*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B002 - Herpesviral gingivostomatitis and pharyngotonsillitis - as a primary diagnosis code | B002 - Herpesviral gingivostomatitis and pharyngotonsillitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 13.63 | |
| Readmission Rate (%) | 31.88 | |
| Unplanned Readmission Rate (%) | 17.83 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 10,966 | ||
| Total Hospitalizations with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 133 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis in DRG | 47.5 | ||
| Avg LOS at DRG | 3.55 | ||
| Avg LOS with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 4.64 | ||
| Readmission Rate at DRG | 16.16 | ||
| Readmission Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 24.19 | ||
| Unplanned Readmission Rate at DRG | 10.54 | ||
| Unplanned Readmission Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 16.94 | ||
| Total Medicare payments at DRG | $61,877,531 | ||
| Total Medicare payments with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $836,612 | ||
| Total Medicare payment per Day at DRG | $1,590 | ||
| Total Medicare payment per Day with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $1,356 | ||
| Total Medicare payment per Hospitalization at DRG | $5,643 | ||
| Total Medicare payment per Hospitalization with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $6,290 | ||
| Total Medicare Charges at DRG | $330,565,798 | ||
| Total Medicare Charges with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $4,516,743 | ||
| Avg Charges at DRG | $30,145 | ||
| Avg Charges with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $33,960 | ||
| Mortality Rate at DRG | 0.26 | ||
| Mortality Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | NA | ||
| SNF Discharge Rate at DRG | 13.73 | ||
| SNF Discharge Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 10.53 | ||
| Home Discharge Rate at DRG | 61.66 | ||
| Home Discharge Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 62.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 899 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis in DRG | 16.3 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 11.69 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 30.7 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 17.29 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $14,153,291 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $1,346 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $15,743 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $101,770,351 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $113,204 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 7.45 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 28.25 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 24.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 118 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis in DRG | 2.14 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 19.61 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 42.86 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 14.29 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $5,568,531 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $2,406 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $47,191 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $30,245,142 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $256,315 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 23.73 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 31.36 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||||
| Total Hospitalizations with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 73 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis in DRG | 1.32 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 33.33 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 70.37 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | NA | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $7,316,610 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $3,007 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $100,228 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $39,322,114 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $538,659 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 24.66 | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 19.18 | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,754 | ||||
| Total Hospitalizations with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 63 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis in DRG | 1.14 | ||||
| Avg LOS at DRG | 7.23 | ||||
| Avg LOS with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 11.84 | ||||
| Readmission Rate at DRG | 32.29 | ||||
| Readmission Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 31.48 | ||||
| Unplanned Readmission Rate at DRG | 21.76 | ||||
| Unplanned Readmission Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 22.22 | ||||
| Total Medicare payments at DRG | $372,381,670 | ||||
| Total Medicare payments with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $1,373,684 | ||||
| Total Medicare payment per Day at DRG | $2,167 | ||||
| Total Medicare payment per Day with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $1,841 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,677 | ||||
| Total Medicare payment per Hospitalization with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $21,805 | ||||
| Total Medicare Charges at DRG | $1,638,402,442 | ||||
| Total Medicare Charges with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $7,100,742 | ||||
| Avg Charges at DRG | $68,974 | ||||
| Avg Charges with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | $112,710 | ||||
| Mortality Rate at DRG | 7.14 | ||||
| Mortality Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | NA | ||||
| SNF Discharge Rate at DRG | 14.42 | ||||
| SNF Discharge Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 17.46 | ||||
| Home Discharge Rate at DRG | 43.4 | ||||
| Home Discharge Rate with ICD B002 - Herpesviral gingivostomatitis and pharyngotonsillitis | 38.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 51 |
| BAPTIST MEMORIAL HOSPITAL | 6019 WALNUT GROVE RD | MEMPHIS | TN | 38120 | 49 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 39 |