*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6820 - Body mass index (BMI) 20.0-20.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.07 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 13,531 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult in DRG | 10.3 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 7.34 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 26.59 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 18.28 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $166,490,588 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $1,676 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $12,304 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $891,978,209 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $65,921 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 13.41 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 31.71 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 15.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 2,784 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult in DRG | 2.12 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 5.72 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 26.77 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 19.17 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $22,359,465 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $1,403 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $8,031 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $117,178,059 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $42,090 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 4.13 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 34.12 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 21.73 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 2,021 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 4.34 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 22.67 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 17.11 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $9,751,302 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $1,112 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $4,825 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $68,127,690 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $33,710 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 16.43 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 54.08 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 1,513 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 4.5 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 22.06 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 15.63 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $7,939,740 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $1,166 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $5,248 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $45,344,909 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | $29,970 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 38.47 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z6820 - Body mass index (BMI) 20.0-20.9, adult | 25.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL | 14851 YORBA ST | TUSTIN | CA | 92780 | 496 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 429 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 380 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MSONTHI B LEVINE | 3560 DELAWARE ST | BEAUMONT | TX | 77706 | 36 |
| Dr. MANJULA KUNDHUR REDDY | 3553 RATHBONE WAY | PLEASANTON | CA | 94588 | 30 |
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ABDUL A KHAN | 275 VICTORIA ST | COSTA MESA | CA | 92627 | 102 |
| Dr. ALEX V ZAND | 1010 W LA VETA AVE | ORANGE | CA | 92868 | 79 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 69 |