DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS

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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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DRG Code DRG Description Category Sub Category DRG Group Surgical Category Case Mix Level Total National Projected Hospitalizations - Annualized Total Medicare Hospitalizations - Jan 2017 to Dec 2017 Total Medicare Hospitalizations - Jan 2013 to Dec 2017 Total Medicare Hospitalizations After Exclusion Avg. LOS GMLOS All Cause Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment per Day Payment per Discharge Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
137 MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Mouth Procedures Mouth Procedures Surgical 64.37 NA 925 4,634 4,545
138 MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Mouth Procedures Mouth Procedures Surgical 35.63 NA 476 2,565 2,539

DEMOGRAPHIC DETAILS OF DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 3,626 78.25
Black 704 15.19
Hispanic 110 2.37
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 1,817 39.21
65 to 69 833 17.98
Greater than 84 563 12.15

TOP ICD DIAGNOSIS CODES FOR DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 1,276 27.54
6820 Cellulitis and abscess of face 892 19.25
2724 Other and unspecified hyperlipidemia 812 17.52

TOP ICD PROCEDURE CODES FOR DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
270 Drainage Of Face And Floor Of Mouth 1,480 31.94
2319 Other Surgical Extraction Of Tooth 827 17.85
2309 Extraction Of Other Tooth 664 14.33

TOP HOSPITALS ASSOCIATED WITH DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Banner - University Medical Center Phoenix 1111 E MCDOWELL RD Phoenix AZ 85006 36 0.78
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 32 0.69
Sentara Norfolk General Hospital 600 GRESHAM DR Norfolk VA 23507 30 0.65

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. SANFORD NEIL MORRISON 904 KEMPSVILLE RD STE 102 VIRGINIA BEACH VA 23464 21 0.45
DR. SUDHEER J. SURPURE 4202 N 32ND ST PHOENIX AZ 85018 15 0.32
DR. KENNETH DAVID HAYNES 5756 S STAPLES ST STE F CORPUS CHRISTI TX 78413 15 0.32

DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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Category Sub Category DRG Group ICD Codes ICD Description National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - All) Jan 2013 to Dec 2017 National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 to Dec 2017 Total Discharges After Exclusion Avg. LOS GMLOS All Cause Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment per Day Payment per Discharge Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
General Surgery Mouth Procedures Mouth Procedures 4019 Unspecified essential hypertension NA 1,276
General Surgery Mouth Procedures Mouth Procedures I10 Essential (primary) hypertension 1,619 972
General Surgery Mouth Procedures Mouth Procedures 6820 Cellulitis and abscess of face NA 892
General Surgery Mouth Procedures Mouth Procedures 2724 Other and unspecified hyperlipidemia NA 812
General Surgery Mouth Procedures Mouth Procedures 5283 Cellulitis and abscess of oral soft tissues NA 811
General Surgery Mouth Procedures Mouth Procedures K122 Cellulitis and abscess of mouth 2,520 785
General Surgery Mouth Procedures Mouth Procedures 5225 Periapical abscess without sinus NA 770
General Surgery Mouth Procedures Mouth Procedures K047 Periapical abscess without sinus 2,167 635
General Surgery Mouth Procedures Mouth Procedures E785 Hyperlipidemia, unspecified 731 634
General Surgery Mouth Procedures Mouth Procedures 52100 Dental caries, unspecified NA 597