| V8536 - Body Mass Index 36.0-36.9, adult - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.1 | |
| 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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD V8536 - Body Mass Index 36.0-36.9, adult | 8,177 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD V8536 - Body Mass Index 36.0-36.9, adult in DRG | 8.28 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD V8536 - Body Mass Index 36.0-36.9, adult | 2.93 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 10.72 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 3.05 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD V8536 - Body Mass Index 36.0-36.9, adult | $98,910,763 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD V8536 - Body Mass Index 36.0-36.9, adult | $4,126 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD V8536 - Body Mass Index 36.0-36.9, adult | $12,096 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD V8536 - Body Mass Index 36.0-36.9, adult | $446,202,745 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD V8536 - Body Mass Index 36.0-36.9, adult | $54,568 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 30.63 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 22.38 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | 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) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD V8536 - Body Mass Index 36.0-36.9, adult | 2,086 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD V8536 - Body Mass Index 36.0-36.9, adult in DRG | 2.11 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD V8536 - Body Mass Index 36.0-36.9, adult | 4.78 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 24.63 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 18.33 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD V8536 - Body Mass Index 36.0-36.9, adult | $12,904,473 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD V8536 - Body Mass Index 36.0-36.9, adult | $1,295 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD V8536 - Body Mass Index 36.0-36.9, adult | $6,186 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD V8536 - Body Mass Index 36.0-36.9, adult | $61,213,651 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD V8536 - Body Mass Index 36.0-36.9, adult | $29,345 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 0.67 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 13.33 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 50.96 |
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD V8536 - Body Mass Index 36.0-36.9, adult | 1,394 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD V8536 - Body Mass Index 36.0-36.9, adult in DRG | 1.41 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD V8536 - Body Mass Index 36.0-36.9, adult | 4.36 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 23.45 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 18.86 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD V8536 - Body Mass Index 36.0-36.9, adult | $8,027,624 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD V8536 - Body Mass Index 36.0-36.9, adult | $1,320 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD V8536 - Body Mass Index 36.0-36.9, adult | $5,759 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD V8536 - Body Mass Index 36.0-36.9, adult | $40,649,373 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD V8536 - Body Mass Index 36.0-36.9, adult | $29,160 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 10.33 | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 62.34 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 296,720 | ||||
| Total Hospitalizations with ICD V8536 - Body Mass Index 36.0-36.9, adult | 1,121 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD V8536 - Body Mass Index 36.0-36.9, adult in DRG | 1.13 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD V8536 - Body Mass Index 36.0-36.9, adult | 6.41 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 23.26 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 17.67 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD V8536 - Body Mass Index 36.0-36.9, adult | $10,236,223 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD V8536 - Body Mass Index 36.0-36.9, adult | $1,425 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD V8536 - Body Mass Index 36.0-36.9, adult | $9,131 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD V8536 - Body Mass Index 36.0-36.9, adult | $50,168,659 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD V8536 - Body Mass Index 36.0-36.9, adult | $44,753 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 2.77 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 19.63 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD V8536 - Body Mass Index 36.0-36.9, adult | 49.15 |
| 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 | 605 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 483 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 326 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 35 |
| Dr. RICHARD DAVID HEEKIN | 2 SHIRCLIFF WAY | JACKSONVILLE | FL | 32204 | 29 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 35 |
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 32 |
| Dr. RICHARD DAVID HEEKIN | 2 SHIRCLIFF WAY | JACKSONVILLE | FL | 32204 | 29 |