*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K056 - Periodontal disease, unspecified - as a primary diagnosis code | K056 - Periodontal disease, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.7 | |
| Readmission Rate (%) | 25.07 | |
| Unplanned Readmission Rate (%) | 19.05 | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 10,966 | |
| Total Hospitalizations with ICD K056 - Periodontal disease, unspecified | 22 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD K056 - Periodontal disease, unspecified in DRG | 34.92 | |
| Avg LOS at DRG | 3.55 | |
| Avg LOS with ICD K056 - Periodontal disease, unspecified | 4.27 | |
| Readmission Rate at DRG | 16.16 | |
| Readmission Rate with ICD K056 - Periodontal disease, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 10.54 | |
| Unplanned Readmission Rate with ICD K056 - Periodontal disease, unspecified | NA | |
| Total Medicare payments at DRG | $61,877,531 | |
| Total Medicare payments with ICD K056 - Periodontal disease, unspecified | $127,277 | |
| Total Medicare payment per Day at DRG | $1,590 | |
| Total Medicare payment per Day with ICD K056 - Periodontal disease, unspecified | $1,354 | |
| Total Medicare payment per Hospitalization at DRG | $5,643 | |
| Total Medicare payment per Hospitalization with ICD K056 - Periodontal disease, unspecified | $5,785 | |
| Total Medicare Charges at DRG | $330,565,798 | |
| Total Medicare Charges with ICD K056 - Periodontal disease, unspecified | $625,303 | |
| Avg Charges at DRG | $30,145 | |
| Avg Charges with ICD K056 - Periodontal disease, unspecified | $28,423 | |
| Mortality Rate at DRG | 0.26 | |
| Mortality Rate with ICD K056 - Periodontal disease, unspecified | NA | |
| SNF Discharge Rate at DRG | 13.73 | |
| SNF Discharge Rate with ICD K056 - Periodontal disease, unspecified | NA | |
| Home Discharge Rate at DRG | 61.66 | |
| Home Discharge Rate with ICD K056 - Periodontal disease, unspecified | 68.18 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD K056 - Periodontal disease, unspecified | 314 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD K056 - Periodontal disease, unspecified in DRG | 7.13 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD K056 - Periodontal disease, unspecified | 24.76 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD K056 - Periodontal disease, unspecified | 24.75 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD K056 - Periodontal disease, unspecified | 11.04 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD K056 - Periodontal disease, unspecified | $3,887,410 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD K056 - Periodontal disease, unspecified | $500 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD K056 - Periodontal disease, unspecified | $12,380 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD K056 - Periodontal disease, unspecified | $13,688,389 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD K056 - Periodontal disease, unspecified | $43,594 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD K056 - Periodontal disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD K056 - Periodontal disease, unspecified | 5.1 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD K056 - Periodontal disease, unspecified | 78.34 |
*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 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 K056 - Periodontal disease, unspecified | 96 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD K056 - Periodontal disease, unspecified in DRG | 2.18 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD K056 - Periodontal disease, unspecified | 15.02 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD K056 - Periodontal disease, unspecified | 36.47 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD K056 - Periodontal disease, unspecified | 23.53 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD K056 - Periodontal disease, unspecified | $3,380,105 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD K056 - Periodontal disease, unspecified | $2,344 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD K056 - Periodontal disease, unspecified | $35,209 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD K056 - Periodontal disease, unspecified | $16,383,770 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD K056 - Periodontal disease, unspecified | $170,664 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD K056 - Periodontal disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD K056 - Periodontal disease, unspecified | 33.33 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD K056 - Periodontal disease, unspecified | 29.17 |
*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 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,332 | ||||
| Total Hospitalizations with ICD K056 - Periodontal disease, unspecified | 50 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K056 - Periodontal disease, unspecified in DRG | 1.14 | ||||
| Avg LOS at DRG | 5.14 | ||||
| Avg LOS with ICD K056 - Periodontal disease, unspecified | 5.58 | ||||
| Readmission Rate at DRG | 14.35 | ||||
| Readmission Rate with ICD K056 - Periodontal disease, unspecified | 23.4 | ||||
| Unplanned Readmission Rate at DRG | 7.64 | ||||
| Unplanned Readmission Rate with ICD K056 - Periodontal disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $113,818,459 | ||||
| Total Medicare payments with ICD K056 - Periodontal disease, unspecified | $861,931 | ||||
| Total Medicare payment per Day at DRG | $3,496 | ||||
| Total Medicare payment per Day with ICD K056 - Periodontal disease, unspecified | $3,089 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,975 | ||||
| Total Medicare payment per Hospitalization with ICD K056 - Periodontal disease, unspecified | $17,239 | ||||
| Total Medicare Charges at DRG | $599,317,955 | ||||
| Total Medicare Charges with ICD K056 - Periodontal disease, unspecified | $4,702,654 | ||||
| Avg Charges at DRG | $94,649 | ||||
| Avg Charges with ICD K056 - Periodontal disease, unspecified | $94,053 | ||||
| Mortality Rate at DRG | 0.74 | ||||
| Mortality Rate with ICD K056 - Periodontal disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 9.41 | ||||
| SNF Discharge Rate with ICD K056 - Periodontal disease, unspecified | NA | ||||
| Home Discharge Rate at DRG | 64.53 | ||||
| Home Discharge Rate with ICD K056 - Periodontal disease, unspecified | 52.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,976 | ||||
| Total Hospitalizations with ICD K056 - Periodontal disease, unspecified | 38 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K056 - Periodontal disease, unspecified in DRG | 0.86 | ||||
| Avg LOS at DRG | 9.73 | ||||
| Avg LOS with ICD K056 - Periodontal disease, unspecified | 10.29 | ||||
| Readmission Rate at DRG | 28.1 | ||||
| Readmission Rate with ICD K056 - Periodontal disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.26 | ||||
| Unplanned Readmission Rate with ICD K056 - Periodontal disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $173,115,606 | ||||
| Total Medicare payments with ICD K056 - Periodontal disease, unspecified | $1,045,638 | ||||
| Total Medicare payment per Day at DRG | $2,978 | ||||
| Total Medicare payment per Day with ICD K056 - Periodontal disease, unspecified | $2,674 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,968 | ||||
| Total Medicare payment per Hospitalization with ICD K056 - Periodontal disease, unspecified | $27,517 | ||||
| Total Medicare Charges at DRG | $862,569,965 | ||||
| Total Medicare Charges with ICD K056 - Periodontal disease, unspecified | $6,848,711 | ||||
| Avg Charges at DRG | $144,339 | ||||
| Avg Charges with ICD K056 - Periodontal disease, unspecified | $180,229 | ||||
| Mortality Rate at DRG | 0.38 | ||||
| Mortality Rate with ICD K056 - Periodontal disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 17.35 | ||||
| SNF Discharge Rate with ICD K056 - Periodontal disease, unspecified | NA | ||||
| Home Discharge Rate at DRG | 22.74 | ||||
| Home Discharge Rate with ICD K056 - Periodontal disease, unspecified | 31.58 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DEL AMO BEHAVIORAL HEALTH SYSTEM | 23700 CAMINO DEL SOL | TORRANCE | CA | 90505 | 52 |
| MEDICAL COLLEGE VIRGINIA HOSPITAL | 1250 E MARSHALL ST | RICHMOND | VA | 23298 | 41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GLENN DELA LLANA GEQUILLANA | 2901 W KINNICKINNIC RIVER PKWY | MILWAUKEE | WI | 53215 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL R. BLACK | 90 JACKSON PIKE | GALLIPOLIS | OH | 45631 | 27 |
| Dr. JACK P. FREINHAR | 24445 HAWTHORNE BLVD. | TORRANCE | CA | 90505 | 12 |