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 66.02 NA 925 4,634 902
138 MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Mouth Procedures Mouth Procedures Surgical 33.98 NA 476 2,565 468

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 2017 to Dec 2017 % of DRG Volume
White 738 79.78
Black 118 12.76
Hispanic 23 2.49
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Less than 65 331 35.78
65 to 69 174 18.81
70 to 74 130 14.05

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 2017 to Dec 2017 % of DRG Volume
K122 Cellulitis and abscess of mouth 427 46.16
K047 Periapical abscess without sinus 297 32.11
K029 Dental caries, unspecified 181 19.57

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 2017 to Dec 2017 % of DRG Volume
0W950ZZ Drainage of Lower Jaw, Open Approach 169 18.27
0W9500Z Drainage of Lower Jaw with Drainage Device, Open Approach 140 15.14
0CDXXZ1 Extraction of Lower Tooth, Multiple, External Approach 120 12.97

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 2017 to Dec 2017 % of DRG Volume
Beaumont Hospital Royal Oak 3601 W 13 MILE RD Royal Oak MI 48073 NA NA
Cooper University Health Care 1 COOPER PLZ Camden NJ 08103 NA NA
Mayo Clinic Hospital - Saint Marys Campus 1216 2ND ST SW Rochester MN 55902 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. KENNETH DAVID HAYNES 5756 S STAPLES ST STE F CORPUS CHRISTI TX 78413 NA NA
DR. SANFORD NEIL MORRISON 904 KEMPSVILLE RD STE 102 VIRGINIA BEACH VA 23464 NA NA
DR. SUDHEER J. SURPURE 4202 N 32ND ST PHOENIX AZ 85018 NA NA

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 2017 to Dec 2017 National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 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 K122 Cellulitis and abscess of mouth 2,520 427
General Surgery Mouth Procedures Mouth Procedures I10 Essential (primary) hypertension 1,619 419
General Surgery Mouth Procedures Mouth Procedures E785 Hyperlipidemia, unspecified 731 304
General Surgery Mouth Procedures Mouth Procedures K047 Periapical abscess without sinus 2,167 297
General Surgery Mouth Procedures Mouth Procedures K219 Gastro-esophageal reflux disease without esophagitis 463 226
General Surgery Mouth Procedures Mouth Procedures Z87891 Personal history of nicotine dependence 548 204
General Surgery Mouth Procedures Mouth Procedures K029 Dental caries, unspecified 1,593 181
General Surgery Mouth Procedures Mouth Procedures I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 280 181
General Surgery Mouth Procedures Mouth Procedures M272 Inflammatory conditions of jaws 884 176
General Surgery Mouth Procedures Mouth Procedures L03211 Cellulitis of face 1,368 170