| 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled - as a primary diagnosis code | 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.72 | |
| Readmission Rate (%) | 30.2 | |
| Unplanned Readmission Rate (%) | 16.84 | |
| 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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 652: KIDNEY TRANSPLANT | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 674: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,391 | ||||
| Total Hospitalizations with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 3,086 | ||||
| DRG Share of Total Hospitalizations | 0.29 | ||||
| % of Total ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 33.14 | ||||
| Avg LOS at DRG | 4.44 | ||||
| Avg LOS with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 4.47 | ||||
| Readmission Rate at DRG | 25.11 | ||||
| Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 24.18 | ||||
| Unplanned Readmission Rate at DRG | 17.33 | ||||
| Unplanned Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 17.74 | ||||
| Total Medicare payments at DRG | $440,473,524 | ||||
| Total Medicare payments with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $20,924,195 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $1,517 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,736 | ||||
| Total Medicare payment per Hospitalization with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $6,780 | ||||
| Total Medicare Charges at DRG | $2,010,786,421 | ||||
| Total Medicare Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $97,723,570 | ||||
| Avg Charges at DRG | $30,750 | ||||
| Avg Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $31,667 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 0.84 | ||||
| SNF Discharge Rate at DRG | 19.61 | ||||
| SNF Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 13.12 | ||||
| Home Discharge Rate at DRG | 51.17 | ||||
| Home Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 63.93 |
| DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 008: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 675: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 20,022 | ||||
| Total Hospitalizations with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 251 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 2.7 | ||||
| Avg LOS at DRG | 10.92 | ||||
| Avg LOS with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 13.43 | ||||
| Readmission Rate at DRG | 32.42 | ||||
| Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 28.76 | ||||
| Unplanned Readmission Rate at DRG | 21.5 | ||||
| Unplanned Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 16.74 | ||||
| Total Medicare payments at DRG | $461,691,488 | ||||
| Total Medicare payments with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $6,232,100 | ||||
| Total Medicare payment per Day at DRG | $2,112 | ||||
| Total Medicare payment per Day with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $1,848 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,059 | ||||
| Total Medicare payment per Hospitalization with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $24,829 | ||||
| Total Medicare Charges at DRG | $2,008,278,096 | ||||
| Total Medicare Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $32,514,264 | ||||
| Avg Charges at DRG | $100,304 | ||||
| Avg Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $129,539 | ||||
| Mortality Rate at DRG | 4.06 | ||||
| Mortality Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 6.37 | ||||
| SNF Discharge Rate at DRG | 24.26 | ||||
| SNF Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 28.69 | ||||
| Home Discharge Rate at DRG | 43.15 | ||||
| Home Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 40.24 |
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 34,870 | |
| Total Hospitalizations with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 15 | |
| DRG Share of Total Hospitalizations | 0.15 | |
| % of Total ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 0.16 | |
| Avg LOS at DRG | 32.29 | |
| Avg LOS with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 44.93 | |
| Readmission Rate at DRG | 77.59 | |
| Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | NA | |
| Unplanned Readmission Rate at DRG | 6.64 | |
| Unplanned Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | NA | |
| Total Medicare payments at DRG | $4,332,531,897 | |
| Total Medicare payments with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $2,803,566 | |
| Total Medicare payment per Day at DRG | $3,848 | |
| Total Medicare payment per Day with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $4,160 | |
| Total Medicare payment per Hospitalization at DRG | $124,248 | |
| Total Medicare payment per Hospitalization with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $186,904 | |
| Total Medicare Charges at DRG | $18,041,668,887 | |
| Total Medicare Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $12,349,813 | |
| Avg Charges at DRG | $517,398 | |
| Avg Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $823,321 | |
| Mortality Rate at DRG | 19.09 | |
| Mortality Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | NA | |
| SNF Discharge Rate at DRG | 14.38 | |
| SNF Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | NA | |
| Home Discharge Rate at DRG | 1.86 | |
| Home Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| JACKSON MEMORIAL HOSPITAL | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 106 |
| SAINT BARNABAS MEDICAL CENTER | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 97 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 94 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STUART R GEFFNER | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 48 |
| Dr. KUNAM S REDDY | 5777 E MAYO BLVD | PHOENIX | AZ | 85054 | 34 |
| Dr. HARRY SUN | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. STUART R GEFFNER | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 48 |
| Dr. HARRY SUN | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 29 |
| Dr. BARRY J BROWNE | 7910 FROST ST | SAN DIEGO | CA | 92123 | 29 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 20,811 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 5.32 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 6.16 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 31.97 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 24.62 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $209,428,035 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $1,634 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $10,063 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $976,626,837 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $46,928 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 3.78 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 18.79 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 43.38 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 11,931 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 3.05 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 13.53 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 22.66 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 17.35 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $244,656,247 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $1,516 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $20,506 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $571,158,578 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $47,872 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 0.33 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 15.65 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 18.18 |
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 652: KIDNEY TRANSPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 136,004 | ||||
| Total Hospitalizations with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 5,987 | ||||
| DRG Share of Total Hospitalizations | 0.6 | ||||
| % of Total ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 1.53 | ||||
| Avg LOS at DRG | 5.84 | ||||
| Avg LOS with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 6.26 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 34.24 | ||||
| Unplanned Readmission Rate at DRG | 19.71 | ||||
| Unplanned Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 24.92 | ||||
| Total Medicare payments at DRG | $1,493,796,897 | ||||
| Total Medicare payments with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $69,974,499 | ||||
| Total Medicare payment per Day at DRG | $1,882 | ||||
| Total Medicare payment per Day with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $1,866 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,983 | ||||
| Total Medicare payment per Hospitalization with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $11,688 | ||||
| Total Medicare Charges at DRG | $6,680,411,091 | ||||
| Total Medicare Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $344,663,269 | ||||
| Avg Charges at DRG | $49,119 | ||||
| Avg Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $57,569 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 24.26 | ||||
| SNF Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 18.77 | ||||
| Home Discharge Rate at DRG | 31.8 | ||||
| Home Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 39.32 |
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,583 | ||||
| Total Hospitalizations with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 4,321 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 1.11 | ||||
| Avg LOS at DRG | 14.4 | ||||
| Avg LOS with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 14.1 | ||||
| Readmission Rate at DRG | 39.61 | ||||
| Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 44.98 | ||||
| Unplanned Readmission Rate at DRG | 17.93 | ||||
| Unplanned Readmission Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 21.15 | ||||
| Total Medicare payments at DRG | $4,418,648,842 | ||||
| Total Medicare payments with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $156,089,239 | ||||
| Total Medicare payment per Day at DRG | $2,545 | ||||
| Total Medicare payment per Day with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $2,562 | ||||
| Total Medicare payment per Hospitalization at DRG | $36,644 | ||||
| Total Medicare payment per Hospitalization with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $36,123 | ||||
| Total Medicare Charges at DRG | $18,323,348,541 | ||||
| Total Medicare Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $662,793,269 | ||||
| Avg Charges at DRG | $151,956 | ||||
| Avg Charges with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | $153,389 | ||||
| Mortality Rate at DRG | 13.99 | ||||
| Mortality Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 10.18 | ||||
| SNF Discharge Rate at DRG | 33.74 | ||||
| SNF Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 34.81 | ||||
| Home Discharge Rate at DRG | 13.29 | ||||
| Home Discharge Rate with ICD 25040 - Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled | 15.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BAPTIST MEDICAL CENTER | 111 DALLAS ST | SAN ANTONIO | TX | 78205 | 2,229 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,583 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 1,400 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. OLADAYO A SANUSI | 1901 PEASE ST | HARLINGEN | TX | 78550 | 269 |
| Dr. MILAP POKHAREL | 4511 N CAMPBELL AVE | TUCSON | AZ | 85718 | 185 |
| Dr. BRAJESH BHATLA | 4402 E SESAME DR | HARLINGEN | TX | 78550 | 152 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. OLADAYO A SANUSI | 1901 PEASE ST | HARLINGEN | TX | 78550 | 447 |
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 414 |
| Dr. MILAP POKHAREL | 4511 N CAMPBELL AVE | TUCSON | AZ | 85718 | 315 |