*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z6842 - Body mass index (BMI) 45.0-49.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.85 | |
| 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 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 | 1,013,774 | ||||
| Total Hospitalizations with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 27,443 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult in DRG | 6.0 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 6.2 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 29.23 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 21.82 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $257,256,546 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $1,512 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $9,374 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $1,338,796,454 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $48,785 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 2.44 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 22.95 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 37.16 |
*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 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 13,100 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult in DRG | 2.86 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 4.52 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 18.17 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 12.61 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $69,181,243 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $1,168 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $5,281 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $359,607,483 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $27,451 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 17.38 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 48.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 434,264 | ||||
| Total Hospitalizations with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 7,996 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult in DRG | 1.75 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 4.19 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 21.66 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 15.28 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $44,774,391 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $5,600 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $232,691,068 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $29,101 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 0.45 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 22.32 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 47.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 5,135 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult in DRG | 1.12 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 14.1 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 42.64 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 18.05 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $182,338,707 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $2,518 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $35,509 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $890,277,267 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | $173,374 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 13.03 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 35.52 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z6842 - Body mass index (BMI) 45.0-49.9, adult | 11.9 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,236 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 1,208 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,075 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMOKAY P TAYLOR | 135 S PROSPECT ST | YPSILANTI | MI | 48198 | 58 |
| Dr. JEFFREY D. YERGLER | 53880 CARMICHAEL DR | SOUTH BEND | IN | 46635 | 52 |
| Dr. ADOLPH V LOMBARDI | 7277 SMITHS MILL RD | NEW ALBANY | OH | 43054 | 49 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 241 |
| Dr. MORAD L EL-RAHEB | 1145 S UTICA AVE | TULSA | OK | 74104 | 104 |
| Dr. EUGENE VICTOR HUDMAN | 6250 REGIONAL PLZ | ABILENE | TX | 79606 | 94 |