*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E6609 - Other obesity due to excess calories - as a primary diagnosis code | E6609 - Other obesity due to excess calories - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.56 | |
| Readmission Rate (%) | 20.2 | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 41,021 |
| Total Hospitalizations with ICD E6609 - Other obesity due to excess calories | 29 |
| DRG Share of Total Hospitalizations | 0.12 |
| % of Total ICD E6609 - Other obesity due to excess calories in DRG | 64.44 |
| Avg LOS at DRG | 1.69 |
| Avg LOS with ICD E6609 - Other obesity due to excess calories | 1.79 |
| Readmission Rate at DRG | 4.89 |
| Readmission Rate with ICD E6609 - Other obesity due to excess calories | NA |
| Unplanned Readmission Rate at DRG | 3.68 |
| Unplanned Readmission Rate with ICD E6609 - Other obesity due to excess calories | NA |
| Total Medicare payments at DRG | $364,865,178 |
| Total Medicare payments with ICD E6609 - Other obesity due to excess calories | $298,081 |
| Total Medicare payment per Day at DRG | $5,250 |
| Total Medicare payment per Day with ICD E6609 - Other obesity due to excess calories | $5,732 |
| Total Medicare payment per Hospitalization at DRG | $8,895 |
| Total Medicare payment per Hospitalization with ICD E6609 - Other obesity due to excess calories | $10,279 |
| Total Medicare Charges at DRG | $2,201,275,052 |
| Total Medicare Charges with ICD E6609 - Other obesity due to excess calories | $1,708,070 |
| Avg Charges at DRG | $53,662 |
| Avg Charges with ICD E6609 - Other obesity due to excess calories | $58,899 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD E6609 - Other obesity due to excess calories | NA |
| SNF Discharge Rate at DRG | 0.34 |
| SNF Discharge Rate with ICD E6609 - Other obesity due to excess calories | NA |
| Home Discharge Rate at DRG | 96.12 |
| Home Discharge Rate with ICD E6609 - Other obesity due to excess calories | 96.55 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD E6609 - Other obesity due to excess calories | 4,082 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD E6609 - Other obesity due to excess calories in DRG | 8.41 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD E6609 - Other obesity due to excess calories | 2.26 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD E6609 - Other obesity due to excess calories | 9.82 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD E6609 - Other obesity due to excess calories | 2.69 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD E6609 - Other obesity due to excess calories | $46,442,989 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD E6609 - Other obesity due to excess calories | $5,040 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD E6609 - Other obesity due to excess calories | $11,378 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD E6609 - Other obesity due to excess calories | $243,040,982 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD E6609 - Other obesity due to excess calories | $59,540 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD E6609 - Other obesity due to excess calories | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD E6609 - Other obesity due to excess calories | 18.47 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD E6609 - Other obesity due to excess calories | 29.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD E6609 - Other obesity due to excess calories | 765 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD E6609 - Other obesity due to excess calories in DRG | 1.58 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD E6609 - Other obesity due to excess calories | 4.7 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD E6609 - Other obesity due to excess calories | 24.34 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD E6609 - Other obesity due to excess calories | 19.92 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD E6609 - Other obesity due to excess calories | $5,576,653 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD E6609 - Other obesity due to excess calories | $1,551 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD E6609 - Other obesity due to excess calories | $7,290 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD E6609 - Other obesity due to excess calories | $29,895,517 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD E6609 - Other obesity due to excess calories | $39,079 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD E6609 - Other obesity due to excess calories | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD E6609 - Other obesity due to excess calories | 12.81 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD E6609 - Other obesity due to excess calories | 53.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD E6609 - Other obesity due to excess calories | 653 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD E6609 - Other obesity due to excess calories in DRG | 1.34 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD E6609 - Other obesity due to excess calories | 3.34 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD E6609 - Other obesity due to excess calories | 17.37 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD E6609 - Other obesity due to excess calories | 13.64 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD E6609 - Other obesity due to excess calories | $2,839,604 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD E6609 - Other obesity due to excess calories | $1,303 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD E6609 - Other obesity due to excess calories | $4,349 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD E6609 - Other obesity due to excess calories | $17,532,730 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD E6609 - Other obesity due to excess calories | $26,850 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD E6609 - Other obesity due to excess calories | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD E6609 - Other obesity due to excess calories | 5.05 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD E6609 - Other obesity due to excess calories | 79.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD E6609 - Other obesity due to excess calories | 504 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD E6609 - Other obesity due to excess calories in DRG | 1.04 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD E6609 - Other obesity due to excess calories | 3.67 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD E6609 - Other obesity due to excess calories | 16.63 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD E6609 - Other obesity due to excess calories | 4.26 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD E6609 - Other obesity due to excess calories | $12,673,745 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD E6609 - Other obesity due to excess calories | $6,847 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD E6609 - Other obesity due to excess calories | $25,146 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD E6609 - Other obesity due to excess calories | $61,045,398 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD E6609 - Other obesity due to excess calories | $121,122 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD E6609 - Other obesity due to excess calories | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD E6609 - Other obesity due to excess calories | 17.86 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD E6609 - Other obesity due to excess calories | 43.06 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYHEALTH HOSPITAL, SUSSEX CAMPUS | 100 Wellness Way | MILFORD | DE | 19963 | 700 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 564 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO | 5601 WARREN PKWY | FRISCO | TX | 75034 | 550 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM K MONTGOMERY | 3108 MIDWAY RD | PLANO | TX | 75093 | 199 |
| Dr. ZELALEM MAKONNEN | 2200 KERNAN DR | BALTIMORE | MD | 21207 | 146 |
| Dr. JUSTIN JOHN KLIMISCH | 601 TEXAN TRL | CORPUS CHRISTI | TX | 78411 | 117 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HARVEY Y LEE | 27 VALLEY FORGE DR | MILFORD | DE | 19963 | 381 |
| Dr. WILLIAM K MONTGOMERY | 3108 MIDWAY RD | PLANO | TX | 75093 | 197 |
| Dr. SENTHURAN THIRU SIVA | 3525 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 168 |