*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6837 - Body mass index (BMI) 37.0-37.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.53 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 Z6837 - Body mass index (BMI) 37.0-37.9, adult | 18,381 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult in DRG | 8.98 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 2.37 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 7.24 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 2.89 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $212,815,527 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $4,895 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $11,578 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $1,083,817,493 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $58,964 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 21.73 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 32.69 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 3,429 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult in DRG | 1.67 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 4.76 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 23.91 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 19.69 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $24,623,946 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $1,508 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $7,181 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $127,784,835 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $37,266 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 0.47 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 13.24 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 55.26 |
*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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT 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 | 434,264 | ||||
| Total Hospitalizations with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 2,557 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 4.05 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 22.73 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 15.95 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $14,730,629 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $1,421 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $5,761 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $79,008,323 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $30,899 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 19.05 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 54.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 | 286,456 | ||||
| Total Hospitalizations with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 1,986 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult in DRG | 0.97 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 4.02 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 22.29 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 18.05 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $11,534,704 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $1,443 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $5,808 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $61,291,792 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | $30,862 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 9.87 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD Z6837 - Body mass index (BMI) 37.0-37.9, adult | 61.63 |
| 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 | 835 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 727 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 519 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 59 |
| Dr. RICHARD DAVID HEEKIN | 2 SHIRCLIFF WAY | JACKSONVILLE | FL | 32204 | 49 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 94 |
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 60 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 54 |