*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6841 - Body mass index (BMI) 40.0-44.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.98 | |
| 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 59,987 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult in DRG | 6.45 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 2.5 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 8.67 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 3.32 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $684,853,153 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $4,563 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $11,417 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $3,548,253,192 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $59,150 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 0.02 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 24.97 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 29.77 |
*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 885: PSYCHOSES | 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 19,599 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult in DRG | 2.11 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 4.38 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 17.65 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 12.35 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $102,395,508 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $1,192 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $5,225 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $533,052,281 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $27,198 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 17.08 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, 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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 292,335 | ||||
| Total Hospitalizations with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 14,704 | ||||
| DRG Share of Total Hospitalizations | 0.89 | ||||
| % of Total ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult in DRG | 1.58 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 2.72 | ||||
| Readmission Rate at DRG | 19.18 | ||||
| Readmission Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 15.01 | ||||
| Unplanned Readmission Rate at DRG | 13.96 | ||||
| Unplanned Readmission Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 10.8 | ||||
| Total Medicare payments at DRG | $1,347,436,356 | ||||
| Total Medicare payments with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $62,645,139 | ||||
| Total Medicare payment per Day at DRG | $1,557 | ||||
| Total Medicare payment per Day with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $1,564 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
| Total Medicare payment per Hospitalization with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $4,260 | ||||
| Total Medicare Charges at DRG | $7,385,462,160 | ||||
| Total Medicare Charges with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $339,875,078 | ||||
| Avg Charges at DRG | $25,264 | ||||
| Avg Charges with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $23,114 | ||||
| Mortality Rate at DRG | 0.57 | ||||
| Mortality Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 0.18 | ||||
| SNF Discharge Rate at DRG | 11.55 | ||||
| SNF Discharge Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 6.36 | ||||
| Home Discharge Rate at DRG | 63.79 | ||||
| Home Discharge Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 77.07 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 10,677 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult in DRG | 1.15 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 3.42 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 17.97 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 13.78 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $46,337,854 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $1,271 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $4,340 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $304,993,744 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | $28,565 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 7.8 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z6841 - Body mass index (BMI) 40.0-44.9, adult | 74.91 |
| 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 | 2,890 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 2,458 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 2,454 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 116 |
| Dr. RICHARD DAVID HEEKIN | 2 SHIRCLIFF WAY | JACKSONVILLE | FL | 32204 | 102 |
| Dr. RICK WILLIAM BASSETT | 1601 TREASURE HILLS BLVD | HARLINGEN | TX | 78550 | 101 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 437 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 234 |
| Dr. NAVEED MAHFOOZ | 1525 W CARO RD | CARO | MI | 48723 | 166 |