| 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled - as a primary diagnosis code | 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.57 | |
| Readmission Rate (%) | 26.12 | |
| Unplanned Readmission Rate (%) | 18.85 | |
| 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 010: PANCREAS TRANSPLANT | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 108,430 | |||
| Total Hospitalizations with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 212 | |||
| DRG Share of Total Hospitalizations | 0.47 | |||
| % of Total ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled in DRG | 47.22 | |||
| Avg LOS at DRG | 4.3 | |||
| Avg LOS with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 2.54 | |||
| Readmission Rate at DRG | 23.84 | |||
| Readmission Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 27.41 | |||
| Unplanned Readmission Rate at DRG | 17.3 | |||
| Unplanned Readmission Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 18.27 | |||
| Total Medicare payments at DRG | $625,714,200 | |||
| Total Medicare payments with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $1,040,895 | |||
| Total Medicare payment per Day at DRG | $1,343 | |||
| Total Medicare payment per Day with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $1,931 | |||
| Total Medicare payment per Hospitalization at DRG | $5,771 | |||
| Total Medicare payment per Hospitalization with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $4,910 | |||
| Total Medicare Charges at DRG | $2,802,144,531 | |||
| Total Medicare Charges with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $3,117,958 | |||
| Avg Charges at DRG | $25,843 | |||
| Avg Charges with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $14,707 | |||
| Mortality Rate at DRG | 0.32 | |||
| Mortality Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | NA | |||
| SNF Discharge Rate at DRG | 15.22 | |||
| SNF Discharge Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 8.49 | |||
| Home Discharge Rate at DRG | 53.6 | |||
| Home Discharge Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 66.98 |
| 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 2,480 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled in DRG | 5.11 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 10.84 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 27.19 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 15.07 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $18,918,917 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $704 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $7,629 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $55,585,838 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $22,414 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 5.48 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 78.31 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 961 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled in DRG | 1.98 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 13.32 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 18.52 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 15.05 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $18,283,581 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $19,026 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $40,587,955 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $42,235 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 13.53 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 22.68 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT 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 | 368,552 | ||||
| Total Hospitalizations with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 716 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled in DRG | 1.48 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 4.39 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 17.19 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 12.15 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $4,372,107 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $1,391 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $6,106 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $19,340,327 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $27,012 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 15.64 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 56.28 |
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 134,386 | ||||
| Total Hospitalizations with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 504 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled in DRG | 1.04 | ||||
| Avg LOS at DRG | 4.64 | ||||
| Avg LOS with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 3.48 | ||||
| Readmission Rate at DRG | 29.51 | ||||
| Readmission Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 32.69 | ||||
| Unplanned Readmission Rate at DRG | 22.6 | ||||
| Unplanned Readmission Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 27.14 | ||||
| Total Medicare payments at DRG | $1,013,925,667 | ||||
| Total Medicare payments with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $3,635,261 | ||||
| Total Medicare payment per Day at DRG | $1,625 | ||||
| Total Medicare payment per Day with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $2,070 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,545 | ||||
| Total Medicare payment per Hospitalization with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $7,213 | ||||
| Total Medicare Charges at DRG | $4,351,143,903 | ||||
| Total Medicare Charges with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $13,125,206 | ||||
| Avg Charges at DRG | $32,378 | ||||
| Avg Charges with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | $26,042 | ||||
| Mortality Rate at DRG | 3.51 | ||||
| Mortality Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 22.05 | ||||
| SNF Discharge Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 12.5 | ||||
| Home Discharge Rate at DRG | 45.28 | ||||
| Home Discharge Rate with ICD 25001 - Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled | 65.87 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 270 |
| ABINGTON MEMORIAL HOSPITAL | 1200 OLD YORK RD | ABINGTON | PA | 19001 | 168 |
| SPRINGBROOK HOSPITAL | 7007 GROVE RD | BROOKSVILLE | FL | 34609 | 166 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN MCKENZIE HENDERSON | 2300 MANCHESTER EXPRESSWAY | COLUMBUS | GA | 31904 | 30 |
| Dr. MICHAEL P FROST | 722 E BUTLER PIKE | AMBLER | PA | 19002 | 14 |
| Dr. MARK ALAN SMITH | 1320 BRADEN ST | JACKSONVILLE | AR | 72076 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. THOMAS VALENTE | 2020 TALLEY RD | LEESBURG | FL | 34748 | 74 |
| Dr. JOHN MCKENZIE HENDERSON | 2300 MANCHESTER EXPRESSWAY | COLUMBUS | GA | 31904 | 55 |
| Dr. MARK ALAN SMITH | 1320 BRADEN ST | JACKSONVILLE | AR | 72076 | 55 |