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K047 - ICD 10 Diagnosis Code - Periapical abscess without sinus - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to K047 - Periapical abscess without sinus

*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

Top DRGs Associated With K047 - Periapical abscess without sinus - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*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

Top Hospitals Associated With K047 - Periapical abscess without sinus - as a primary diagnosis code

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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

Top Operating Physicians Associated With K047 - Periapical abscess without sinus - as a primary diagnosis code

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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

Top DRGs Associated With K047 - Periapical abscess without sinus - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*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

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*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

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*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

Top Hospitals Associated With K047 - Periapical abscess without sinus - as a primary or secondary diagnosis code

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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

Top Operating Physicians Associated With K047 - Periapical abscess without sinus - as a primary or secondary diagnosis code

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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

Top Attending Physicians Associated With K047 - Periapical abscess without sinus - as a primary or secondary diagnosis code

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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

AI Identified Top 50 Most Common Comorbid Conditions Associated With K047 - Periapical abscess without sinus   |  Back to Top


No ICD Diagnosis Code Description
1 Z841 Family history of disorders of kidney and ureter
2 E10319 Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema
3 E1042 Type 1 diabetes mellitus with diabetic polyneuropathy
4 D703 Neutropenia due to infection
5 E1040 Type 1 diabetes mellitus with diabetic neuropathy, unspecified
6 E1043 Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
7 Z9115 Patient's noncompliance with renal dialysis
8 Z8679 Personal history of other diseases of the circulatory system
9 K0381 Cracked tooth
10 L0390 Cellulitis, unspecified
11 E11638 Type 2 diabetes mellitus with other oral complications
12 E1065 Type 1 diabetes mellitus with hyperglycemia
13 S025XXA Fracture of tooth (traumatic), initial encounter for closed fracture
14 D5700 Hb-SS disease with crisis, unspecified
15 L03213 Periorbital cellulitis
16 F1510 Other stimulant abuse, uncomplicated
17 L03211 Cellulitis of face
18 J390 Retropharyngeal and parapharyngeal abscess
19 T360X5A Adverse effect of penicillins, initial encounter
20 F0281 Dementia in other diseases classified elsewhere with behavioral disturbance
21 G9341 Metabolic encephalopathy
22 Z6839 Body mass index (BMI) 39.0-39.9, adult
23 Z944 Liver transplant status
24 F603 Borderline personality disorder
25 D701 Agranulocytosis secondary to cancer chemotherapy
26 R7881 Bacteremia
27 G301 Alzheimer's disease with late onset
28 Z9641 Presence of insulin pump (external) (internal)
29 E1022 Type 1 diabetes mellitus with diabetic chronic kidney disease
30 R161 Splenomegaly, not elsewhere classified
31 R5081 Fever presenting with conditions classified elsewhere
32 J391 Other abscess of pharynx
33 D709 Neutropenia, unspecified
34 R55 Syncope and collapse
35 R740 Nonspecific elevation of levels of transaminase and lactic acid dehydrogenase [LDH]
36 R590 Localized enlarged lymph nodes
37 Z6843 Body mass index (BMI) 50-59.9 , adult
38 F209 Schizophrenia, unspecified
39 L03221 Cellulitis of neck
40 H540 Blindness, both eyes
41 R221 Localized swelling, mass and lump, neck
42 J029 Acute pharyngitis, unspecified
43 C9200 Acute myeloblastic leukemia, not having achieved remission
44 K1120 Sialoadenitis, unspecified
45 E6601 Morbid (severe) obesity due to excess calories
46 L03116 Cellulitis of left lower limb
47 F39 Unspecified mood [affective] disorder
48 K130 Diseases of lips
49 E6609 Other obesity due to excess calories
50 L299 Pruritus, unspecified