DRG 138: MOUTH PROCEDURES WITHOUT 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 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 138: MOUTH PROCEDURES WITHOUT 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 (%)
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
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

DEMOGRAPHIC DETAILS OF DRG 138: MOUTH PROCEDURES WITHOUT 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 390 81.93
Black 59 12.39
Asian 13 2.73
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Less than 65 127 26.68
65 to 69 105 22.06
70 to 74 83 17.44

TOP ICD DIAGNOSIS CODES FOR DRG 138: MOUTH PROCEDURES WITHOUT 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 150 31.51
C021 Malignant neoplasm of border of tongue 44 9.24
C060 Malignant neoplasm of cheek mucosa 12 2.52

TOP ICD PROCEDURE CODES FOR DRG 138: MOUTH PROCEDURES WITHOUT 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
0CB7XZZ Excision of Tongue, External Approach 105 22.06
0W950ZZ Drainage of Lower Jaw, Open Approach 60 12.61
0W9500Z Drainage of Lower Jaw with Drainage Device, Open Approach 51 10.71

TOP HOSPITALS ASSOCIATED WITH DRG 138: MOUTH PROCEDURES WITHOUT 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
Memorial Sloan Kettering Cancer Center 1275 YORK AVE New York NY 10065 NA NA
Sentara Norfolk General Hospital 600 GRESHAM DR Norfolk VA 23507 NA NA
University of North Carolina Hospital 101 MANNING DR Chapel Hill NC 27514 NA NA

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 138: MOUTH PROCEDURES WITHOUT 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. JOHN ANDREW RIDGE 333 COTTMAN AVE PHILADELPHIA PA 19111 NA NA
DR. MICHAEL JAY KAPLAN 875 BLAKE WILBUR DR STANFORD CA 94305 NA NA
DR. GREGORY S WEINSTEIN 3400 SPRUCE ST PHILADELPHIA PA 19104 NA NA

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 138: MOUTH PROCEDURES WITHOUT 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. JOHN ANDREW RIDGE 333 COTTMAN AVE PHILADELPHIA PA 19111 NA NA
DR. BRUCE DAVIDSON 3800 RESERVOIR RD NW WASHINGTON DC 20007 NA NA
DR. MICHAEL JAY KAPLAN 875 BLAKE WILBUR DR STANFORD CA 94305 NA NA

DRG 138: MOUTH PROCEDURES WITHOUT 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 I10 Essential (primary) hypertension 1,024 255
General Surgery Mouth Procedures Mouth Procedures K122 Cellulitis and abscess of mouth 1,564 150
General Surgery Mouth Procedures Mouth Procedures E785 Hyperlipidemia, unspecified 382 147
General Surgery Mouth Procedures Mouth Procedures Z87891 Personal history of nicotine dependence 433 109
General Surgery Mouth Procedures Mouth Procedures K219 Gastro-esophageal reflux disease without esophagitis 369 100
General Surgery Mouth Procedures Mouth Procedures E039 Hypothyroidism, unspecified 221 76
General Surgery Mouth Procedures Mouth Procedures K047 Periapical abscess without sinus 1,100 67
General Surgery Mouth Procedures Mouth Procedures E119 Type 2 diabetes mellitus without complications 391 64
General Surgery Mouth Procedures Mouth Procedures K029 Dental caries, unspecified 1,020 63
General Surgery Mouth Procedures Mouth Procedures F17210 Nicotine dependence, cigarettes, uncomplicated 773 62