| 27801 - Morbid obesity - as a primary diagnosis code | 27801 - Morbid obesity - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.49 | |
| Readmission Rate (%) | 24.87 | |
| Unplanned Readmission Rate (%) | 5.4 | |
| 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 | ||
| DRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 620: O.R. PROCEDURES FOR OBESITY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 619: O.R. PROCEDURES FOR OBESITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,111 | ||||
| Total Hospitalizations with ICD 27801 - Morbid obesity | 25,066 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD 27801 - Morbid obesity in DRG | 68.38 | ||||
| Avg LOS at DRG | 1.95 | ||||
| Avg LOS with ICD 27801 - Morbid obesity | 1.93 | ||||
| Readmission Rate at DRG | 6.48 | ||||
| Readmission Rate with ICD 27801 - Morbid obesity | 6.32 | ||||
| Unplanned Readmission Rate at DRG | 4.55 | ||||
| Unplanned Readmission Rate with ICD 27801 - Morbid obesity | 4.47 | ||||
| Total Medicare payments at DRG | $240,926,336 | ||||
| Total Medicare payments with ICD 27801 - Morbid obesity | $230,241,872 | ||||
| Total Medicare payment per Day at DRG | $4,729 | ||||
| Total Medicare payment per Day with ICD 27801 - Morbid obesity | $4,755 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,227 | ||||
| Total Medicare payment per Hospitalization with ICD 27801 - Morbid obesity | $9,185 | ||||
| Total Medicare Charges at DRG | $1,249,195,398 | ||||
| Total Medicare Charges with ICD 27801 - Morbid obesity | $1,199,995,213 | ||||
| Avg Charges at DRG | $47,842 | ||||
| Avg Charges with ICD 27801 - Morbid obesity | $47,873 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 27801 - Morbid obesity | NA | ||||
| SNF Discharge Rate at DRG | 0.46 | ||||
| SNF Discharge Rate with ICD 27801 - Morbid obesity | 0.38 | ||||
| Home Discharge Rate at DRG | 95.45 | ||||
| Home Discharge Rate with ICD 27801 - Morbid obesity | 95.85 |
| DRG 630: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURSE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 608 | ||||
| Total Hospitalizations with ICD 27801 - Morbid obesity | 69 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD 27801 - Morbid obesity in DRG | 0.19 | ||||
| Avg LOS at DRG | 4.15 | ||||
| Avg LOS with ICD 27801 - Morbid obesity | 2.74 | ||||
| Readmission Rate at DRG | 16.56 | ||||
| Readmission Rate with ICD 27801 - Morbid obesity | NA | ||||
| Unplanned Readmission Rate at DRG | 8.7 | ||||
| Unplanned Readmission Rate with ICD 27801 - Morbid obesity | NA | ||||
| Total Medicare payments at DRG | $5,112,587 | ||||
| Total Medicare payments with ICD 27801 - Morbid obesity | $538,169 | ||||
| Total Medicare payment per Day at DRG | $2,027 | ||||
| Total Medicare payment per Day with ICD 27801 - Morbid obesity | $2,847 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,409 | ||||
| Total Medicare payment per Hospitalization with ICD 27801 - Morbid obesity | $7,800 | ||||
| Total Medicare Charges at DRG | $28,171,244 | ||||
| Total Medicare Charges with ICD 27801 - Morbid obesity | $3,661,841 | ||||
| Avg Charges at DRG | $46,334 | ||||
| Avg Charges with ICD 27801 - Morbid obesity | $53,070 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 27801 - Morbid obesity | NA | ||||
| SNF Discharge Rate at DRG | 10.36 | ||||
| SNF Discharge Rate with ICD 27801 - Morbid obesity | NA | ||||
| Home Discharge Rate at DRG | 63.82 | ||||
| Home Discharge Rate with ICD 27801 - Morbid obesity | 89.86 |
| DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 4,582 | ||
| Total Hospitalizations with ICD 27801 - Morbid obesity | 23 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD 27801 - Morbid obesity in DRG | 0.06 | ||
| Avg LOS at DRG | 3.02 | ||
| Avg LOS with ICD 27801 - Morbid obesity | 1.35 | ||
| Readmission Rate at DRG | 12.36 | ||
| Readmission Rate with ICD 27801 - Morbid obesity | NA | ||
| Unplanned Readmission Rate at DRG | 7.21 | ||
| Unplanned Readmission Rate with ICD 27801 - Morbid obesity | NA | ||
| Total Medicare payments at DRG | $28,634,135 | ||
| Total Medicare payments with ICD 27801 - Morbid obesity | $159,651 | ||
| Total Medicare payment per Day at DRG | $2,068 | ||
| Total Medicare payment per Day with ICD 27801 - Morbid obesity | $5,150 | ||
| Total Medicare payment per Hospitalization at DRG | $6,249 | ||
| Total Medicare payment per Hospitalization with ICD 27801 - Morbid obesity | $6,941 | ||
| Total Medicare Charges at DRG | $152,122,451 | ||
| Total Medicare Charges with ICD 27801 - Morbid obesity | $805,395 | ||
| Avg Charges at DRG | $33,200 | ||
| Avg Charges with ICD 27801 - Morbid obesity | $35,017 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD 27801 - Morbid obesity | NA | ||
| SNF Discharge Rate at DRG | 7.97 | ||
| SNF Discharge Rate with ICD 27801 - Morbid obesity | NA | ||
| Home Discharge Rate at DRG | 74.42 | ||
| Home Discharge Rate with ICD 27801 - Morbid obesity | 95.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ST. VINCENT CARMEL HOSPITAL | 13500 N MERIDIAN ST | CARMEL | IN | 46032 | 335 |
| NORTH VISTA HOSPITAL | 1409 E LAKE MEAD BLVD | NORTH LAS VEGAS | NV | 89030 | 322 |
| ADVENTHEALTH SHAWNEE MISSION | 9100 W 74TH ST | SHAWNEE MISSION | KS | 66204 | 272 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. THOMAS W UMBACH | 7385 S PECOS RD | LAS VEGAS | NV | 89120 | 256 |
| Dr. KEITH CHAE KIM | 410 CELEBRATION PL | CELEBRATION | FL | 34747 | 179 |
| Dr. YONG S KWON | 1695 E RAINFOREST RD | FAYETTEVILLE | AR | 72703 | 173 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. THOMAS W UMBACH | 7385 S PECOS RD | LAS VEGAS | NV | 89120 | 256 |
| Dr. KEITH CHAE KIM | 410 CELEBRATION PL | CELEBRATION | FL | 34747 | 181 |
| Dr. YONG S KWON | 1695 E RAINFOREST RD | FAYETTEVILLE | AR | 72703 | 175 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 27801 - Morbid obesity | 49,051 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 27801 - Morbid obesity in DRG | 4.01 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 27801 - Morbid obesity | 12.79 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 27801 - Morbid obesity | 16.43 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 27801 - Morbid obesity | 12.21 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 27801 - Morbid obesity | $900,580,381 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 27801 - Morbid obesity | $1,435 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 27801 - Morbid obesity | $18,360 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 27801 - Morbid obesity | $1,934,226,535 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 27801 - Morbid obesity | $39,433 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 27801 - Morbid obesity | 0.13 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 27801 - Morbid obesity | 13.31 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 27801 - Morbid obesity | 22.28 |
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,340 | ||||
| Total Hospitalizations with ICD 27801 - Morbid obesity | 39,868 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 27801 - Morbid obesity in DRG | 3.26 | ||||
| Avg LOS at DRG | 4.24 | ||||
| Avg LOS with ICD 27801 - Morbid obesity | 5.02 | ||||
| Readmission Rate at DRG | 16.32 | ||||
| Readmission Rate with ICD 27801 - Morbid obesity | 19.33 | ||||
| Unplanned Readmission Rate at DRG | 10.58 | ||||
| Unplanned Readmission Rate with ICD 27801 - Morbid obesity | 12.69 | ||||
| Total Medicare payments at DRG | $1,475,002,556 | ||||
| Total Medicare payments with ICD 27801 - Morbid obesity | $212,112,388 | ||||
| Total Medicare payment per Day at DRG | $1,218 | ||||
| Total Medicare payment per Day with ICD 27801 - Morbid obesity | $1,060 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,169 | ||||
| Total Medicare payment per Hospitalization with ICD 27801 - Morbid obesity | $5,320 | ||||
| Total Medicare Charges at DRG | $6,348,002,652 | ||||
| Total Medicare Charges with ICD 27801 - Morbid obesity | $1,051,105,136 | ||||
| Avg Charges at DRG | $22,247 | ||||
| Avg Charges with ICD 27801 - Morbid obesity | $26,365 | ||||
| Mortality Rate at DRG | 0.12 | ||||
| Mortality Rate with ICD 27801 - Morbid obesity | 0.06 | ||||
| SNF Discharge Rate at DRG | 15.9 | ||||
| SNF Discharge Rate with ICD 27801 - Morbid obesity | 18.43 | ||||
| Home Discharge Rate at DRG | 54.0 | ||||
| Home Discharge Rate with ICD 27801 - Morbid obesity | 47.01 |
| DRG 885: PSYCHOSES | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 27801 - Morbid obesity | 23,292 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 27801 - Morbid obesity in DRG | 1.91 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 27801 - Morbid obesity | 10.52 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 27801 - Morbid obesity | 28.51 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 27801 - Morbid obesity | 15.5 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 27801 - Morbid obesity | $179,467,217 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 27801 - Morbid obesity | $733 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 27801 - Morbid obesity | $7,705 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 27801 - Morbid obesity | $622,601,443 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 27801 - Morbid obesity | $26,730 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 27801 - Morbid obesity | 0.1 | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 27801 - Morbid obesity | 8.35 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 27801 - Morbid obesity | 75.39 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 27801 - Morbid obesity | 15,959 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 27801 - Morbid obesity in DRG | 1.31 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 27801 - Morbid obesity | 3.65 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 27801 - Morbid obesity | 19.43 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 27801 - Morbid obesity | 14.64 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 27801 - Morbid obesity | $70,036,341 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 27801 - Morbid obesity | $1,202 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 27801 - Morbid obesity | $4,389 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 27801 - Morbid obesity | $415,352,867 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 27801 - Morbid obesity | $26,026 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 27801 - Morbid obesity | 0.13 | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 27801 - Morbid obesity | 8.71 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 27801 - Morbid obesity | 73.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 3,916 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 3,096 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 2,881 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. THOMAS W UMBACH | 7385 S PECOS RD | LAS VEGAS | NV | 89120 | 269 |
| Dr. JAMES STEPHEN SCOTT | 2325 DOUGHERTY FERRY RD | SAINT LOUIS | MO | 63122 | 204 |
| Dr. KEITH CHAE KIM | 410 CELEBRATION PL | CELEBRATION | FL | 34747 | 202 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 372 |
| Dr. RAJENDRA R SHROFF | 1050 M L KING DR | CENTRALIA | IL | 62801 | 345 |
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 335 |