*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R636 - Underweight - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.73 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R636 - Underweight | 4,419 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R636 - Underweight in DRG | 5.97 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R636 - Underweight | 5.87 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R636 - Underweight | 22.79 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R636 - Underweight | 17.27 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R636 - Underweight | $49,578,152 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R636 - Underweight | $1,912 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R636 - Underweight | $11,219 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R636 - Underweight | $207,894,753 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R636 - Underweight | $47,046 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R636 - Underweight | 10.48 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R636 - Underweight | 27.77 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R636 - Underweight | 25.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD R636 - Underweight | 1,862 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD R636 - Underweight in DRG | 2.52 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD R636 - Underweight | 4.87 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R636 - Underweight | 25.28 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD R636 - Underweight | 20.09 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD R636 - Underweight | $14,075,501 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD R636 - Underweight | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD R636 - Underweight | $7,559 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD R636 - Underweight | $66,773,679 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD R636 - Underweight | $35,861 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD R636 - Underweight | 4.62 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD R636 - Underweight | 18.53 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD R636 - Underweight | 41.46 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION 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 | 474,314 | ||||
| Total Hospitalizations with ICD R636 - Underweight | 1,188 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD R636 - Underweight in DRG | 1.61 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD R636 - Underweight | 3.99 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD R636 - Underweight | 17.22 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD R636 - Underweight | 13.09 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD R636 - Underweight | $5,578,343 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R636 - Underweight | $1,178 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD R636 - Underweight | $4,696 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD R636 - Underweight | $28,317,879 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD R636 - Underweight | $23,837 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R636 - Underweight | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD R636 - Underweight | 32.49 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD R636 - Underweight | 31.31 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R636 - Underweight | 1,079 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R636 - Underweight in DRG | 1.46 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R636 - Underweight | 3.68 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R636 - Underweight | 19.45 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R636 - Underweight | 16.32 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R636 - Underweight | $4,614,154 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R636 - Underweight | $1,161 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R636 - Underweight | $4,276 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R636 - Underweight | $28,410,656 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R636 - Underweight | $26,331 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R636 - Underweight | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R636 - Underweight | 15.76 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R636 - Underweight | 58.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 994 |
| MARTIN MEDICAL CENTER | 200 SE HOSPITAL AVE | STUART | FL | 34994 | 788 |
| PALMETTO HEALTH TUOMEY HOSPITAL | 129 N. WASHINGTON STREET | SUMTER | SC | 29150 | 621 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MSONTHI B LEVINE | 3560 DELAWARE ST | BEAUMONT | TX | 77706 | 105 |
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 39 |
| Dr. RONALD RAY MAGEE | 5224 E I 240 SERVICE RD | OKLAHOMA CITY | OK | 73135 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MSONTHI B LEVINE | 3560 DELAWARE ST | BEAUMONT | TX | 77706 | 109 |
| Dr. JOSEPH CECIL WILLIAMS | 129 N WASHINGTON ST | SUMTER | SC | 29150 | 96 |
| Dr. VENKATAPURAM RAMESH REDDY | 42320 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 95 |