*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6839 - Body mass index (BMI) 39.0-39.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.73 | |
| 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 Z6839 - Body mass index (BMI) 39.0-39.9, adult | 15,480 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult in DRG | 8.71 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 2.4 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 7.58 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 2.9 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $178,076,286 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $4,785 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $11,504 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $913,715,579 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $59,026 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 22.78 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 31.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 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 | 364,421 | ||||
| Total Hospitalizations with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 3,397 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult in DRG | 1.91 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 4.24 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 16.35 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 11.44 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $17,302,599 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $1,201 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $5,093 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $90,671,132 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $26,692 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 15.4 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 53.87 |
*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 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 2,254 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult in DRG | 1.27 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 4.12 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 21.78 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 16.26 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $12,730,739 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $1,372 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $5,648 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $66,301,914 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $29,415 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 19.65 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 51.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 1,825 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult in DRG | 1.03 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 3.49 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 20.47 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 15.51 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $8,926,850 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $1,400 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $4,891 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $46,647,536 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | $25,560 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 22.52 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z6839 - Body mass index (BMI) 39.0-39.9, adult | 50.08 |
| 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 | 650 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 532 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 398 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 36 |
| Dr. ROBERT GOLDMAN | 160 HANOVER AVENUE | MORRISTOWN | NJ | 07962 | 34 |
| Dr. RICHARD DAVID HEEKIN | 2 SHIRCLIFF WAY | JACKSONVILLE | FL | 32204 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 66 |
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 42 |
| Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 41 |