| 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled - as a primary diagnosis code | 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.34 | |
| Readmission Rate (%) | 29.23 | |
| Unplanned Readmission Rate (%) | 15.03 | |
| 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 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 108,430 | ||||
| Total Hospitalizations with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 37,135 | ||||
| DRG Share of Total Hospitalizations | 0.47 | ||||
| % of Total ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 37.94 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 5.04 | ||||
| Readmission Rate at DRG | 23.84 | ||||
| Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 24.13 | ||||
| Unplanned Readmission Rate at DRG | 17.3 | ||||
| Unplanned Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 16.21 | ||||
| Total Medicare payments at DRG | $625,714,200 | ||||
| Total Medicare payments with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $242,155,600 | ||||
| Total Medicare payment per Day at DRG | $1,343 | ||||
| Total Medicare payment per Day with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $1,294 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,771 | ||||
| Total Medicare payment per Hospitalization with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $6,521 | ||||
| Total Medicare Charges at DRG | $2,802,144,531 | ||||
| Total Medicare Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $1,072,889,311 | ||||
| Avg Charges at DRG | $25,843 | ||||
| Avg Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $28,892 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 0.42 | ||||
| SNF Discharge Rate at DRG | 15.22 | ||||
| SNF Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 21.18 | ||||
| Home Discharge Rate at DRG | 53.6 | ||||
| Home Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 41.52 |
| DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,769 | ||||
| Total Hospitalizations with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 4,628 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 4.73 | ||||
| Avg LOS at DRG | 10.77 | ||||
| Avg LOS with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 10.85 | ||||
| Readmission Rate at DRG | 27.05 | ||||
| Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 26.95 | ||||
| Unplanned Readmission Rate at DRG | 14.04 | ||||
| Unplanned Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 13.15 | ||||
| Total Medicare payments at DRG | $119,377,196 | ||||
| Total Medicare payments with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $72,129,607 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $1,437 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,366 | ||||
| Total Medicare payment per Hospitalization with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $15,585 | ||||
| Total Medicare Charges at DRG | $499,650,903 | ||||
| Total Medicare Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $299,763,218 | ||||
| Avg Charges at DRG | $64,313 | ||||
| Avg Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $64,772 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 0.24 | ||||
| SNF Discharge Rate at DRG | 24.19 | ||||
| SNF Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 24.81 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 26.25 |
| DRG 988: NON-EXTENSIVE O.R. PROC 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 624: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 618: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 630: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURSE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,167 | ||||
| Total Hospitalizations with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 572 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 0.58 | ||||
| Avg LOS at DRG | 6.55 | ||||
| Avg LOS with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 8.16 | ||||
| Readmission Rate at DRG | 23.81 | ||||
| Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 23.31 | ||||
| Unplanned Readmission Rate at DRG | 13.97 | ||||
| Unplanned Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 12.81 | ||||
| Total Medicare payments at DRG | $187,084,831 | ||||
| Total Medicare payments with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $7,546,814 | ||||
| Total Medicare payment per Day at DRG | $1,768 | ||||
| Total Medicare payment per Day with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $1,617 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,572 | ||||
| Total Medicare payment per Hospitalization with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $13,194 | ||||
| Total Medicare Charges at DRG | $860,709,473 | ||||
| Total Medicare Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $31,356,442 | ||||
| Avg Charges at DRG | $53,239 | ||||
| Avg Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $54,819 | ||||
| Mortality Rate at DRG | 0.52 | ||||
| Mortality Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 20.32 | ||||
| SNF Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 21.33 | ||||
| Home Discharge Rate at DRG | 47.69 | ||||
| Home Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 32.87 |
| DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,434 | ||||
| Total Hospitalizations with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 132 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 0.13 | ||||
| Avg LOS at DRG | 13.22 | ||||
| Avg LOS with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 16.97 | ||||
| Readmission Rate at DRG | 33.5 | ||||
| Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 35.25 | ||||
| Unplanned Readmission Rate at DRG | 18.81 | ||||
| Unplanned Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 20.49 | ||||
| Total Medicare payments at DRG | $382,542,088 | ||||
| Total Medicare payments with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $3,726,960 | ||||
| Total Medicare payment per Day at DRG | $1,874 | ||||
| Total Medicare payment per Day with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,786 | ||||
| Total Medicare payment per Hospitalization with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $28,235 | ||||
| Total Medicare Charges at DRG | $1,564,323,426 | ||||
| Total Medicare Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $13,803,122 | ||||
| Avg Charges at DRG | $101,356 | ||||
| Avg Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $104,569 | ||||
| Mortality Rate at DRG | 6.36 | ||||
| Mortality Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | NA | ||||
| SNF Discharge Rate at DRG | 29.41 | ||||
| SNF Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 28.03 | ||||
| Home Discharge Rate at DRG | 26.0 | ||||
| Home Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 17.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 311 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 308 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 273 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. PETER BRIAN WOOD | 3600 GASTON AVE | DALLAS | TX | 75246 | 51 |
| Dr. CHRISTOPHER PAUL WERNER | 215 OLD HIGHWAY 1187 | BURLESON | TX | 76028 | 49 |
| Dr. WILLIAM J NAMEN | 1351 13TH AVENUE SOUTH | JACKSONVILLE BEACH | FL | 32250 | 49 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SAID ELIAS | 2986 KATE BOND RD | BARTLETT | TN | 38133 | 46 |
| Dr. DENNIS OCHEI | 2727 BOLTON BOONE DR | DESOTO | TX | 75115 | 43 |
| Dr. JOHN PAYNE | 1314 19TH AVE | MERIDIAN | MS | 39301 | 43 |
| 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 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 108,430 | ||||
| Total Hospitalizations with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 37,327 | ||||
| DRG Share of Total Hospitalizations | 0.47 | ||||
| % of Total ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 10.41 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 5.03 | ||||
| Readmission Rate at DRG | 23.84 | ||||
| Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 24.14 | ||||
| Unplanned Readmission Rate at DRG | 17.3 | ||||
| Unplanned Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 16.23 | ||||
| Total Medicare payments at DRG | $625,714,200 | ||||
| Total Medicare payments with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $243,202,843 | ||||
| Total Medicare payment per Day at DRG | $1,343 | ||||
| Total Medicare payment per Day with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $1,294 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,771 | ||||
| Total Medicare payment per Hospitalization with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $6,515 | ||||
| Total Medicare Charges at DRG | $2,802,144,531 | ||||
| Total Medicare Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $1,077,661,444 | ||||
| Avg Charges at DRG | $25,843 | ||||
| Avg Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $28,871 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 0.42 | ||||
| SNF Discharge Rate at DRG | 15.22 | ||||
| SNF Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 21.16 | ||||
| Home Discharge Rate at DRG | 53.6 | ||||
| Home Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 41.57 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 8,596 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 2.4 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 7.24 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 32.99 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 24.45 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $87,225,360 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $1,402 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $10,147 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $429,856,477 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $50,007 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 5.97 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 27.07 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 27.9 |
| DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,018 | ||||
| Total Hospitalizations with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 6,369 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 1.78 | ||||
| Avg LOS at DRG | 8.13 | ||||
| Avg LOS with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 8.11 | ||||
| Readmission Rate at DRG | 28.15 | ||||
| Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 27.79 | ||||
| Unplanned Readmission Rate at DRG | 13.3 | ||||
| Unplanned Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 12.25 | ||||
| Total Medicare payments at DRG | $158,828,308 | ||||
| Total Medicare payments with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $91,821,118 | ||||
| Total Medicare payment per Day at DRG | $1,773 | ||||
| Total Medicare payment per Day with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $1,777 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,415 | ||||
| Total Medicare payment per Hospitalization with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $14,417 | ||||
| Total Medicare Charges at DRG | $714,328,308 | ||||
| Total Medicare Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $404,653,092 | ||||
| Avg Charges at DRG | $64,833 | ||||
| Avg Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $63,535 | ||||
| Mortality Rate at DRG | 0.34 | ||||
| Mortality Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 0.35 | ||||
| SNF Discharge Rate at DRG | 26.77 | ||||
| SNF Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 28.2 | ||||
| Home Discharge Rate at DRG | 26.87 | ||||
| Home Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 23.61 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH 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 | 296,720 | ||||
| Total Hospitalizations with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 4,262 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled in DRG | 1.19 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 6.65 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 28.13 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 20.88 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $40,215,336 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $1,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $9,436 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $194,070,947 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | $45,535 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 5.0 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 29.33 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD 25080 - Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled | 31.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 1,161 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 1,004 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 988 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM J NAMEN | 1351 13TH AVENUE SOUTH | JACKSONVILLE BEACH | FL | 32250 | 120 |
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 91 |
| Dr. PETER BRIAN WOOD | 3600 GASTON AVE | DALLAS | TX | 75246 | 84 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN MICHAEL WINDLAND | 2400 PATTERSON ST | NASHVILLE | TN | 37203 | 129 |
| Dr. OLADAYO A SANUSI | 1901 PEASE ST | HARLINGEN | TX | 78550 | 119 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 110 |