| V5867 - Long-term (current) use of insulin - as a primary diagnosis code | V5867 - Long-term (current) use of insulin - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.42 | |
| Readmission Rate (%) | 26.66 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 7,002 |
| Total Hospitalizations with ICD V5867 - Long-term (current) use of insulin | 31 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD V5867 - Long-term (current) use of insulin in DRG | 86.11 |
| Avg LOS at DRG | 20.15 |
| Avg LOS with ICD V5867 - Long-term (current) use of insulin | 11.65 |
| Readmission Rate at DRG | 27.28 |
| Readmission Rate with ICD V5867 - Long-term (current) use of insulin | NA |
| Unplanned Readmission Rate at DRG | 14.36 |
| Unplanned Readmission Rate with ICD V5867 - Long-term (current) use of insulin | NA |
| Total Medicare payments at DRG | $149,185,875 |
| Total Medicare payments with ICD V5867 - Long-term (current) use of insulin | $516,144 |
| Total Medicare payment per Day at DRG | $1,057 |
| Total Medicare payment per Day with ICD V5867 - Long-term (current) use of insulin | $1,430 |
| Total Medicare payment per Hospitalization at DRG | $21,306 |
| Total Medicare payment per Hospitalization with ICD V5867 - Long-term (current) use of insulin | $16,650 |
| Total Medicare Charges at DRG | $509,208,807 |
| Total Medicare Charges with ICD V5867 - Long-term (current) use of insulin | $1,443,549 |
| Avg Charges at DRG | $72,723 |
| Avg Charges with ICD V5867 - Long-term (current) use of insulin | $46,566 |
| Mortality Rate at DRG | 4.16 |
| Mortality Rate with ICD V5867 - Long-term (current) use of insulin | NA |
| SNF Discharge Rate at DRG | 30.65 |
| SNF Discharge Rate with ICD V5867 - Long-term (current) use of insulin | NA |
| Home Discharge Rate at DRG | 16.02 |
| Home Discharge Rate with ICD V5867 - Long-term (current) use of insulin | 45.16 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD V5867 - Long-term (current) use of insulin | 60,519 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD V5867 - Long-term (current) use of insulin in DRG | 3.9 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD V5867 - Long-term (current) use of insulin | 6.39 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD V5867 - Long-term (current) use of insulin | 27.94 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD V5867 - Long-term (current) use of insulin | 19.62 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD V5867 - Long-term (current) use of insulin | $720,553,618 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD V5867 - Long-term (current) use of insulin | $1,865 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD V5867 - Long-term (current) use of insulin | $11,906 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD V5867 - Long-term (current) use of insulin | $3,021,651,890 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD V5867 - Long-term (current) use of insulin | $49,929 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD V5867 - Long-term (current) use of insulin | 10.24 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD V5867 - Long-term (current) use of insulin | 30.39 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD V5867 - Long-term (current) use of insulin | 26.49 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD V5867 - Long-term (current) use of insulin | 30,213 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD V5867 - Long-term (current) use of insulin in DRG | 1.95 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD V5867 - Long-term (current) use of insulin | 13.04 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD V5867 - Long-term (current) use of insulin | 18.55 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD V5867 - Long-term (current) use of insulin | 14.16 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD V5867 - Long-term (current) use of insulin | $577,881,390 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD V5867 - Long-term (current) use of insulin | $1,466 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD V5867 - Long-term (current) use of insulin | $19,127 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD V5867 - Long-term (current) use of insulin | $1,450,332,111 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD V5867 - Long-term (current) use of insulin | $48,004 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD V5867 - Long-term (current) use of insulin | 0.15 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD V5867 - Long-term (current) use of insulin | 16.05 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD V5867 - Long-term (current) use of insulin | 22.08 |
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD V5867 - Long-term (current) use of insulin | 24,763 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD V5867 - Long-term (current) use of insulin in DRG | 1.6 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD V5867 - Long-term (current) use of insulin | 3.45 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD V5867 - Long-term (current) use of insulin | 17.36 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD V5867 - Long-term (current) use of insulin | 5.37 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD V5867 - Long-term (current) use of insulin | $300,925,037 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD V5867 - Long-term (current) use of insulin | $3,524 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD V5867 - Long-term (current) use of insulin | $12,152 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD V5867 - Long-term (current) use of insulin | $1,401,061,571 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD V5867 - Long-term (current) use of insulin | $56,579 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD V5867 - Long-term (current) use of insulin | 0.09 | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD V5867 - Long-term (current) use of insulin | 40.81 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD V5867 - Long-term (current) use of insulin | 16.31 |
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 274,950 | ||||
| Total Hospitalizations with ICD V5867 - Long-term (current) use of insulin | 20,699 | ||||
| DRG Share of Total Hospitalizations | 1.2 | ||||
| % of Total ICD V5867 - Long-term (current) use of insulin in DRG | 1.33 | ||||
| Avg LOS at DRG | 6.96 | ||||
| Avg LOS with ICD V5867 - Long-term (current) use of insulin | 5.94 | ||||
| Readmission Rate at DRG | 27.13 | ||||
| Readmission Rate with ICD V5867 - Long-term (current) use of insulin | 30.8 | ||||
| Unplanned Readmission Rate at DRG | 20.24 | ||||
| Unplanned Readmission Rate with ICD V5867 - Long-term (current) use of insulin | 24.02 | ||||
| Total Medicare payments at DRG | $2,790,739,849 | ||||
| Total Medicare payments with ICD V5867 - Long-term (current) use of insulin | $189,923,176 | ||||
| Total Medicare payment per Day at DRG | $1,457 | ||||
| Total Medicare payment per Day with ICD V5867 - Long-term (current) use of insulin | $1,545 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,150 | ||||
| Total Medicare payment per Hospitalization with ICD V5867 - Long-term (current) use of insulin | $9,175 | ||||
| Total Medicare Charges at DRG | $11,867,056,741 | ||||
| Total Medicare Charges with ICD V5867 - Long-term (current) use of insulin | $812,285,433 | ||||
| Avg Charges at DRG | $43,161 | ||||
| Avg Charges with ICD V5867 - Long-term (current) use of insulin | $39,243 | ||||
| Mortality Rate at DRG | 7.44 | ||||
| Mortality Rate with ICD V5867 - Long-term (current) use of insulin | 4.5 | ||||
| SNF Discharge Rate at DRG | 20.22 | ||||
| SNF Discharge Rate with ICD V5867 - Long-term (current) use of insulin | 22.21 | ||||
| Home Discharge Rate at DRG | 37.4 | ||||
| Home Discharge Rate with ICD V5867 - Long-term (current) use of insulin | 38.35 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 4,109 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 4,092 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 3,955 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 197 |
| Dr. CLIFFORD A MONDA | 1530 PARKWAY | GREENWOOD | SC | 29646 | 158 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 158 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 702 |
| Dr. PADMAJA KONDAMURI | 8840 CALUMET AVE | MUNSTER | IN | 46321 | 472 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 462 |