| 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication - as a primary diagnosis code | 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.04 | |
| Readmission Rate (%) | 41.66 | |
| Unplanned Readmission Rate (%) | 13.16 | |
| 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 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | |
|---|---|
| Total Hospitalizations at DRG | 6,933 |
| Total Hospitalizations with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | 471 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication in DRG | 97.72 |
| Avg LOS at DRG | 4.54 |
| Avg LOS with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | 4.0 |
| Readmission Rate at DRG | 41.82 |
| Readmission Rate with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | 35.22 |
| Unplanned Readmission Rate at DRG | 14.56 |
| Unplanned Readmission Rate with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | 13.48 |
| Total Medicare payments at DRG | $39,598,404 |
| Total Medicare payments with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | $2,832,015 |
| Total Medicare payment per Day at DRG | $1,257 |
| Total Medicare payment per Day with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | $1,504 |
| Total Medicare payment per Hospitalization at DRG | $5,712 |
| Total Medicare payment per Hospitalization with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | $6,013 |
| Total Medicare Charges at DRG | $154,295,684 |
| Total Medicare Charges with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | $9,043,320 |
| Avg Charges at DRG | $22,255 |
| Avg Charges with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | $19,200 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | NA |
| SNF Discharge Rate at DRG | 0.16 |
| SNF Discharge Rate with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | NA |
| Home Discharge Rate at DRG | 83.92 |
| Home Discharge Rate with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | 84.29 |
| DRG 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | DRG 778: THREATENED ABORTION | DRG 770: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | |
|---|---|---|---|
| Total Hospitalizations at DRG | 6,933 | ||
| Total Hospitalizations with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | 1,065 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication in DRG | 86.66 | ||
| Avg LOS at DRG | 4.54 | ||
| Avg LOS with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | 4.14 | ||
| Readmission Rate at DRG | 41.82 | ||
| Readmission Rate with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | 42.5 | ||
| Unplanned Readmission Rate at DRG | 14.56 | ||
| Unplanned Readmission Rate with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | 15.75 | ||
| Total Medicare payments at DRG | $39,598,404 | ||
| Total Medicare payments with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | $6,537,948 | ||
| Total Medicare payment per Day at DRG | $1,257 | ||
| Total Medicare payment per Day with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | $1,483 | ||
| Total Medicare payment per Hospitalization at DRG | $5,712 | ||
| Total Medicare payment per Hospitalization with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | $6,139 | ||
| Total Medicare Charges at DRG | $154,295,684 | ||
| Total Medicare Charges with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | $24,684,316 | ||
| Avg Charges at DRG | $22,255 | ||
| Avg Charges with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | $23,178 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | NA | ||
| SNF Discharge Rate at DRG | 0.16 | ||
| SNF Discharge Rate with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | NA | ||
| Home Discharge Rate at DRG | 83.92 | ||
| Home Discharge Rate with ICD 64803 - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication | 80.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| REGIONAL ONE HEALTH | 877 JEFFERSON AVE | MEMPHIS | TN | 38103 | 15 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 14 |
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 13 |