*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6838 - Body mass index (BMI) 38.0-38.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.43 | |
| 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 Z6838 - Body mass index (BMI) 38.0-38.9, adult | 17,139 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult in DRG | 8.91 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 2.38 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 7.44 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 2.88 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $197,743,251 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $4,843 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $11,538 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $1,016,332,230 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $59,299 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 21.55 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 32.54 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 3,487 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult in DRG | 1.81 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 4.77 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 23.05 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 18.46 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $25,125,261 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $1,509 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $7,205 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $128,740,714 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $36,920 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 0.49 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 12.73 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 56.67 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 Z6838 - Body mass index (BMI) 38.0-38.9, adult | 2,397 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 4.16 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 22.92 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 16.86 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $13,562,705 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $1,360 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $5,658 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $70,957,880 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $29,603 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 0.54 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 19.9 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 52.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 41,021 | ||||
| Total Hospitalizations with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 1,924 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult in DRG | 1.0 | ||||
| Avg LOS at DRG | 1.69 | ||||
| Avg LOS with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 1.61 | ||||
| Readmission Rate at DRG | 4.89 | ||||
| Readmission Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 4.22 | ||||
| Unplanned Readmission Rate at DRG | 3.68 | ||||
| Unplanned Readmission Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 3.04 | ||||
| Total Medicare payments at DRG | $364,865,178 | ||||
| Total Medicare payments with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $17,244,719 | ||||
| Total Medicare payment per Day at DRG | $5,250 | ||||
| Total Medicare payment per Day with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $5,559 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,895 | ||||
| Total Medicare payment per Hospitalization with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $8,963 | ||||
| Total Medicare Charges at DRG | $2,201,275,052 | ||||
| Total Medicare Charges with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $103,084,439 | ||||
| Avg Charges at DRG | $53,662 | ||||
| Avg Charges with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | $53,578 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 0.34 | ||||
| SNF Discharge Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | NA | ||||
| Home Discharge Rate at DRG | 96.12 | ||||
| Home Discharge Rate with ICD Z6838 - Body mass index (BMI) 38.0-38.9, adult | 96.52 |
| 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 | 837 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 618 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 462 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CARL DUSTIN BECHTOLD | 1210 W 18TH ST | SIOUX FALLS | SD | 57104 | 43 |
| Dr. KENNETH ANDREW MARTIN | 8907 KANIS RD | LITTLE ROCK | AR | 72205 | 39 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 85 |
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 45 |
| Dr. GARY LANGNAS | 27483 DEQUINDRE RD | MADISON HEIGHTS | MI | 48071 | 45 |