*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6824 - Body mass index (BMI) 24.0-24.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.57 | |
| 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 9,011 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult in DRG | 9.28 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 7.56 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 27.33 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 18.17 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $112,548,334 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $1,651 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $12,490 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $637,456,804 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $70,742 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 12.03 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 31.06 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 16.11 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 1,639 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult in DRG | 1.69 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 6.65 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 25.79 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 18.05 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $15,569,794 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $9,500 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $83,297,571 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $50,822 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 5.19 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 28.98 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 28.55 |
*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 885: PSYCHOSES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 1,459 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult in DRG | 1.5 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 6.03 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 28.05 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 21.05 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $11,988,342 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $1,363 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $8,217 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $64,031,847 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $43,887 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 4.32 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 33.93 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 21.66 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 1,094 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult in DRG | 1.13 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 4.34 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 22.89 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 17.57 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $5,700,431 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $1,201 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $5,211 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $32,859,643 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | $30,036 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 33.18 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z6824 - Body mass index (BMI) 24.0-24.9, adult | 30.8 |
| 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 | 360 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 332 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 311 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 28 |
| Dr. MSONTHI B LEVINE | 3560 DELAWARE ST | BEAUMONT | TX | 77706 | 26 |
| Dr. MANJULA KUNDHUR REDDY | 3553 RATHBONE WAY | PLEASANTON | CA | 94588 | 24 |
| 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 | 117 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 72 |
| Dr. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 65 |