*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9884 - Bariatric surgery status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.16 | |
| 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z9884 - Bariatric surgery status | 20,183 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z9884 - Bariatric surgery status in DRG | 6.43 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z9884 - Bariatric surgery status | 2.49 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z9884 - Bariatric surgery status | 8.82 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z9884 - Bariatric surgery status | 3.19 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z9884 - Bariatric surgery status | $232,320,182 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z9884 - Bariatric surgery status | $4,631 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z9884 - Bariatric surgery status | $11,511 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z9884 - Bariatric surgery status | $1,229,331,264 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z9884 - Bariatric surgery status | $60,909 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z9884 - Bariatric surgery status | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z9884 - Bariatric surgery status | 21.35 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z9884 - Bariatric surgery status | 29.73 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z9884 - Bariatric surgery status | 5,046 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z9884 - Bariatric surgery status in DRG | 1.61 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z9884 - Bariatric surgery status | 3.91 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z9884 - Bariatric surgery status | 19.13 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z9884 - Bariatric surgery status | 13.23 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z9884 - Bariatric surgery status | $25,444,105 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z9884 - Bariatric surgery status | $1,289 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z9884 - Bariatric surgery status | $5,042 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z9884 - Bariatric surgery status | $129,653,011 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z9884 - Bariatric surgery status | $25,694 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z9884 - Bariatric surgery status | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z9884 - Bariatric surgery status | 10.17 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z9884 - Bariatric surgery status | 60.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD Z9884 - Bariatric surgery status | 3,732 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD Z9884 - Bariatric surgery status in DRG | 1.19 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD Z9884 - Bariatric surgery status | 3.58 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD Z9884 - Bariatric surgery status | 23.99 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD Z9884 - Bariatric surgery status | 16.18 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD Z9884 - Bariatric surgery status | $16,793,205 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD Z9884 - Bariatric surgery status | $1,258 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD Z9884 - Bariatric surgery status | $4,500 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD Z9884 - Bariatric surgery status | $101,915,862 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD Z9884 - Bariatric surgery status | $27,309 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD Z9884 - Bariatric surgery status | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD Z9884 - Bariatric surgery status | 10.77 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD Z9884 - Bariatric surgery status | 63.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z9884 - Bariatric surgery status | 2,978 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z9884 - Bariatric surgery status in DRG | 0.95 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z9884 - Bariatric surgery status | 3.63 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z9884 - Bariatric surgery status | 15.77 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z9884 - Bariatric surgery status | 11.96 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z9884 - Bariatric surgery status | $16,342,577 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z9884 - Bariatric surgery status | $1,512 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z9884 - Bariatric surgery status | $5,488 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z9884 - Bariatric surgery status | $82,986,576 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z9884 - Bariatric surgery status | $27,867 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z9884 - Bariatric surgery status | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z9884 - Bariatric surgery status | 7.45 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z9884 - Bariatric surgery status | 72.77 |
| 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 | 1,049 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 968 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 935 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 316 |
| Dr. DANIEL A SMITH | 705 PLEASANT AVE S | PARK RAPIDS | MN | 56470 | 155 |
| Dr. GARY J. ANTHONE | 8111 DODGE ST | OMAHA | NE | 68114 | 98 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 386 |
| Dr. DANIEL A SMITH | 705 PLEASANT AVE S | PARK RAPIDS | MN | 56470 | 147 |
| Dr. KELVIN D HIGA | 205 E RIVER PARK CIR | FRESNO | CA | 93720 | 130 |