| V8534 - Body Mass Index 34.0-34.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.93 | |
| 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 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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD V8534 - Body Mass Index 34.0-34.9, adult | 8,158 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD V8534 - Body Mass Index 34.0-34.9, adult in DRG | 8.25 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD V8534 - Body Mass Index 34.0-34.9, adult | 2.93 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 10.24 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 2.86 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD V8534 - Body Mass Index 34.0-34.9, adult | $99,915,196 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD V8534 - Body Mass Index 34.0-34.9, adult | $4,179 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD V8534 - Body Mass Index 34.0-34.9, adult | $12,248 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD V8534 - Body Mass Index 34.0-34.9, adult | $445,292,029 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD V8534 - Body Mass Index 34.0-34.9, adult | $54,583 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 29.73 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 23.78 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD V8534 - Body Mass Index 34.0-34.9, adult | 1,995 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD V8534 - Body Mass Index 34.0-34.9, adult in DRG | 2.02 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD V8534 - Body Mass Index 34.0-34.9, adult | 6.02 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 29.13 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 21.14 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD V8534 - Body Mass Index 34.0-34.9, adult | $19,226,944 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD V8534 - Body Mass Index 34.0-34.9, adult | $1,600 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD V8534 - Body Mass Index 34.0-34.9, adult | $9,638 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD V8534 - Body Mass Index 34.0-34.9, adult | $89,482,186 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD V8534 - Body Mass Index 34.0-34.9, adult | $44,853 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 3.46 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 19.55 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 42.26 |
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD V8534 - Body Mass Index 34.0-34.9, adult | 1,311 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD V8534 - Body Mass Index 34.0-34.9, adult in DRG | 1.33 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD V8534 - Body Mass Index 34.0-34.9, adult | 4.45 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 24.63 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 20.03 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD V8534 - Body Mass Index 34.0-34.9, adult | $7,440,924 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD V8534 - Body Mass Index 34.0-34.9, adult | $1,275 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD V8534 - Body Mass Index 34.0-34.9, adult | $5,676 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD V8534 - Body Mass Index 34.0-34.9, adult | $39,349,461 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD V8534 - Body Mass Index 34.0-34.9, adult | $30,015 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 11.75 | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 60.72 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD V8534 - Body Mass Index 34.0-34.9, adult | 1,114 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD V8534 - Body Mass Index 34.0-34.9, adult in DRG | 1.13 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD V8534 - Body Mass Index 34.0-34.9, adult | 5.05 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 16.47 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 10.88 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD V8534 - Body Mass Index 34.0-34.9, adult | $7,482,494 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD V8534 - Body Mass Index 34.0-34.9, adult | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD V8534 - Body Mass Index 34.0-34.9, adult | $6,717 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD V8534 - Body Mass Index 34.0-34.9, adult | $36,934,741 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD V8534 - Body Mass Index 34.0-34.9, adult | $33,155 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 19.12 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD V8534 - Body Mass Index 34.0-34.9, adult | 53.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 694 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 562 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 389 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 34 |
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 30 |
| Dr. RICHARD DAVID HEEKIN | 2 SHIRCLIFF WAY | JACKSONVILLE | FL | 32204 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 48 |
| Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 48 |
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 34 |