Loading

Percent of Diabetic Medicare Enrollees Receiving Appropriate Management, by Race and Type of Screening
  • Print
  • PDF
  • Embed

    Copy the following code and paste it into your website in order to display the current report.

  • Download to Excel

Customize Report

    • YEAR:
    • Race:
    • Type of Screening:

    Choose Locations

    [clear all] [select all] Selected Locations:

      Choose Indicator(s)

      Select one or more indicators
      • TOPIC:
      • INDICATOR:
        • Race
        • Type of Screening
      • YEAR:

      [clear all] Selected Indicators:

     

    Region
    (Click a region name
    below to view its profile)
    Percent of Diabetic Medicare Enrollees Receiving Appropriate Management, by Race and Type of Screening
    (Race: Overall; Type of Screening: Blood Lipids Test; Year: 2014; Region Levels: State)
    Wyoming 59.7%
    Wisconsin 83.4%
    West Virginia 79.3%
    Washington 76.9%
    Virginia 82.3%
    Vermont 75.6%
    Utah 74.5%
    Texas 81.1%
    Tennessee 82.3%
    South Dakota 74.0%
    South Carolina 82.1%
    Rhode Island 82.2%
    Pennsylvania 81.9%
    Oregon 76.6%
    Oklahoma 71.5%
    Ohio 78.5%
    North Dakota 79.3%
    North Carolina 82.7%
    New York 83.3%
    New Mexico 65.6%
    New Jersey 84.6%
    New Hampshire 82.2%
    Nevada 76.2%
    Nebraska 73.8%
    Montana 69.0%
    Missouri 79.2%
    Mississippi 76.7%
    Minnesota 79.1%
    Michigan 78.8%
    Massachusetts 85.7%
    Maryland 80.5%
    Maine 80.0%
    Louisiana 78.5%
    Kentucky 81.3%
    Kansas 74.8%
    Iowa 80.0%
    Indiana 77.7%
    Illinois 80.9%
    Idaho 71.8%
    Hawaii 83.6%
    Georgia 79.8%
    Florida 85.4%
    District of Columbia 72.6%
    Delaware 83.4%
    Connecticut 81.9%
    Colorado 73.3%
    California 78.9%
    Arkansas 77.4%
    Arizona 75.8%
    Alaska 65.6%
    Alabama 81.1%
    National Average 80.3%
    90th Percentile 83.4%
    50th Percentile 79.2%
    10th Percentile 71.5%
        • FOOTNOTES:
        • Measures of the quality of diabetic care for Medicare beneficiaries age 65-75 are not adjusted. Because every diabetic patient in this cohort should receive these tests, regardless of age, sex or race, statistical adjustments to correct for underlying population differences are not relevant.

        • DENOMINATOR DEFINITION:
        • Non-HMO Medicare enrollees age 65 - 75 (on December 31) with Parts A & B eligibility, 20% sample with diagnosis of diabetes.

          Diabetes diagnosis: two face-to-face encounters with different dates of service in an ambulatory setting or nonacute inpatient setting or one face-to-face encounter in an acute inpatient or emergency room setting during measurement year or prior year.

          Diabetes definition: ICD-9 codes: 250xx, 357.2x, 362.0x, 366.41, 648.0x: DRGs 294, 295; for Q4, MS-DRG codes 637, 638, 639.

          Outpatient/non-acute inpatient CPT codes: 92002-92014, 99201-99205, 99211-99215, 99217-99220, 99241-99245, 99341-99345, 99347-99350, 99384-99387, 99394-99397, 99401-99404, 99411-99412, 99420, 99429, 99455, 99456, 99499, 99301-99313, 99315, 99316, 99318, 99321-99328, 99331-99337.

          Acute inpatient/emergency department CPT codes: 99221-99223, 99231-99233, 99238, 99239, 99251-99255, 99261-99263, 99291, 99281-99285.

          Outpatient/non-acute inpatient revenue center codes: 051x, 052x, 057x-059x, 077x, 082x-085x, 088x, 0982, 0983, 0118, 0128, 0138, 0148, 0158, 019x, 055x, 066x.

          Acute inpatient/emergency department revenue center codes: 010x, 0110-0114, 0119, 0120-0124, 0129, 0130-0134, 0139, 0140-0144, 0149, 0150-0154, 0159, 016x, 020x-022x, 072x, 080x, 0987, 045x, 0981.

        • NUMERATOR DEFINITION:
        • Hemoglobin A1c testing: CPT codes 83036, 83037; CPT II codes 3046F, 3047F.

          Blood lipids testing: CPT codes 80061, 83700, 83701, 83704, 83715, 83716, 83721; CPT II codes 3048F, 3049F, 3050F.

          Eye examination: a retinal or dilated eye exam by an eye care professional (optometrist or ophthalmologist) in the measurement year*; or a negative retinal exam (no evidence of retinopathy: ICD-9 codes 250.50-250.53, 362.01-362.07) by an eye care professional in the year prior to the measurement year (specialty codes: 18=ophthalmology, 41=optometry).

          *ICD-9 procedure codes 14.1-14.59, 14.9, 95.02-95.04, 95.11, 95.12, 95.16; CPT codes 67028, 67038-67040, 67101, 67105, 67107, 67108, 67110, 67112, 67141, 67145, 67208, 67210, 67218, 67227, 67228, 92002, 92004, 92012, 92014, 92018, 92019, 92225, 92226, 92230, 92235, 92240, 92250, 92260, 99203-99205, 99213-99215, 99242-99245; CPT II codes 2022F, 2024F, 2026F, 3072F; HCPCS codes S0625, S3000.




    [ CONTACT US ] [ SITE MAP ]

    © 2017 The Trustees of Dartmouth College | 35 Centerra Parkway, Lebanon, NH 03766 | (603) 653-0800


    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.