*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K011 - Impacted teeth - as a primary diagnosis code | K011 - Impacted teeth - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.87 | |
| Readmission Rate (%) | 18.1 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 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 K011 - Impacted teeth | 17 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD K011 - Impacted teeth in DRG | 40.48 | |
| Avg LOS at DRG | 3.55 | |
| Avg LOS with ICD K011 - Impacted teeth | 2.71 | |
| Readmission Rate at DRG | 16.16 | |
| Readmission Rate with ICD K011 - Impacted teeth | NA | |
| Unplanned Readmission Rate at DRG | 10.54 | |
| Unplanned Readmission Rate with ICD K011 - Impacted teeth | NA | |
| Total Medicare payments at DRG | $61,877,531 | |
| Total Medicare payments with ICD K011 - Impacted teeth | $82,298 | |
| Total Medicare payment per Day at DRG | $1,590 | |
| Total Medicare payment per Day with ICD K011 - Impacted teeth | $1,789 | |
| Total Medicare payment per Hospitalization at DRG | $5,643 | |
| Total Medicare payment per Hospitalization with ICD K011 - Impacted teeth | $4,841 | |
| Total Medicare Charges at DRG | $330,565,798 | |
| Total Medicare Charges with ICD K011 - Impacted teeth | $463,438 | |
| Avg Charges at DRG | $30,145 | |
| Avg Charges with ICD K011 - Impacted teeth | $27,261 | |
| Mortality Rate at DRG | 0.26 | |
| Mortality Rate with ICD K011 - Impacted teeth | NA | |
| SNF Discharge Rate at DRG | 13.73 | |
| SNF Discharge Rate with ICD K011 - Impacted teeth | NA | |
| Home Discharge Rate at DRG | 61.66 | |
| Home Discharge Rate with ICD K011 - Impacted teeth | 70.59 |
*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 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 129: MAJOR HEAD AND NECK PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR MAJOR DEVICE | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,966 | ||||
| Total Hospitalizations with ICD K011 - Impacted teeth | 75 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K011 - Impacted teeth in DRG | 9.07 | ||||
| Avg LOS at DRG | 3.55 | ||||
| Avg LOS with ICD K011 - Impacted teeth | 3.53 | ||||
| Readmission Rate at DRG | 16.16 | ||||
| Readmission Rate with ICD K011 - Impacted teeth | NA | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD K011 - Impacted teeth | NA | ||||
| Total Medicare payments at DRG | $61,877,531 | ||||
| Total Medicare payments with ICD K011 - Impacted teeth | $402,368 | ||||
| Total Medicare payment per Day at DRG | $1,590 | ||||
| Total Medicare payment per Day with ICD K011 - Impacted teeth | $1,518 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,643 | ||||
| Total Medicare payment per Hospitalization with ICD K011 - Impacted teeth | $5,365 | ||||
| Total Medicare Charges at DRG | $330,565,798 | ||||
| Total Medicare Charges with ICD K011 - Impacted teeth | $2,823,915 | ||||
| Avg Charges at DRG | $30,145 | ||||
| Avg Charges with ICD K011 - Impacted teeth | $37,652 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD K011 - Impacted teeth | NA | ||||
| SNF Discharge Rate at DRG | 13.73 | ||||
| SNF Discharge Rate with ICD K011 - Impacted teeth | NA | ||||
| Home Discharge Rate at DRG | 61.66 | ||||
| Home Discharge Rate with ICD K011 - Impacted teeth | 74.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,927 | ||||
| Total Hospitalizations with ICD K011 - Impacted teeth | 29 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD K011 - Impacted teeth in DRG | 3.51 | ||||
| Avg LOS at DRG | 5.65 | ||||
| Avg LOS with ICD K011 - Impacted teeth | 4.52 | ||||
| Readmission Rate at DRG | 17.41 | ||||
| Readmission Rate with ICD K011 - Impacted teeth | NA | ||||
| Unplanned Readmission Rate at DRG | 7.98 | ||||
| Unplanned Readmission Rate with ICD K011 - Impacted teeth | NA | ||||
| Total Medicare payments at DRG | $74,250,533 | ||||
| Total Medicare payments with ICD K011 - Impacted teeth | $457,932 | ||||
| Total Medicare payment per Day at DRG | $3,344 | ||||
| Total Medicare payment per Day with ICD K011 - Impacted teeth | $3,496 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,908 | ||||
| Total Medicare payment per Hospitalization with ICD K011 - Impacted teeth | $15,791 | ||||
| Total Medicare Charges at DRG | $386,848,425 | ||||
| Total Medicare Charges with ICD K011 - Impacted teeth | $2,007,692 | ||||
| Avg Charges at DRG | $98,510 | ||||
| Avg Charges with ICD K011 - Impacted teeth | $69,231 | ||||
| Mortality Rate at DRG | 1.17 | ||||
| Mortality Rate with ICD K011 - Impacted teeth | NA | ||||
| SNF Discharge Rate at DRG | 15.48 | ||||
| SNF Discharge Rate with ICD K011 - Impacted teeth | NA | ||||
| Home Discharge Rate at DRG | 59.66 | ||||
| Home Discharge Rate with ICD K011 - Impacted teeth | 79.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 132: CRANIAL AND FACIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,790 | ||||
| Total Hospitalizations with ICD K011 - Impacted teeth | 18 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD K011 - Impacted teeth in DRG | 2.18 | ||||
| Avg LOS at DRG | 2.42 | ||||
| Avg LOS with ICD K011 - Impacted teeth | 2.39 | ||||
| Readmission Rate at DRG | 8.1 | ||||
| Readmission Rate with ICD K011 - Impacted teeth | NA | ||||
| Unplanned Readmission Rate at DRG | 5.15 | ||||
| Unplanned Readmission Rate with ICD K011 - Impacted teeth | NA | ||||
| Total Medicare payments at DRG | $17,897,469 | ||||
| Total Medicare payments with ICD K011 - Impacted teeth | $157,735 | ||||
| Total Medicare payment per Day at DRG | $4,130 | ||||
| Total Medicare payment per Day with ICD K011 - Impacted teeth | $3,668 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,999 | ||||
| Total Medicare payment per Hospitalization with ICD K011 - Impacted teeth | $8,763 | ||||
| Total Medicare Charges at DRG | $108,894,934 | ||||
| Total Medicare Charges with ICD K011 - Impacted teeth | $920,037 | ||||
| Avg Charges at DRG | $60,835 | ||||
| Avg Charges with ICD K011 - Impacted teeth | $51,113 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K011 - Impacted teeth | NA | ||||
| SNF Discharge Rate at DRG | 4.08 | ||||
| SNF Discharge Rate with ICD K011 - Impacted teeth | NA | ||||
| Home Discharge Rate at DRG | 84.8 | ||||
| Home Discharge Rate with ICD K011 - Impacted teeth | 83.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 130: MAJOR HEAD AND NECK PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||
| Total Hospitalizations with ICD K011 - Impacted teeth | 11 | ||
| DRG Share of Total Hospitalizations | 0.15 | ||
| % of Total ICD K011 - Impacted teeth in DRG | 1.33 | ||
| Avg LOS at DRG | 29.97 | ||
| Avg LOS with ICD K011 - Impacted teeth | 21.64 | ||
| Readmission Rate at DRG | 76.3 | ||
| Readmission Rate with ICD K011 - Impacted teeth | NA | ||
| Unplanned Readmission Rate at DRG | 6.46 | ||
| Unplanned Readmission Rate with ICD K011 - Impacted teeth | NA | ||
| Total Medicare payments at DRG | $6,190,071,785 | ||
| Total Medicare payments with ICD K011 - Impacted teeth | $1,556,860 | ||
| Total Medicare payment per Day at DRG | $4,263 | ||
| Total Medicare payment per Day with ICD K011 - Impacted teeth | $6,541 | ||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||
| Total Medicare payment per Hospitalization with ICD K011 - Impacted teeth | $141,533 | ||
| Total Medicare Charges at DRG | $28,754,600,069 | ||
| Total Medicare Charges with ICD K011 - Impacted teeth | $6,823,661 | ||
| Avg Charges at DRG | $593,502 | ||
| Avg Charges with ICD K011 - Impacted teeth | $620,333 | ||
| Mortality Rate at DRG | 20.61 | ||
| Mortality Rate with ICD K011 - Impacted teeth | NA | ||
| SNF Discharge Rate at DRG | 12.46 | ||
| SNF Discharge Rate with ICD K011 - Impacted teeth | NA | ||
| Home Discharge Rate at DRG | 2.36 | ||
| Home Discharge Rate with ICD K011 - Impacted teeth | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF IOWA HOSPITAL & CLINICS | 200 HAWKINS DR | IOWA CITY | IA | 52242 | 12 |
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 11 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 11 |