| 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled - as a primary diagnosis code | 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.89 | |
| Readmission Rate (%) | 33.83 | |
| Unplanned Readmission Rate (%) | 24.53 | |
| 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 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 124: OTHER DISORDERS OF THE EYE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 010: PANCREAS TRANSPLANT | |
|---|---|---|---|
| Total Hospitalizations at DRG | 7,596 | ||
| Total Hospitalizations with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 19 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled in DRG | 35.19 | ||
| Avg LOS at DRG | 3.2 | ||
| Avg LOS with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 4.47 | ||
| Readmission Rate at DRG | 14.35 | ||
| Readmission Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | NA | ||
| Unplanned Readmission Rate at DRG | 9.36 | ||
| Unplanned Readmission Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | NA | ||
| Total Medicare payments at DRG | $33,419,821 | ||
| Total Medicare payments with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $105,303 | ||
| Total Medicare payment per Day at DRG | $1,377 | ||
| Total Medicare payment per Day with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $1,239 | ||
| Total Medicare payment per Hospitalization at DRG | $4,400 | ||
| Total Medicare payment per Hospitalization with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $5,542 | ||
| Total Medicare Charges at DRG | $169,842,769 | ||
| Total Medicare Charges with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $594,066 | ||
| Avg Charges at DRG | $22,360 | ||
| Avg Charges with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $31,267 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | NA | ||
| SNF Discharge Rate at DRG | 15.8 | ||
| SNF Discharge Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | NA | ||
| Home Discharge Rate at DRG | 61.98 | ||
| Home Discharge Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 84.21 |
| 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 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 695 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled in DRG | 3.4 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 6.48 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 30.17 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 21.33 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $8,356,954 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $1,856 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $12,024 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $35,885,384 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $51,634 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 6.47 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 14.1 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 44.17 |
| DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 008: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,391 | ||||
| Total Hospitalizations with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 469 | ||||
| DRG Share of Total Hospitalizations | 0.29 | ||||
| % of Total ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled in DRG | 2.29 | ||||
| Avg LOS at DRG | 4.44 | ||||
| Avg LOS with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 4.1 | ||||
| Readmission Rate at DRG | 25.11 | ||||
| Readmission Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 34.07 | ||||
| Unplanned Readmission Rate at DRG | 17.33 | ||||
| Unplanned Readmission Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 21.54 | ||||
| Total Medicare payments at DRG | $440,473,524 | ||||
| Total Medicare payments with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $3,433,948 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $1,784 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,736 | ||||
| Total Medicare payment per Hospitalization with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $7,322 | ||||
| Total Medicare Charges at DRG | $2,010,786,421 | ||||
| Total Medicare Charges with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $15,043,384 | ||||
| Avg Charges at DRG | $30,750 | ||||
| Avg Charges with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $32,075 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 19.61 | ||||
| SNF Discharge Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 6.18 | ||||
| Home Discharge Rate at DRG | 51.17 | ||||
| Home Discharge Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 75.69 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM 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) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 373 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled in DRG | 1.82 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 4.84 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 36.31 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 28.82 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $3,651,522 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $2,022 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $9,790 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $13,871,247 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $37,188 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 15.55 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 54.69 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 252: OTHER VASCULAR PROCEDURES WITH 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 329 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled in DRG | 1.61 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 3.31 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 29.02 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 21.45 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $1,607,734 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $1,476 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $4,887 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $7,870,287 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | $23,922 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 4.56 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 25051 - Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled | 82.37 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 280 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 232 |
| UNIVERSITY OF MINNESOTA MEDICAL CENTER | 2450 RIVERSIDE AVE | MINNEAPOLIS | MN | 55454 | 170 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JON S ODORICO | 600 HIGHLAND AVE | MADISON | WI | 53792 | 26 |
| Dr. JOSEPH CARLTON MIHINDUKULASURIYA | 20 MURRAY STREET | GLENS FALLS | NY | 12801 | 17 |
| Dr. GEORGE W. BURKE | 1611 NW 12TH AVE | MIAMI | FL | 33136 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JONATHAN AARON FRIDELL | 550 UNIVERSITY BLVD | INDIANAPOLIS | IN | 46202 | 59 |
| Dr. JON S ODORICO | 600 HIGHLAND AVE | MADISON | WI | 53792 | 33 |
| Dr. ERIK B. FINGER | 516 DELAWARE ST SE | MINNEAPOLIS | MN | 55455 | 31 |