*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6823 - Body mass index (BMI) 23.0-23.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.05 | |
| 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 10,204 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult in DRG | 9.7 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 7.62 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 27.7 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 18.96 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $127,250,040 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $1,637 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $12,471 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $707,931,340 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $69,378 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 12.39 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 31.23 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 16.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 1,843 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult in DRG | 1.75 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 6.43 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 23.01 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 16.93 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $16,963,906 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $1,431 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $9,205 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $91,897,614 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $49,863 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 6.35 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 28.81 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 26.91 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 1,633 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult in DRG | 1.55 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 4.33 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 23.36 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 16.61 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $8,119,732 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $1,148 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $4,972 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $49,750,820 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $30,466 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 0.86 | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 28.11 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 34.72 |
*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 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 1,237 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult in DRG | 1.18 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 4.52 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 21.81 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 16.27 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $6,422,631 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $1,148 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $5,192 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $38,524,953 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | $31,144 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 35.25 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z6823 - Body mass index (BMI) 23.0-23.9, adult | 28.86 |
| 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 | 445 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 354 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 313 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MANJULA KUNDHUR REDDY | 3553 RATHBONE WAY | PLEASANTON | CA | 94588 | 41 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 27 |
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 25 |
| 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 | 91 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 75 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 73 |