*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6829 - Body mass index (BMI) 29.0-29.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.06 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 885: PSYCHOSES | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 8,274 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult in DRG | 6.0 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 2.41 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 7.43 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 2.88 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $99,611,239 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $5,002 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $12,039 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $517,814,305 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $62,583 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 21.15 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 29.8 |
*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 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 2,189 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult in DRG | 1.59 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 3.55 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 18.97 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 14.47 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $9,870,956 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $1,270 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $4,509 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $67,297,255 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $30,743 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 8.77 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 72.04 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 1,737 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult in DRG | 1.26 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 5.88 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 23.74 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 16.59 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $15,150,732 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $1,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $8,722 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $79,503,920 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $45,771 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 2.82 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 22.57 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 41.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 1,478 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult in DRG | 1.07 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 12.94 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 37.38 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 16.77 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $49,088,912 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $2,567 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $33,213 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $235,024,221 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | $159,015 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 10.49 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 31.66 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z6829 - Body mass index (BMI) 29.0-29.9, adult | 16.71 |
| 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 | 1,171 |
| ASCENSION PROVIDENCE HOSPITAL - SOUTHFIELD CAMPUS | 16001 W 9 MILE RD | SOUTHFIELD | MI | 48075 | 587 |
| DOCTORS' COMMUNITY HOSPITAL | 8118 GOOD LUCK RD | LANHAM | MD | 20706 | 575 |
| 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 | 62 |
| Dr. MICHAEL BRIAN CROSS | 523 E 72ND ST. | NEW YORK | NY | 10021 | 60 |
| Dr. ALEJANDRO GONZALEZ DELLA VALLE | 535 E 70TH ST | NEW YORK | NY | 10021 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 134 |
| Dr. JEFFREY C. WILKINS | 2376 CYPRESS CIR STE 300 | CONWAY | SC | 29526 | 80 |
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 71 |