*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E663 - Overweight - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.84 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD E663 - Overweight | 17,853 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD E663 - Overweight in DRG | 12.73 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD E663 - Overweight | 2.34 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD E663 - Overweight | 6.69 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD E663 - Overweight | 2.42 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD E663 - Overweight | $217,163,010 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD E663 - Overweight | $5,202 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD E663 - Overweight | $12,164 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD E663 - Overweight | $1,131,466,648 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD E663 - Overweight | $63,377 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD E663 - Overweight | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD E663 - Overweight | 18.31 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD E663 - Overweight | 27.02 |
*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 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD E663 - Overweight | 1,799 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD E663 - Overweight in DRG | 1.28 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD E663 - Overweight | 3.21 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD E663 - Overweight | 15.34 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD E663 - Overweight | 11.9 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD E663 - Overweight | $7,895,174 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD E663 - Overweight | $1,366 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD E663 - Overweight | $4,389 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD E663 - Overweight | $43,473,586 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD E663 - Overweight | $24,165 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD E663 - Overweight | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD E663 - Overweight | 5.17 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD E663 - Overweight | 76.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD E663 - Overweight | 1,506 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD E663 - Overweight in DRG | 1.07 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD E663 - Overweight | 4.35 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD E663 - Overweight | 14.9 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD E663 - Overweight | 11.26 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD E663 - Overweight | $9,403,029 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD E663 - Overweight | $1,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD E663 - Overweight | $6,244 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD E663 - Overweight | $48,391,979 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD E663 - Overweight | $32,133 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD E663 - Overweight | 0.73 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD E663 - Overweight | 16.47 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD E663 - Overweight | 55.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD E663 - Overweight | 1,300 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD E663 - Overweight in DRG | 0.93 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD E663 - Overweight | 3.61 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD E663 - Overweight | 16.82 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD E663 - Overweight | 12.47 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD E663 - Overweight | $6,156,198 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD E663 - Overweight | $1,313 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD E663 - Overweight | $4,736 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD E663 - Overweight | $29,124,970 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD E663 - Overweight | $22,404 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD E663 - Overweight | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD E663 - Overweight | 24.0 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD E663 - Overweight | 47.31 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 6,435 |
| DOCTORS' COMMUNITY HOSPITAL | 8118 GOOD LUCK RD | LANHAM | MD | 20706 | 3,135 |
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 2,427 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS PETER SCULCO | 535 E 70TH ST | NEW YORK | NY | 10021 | 332 |
| Dr. MICHAEL BRIAN CROSS | 523 E 72ND ST. | NEW YORK | NY | 10021 | 309 |
| Dr. MARK PHILLIPS FIGGIE | 535 E 70TH ST | NEW YORK | NY | 10021 | 294 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 797 |
| Dr. RAJU SINGLA | 289 PLEASANT ST | FALL RIVER | MA | 02721 | 410 |
| Dr. THOMAS PETER SCULCO | 535 E 70TH ST | NEW YORK | NY | 10021 | 334 |