*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
K047 - Periapical abscess without sinus - as a primary diagnosis code | K047 - Periapical abscess without sinus - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 7.31 | |
Readmission Rate (%) | 20.64 | |
Unplanned Readmission Rate (%) | 8.51 | |
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 137: MOUTH PROCEDURES WITH 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 10,966 | ||||
Total Hospitalizations with ICD K047 - Periapical abscess without sinus | 2,557 | ||||
DRG Share of Total Hospitalizations | 0.03 | ||||
% of Total ICD K047 - Periapical abscess without sinus in DRG | 50.79 | ||||
Avg LOS at DRG | 3.55 | ||||
Avg LOS with ICD K047 - Periapical abscess without sinus | 3.01 | ||||
Readmission Rate at DRG | 16.16 | ||||
Readmission Rate with ICD K047 - Periapical abscess without sinus | 10.6 | ||||
Unplanned Readmission Rate at DRG | 10.54 | ||||
Unplanned Readmission Rate with ICD K047 - Periapical abscess without sinus | 7.41 | ||||
Total Medicare payments at DRG | $61,877,531 | ||||
Total Medicare payments with ICD K047 - Periapical abscess without sinus | $13,160,372 | ||||
Total Medicare payment per Day at DRG | $1,590 | ||||
Total Medicare payment per Day with ICD K047 - Periapical abscess without sinus | $1,708 | ||||
Total Medicare payment per Hospitalization at DRG | $5,643 | ||||
Total Medicare payment per Hospitalization with ICD K047 - Periapical abscess without sinus | $5,147 | ||||
Total Medicare Charges at DRG | $330,565,798 | ||||
Total Medicare Charges with ICD K047 - Periapical abscess without sinus | $62,277,941 | ||||
Avg Charges at DRG | $30,145 | ||||
Avg Charges with ICD K047 - Periapical abscess without sinus | $24,356 | ||||
Mortality Rate at DRG | 0.26 | ||||
Mortality Rate with ICD K047 - Periapical abscess without sinus | NA | ||||
SNF Discharge Rate at DRG | 13.73 | ||||
SNF Discharge Rate with ICD K047 - Periapical abscess without sinus | 6.26 | ||||
Home Discharge Rate at DRG | 61.66 | ||||
Home Discharge Rate with ICD K047 - Periapical abscess without sinus | 78.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 129: MAJOR HEAD AND NECK PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR MAJOR DEVICE | DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 130: MAJOR HEAD AND NECK PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 132: CRANIAL AND FACIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 6,332 | ||||
Total Hospitalizations with ICD K047 - Periapical abscess without sinus | 78 | ||||
DRG Share of Total Hospitalizations | 0.02 | ||||
% of Total ICD K047 - Periapical abscess without sinus in DRG | 1.55 | ||||
Avg LOS at DRG | 5.14 | ||||
Avg LOS with ICD K047 - Periapical abscess without sinus | 4.32 | ||||
Readmission Rate at DRG | 14.35 | ||||
Readmission Rate with ICD K047 - Periapical abscess without sinus | NA | ||||
Unplanned Readmission Rate at DRG | 7.64 | ||||
Unplanned Readmission Rate with ICD K047 - Periapical abscess without sinus | NA | ||||
Total Medicare payments at DRG | $113,818,459 | ||||
Total Medicare payments with ICD K047 - Periapical abscess without sinus | $1,088,757 | ||||
Total Medicare payment per Day at DRG | $3,496 | ||||
Total Medicare payment per Day with ICD K047 - Periapical abscess without sinus | $3,231 | ||||
Total Medicare payment per Hospitalization at DRG | $17,975 | ||||
Total Medicare payment per Hospitalization with ICD K047 - Periapical abscess without sinus | $13,958 | ||||
Total Medicare Charges at DRG | $599,317,955 | ||||
Total Medicare Charges with ICD K047 - Periapical abscess without sinus | $4,432,455 | ||||
Avg Charges at DRG | $94,649 | ||||
Avg Charges with ICD K047 - Periapical abscess without sinus | $56,826 | ||||
Mortality Rate at DRG | 0.74 | ||||
Mortality Rate with ICD K047 - Periapical abscess without sinus | NA | ||||
SNF Discharge Rate at DRG | 9.41 | ||||
SNF Discharge Rate with ICD K047 - Periapical abscess without sinus | NA | ||||
Home Discharge Rate at DRG | 64.53 | ||||
Home Discharge Rate with ICD K047 - Periapical abscess without sinus | 70.51 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
RHODE ISLAND HOSPITAL | 593 EDDY ST | PROVIDENCE | RI | 02903 | 37 |
BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 32 |
UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 27 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. SANFORD NEIL MORRISON | 904 KEMPSVILLE RD STE 102 | VIRGINIA BEACH | VA | 23464 | 19 |
Dr. BASEL HAJJAR | 3100 NORTH CAMPBELL ST | VALPARAISO | IN | 46385 | 15 |
Dr. ALLEN SCLAROFF | 1 BARNES JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 13 |
*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 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,100,860 | ||||
Total Hospitalizations with ICD K047 - Periapical abscess without sinus | 3,798 | ||||
DRG Share of Total Hospitalizations | 3.35 | ||||
% of Total ICD K047 - Periapical abscess without sinus in DRG | 10.64 | ||||
Avg LOS at DRG | 11.86 | ||||
Avg LOS with ICD K047 - Periapical abscess without sinus | 16.16 | ||||
Readmission Rate at DRG | 27.58 | ||||
Readmission Rate with ICD K047 - Periapical abscess without sinus | 28.32 | ||||
Unplanned Readmission Rate at DRG | 13.34 | ||||
Unplanned Readmission Rate with ICD K047 - Periapical abscess without sinus | 10.66 | ||||
Total Medicare payments at DRG | $9,312,828,663 | ||||
Total Medicare payments with ICD K047 - Periapical abscess without sinus | $36,281,738 | ||||
Total Medicare payment per Day at DRG | $713 | ||||
Total Medicare payment per Day with ICD K047 - Periapical abscess without sinus | $591 | ||||
Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
Total Medicare payment per Hospitalization with ICD K047 - Periapical abscess without sinus | $9,553 | ||||
Total Medicare Charges at DRG | $32,341,464,302 | ||||
Total Medicare Charges with ICD K047 - Periapical abscess without sinus | $134,997,141 | ||||
Avg Charges at DRG | $29,378 | ||||
Avg Charges with ICD K047 - Periapical abscess without sinus | $35,544 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD K047 - Periapical abscess without sinus | NA | ||||
SNF Discharge Rate at DRG | 5.83 | ||||
SNF Discharge Rate with ICD K047 - Periapical abscess without sinus | 1.84 | ||||
Home Discharge Rate at DRG | 79.47 | ||||
Home Discharge Rate with ICD K047 - Periapical abscess without sinus | 85.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
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) | DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 3,610 | ||||
Total Hospitalizations with ICD K047 - Periapical abscess without sinus | 927 | ||||
DRG Share of Total Hospitalizations | 0.01 | ||||
% of Total ICD K047 - Periapical abscess without sinus in DRG | 2.6 | ||||
Avg LOS at DRG | 2.46 | ||||
Avg LOS with ICD K047 - Periapical abscess without sinus | 2.43 | ||||
Readmission Rate at DRG | 10.36 | ||||
Readmission Rate with ICD K047 - Periapical abscess without sinus | 8.37 | ||||
Unplanned Readmission Rate at DRG | 6.77 | ||||
Unplanned Readmission Rate with ICD K047 - Periapical abscess without sinus | 5.81 | ||||
Total Medicare payments at DRG | $13,642,782 | ||||
Total Medicare payments with ICD K047 - Periapical abscess without sinus | $3,452,866 | ||||
Total Medicare payment per Day at DRG | $1,535 | ||||
Total Medicare payment per Day with ICD K047 - Periapical abscess without sinus | $1,534 | ||||
Total Medicare payment per Hospitalization at DRG | $3,779 | ||||
Total Medicare payment per Hospitalization with ICD K047 - Periapical abscess without sinus | $3,725 | ||||
Total Medicare Charges at DRG | $80,821,916 | ||||
Total Medicare Charges with ICD K047 - Periapical abscess without sinus | $18,386,928 | ||||
Avg Charges at DRG | $22,388 | ||||
Avg Charges with ICD K047 - Periapical abscess without sinus | $19,835 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD K047 - Periapical abscess without sinus | NA | ||||
SNF Discharge Rate at DRG | 7.95 | ||||
SNF Discharge Rate with ICD K047 - Periapical abscess without sinus | 5.39 | ||||
Home Discharge Rate at DRG | 74.63 | ||||
Home Discharge Rate with ICD K047 - Periapical abscess without sinus | 80.58 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 269,064 | ||||
Total Hospitalizations with ICD K047 - Periapical abscess without sinus | 444 | ||||
DRG Share of Total Hospitalizations | 0.82 | ||||
% of Total ICD K047 - Periapical abscess without sinus in DRG | 1.24 | ||||
Avg LOS at DRG | 13.18 | ||||
Avg LOS with ICD K047 - Periapical abscess without sinus | 11.64 | ||||
Readmission Rate at DRG | 37.51 | ||||
Readmission Rate with ICD K047 - Periapical abscess without sinus | 28.04 | ||||
Unplanned Readmission Rate at DRG | 18.15 | ||||
Unplanned Readmission Rate with ICD K047 - Periapical abscess without sinus | 13.65 | ||||
Total Medicare payments at DRG | $9,344,186,034 | ||||
Total Medicare payments with ICD K047 - Periapical abscess without sinus | $14,953,341 | ||||
Total Medicare payment per Day at DRG | $2,635 | ||||
Total Medicare payment per Day with ICD K047 - Periapical abscess without sinus | $2,894 | ||||
Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
Total Medicare payment per Hospitalization with ICD K047 - Periapical abscess without sinus | $33,679 | ||||
Total Medicare Charges at DRG | $44,371,117,432 | ||||
Total Medicare Charges with ICD K047 - Periapical abscess without sinus | $63,031,838 | ||||
Avg Charges at DRG | $164,909 | ||||
Avg Charges with ICD K047 - Periapical abscess without sinus | $141,964 | ||||
Mortality Rate at DRG | 14.37 | ||||
Mortality Rate with ICD K047 - Periapical abscess without sinus | 4.28 | ||||
SNF Discharge Rate at DRG | 31.8 | ||||
SNF Discharge Rate with ICD K047 - Periapical abscess without sinus | 25.68 | ||||
Home Discharge Rate at DRG | 14.61 | ||||
Home Discharge Rate with ICD K047 - Periapical abscess without sinus | 31.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 201,938 | ||||
Total Hospitalizations with ICD K047 - Periapical abscess without sinus | 301 | ||||
DRG Share of Total Hospitalizations | 0.61 | ||||
% of Total ICD K047 - Periapical abscess without sinus in DRG | 0.84 | ||||
Avg LOS at DRG | 3.4 | ||||
Avg LOS with ICD K047 - Periapical abscess without sinus | 5.93 | ||||
Readmission Rate at DRG | 26.55 | ||||
Readmission Rate with ICD K047 - Periapical abscess without sinus | 39.64 | ||||
Unplanned Readmission Rate at DRG | 21.29 | ||||
Unplanned Readmission Rate with ICD K047 - Periapical abscess without sinus | 33.93 | ||||
Total Medicare payments at DRG | $1,046,791,335 | ||||
Total Medicare payments with ICD K047 - Periapical abscess without sinus | $1,858,533 | ||||
Total Medicare payment per Day at DRG | $1,523 | ||||
Total Medicare payment per Day with ICD K047 - Periapical abscess without sinus | $1,041 | ||||
Total Medicare payment per Hospitalization at DRG | $5,184 | ||||
Total Medicare payment per Hospitalization with ICD K047 - Periapical abscess without sinus | $6,175 | ||||
Total Medicare Charges at DRG | $5,572,284,000 | ||||
Total Medicare Charges with ICD K047 - Periapical abscess without sinus | $12,122,446 | ||||
Avg Charges at DRG | $27,594 | ||||
Avg Charges with ICD K047 - Periapical abscess without sinus | $40,274 | ||||
Mortality Rate at DRG | 0.31 | ||||
Mortality Rate with ICD K047 - Periapical abscess without sinus | NA | ||||
SNF Discharge Rate at DRG | 12.45 | ||||
SNF Discharge Rate with ICD K047 - Periapical abscess without sinus | NA | ||||
Home Discharge Rate at DRG | 66.72 | ||||
Home Discharge Rate with ICD K047 - Periapical abscess without sinus | 87.71 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 203 |
SENTARA NORFOLK GENERAL HOSPITAL | 600 GRESHAM DR | NORFOLK | VA | 23507 | 155 |
BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 143 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 131 |
Dr. SANFORD NEIL MORRISON | 904 KEMPSVILLE RD STE 102 | VIRGINIA BEACH | VA | 23464 | 61 |
Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 46 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 168 |
Dr. GREGORY DALE SMITH | 2412 RING RD | ELIZABETHTOWN | KY | 42701 | 44 |
Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 35 |