*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K0510 - Chronic gingivitis, plaque induced - as a primary diagnosis code | K0510 - Chronic gingivitis, plaque induced - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.87 | |
| Readmission Rate (%) | 26.62 | |
| 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 K0510 - Chronic gingivitis, plaque induced | 29 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD K0510 - Chronic gingivitis, plaque induced in DRG | 48.33 | |
| Avg LOS at DRG | 3.55 | |
| Avg LOS with ICD K0510 - Chronic gingivitis, plaque induced | 2.93 | |
| Readmission Rate at DRG | 16.16 | |
| Readmission Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | |
| Unplanned Readmission Rate at DRG | 10.54 | |
| Unplanned Readmission Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | |
| Total Medicare payments at DRG | $61,877,531 | |
| Total Medicare payments with ICD K0510 - Chronic gingivitis, plaque induced | $148,507 | |
| Total Medicare payment per Day at DRG | $1,590 | |
| Total Medicare payment per Day with ICD K0510 - Chronic gingivitis, plaque induced | $1,747 | |
| Total Medicare payment per Hospitalization at DRG | $5,643 | |
| Total Medicare payment per Hospitalization with ICD K0510 - Chronic gingivitis, plaque induced | $5,121 | |
| Total Medicare Charges at DRG | $330,565,798 | |
| Total Medicare Charges with ICD K0510 - Chronic gingivitis, plaque induced | $1,007,263 | |
| Avg Charges at DRG | $30,145 | |
| Avg Charges with ICD K0510 - Chronic gingivitis, plaque induced | $34,733 | |
| Mortality Rate at DRG | 0.26 | |
| Mortality Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | |
| SNF Discharge Rate at DRG | 13.73 | |
| SNF Discharge Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | |
| Home Discharge Rate at DRG | 61.66 | |
| Home Discharge Rate with ICD K0510 - Chronic gingivitis, plaque induced | 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 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 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 K0510 - Chronic gingivitis, plaque induced | 1,197 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD K0510 - Chronic gingivitis, plaque induced in DRG | 19.73 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD K0510 - Chronic gingivitis, plaque induced | 15.51 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD K0510 - Chronic gingivitis, plaque induced | 36.62 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD K0510 - Chronic gingivitis, plaque induced | 18.84 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD K0510 - Chronic gingivitis, plaque induced | $12,336,776 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD K0510 - Chronic gingivitis, plaque induced | $664 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD K0510 - Chronic gingivitis, plaque induced | $10,306 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD K0510 - Chronic gingivitis, plaque induced | $41,066,194 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD K0510 - Chronic gingivitis, plaque induced | $34,308 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD K0510 - Chronic gingivitis, plaque induced | 4.18 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD K0510 - Chronic gingivitis, plaque induced | 83.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH 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 | 359,935 | ||||
| Total Hospitalizations with ICD K0510 - Chronic gingivitis, plaque induced | 78 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD K0510 - Chronic gingivitis, plaque induced in DRG | 1.29 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD K0510 - Chronic gingivitis, plaque induced | 17.35 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD K0510 - Chronic gingivitis, plaque induced | 16.67 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD K0510 - Chronic gingivitis, plaque induced | $1,424,625 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD K0510 - Chronic gingivitis, plaque induced | $1,053 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD K0510 - Chronic gingivitis, plaque induced | $18,264 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD K0510 - Chronic gingivitis, plaque induced | $3,829,098 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD K0510 - Chronic gingivitis, plaque induced | $49,091 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD K0510 - Chronic gingivitis, plaque induced | 26.92 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD K0510 - Chronic gingivitis, plaque induced | 25.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD K0510 - Chronic gingivitis, plaque induced | 64 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD K0510 - Chronic gingivitis, plaque induced in DRG | 1.05 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD K0510 - Chronic gingivitis, plaque induced | 7.55 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD K0510 - Chronic gingivitis, plaque induced | 22.95 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD K0510 - Chronic gingivitis, plaque induced | $405,606 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD K0510 - Chronic gingivitis, plaque induced | $840 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD K0510 - Chronic gingivitis, plaque induced | $6,338 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD K0510 - Chronic gingivitis, plaque induced | $3,598,029 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD K0510 - Chronic gingivitis, plaque induced | $56,219 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD K0510 - Chronic gingivitis, plaque induced | 23.44 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD K0510 - Chronic gingivitis, plaque induced | 50.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD K0510 - Chronic gingivitis, plaque induced | 57 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD K0510 - Chronic gingivitis, plaque induced in DRG | 0.94 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD K0510 - Chronic gingivitis, plaque induced | 3.72 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD K0510 - Chronic gingivitis, plaque induced | 22.64 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD K0510 - Chronic gingivitis, plaque induced | $281,510 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD K0510 - Chronic gingivitis, plaque induced | $1,328 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD K0510 - Chronic gingivitis, plaque induced | $4,939 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD K0510 - Chronic gingivitis, plaque induced | $1,565,017 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD K0510 - Chronic gingivitis, plaque induced | $27,456 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD K0510 - Chronic gingivitis, plaque induced | NA | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD K0510 - Chronic gingivitis, plaque induced | 57.89 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MISSION COMMUNITY HOSPITAL | 14850 ROSCOE BLVD | PANORAMA CITY | CA | 91402 | 413 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 130 |
| RONALD REAGAN UCLA MEDICAL CENTER | 757 WESTWOOD PLZ | LOS ANGELES | CA | 90095 | 60 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HIRUY HAILE GESSESSE | 23700 CAMINO DEL SOL | TORRANCE | CA | 90505 | 30 |
| Dr. ALVIN R MAHONEY | 2222 FOOTHILL BLVD | LA CANADA | CA | 91011 | 27 |
| Dr. ERIC ANTHONY WOODARD | 525 HENDRIX CV | CONWAY | AR | 72034 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ABUL H SHIRAZI | 9849 MELVIN AVE | NORTHRIDGE | CA | 91324 | 95 |
| Dr. HASSAN SALAH FARRAG | 17075 DEVONSHIRE ST | NORTHRIDGE | CA | 91325 | 71 |
| Dr. ANIL SHARMA | 4448 AMBROSE AVE | LOS ANGELES | CA | 90027 | 54 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |
| 2 | E785 | Hyperlipidemia, unspecified |
| 3 | E119 | Type 2 diabetes mellitus without complications |