*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6828 - Body mass index (BMI) 28.0-28.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.71 | |
| 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 7,205 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult in DRG | 6.07 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 7.31 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 26.59 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 17.89 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $88,316,995 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $1,677 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $12,258 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $490,335,674 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $68,055 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 9.41 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 29.76 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 24.12 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 1,851 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult in DRG | 1.56 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 3.57 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 20.49 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 15.24 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $8,277,502 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $1,254 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $4,472 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $57,270,771 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $30,940 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 8.43 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 69.64 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 1,520 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult in DRG | 1.28 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 5.94 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 22.16 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 15.8 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $13,350,727 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $1,478 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $8,783 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $74,666,052 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $49,122 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 3.29 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 22.57 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 41.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 1,144 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult in DRG | 0.96 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 4.49 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 18.2 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 12.87 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $6,982,060 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $1,359 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $6,103 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $37,658,087 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | $32,918 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 1.14 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 19.93 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z6828 - Body mass index (BMI) 28.0-28.9, adult | 52.53 |
| 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 | 1,336 |
| DOCTORS' COMMUNITY HOSPITAL | 8118 GOOD LUCK RD | LANHAM | MD | 20706 | 605 |
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 557 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK PHILLIPS FIGGIE | 535 E 70TH ST | NEW YORK | NY | 10021 | 69 |
| Dr. MICHAEL BRIAN CROSS | 523 E 72ND ST. | NEW YORK | NY | 10021 | 68 |
| Dr. GEOFFREY H. WESTRICH | 535 E 70TH ST | NEW YORK | NY | 10021 | 67 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 143 |
| Dr. JEFFREY C. WILKINS | 2376 CYPRESS CIR STE 300 | CONWAY | SC | 29526 | 88 |
| Dr. RAJU SINGLA | 289 PLEASANT ST | FALL RIVER | MA | 02721 | 68 |