*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K029 - Dental caries, unspecified - as a primary diagnosis code | K029 - Dental caries, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.37 | |
| Readmission Rate (%) | 24.89 | |
| Unplanned Readmission Rate (%) | 11.25 | |
| 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) | DRG 131: CRANIAL AND FACIAL 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,966 | ||||
| Total Hospitalizations with ICD K029 - Dental caries, unspecified | 159 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K029 - Dental caries, unspecified in DRG | 36.64 | ||||
| Avg LOS at DRG | 3.55 | ||||
| Avg LOS with ICD K029 - Dental caries, unspecified | 3.72 | ||||
| Readmission Rate at DRG | 16.16 | ||||
| Readmission Rate with ICD K029 - Dental caries, unspecified | 17.53 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD K029 - Dental caries, unspecified | 11.69 | ||||
| Total Medicare payments at DRG | $61,877,531 | ||||
| Total Medicare payments with ICD K029 - Dental caries, unspecified | $844,509 | ||||
| Total Medicare payment per Day at DRG | $1,590 | ||||
| Total Medicare payment per Day with ICD K029 - Dental caries, unspecified | $1,427 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,643 | ||||
| Total Medicare payment per Hospitalization with ICD K029 - Dental caries, unspecified | $5,311 | ||||
| Total Medicare Charges at DRG | $330,565,798 | ||||
| Total Medicare Charges with ICD K029 - Dental caries, unspecified | $5,190,821 | ||||
| Avg Charges at DRG | $30,145 | ||||
| Avg Charges with ICD K029 - Dental caries, unspecified | $32,647 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD K029 - Dental caries, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 13.73 | ||||
| SNF Discharge Rate with ICD K029 - Dental caries, unspecified | NA | ||||
| Home Discharge Rate at DRG | 61.66 | ||||
| Home Discharge Rate with ICD K029 - Dental caries, unspecified | 77.36 |
*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 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 1,790 | |
| Total Hospitalizations with ICD K029 - Dental caries, unspecified | 17 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD K029 - Dental caries, unspecified in DRG | 3.92 | |
| Avg LOS at DRG | 2.42 | |
| Avg LOS with ICD K029 - Dental caries, unspecified | 3.18 | |
| Readmission Rate at DRG | 8.1 | |
| Readmission Rate with ICD K029 - Dental caries, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 5.15 | |
| Unplanned Readmission Rate with ICD K029 - Dental caries, unspecified | NA | |
| Total Medicare payments at DRG | $17,897,469 | |
| Total Medicare payments with ICD K029 - Dental caries, unspecified | $139,396 | |
| Total Medicare payment per Day at DRG | $4,130 | |
| Total Medicare payment per Day with ICD K029 - Dental caries, unspecified | $2,581 | |
| Total Medicare payment per Hospitalization at DRG | $9,999 | |
| Total Medicare payment per Hospitalization with ICD K029 - Dental caries, unspecified | $8,200 | |
| Total Medicare Charges at DRG | $108,894,934 | |
| Total Medicare Charges with ICD K029 - Dental caries, unspecified | $720,621 | |
| Avg Charges at DRG | $60,835 | |
| Avg Charges with ICD K029 - Dental caries, unspecified | $42,389 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD K029 - Dental caries, unspecified | NA | |
| SNF Discharge Rate at DRG | 4.08 | |
| SNF Discharge Rate with ICD K029 - Dental caries, unspecified | NA | |
| Home Discharge Rate at DRG | 84.8 | |
| Home Discharge Rate with ICD K029 - Dental caries, unspecified | 88.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD K029 - Dental caries, unspecified | 3,196 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD K029 - Dental caries, unspecified in DRG | 9.84 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD K029 - Dental caries, unspecified | 19.89 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD K029 - Dental caries, unspecified | 28.46 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD K029 - Dental caries, unspecified | 13.14 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD K029 - Dental caries, unspecified | $36,067,628 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD K029 - Dental caries, unspecified | $567 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD K029 - Dental caries, unspecified | $11,285 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD K029 - Dental caries, unspecified | $138,903,276 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD K029 - Dental caries, unspecified | $43,462 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD K029 - Dental caries, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD K029 - Dental caries, unspecified | 3.35 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD K029 - Dental caries, unspecified | 81.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD K029 - Dental caries, unspecified | 590 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K029 - Dental caries, unspecified in DRG | 1.82 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K029 - Dental caries, unspecified | 14.57 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K029 - Dental caries, unspecified | 29.03 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K029 - Dental caries, unspecified | 15.56 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K029 - Dental caries, unspecified | $21,754,005 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K029 - Dental caries, unspecified | $2,530 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K029 - Dental caries, unspecified | $36,871 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K029 - Dental caries, unspecified | $101,070,265 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K029 - Dental caries, unspecified | $171,306 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K029 - Dental caries, unspecified | 5.08 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K029 - Dental caries, unspecified | 31.02 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K029 - Dental caries, unspecified | 25.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,143 | ||||
| Total Hospitalizations with ICD K029 - Dental caries, unspecified | 389 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD K029 - Dental caries, unspecified in DRG | 1.2 | ||||
| Avg LOS at DRG | 14.92 | ||||
| Avg LOS with ICD K029 - Dental caries, unspecified | 19.58 | ||||
| Readmission Rate at DRG | 36.41 | ||||
| Readmission Rate with ICD K029 - Dental caries, unspecified | 31.44 | ||||
| Unplanned Readmission Rate at DRG | 14.15 | ||||
| Unplanned Readmission Rate with ICD K029 - Dental caries, unspecified | 13.01 | ||||
| Total Medicare payments at DRG | $1,600,887,734 | ||||
| Total Medicare payments with ICD K029 - Dental caries, unspecified | $27,601,736 | ||||
| Total Medicare payment per Day at DRG | $4,638 | ||||
| Total Medicare payment per Day with ICD K029 - Dental caries, unspecified | $3,624 | ||||
| Total Medicare payment per Hospitalization at DRG | $69,174 | ||||
| Total Medicare payment per Hospitalization with ICD K029 - Dental caries, unspecified | $70,956 | ||||
| Total Medicare Charges at DRG | $7,841,128,809 | ||||
| Total Medicare Charges with ICD K029 - Dental caries, unspecified | $130,223,268 | ||||
| Avg Charges at DRG | $338,812 | ||||
| Avg Charges with ICD K029 - Dental caries, unspecified | $334,764 | ||||
| Mortality Rate at DRG | 11.09 | ||||
| Mortality Rate with ICD K029 - Dental caries, unspecified | 3.6 | ||||
| SNF Discharge Rate at DRG | 24.56 | ||||
| SNF Discharge Rate with ICD K029 - Dental caries, unspecified | 30.59 | ||||
| Home Discharge Rate at DRG | 18.17 | ||||
| Home Discharge Rate with ICD K029 - Dental caries, unspecified | 16.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,301 | ||||
| Total Hospitalizations with ICD K029 - Dental caries, unspecified | 276 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD K029 - Dental caries, unspecified in DRG | 0.85 | ||||
| Avg LOS at DRG | 10.92 | ||||
| Avg LOS with ICD K029 - Dental caries, unspecified | 16.67 | ||||
| Readmission Rate at DRG | 32.06 | ||||
| Readmission Rate with ICD K029 - Dental caries, unspecified | 26.44 | ||||
| Unplanned Readmission Rate at DRG | 12.13 | ||||
| Unplanned Readmission Rate with ICD K029 - Dental caries, unspecified | 14.94 | ||||
| Total Medicare payments at DRG | $2,755,788,420 | ||||
| Total Medicare payments with ICD K029 - Dental caries, unspecified | $17,153,591 | ||||
| Total Medicare payment per Day at DRG | $5,120 | ||||
| Total Medicare payment per Day with ICD K029 - Dental caries, unspecified | $3,727 | ||||
| Total Medicare payment per Hospitalization at DRG | $55,897 | ||||
| Total Medicare payment per Hospitalization with ICD K029 - Dental caries, unspecified | $62,151 | ||||
| Total Medicare Charges at DRG | $13,454,609,626 | ||||
| Total Medicare Charges with ICD K029 - Dental caries, unspecified | $83,515,648 | ||||
| Avg Charges at DRG | $272,907 | ||||
| Avg Charges with ICD K029 - Dental caries, unspecified | $302,593 | ||||
| Mortality Rate at DRG | 7.09 | ||||
| Mortality Rate with ICD K029 - Dental caries, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 21.99 | ||||
| SNF Discharge Rate with ICD K029 - Dental caries, unspecified | 25.36 | ||||
| Home Discharge Rate at DRG | 21.9 | ||||
| Home Discharge Rate with ICD K029 - Dental caries, unspecified | 23.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 271 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 182 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 176 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RUDY JEROME VERVAEKE | 21420 HARPER AVE | SAINT CLAIR SHORES | MI | 48080 | 35 |
| Dr. SANFORD NEIL MORRISON | 904 KEMPSVILLE RD STE 102 | VIRGINIA BEACH | VA | 23464 | 34 |
| Dr. SAM DELK | 176 S BELLEVUE BLVD | MEMPHIS | TN | 38104 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. S RAO CHALASANI | 5425 BRITTANY DR | BATON ROUGE | LA | 70808 | 95 |
| Dr. RUDY JEROME VERVAEKE | 21420 HARPER AVE | SAINT CLAIR SHORES | MI | 48080 | 34 |
| Dr. TIMOTHY IVIN LAWVER | 525 OREGON ST | VALLEJO | CA | 94590 | 30 |