*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6826 - Body mass index (BMI) 26.0-26.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.02 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 7,475 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult in DRG | 7.49 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 7.54 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 28.55 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 18.5 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $93,083,016 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $1,652 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $12,453 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $520,859,997 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $69,680 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 10.52 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 29.66 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 20.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 1,754 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult in DRG | 1.76 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 10.22 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 30.44 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 21.64 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $25,469,460 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $1,420 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $14,521 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $126,738,195 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $72,257 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 7.75 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 24.63 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 26.68 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 1,411 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult in DRG | 1.41 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 5.26 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 21.67 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 15.83 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $9,618,956 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $1,295 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $6,817 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $57,309,384 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $40,616 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 1.35 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 25.66 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 41.89 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 1,088 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult in DRG | 1.09 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 5.73 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 30.82 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 22.58 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $8,574,253 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $1,375 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $7,881 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $47,626,510 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | $43,774 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 4.14 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 28.49 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD Z6826 - Body mass index (BMI) 26.0-26.9, adult | 29.69 |
| 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 | 1,362 |
| DOCTORS' COMMUNITY HOSPITAL | 8118 GOOD LUCK RD | LANHAM | MD | 20706 | 637 |
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 442 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS PETER SCULCO | 535 E 70TH ST | NEW YORK | NY | 10021 | 90 |
| Dr. GEOFFREY H. WESTRICH | 535 E 70TH ST | NEW YORK | NY | 10021 | 61 |
| Dr. MICHAEL BRIAN CROSS | 523 E 72ND ST. | NEW YORK | NY | 10021 | 59 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 174 |
| Dr. JEFFREY C. WILKINS | 2376 CYPRESS CIR STE 300 | CONWAY | SC | 29526 | 117 |
| Dr. THOMAS PETER SCULCO | 535 E 70TH ST | NEW YORK | NY | 10021 | 89 |