*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6830 - Body mass index (BMI) 30.0-30.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.54 | |
| 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 Z6830 - Body mass index (BMI) 30.0-30.9, adult | 20,051 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult in DRG | 8.61 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 2.27 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 7.0 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 2.9 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $237,001,565 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $5,200 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $11,820 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $1,170,618,811 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $58,382 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 18.92 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 34.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 3,467 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult in DRG | 1.49 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 4.93 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 24.13 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 19.46 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $25,325,764 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $1,481 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $7,305 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $133,117,674 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $38,396 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 0.63 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 14.1 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 54.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 2,704 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult in DRG | 1.16 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 4.28 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 24.27 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 18.9 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $16,847,835 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $1,457 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $6,231 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $82,757,729 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $30,606 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 0.59 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 14.35 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 50.96 |
*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 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 2,256 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult in DRG | 0.97 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 3.61 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 18.78 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 13.83 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $11,007,934 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $1,353 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $4,879 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $61,476,138 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | $27,250 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 26.55 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z6830 - Body mass index (BMI) 30.0-30.9, adult | 45.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 1,712 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,172 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 1,140 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM P. BARRETT | 4011 TALBOT RD S | RENTON | WA | 98055 | 79 |
| Dr. ROBERT GOLDMAN | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 78 |
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 75 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 125 |
| Dr. GARY LANGNAS | 27483 DEQUINDRE RD | MADISON HEIGHTS | MI | 48071 | 106 |
| Dr. KATHY H LEE | 4200 SUN N LAKE BLVD | SEBRING | FL | 33872 | 94 |