*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E65 - Localized adiposity - as a primary diagnosis code | E65 - Localized adiposity - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.17 | |
| Readmission Rate (%) | 23.76 | |
| Unplanned Readmission Rate (%) | 9.34 | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 624: SKIN GRAFTS AND WOUND DEBRIDEMENT 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) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 621: O.R. PROCEDURES FOR OBESITY 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 | 1,349 | ||||
| Total Hospitalizations with ICD E65 - Localized adiposity | 204 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD E65 - Localized adiposity in DRG | 22.42 | ||||
| Avg LOS at DRG | 3.5 | ||||
| Avg LOS with ICD E65 - Localized adiposity | 2.38 | ||||
| Readmission Rate at DRG | 13.29 | ||||
| Readmission Rate with ICD E65 - Localized adiposity | 11.5 | ||||
| Unplanned Readmission Rate at DRG | 8.17 | ||||
| Unplanned Readmission Rate with ICD E65 - Localized adiposity | 6.0 | ||||
| Total Medicare payments at DRG | $9,495,518 | ||||
| Total Medicare payments with ICD E65 - Localized adiposity | $1,350,776 | ||||
| Total Medicare payment per Day at DRG | $2,009 | ||||
| Total Medicare payment per Day with ICD E65 - Localized adiposity | $2,779 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,039 | ||||
| Total Medicare payment per Hospitalization with ICD E65 - Localized adiposity | $6,621 | ||||
| Total Medicare Charges at DRG | $59,205,230 | ||||
| Total Medicare Charges with ICD E65 - Localized adiposity | $9,144,509 | ||||
| Avg Charges at DRG | $43,888 | ||||
| Avg Charges with ICD E65 - Localized adiposity | $44,826 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD E65 - Localized adiposity | NA | ||||
| SNF Discharge Rate at DRG | 9.27 | ||||
| SNF Discharge Rate with ICD E65 - Localized adiposity | 5.88 | ||||
| Home Discharge Rate at DRG | 63.38 | ||||
| Home Discharge Rate with ICD E65 - Localized adiposity | 70.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 620: O.R. PROCEDURES FOR OBESITY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES 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 | 6,168 | |||
| Total Hospitalizations with ICD E65 - Localized adiposity | 57 | |||
| DRG Share of Total Hospitalizations | 0.02 | |||
| % of Total ICD E65 - Localized adiposity in DRG | 6.26 | |||
| Avg LOS at DRG | 15.11 | |||
| Avg LOS with ICD E65 - Localized adiposity | 7.26 | |||
| Readmission Rate at DRG | 37.86 | |||
| Readmission Rate with ICD E65 - Localized adiposity | 36.36 | |||
| Unplanned Readmission Rate at DRG | 22.9 | |||
| Unplanned Readmission Rate with ICD E65 - Localized adiposity | 21.82 | |||
| Total Medicare payments at DRG | $164,953,893 | |||
| Total Medicare payments with ICD E65 - Localized adiposity | $1,169,830 | |||
| Total Medicare payment per Day at DRG | $1,770 | |||
| Total Medicare payment per Day with ICD E65 - Localized adiposity | $2,826 | |||
| Total Medicare payment per Hospitalization at DRG | $26,743 | |||
| Total Medicare payment per Hospitalization with ICD E65 - Localized adiposity | $20,523 | |||
| Total Medicare Charges at DRG | $778,025,983 | |||
| Total Medicare Charges with ICD E65 - Localized adiposity | $5,600,731 | |||
| Avg Charges at DRG | $126,139 | |||
| Avg Charges with ICD E65 - Localized adiposity | $98,258 | |||
| Mortality Rate at DRG | 3.57 | |||
| Mortality Rate with ICD E65 - Localized adiposity | NA | |||
| SNF Discharge Rate at DRG | 38.49 | |||
| SNF Discharge Rate with ICD E65 - Localized adiposity | 21.05 | |||
| Home Discharge Rate at DRG | 14.88 | |||
| Home Discharge Rate with ICD E65 - Localized adiposity | 45.61 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| GRINNELL REGIONAL MEDICAL CENTER | 210 4TH AVE | GRINNELL | IA | 50112 | 29 |
| OHIO STATE UNIVERSITY HOSPITAL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 12 |
| SYCAMORE MEDICAL CENTER | 4000 MIAMISBURG CENTERVILLE RD | MIAMISBURG | OH | 45342 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID L SCHUMACHER | 4000 MIAMISBURG CENTERVILLE RD | MIAMISBURG | OH | 45342 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID L SCHUMACHER | 4000 MIAMISBURG CENTERVILLE RD | MIAMISBURG | OH | 45342 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD E65 - Localized adiposity | 325 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD E65 - Localized adiposity in DRG | 5.38 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD E65 - Localized adiposity | 4.97 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD E65 - Localized adiposity | 21.94 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD E65 - Localized adiposity | 15.48 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD E65 - Localized adiposity | $1,924,742 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD E65 - Localized adiposity | $1,192 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD E65 - Localized adiposity | $5,922 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD E65 - Localized adiposity | $9,962,304 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD E65 - Localized adiposity | $30,653 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD E65 - Localized adiposity | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD E65 - Localized adiposity | 20.92 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD E65 - Localized adiposity | 41.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 630: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURSE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 898 | ||||
| Total Hospitalizations with ICD E65 - Localized adiposity | 150 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD E65 - Localized adiposity in DRG | 2.48 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD E65 - Localized adiposity | 2.37 | ||||
| Readmission Rate at DRG | 17.45 | ||||
| Readmission Rate with ICD E65 - Localized adiposity | 17.93 | ||||
| Unplanned Readmission Rate at DRG | 10.1 | ||||
| Unplanned Readmission Rate with ICD E65 - Localized adiposity | 8.97 | ||||
| Total Medicare payments at DRG | $8,391,579 | ||||
| Total Medicare payments with ICD E65 - Localized adiposity | $1,268,646 | ||||
| Total Medicare payment per Day at DRG | $2,733 | ||||
| Total Medicare payment per Day with ICD E65 - Localized adiposity | $3,574 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,345 | ||||
| Total Medicare payment per Hospitalization with ICD E65 - Localized adiposity | $8,458 | ||||
| Total Medicare Charges at DRG | $47,335,457 | ||||
| Total Medicare Charges with ICD E65 - Localized adiposity | $7,286,419 | ||||
| Avg Charges at DRG | $52,712 | ||||
| Avg Charges with ICD E65 - Localized adiposity | $48,576 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD E65 - Localized adiposity | NA | ||||
| SNF Discharge Rate at DRG | 10.13 | ||||
| SNF Discharge Rate with ICD E65 - Localized adiposity | 8.0 | ||||
| Home Discharge Rate at DRG | 64.48 | ||||
| Home Discharge Rate with ICD E65 - Localized adiposity | 65.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD E65 - Localized adiposity | 111 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD E65 - Localized adiposity in DRG | 1.84 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD E65 - Localized adiposity | 2.67 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD E65 - Localized adiposity | 12.26 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD E65 - Localized adiposity | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD E65 - Localized adiposity | $1,481,543 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD E65 - Localized adiposity | $5,005 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD E65 - Localized adiposity | $13,347 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD E65 - Localized adiposity | $7,343,256 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD E65 - Localized adiposity | $66,155 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD E65 - Localized adiposity | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD E65 - Localized adiposity | 26.13 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD E65 - Localized adiposity | 23.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 620: O.R. PROCEDURES FOR OBESITY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 353: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD E65 - Localized adiposity | 82 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E65 - Localized adiposity in DRG | 1.36 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD E65 - Localized adiposity | 13.88 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD E65 - Localized adiposity | 44.93 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD E65 - Localized adiposity | 23.19 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD E65 - Localized adiposity | $3,071,483 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD E65 - Localized adiposity | $2,699 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD E65 - Localized adiposity | $37,457 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD E65 - Localized adiposity | $14,109,770 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD E65 - Localized adiposity | $172,070 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD E65 - Localized adiposity | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD E65 - Localized adiposity | 34.15 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD E65 - Localized adiposity | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ATRIUM HEALTH'S CAROLINAS MEDICAL CENTER | 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 62 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 38 |
| METHODIST HOSPITAL | 8303 DODGE STREET | OMAHA | NE | 68114 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GARY J. ANTHONE | 8111 DODGE ST | OMAHA | NE | 68114 | 23 |
| Dr. VEDRA ABDOMEROVIC AUGENSTEIN | 1350 S KINGS DR | CHARLOTTE | NC | 28207 | 21 |
| Dr. BRANT T HENIFORD | 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GARY J. ANTHONE | 8111 DODGE ST | OMAHA | NE | 68114 | 24 |
| Dr. BRANT T HENIFORD | 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 18 |
| Dr. VEDRA ABDOMEROVIC AUGENSTEIN | 1350 S KINGS DR | CHARLOTTE | NC | 28207 | 16 |