*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6825 - Body mass index (BMI) 25.0-25.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.66 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 9,230 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult in DRG | 8.4 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 7.62 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 27.69 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 18.4 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $113,577,837 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $1,615 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $12,305 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $644,382,357 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $69,814 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 11.57 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 31.14 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 18.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 1,848 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult in DRG | 1.68 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 4.83 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 24.24 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 17.44 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $10,912,724 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $1,224 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $5,905 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $63,077,416 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $34,133 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 0.87 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 27.65 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 37.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 1,523 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult in DRG | 1.39 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 4.15 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 22.84 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 15.64 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $7,562,376 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $1,197 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $4,965 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $43,299,256 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $28,430 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 0.85 | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 28.1 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 38.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 1,216 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult in DRG | 1.11 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 6.28 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 25.4 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 18.78 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $9,201,802 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $1,205 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $7,567 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $52,130,266 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | $42,870 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 2.3 | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 40.87 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD Z6825 - Body mass index (BMI) 25.0-25.9, adult | 17.27 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 1,186 |
| DOCTORS' COMMUNITY HOSPITAL | 8118 GOOD LUCK RD | LANHAM | MD | 20706 | 742 |
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 553 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL BRIAN CROSS | 523 E 72ND ST. | NEW YORK | NY | 10021 | 61 |
| Dr. THOMAS PETER SCULCO | 535 E 70TH ST | NEW YORK | NY | 10021 | 59 |
| Dr. DONALD M KNAPKE | 1350 KIRTS BLVD | TROY | MI | 48084 | 54 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 182 |
| Dr. JEFFREY C. WILKINS | 2376 CYPRESS CIR STE 300 | CONWAY | SC | 29526 | 111 |
| Dr. RAJU SINGLA | 289 PLEASANT ST | FALL RIVER | MA | 02721 | 98 |