*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z681 - Body mass index (BMI) 19 or less, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.99 | |
| 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z681 - Body mass index (BMI) 19 or less, adult | 107,795 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z681 - Body mass index (BMI) 19 or less, adult in DRG | 11.22 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z681 - Body mass index (BMI) 19 or less, adult | 7.38 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 25.58 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 18.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z681 - Body mass index (BMI) 19 or less, adult | $1,319,965,063 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z681 - Body mass index (BMI) 19 or less, adult | $1,659 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z681 - Body mass index (BMI) 19 or less, adult | $12,245 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z681 - Body mass index (BMI) 19 or less, adult | $7,053,341,439 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z681 - Body mass index (BMI) 19 or less, adult | $65,433 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 15.62 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 29.29 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 14.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z681 - Body mass index (BMI) 19 or less, adult | 24,110 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z681 - Body mass index (BMI) 19 or less, adult in DRG | 2.51 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z681 - Body mass index (BMI) 19 or less, adult | 5.96 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 23.08 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 17.69 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z681 - Body mass index (BMI) 19 or less, adult | $214,559,927 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z681 - Body mass index (BMI) 19 or less, adult | $1,492 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z681 - Body mass index (BMI) 19 or less, adult | $8,899 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z681 - Body mass index (BMI) 19 or less, adult | $1,063,856,363 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z681 - Body mass index (BMI) 19 or less, adult | $44,125 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 5.99 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 29.14 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 26.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD Z681 - Body mass index (BMI) 19 or less, adult | 15,153 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD Z681 - Body mass index (BMI) 19 or less, adult in DRG | 1.58 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD Z681 - Body mass index (BMI) 19 or less, adult | 4.52 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 22.28 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 15.57 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD Z681 - Body mass index (BMI) 19 or less, adult | $75,992,187 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD Z681 - Body mass index (BMI) 19 or less, adult | $1,110 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD Z681 - Body mass index (BMI) 19 or less, adult | $5,015 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD Z681 - Body mass index (BMI) 19 or less, adult | $453,267,163 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD Z681 - Body mass index (BMI) 19 or less, adult | $29,913 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 1.45 | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 30.45 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 30.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD Z681 - Body mass index (BMI) 19 or less, adult | 11,119 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD Z681 - Body mass index (BMI) 19 or less, adult in DRG | 1.16 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD Z681 - Body mass index (BMI) 19 or less, adult | 5.99 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 27.25 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 21.54 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD Z681 - Body mass index (BMI) 19 or less, adult | $127,833,403 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD Z681 - Body mass index (BMI) 19 or less, adult | $1,918 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD Z681 - Body mass index (BMI) 19 or less, adult | $11,497 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD Z681 - Body mass index (BMI) 19 or less, adult | $608,932,284 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD Z681 - Body mass index (BMI) 19 or less, adult | $54,765 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 6.77 | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 30.16 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD Z681 - Body mass index (BMI) 19 or less, adult | 26.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 3,212 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 2,956 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 2,911 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 185 |
| Dr. CHIA CHI GEORGE LAI | 500 N GARFIELD AVE | MONTEREY PARK | CA | 91754 | 150 |
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 133 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 414 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 319 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 317 |