge Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 15.31 | ||||
| Home Discharge Rate at DRG | 62.44 | ||||
| Home Discharge Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 61.65 |
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 274,950 | ||||
| Total Hospitalizations with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 69,908 | ||||
| DRG Share of Total Hospitalizations | 1.2 | ||||
| % of Total ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled in DRG | 1.33 | ||||
| Avg LOS at DRG | 6.96 | ||||
| Avg LOS with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 6.8 | ||||
| Readmission Rate at DRG | 27.13 | ||||
| Readmission Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 28.68 | ||||
| Unplanned Readmission Rate at DRG | 20.24 | ||||
| Unplanned Readmission Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 21.5 | ||||
| Total Medicare payments at DRG | $2,790,739,849 | ||||
| Total Medicare payments with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $712,519,850 | ||||
| Total Medicare payment per Day at DRG | $1,457 | ||||
| Total Medicare payment per Day with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $1,499 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,150 | ||||
| Total Medicare payment per Hospitalization with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $10,192 | ||||
| Total Medicare Charges at DRG | $11,867,056,741 | ||||
| Total Medicare Charges with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $3,043,151,419 | ||||
| Avg Charges at DRG | $43,161 | ||||
| Avg Charges with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | $43,531 | ||||
| Mortality Rate at DRG | 7.44 | ||||
| Mortality Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 6.81 | ||||
| SNF Discharge Rate at DRG | 20.22 | ||||
| SNF Discharge Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 22.05 | ||||
| Home Discharge Rate at DRG | 37.4 | ||||
| Home Discharge Rate with ICD 25000 - Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 35.9 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 20,267 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 11,100 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 10,850 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM G WOLFF | 5645 MAIN ST | FLUSHING | NY | 11355 | 585 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 551 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 505 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 1,269 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 1,106 |
| Dr. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 898 |