| 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled - as a primary diagnosis code | 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.07 | |
| Readmission Rate (%) | 29.82 | |
| Unplanned Readmission Rate (%) | 23.75 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 108,430 | ||
| Total Hospitalizations with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 694 | ||
| DRG Share of Total Hospitalizations | 0.47 | ||
| % of Total ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled in DRG | 51.91 | ||
| Avg LOS at DRG | 4.3 | ||
| Avg LOS with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 3.16 | ||
| Readmission Rate at DRG | 23.84 | ||
| Readmission Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 33.08 | ||
| Unplanned Readmission Rate at DRG | 17.3 | ||
| Unplanned Readmission Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 24.21 | ||
| Total Medicare payments at DRG | $625,714,200 | ||
| Total Medicare payments with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $3,497,573 | ||
| Total Medicare payment per Day at DRG | $1,343 | ||
| Total Medicare payment per Day with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $1,595 | ||
| Total Medicare payment per Hospitalization at DRG | $5,771 | ||
| Total Medicare payment per Hospitalization with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $5,040 | ||
| Total Medicare Charges at DRG | $2,802,144,531 | ||
| Total Medicare Charges with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $12,402,393 | ||
| Avg Charges at DRG | $25,843 | ||
| Avg Charges with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $17,871 | ||
| Mortality Rate at DRG | 0.32 | ||
| Mortality Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | NA | ||
| SNF Discharge Rate at DRG | 15.22 | ||
| SNF Discharge Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 9.08 | ||
| Home Discharge Rate at DRG | 53.6 | ||
| Home Discharge Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 66.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 15 |
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 108,430 | ||||
| Total Hospitalizations with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 704 | ||||
| DRG Share of Total Hospitalizations | 0.47 | ||||
| % of Total ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled in DRG | 6.12 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 3.17 | ||||
| Readmission Rate at DRG | 23.84 | ||||
| Readmission Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 17.3 | ||||
| Unplanned Readmission Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 24.44 | ||||
| Total Medicare payments at DRG | $625,714,200 | ||||
| Total Medicare payments with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $3,543,443 | ||||
| Total Medicare payment per Day at DRG | $1,343 | ||||
| Total Medicare payment per Day with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $1,587 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,771 | ||||
| Total Medicare payment per Hospitalization with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $5,033 | ||||
| Total Medicare Charges at DRG | $2,802,144,531 | ||||
| Total Medicare Charges with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $12,643,276 | ||||
| Avg Charges at DRG | $25,843 | ||||
| Avg Charges with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $17,959 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 15.22 | ||||
| SNF Discharge Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 9.23 | ||||
| Home Discharge Rate at DRG | 53.6 | ||||
| Home Discharge Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 67.05 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 259 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled in DRG | 2.25 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 4.33 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 13.47 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 10.61 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $1,351,524 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $1,206 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $5,218 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $5,857,706 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $22,617 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 8.11 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 63.32 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 188 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled in DRG | 1.63 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 3.97 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 28.98 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 22.73 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $1,052,763 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $1,411 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $5,600 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $4,495,624 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $23,913 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 15.43 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 59.57 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | 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 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 162 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled in DRG | 1.41 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 5.09 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 18.3 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 15.03 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $961,931 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $1,167 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $5,938 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $4,480,471 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | $27,657 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 14.81 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 25003 - Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled | 61.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BAPTIST HEALTH MEDICAL CENTER - LITTLE ROCK | 9601 BAPTIST HEALTH DRIVE | LITTLE ROCK | AR | 72205 | 105 |
| RYDER MEMORIAL HOSPITAL | 355 AVE. FONT MARTELO | HUMACAO | PR | 00791 | 85 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 67 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ORIENTE M ESPOSO | 901 OLIVE DR | BAKERSFIELD | CA | 93308 | 19 |
| Dr. RONNIE CLAIBORNE | 1925 17TH STREET | BAKERSFIELD | CA | 93301 | 18 |
| Dr. SOLOMON C MOGBO | 500 S UNIVERSITY AVE | LITTLE ROCK | AR | 72205 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SOLOMON C MOGBO | 500 S UNIVERSITY AVE | LITTLE ROCK | AR | 72205 | 70 |
| Dr. ORIENTE M ESPOSO | 901 OLIVE DR | BAKERSFIELD | CA | 93308 | 29 |
| Dr. RONNIE CLAIBORNE | 1925 17TH STREET | BAKERSFIELD | CA | 93301 | 26 |