DRG 157: DENTAL AND ORAL DISEASES WITH 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

CHARGE CAPTURE ANALYSIS FOR DRG 157: DENTAL AND ORAL DISEASES WITH 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 (%)
157 DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) General Medicine Dental And Oral Diseases Dental And Oral Diseases Non Surgical 27.85 NA 1,860 8,683 1,729
159 DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Medicine Dental And Oral Diseases Dental And Oral Diseases Non Surgical 18.30 NA 1,222 6,039 1,146
158 DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) General Medicine Dental And Oral Diseases Dental And Oral Diseases Non Surgical 53.86 NA 3,597 17,694 3,431

DEMOGRAPHIC DETAILS OF DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 1,388 74.62
Black 314 16.88
Hispanic 63 3.39
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Less than 65 475 25.54
Greater than 84 349 18.76
65 to 69 314 16.88

TOP ICD DIAGNOSIS CODES FOR DRG 157: DENTAL AND ORAL DISEASES WITH 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
K047 Periapical abscess without sinus 295 15.86
K1231 Oral mucositis (ulcerative) due to antineoplastic therapy 229 12.31
K122 Cellulitis and abscess of mouth 160 8.6

TOP ICD PROCEDURE CODES FOR DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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TOP HOSPITALS ASSOCIATED WITH DRG 157: DENTAL AND ORAL DISEASES WITH 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
Mayo Clinic Hospital - Saint Marys Campus 1216 2ND ST SW Rochester MN 55902 12 0.65
NewYork Presbyterian - Weill Cornell Medical Center 525 E 68TH ST New York NY 10021 11 0.59
Methodist University Hospital 1265 UNION AVE Memphis TN 38104 NA NA

DRG 157: DENTAL AND ORAL DISEASES WITH 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 Medicine Dental And Oral Diseases Dental And Oral Diseases I10 Essential (primary) hypertension 1,589 731
General Medicine Dental And Oral Diseases Dental And Oral Diseases E785 Hyperlipidemia, unspecified 943 635
General Medicine Dental And Oral Diseases Dental And Oral Diseases E860 Dehydration 952 448
General Medicine Dental And Oral Diseases Dental And Oral Diseases I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 663 436
General Medicine Dental And Oral Diseases Dental And Oral Diseases Z87891 Personal history of nicotine dependence 782 429
General Medicine Dental And Oral Diseases Dental And Oral Diseases K219 Gastro-esophageal reflux disease without esophagitis 603 419
General Medicine Dental And Oral Diseases Dental And Oral Diseases E43 Unspecified severe protein-calorie malnutrition 807 382
General Medicine Dental And Oral Diseases Dental And Oral Diseases T451X5A Adverse effect of antineoplastic and immunosuppressive drugs, initial encounter 896 357
General Medicine Dental And Oral Diseases Dental And Oral Diseases E039 Hypothyroidism, unspecified 493 330
General Medicine Dental And Oral Diseases Dental And Oral Diseases E876 Hypokalemia 709 317