*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6822 - Body mass index (BMI) 22.0-22.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.97 | |
| 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 Z6822 - Body mass index (BMI) 22.0-22.9, adult | 11,053 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult in DRG | 9.93 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 7.5 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 26.75 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 18.21 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $137,990,233 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $1,666 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $12,484 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $750,684,326 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $67,917 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 12.94 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 31.04 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 15.41 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 2,103 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult in DRG | 1.89 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 6.61 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 25.33 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 18.09 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $19,376,677 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $1,394 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $9,214 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $107,947,340 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $51,330 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 5.94 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 29.05 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 25.77 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 1,751 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult in DRG | 1.57 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 4.35 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 24.28 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 17.85 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $8,620,710 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $1,131 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $4,923 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $59,599,936 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $34,038 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 13.65 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 56.54 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 1,321 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult in DRG | 1.19 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 5.85 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 24.39 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 16.97 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $9,450,772 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $1,223 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $7,154 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $60,116,181 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | $45,508 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 2.04 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 29.22 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z6822 - Body mass index (BMI) 22.0-22.9, adult | 31.87 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 408 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 350 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 336 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 40 |
| Dr. MANJULA KUNDHUR REDDY | 3553 RATHBONE WAY | PLEASANTON | CA | 94588 | 33 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFFREY C. WILKINS | 2376 CYPRESS CIR STE 300 | CONWAY | SC | 29526 | 86 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 71 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 68 |