25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled - as a primary diagnosis code | 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.22 | |
Readmission Rate (%) | 36.14 | |
Unplanned Readmission Rate (%) | 20.78 | |
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 008: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | DRG 652: KIDNEY TRANSPLANT | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 887 | ||||
Total Hospitalizations with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 582 | ||||
DRG Share of Total Hospitalizations | 0.0 | ||||
% of Total ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled in DRG | 36.98 | ||||
Avg LOS at DRG | 11.13 | ||||
Avg LOS with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 11.08 | ||||
Readmission Rate at DRG | 49.66 | ||||
Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 49.83 | ||||
Unplanned Readmission Rate at DRG | 20.93 | ||||
Unplanned Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 21.31 | ||||
Total Medicare payments at DRG | $39,378,576 | ||||
Total Medicare payments with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $25,400,828 | ||||
Total Medicare payment per Day at DRG | $3,989 | ||||
Total Medicare payment per Day with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $3,940 | ||||
Total Medicare payment per Hospitalization at DRG | $44,395 | ||||
Total Medicare payment per Hospitalization with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $43,644 | ||||
Total Medicare Charges at DRG | $332,308,699 | ||||
Total Medicare Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $217,213,291 | ||||
Avg Charges at DRG | $374,643 | ||||
Avg Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $373,219 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | NA | ||||
SNF Discharge Rate at DRG | 1.35 | ||||
SNF Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | NA | ||||
Home Discharge Rate at DRG | 70.8 | ||||
Home Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 68.04 |
DRG 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 010: PANCREAS TRANSPLANT | |
---|---|---|
Total Hospitalizations at DRG | 12,232 | |
Total Hospitalizations with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 35 | |
DRG Share of Total Hospitalizations | 0.05 | |
% of Total ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled in DRG | 2.22 | |
Avg LOS at DRG | 3.24 | |
Avg LOS with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 2.83 | |
Readmission Rate at DRG | 20.08 | |
Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 31.43 | |
Unplanned Readmission Rate at DRG | 12.88 | |
Unplanned Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | NA | |
Total Medicare payments at DRG | $55,609,746 | |
Total Medicare payments with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $166,330 | |
Total Medicare payment per Day at DRG | $1,404 | |
Total Medicare payment per Day with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $1,680 | |
Total Medicare payment per Hospitalization at DRG | $4,546 | |
Total Medicare payment per Hospitalization with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $4,752 | |
Total Medicare Charges at DRG | $257,708,834 | |
Total Medicare Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $683,908 | |
Avg Charges at DRG | $21,068 | |
Avg Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $19,540 | |
Mortality Rate at DRG | 0.25 | |
Mortality Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | NA | |
SNF Discharge Rate at DRG | 17.4 | |
SNF Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | NA | |
Home Discharge Rate at DRG | 56.32 | |
Home Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 77.14 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 42 |
UNIVERSITY OF MINNESOTA MEDICAL CENTER | 2450 RIVERSIDE AVE | MINNEAPOLIS | MN | 55454 | 31 |
BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 31 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. JASON R WELLEN | 1 BARNES JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 16 |
Dr. JON S ODORICO | 600 HIGHLAND AVE | MADISON | WI | 53792 | 14 |
Dr. GEORGE W. BURKE | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 13 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. JASON R WELLEN | 1 BARNES JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 19 |
Dr. JON S ODORICO | 600 HIGHLAND AVE | MADISON | WI | 53792 | 17 |
Dr. RAJA KANDASWAMY | 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A | MINNEAPOLIS | MN | 55455 | 14 |
DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 008: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 901,552 | ||||
Total Hospitalizations with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 908 | ||||
DRG Share of Total Hospitalizations | 3.95 | ||||
% of Total ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled in DRG | 3.84 | ||||
Avg LOS at DRG | 6.79 | ||||
Avg LOS with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 6.94 | ||||
Readmission Rate at DRG | 25.38 | ||||
Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 32.61 | ||||
Unplanned Readmission Rate at DRG | 17.1 | ||||
Unplanned Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 22.21 | ||||
Total Medicare payments at DRG | $11,142,976,193 | ||||
Total Medicare payments with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $11,469,222 | ||||
Total Medicare payment per Day at DRG | $1,821 | ||||
Total Medicare payment per Day with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $1,820 | ||||
Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
Total Medicare payment per Hospitalization with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $12,631 | ||||
Total Medicare Charges at DRG | $48,288,426,708 | ||||
Total Medicare Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $52,391,222 | ||||
Avg Charges at DRG | $53,561 | ||||
Avg Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $57,700 | ||||
Mortality Rate at DRG | 15.16 | ||||
Mortality Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 8.48 | ||||
SNF Discharge Rate at DRG | 28.41 | ||||
SNF Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 16.41 | ||||
Home Discharge Rate at DRG | 23.21 | ||||
Home Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 45.48 |
DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 652: KIDNEY TRANSPLANT | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 417,322 | ||||
Total Hospitalizations with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 602 | ||||
DRG Share of Total Hospitalizations | 1.83 | ||||
% of Total ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled in DRG | 2.55 | ||||
Avg LOS at DRG | 5.93 | ||||
Avg LOS with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 5.23 | ||||
Readmission Rate at DRG | 28.69 | ||||
Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 35.08 | ||||
Unplanned Readmission Rate at DRG | 21.75 | ||||
Unplanned Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 28.1 | ||||
Total Medicare payments at DRG | $4,026,370,259 | ||||
Total Medicare payments with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $5,891,510 | ||||
Total Medicare payment per Day at DRG | $1,626 | ||||
Total Medicare payment per Day with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $1,872 | ||||
Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
Total Medicare payment per Hospitalization with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $9,787 | ||||
Total Medicare Charges at DRG | $17,296,169,702 | ||||
Total Medicare Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $23,773,919 | ||||
Avg Charges at DRG | $41,446 | ||||
Avg Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $39,492 | ||||
Mortality Rate at DRG | 5.62 | ||||
Mortality Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 1.83 | ||||
SNF Discharge Rate at DRG | 23.05 | ||||
SNF Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 14.45 | ||||
Home Discharge Rate at DRG | 34.75 | ||||
Home Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 56.81 |
DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 102,753 | ||||
Total Hospitalizations with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 525 | ||||
DRG Share of Total Hospitalizations | 0.45 | ||||
% of Total ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled in DRG | 2.22 | ||||
Avg LOS at DRG | 7.33 | ||||
Avg LOS with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 6.3 | ||||
Readmission Rate at DRG | 32.63 | ||||
Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 36.34 | ||||
Unplanned Readmission Rate at DRG | 22.44 | ||||
Unplanned Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 26.05 | ||||
Total Medicare payments at DRG | $1,376,213,228 | ||||
Total Medicare payments with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $6,726,165 | ||||
Total Medicare payment per Day at DRG | $1,828 | ||||
Total Medicare payment per Day with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $2,032 | ||||
Total Medicare payment per Hospitalization at DRG | $13,393 | ||||
Total Medicare payment per Hospitalization with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $12,812 | ||||
Total Medicare Charges at DRG | $5,899,767,418 | ||||
Total Medicare Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $26,653,603 | ||||
Avg Charges at DRG | $57,417 | ||||
Avg Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $50,769 | ||||
Mortality Rate at DRG | 5.59 | ||||
Mortality Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | NA | ||||
SNF Discharge Rate at DRG | 19.0 | ||||
SNF Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 12.57 | ||||
Home Discharge Rate at DRG | 40.54 | ||||
Home Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 61.33 |
DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 67,246 | ||||
Total Hospitalizations with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 412 | ||||
DRG Share of Total Hospitalizations | 0.29 | ||||
% of Total ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled in DRG | 1.74 | ||||
Avg LOS at DRG | 8.0 | ||||
Avg LOS with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 6.88 | ||||
Readmission Rate at DRG | 34.38 | ||||
Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 36.41 | ||||
Unplanned Readmission Rate at DRG | 21.05 | ||||
Unplanned Readmission Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 27.43 | ||||
Total Medicare payments at DRG | $1,515,722,350 | ||||
Total Medicare payments with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $9,067,468 | ||||
Total Medicare payment per Day at DRG | $2,817 | ||||
Total Medicare payment per Day with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $3,198 | ||||
Total Medicare payment per Hospitalization at DRG | $22,540 | ||||
Total Medicare payment per Hospitalization with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $22,008 | ||||
Total Medicare Charges at DRG | $6,694,583,401 | ||||
Total Medicare Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $35,849,911 | ||||
Avg Charges at DRG | $99,554 | ||||
Avg Charges with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | $87,014 | ||||
Mortality Rate at DRG | 4.39 | ||||
Mortality Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | NA | ||||
SNF Discharge Rate at DRG | 22.31 | ||||
SNF Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 13.11 | ||||
Home Discharge Rate at DRG | 42.95 | ||||
Home Discharge Rate with ICD 25041 - Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled | 64.56 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 255 |
UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 229 |
FROEDTERT MEMORIAL LUTHERAN HOSPITAL | 9200 W WISCONSIN AVE | MILWAUKEE | WI | 53226 | 181 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. JON S ODORICO | 600 HIGHLAND AVE | MADISON | WI | 53792 | 30 |
Dr. JASON R WELLEN | 1 BARNES JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 19 |
Dr. HANS W SOLLINGER | 600 HIGHLAND AVE | MADISON | WI | 53792 | 19 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. JONATHAN AARON FRIDELL | 550 UNIVERSITY BLVD | INDIANAPOLIS | IN | 46202 | 43 |
Dr. JON S ODORICO | 600 HIGHLAND AVE | MADISON | WI | 53792 | 39 |
Dr. RAJA KANDASWAMY | 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A | MINNEAPOLIS | MN | 55455 | 23 |