DRG 159: DENTAL AND ORAL DISEASES 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

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 159: DENTAL AND ORAL DISEASES 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 (%)
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
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
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 159: DENTAL AND ORAL DISEASES 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 947 77.5
Black 177 14.48
Hispanic 29 2.37
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Less than 65 398 32.57
70 to 74 192 15.71
Greater than 84 189 15.47

TOP ICD DIAGNOSIS CODES FOR DRG 159: DENTAL AND ORAL DISEASES 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
K047 Periapical abscess without sinus 313 25.61
K122 Cellulitis and abscess of mouth 249 20.38
K029 Dental caries, unspecified 149 12.19

TOP ICD PROCEDURE CODES FOR DRG 159: DENTAL AND ORAL DISEASES 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
0CDXXZ0 Extraction of Lower Tooth, Single, External Approach 51 4.17
0CDXXZ1 Extraction of Lower Tooth, Multiple, External Approach 51 4.17
0HQ1XZZ Repair Face Skin, External Approach 45 3.68

TOP HOSPITALS ASSOCIATED WITH DRG 159: DENTAL AND ORAL DISEASES 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
Abington Memorial Hospital 1200 OLD YORK RD Abington PA 19001 NA NA
Rhode Island Hospital 593 EDDY ST Providence RI 02903 NA NA
Strong Memorial Hospital 601 ELMWOOD AVE Rochester NY 14642 NA NA

DRG 159: DENTAL AND ORAL DISEASES 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 Medicine Dental And Oral Diseases Dental And Oral Diseases I10 Essential (primary) hypertension 2,949 663
General Medicine Dental And Oral Diseases Dental And Oral Diseases E785 Hyperlipidemia, unspecified 1,194 413
General Medicine Dental And Oral Diseases Dental And Oral Diseases K047 Periapical abscess without sinus 3,425 313
General Medicine Dental And Oral Diseases Dental And Oral Diseases K122 Cellulitis and abscess of mouth 2,741 249
General Medicine Dental And Oral Diseases Dental And Oral Diseases K219 Gastro-esophageal reflux disease without esophagitis 752 225
General Medicine Dental And Oral Diseases Dental And Oral Diseases I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 548 209
General Medicine Dental And Oral Diseases Dental And Oral Diseases Z87891 Personal history of nicotine dependence 790 203
General Medicine Dental And Oral Diseases Dental And Oral Diseases F17210 Nicotine dependence, cigarettes, uncomplicated 1,967 194
General Medicine Dental And Oral Diseases Dental And Oral Diseases F329 Major depressive disorder, single episode, unspecified 773 184
General Medicine Dental And Oral Diseases Dental And Oral Diseases E119 Type 2 diabetes mellitus without complications 986 182