*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R635 - Abnormal weight gain - as a primary diagnosis code | R635 - Abnormal weight gain - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.0 | |
| Readmission Rate (%) | 21.54 | |
| 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 310,318 |
| Total Hospitalizations with ICD R635 - Abnormal weight gain | 17 |
| DRG Share of Total Hospitalizations | 0.94 |
| % of Total ICD R635 - Abnormal weight gain in DRG | 54.84 |
| Avg LOS at DRG | 3.19 |
| Avg LOS with ICD R635 - Abnormal weight gain | 2.06 |
| Readmission Rate at DRG | 20.19 |
| Readmission Rate with ICD R635 - Abnormal weight gain | NA |
| Unplanned Readmission Rate at DRG | 13.62 |
| Unplanned Readmission Rate with ICD R635 - Abnormal weight gain | NA |
| Total Medicare payments at DRG | $1,415,392,709 |
| Total Medicare payments with ICD R635 - Abnormal weight gain | $60,905 |
| Total Medicare payment per Day at DRG | $1,431 |
| Total Medicare payment per Day with ICD R635 - Abnormal weight gain | $1,740 |
| Total Medicare payment per Hospitalization at DRG | $4,561 |
| Total Medicare payment per Hospitalization with ICD R635 - Abnormal weight gain | $3,583 |
| Total Medicare Charges at DRG | $7,113,640,596 |
| Total Medicare Charges with ICD R635 - Abnormal weight gain | $227,597 |
| Avg Charges at DRG | $22,924 |
| Avg Charges with ICD R635 - Abnormal weight gain | $13,388 |
| Mortality Rate at DRG | 0.63 |
| Mortality Rate with ICD R635 - Abnormal weight gain | NA |
| SNF Discharge Rate at DRG | 19.76 |
| SNF Discharge Rate with ICD R635 - Abnormal weight gain | NA |
| Home Discharge Rate at DRG | 50.47 |
| Home Discharge Rate with ICD R635 - Abnormal weight gain | 82.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD R635 - Abnormal weight gain | 742 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD R635 - Abnormal weight gain in DRG | 11.62 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD R635 - Abnormal weight gain | 4.28 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD R635 - Abnormal weight gain | 20.83 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD R635 - Abnormal weight gain | 13.22 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD R635 - Abnormal weight gain | $4,657,301 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD R635 - Abnormal weight gain | $1,465 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD R635 - Abnormal weight gain | $6,277 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD R635 - Abnormal weight gain | $18,330,303 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD R635 - Abnormal weight gain | $24,704 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD R635 - Abnormal weight gain | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD R635 - Abnormal weight gain | 13.48 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD R635 - Abnormal weight gain | 51.35 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R635 - Abnormal weight gain | 122 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R635 - Abnormal weight gain in DRG | 1.91 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R635 - Abnormal weight gain | 4.45 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R635 - Abnormal weight gain | 21.24 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R635 - Abnormal weight gain | 16.81 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R635 - Abnormal weight gain | $847,182 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R635 - Abnormal weight gain | $1,560 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R635 - Abnormal weight gain | $6,944 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R635 - Abnormal weight gain | $3,698,533 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R635 - Abnormal weight gain | $30,316 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R635 - Abnormal weight gain | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R635 - Abnormal weight gain | 10.66 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R635 - Abnormal weight gain | 54.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD R635 - Abnormal weight gain | 85 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD R635 - Abnormal weight gain in DRG | 1.33 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD R635 - Abnormal weight gain | 4.66 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD R635 - Abnormal weight gain | 20.51 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD R635 - Abnormal weight gain | 15.38 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD R635 - Abnormal weight gain | $599,095 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD R635 - Abnormal weight gain | $1,513 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD R635 - Abnormal weight gain | $7,048 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD R635 - Abnormal weight gain | $3,103,927 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD R635 - Abnormal weight gain | $36,517 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD R635 - Abnormal weight gain | NA | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD R635 - Abnormal weight gain | 12.94 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD R635 - Abnormal weight gain | 58.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS 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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD R635 - Abnormal weight gain | 70 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD R635 - Abnormal weight gain in DRG | 1.1 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD R635 - Abnormal weight gain | 4.37 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD R635 - Abnormal weight gain | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD R635 - Abnormal weight gain | NA | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD R635 - Abnormal weight gain | $456,249 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD R635 - Abnormal weight gain | $1,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD R635 - Abnormal weight gain | $6,518 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD R635 - Abnormal weight gain | $1,586,509 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD R635 - Abnormal weight gain | $22,664 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R635 - Abnormal weight gain | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD R635 - Abnormal weight gain | NA | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD R635 - Abnormal weight gain | 47.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VASSAR BROTHERS MEDICAL CENTER | 45 READE PL | POUGHKEEPSIE | NY | 12601 | 57 |
| DALLAS BEHAVIORAL HEALTHCARE HOSPITAL | 800 KIRNWOOD DR | DESOTO | TX | 75115 | 57 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 51 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD ABDUR RAHIM HAQQANI | 7000 HIGHWAY 287 | ARLINGTON | TX | 76001 | 26 |
| Dr. SAMUEL OLUWASYE OLALEYE | 25117 HIGHWAY 15 | UNION | MS | 39365 | 24 |
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 17 |