*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K061 - Gingival enlargement - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.79 | |
| 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 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 135,138 | ||||
| Total Hospitalizations with ICD K061 - Gingival enlargement | 21 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD K061 - Gingival enlargement in DRG | 5.53 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD K061 - Gingival enlargement | 3.9 | ||||
| Readmission Rate at DRG | 16.48 | ||||
| Readmission Rate with ICD K061 - Gingival enlargement | NA | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD K061 - Gingival enlargement | NA | ||||
| Total Medicare payments at DRG | $705,646,122 | ||||
| Total Medicare payments with ICD K061 - Gingival enlargement | $130,801 | ||||
| Total Medicare payment per Day at DRG | $1,592 | ||||
| Total Medicare payment per Day with ICD K061 - Gingival enlargement | $1,595 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,222 | ||||
| Total Medicare payment per Hospitalization with ICD K061 - Gingival enlargement | $6,229 | ||||
| Total Medicare Charges at DRG | $4,131,642,258 | ||||
| Total Medicare Charges with ICD K061 - Gingival enlargement | $721,070 | ||||
| Avg Charges at DRG | $30,574 | ||||
| Avg Charges with ICD K061 - Gingival enlargement | $34,337 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD K061 - Gingival enlargement | NA | ||||
| SNF Discharge Rate at DRG | 16.47 | ||||
| SNF Discharge Rate with ICD K061 - Gingival enlargement | NA | ||||
| Home Discharge Rate at DRG | 56.97 | ||||
| Home Discharge Rate with ICD K061 - Gingival enlargement | 71.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 837: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 5,896 |
| Total Hospitalizations with ICD K061 - Gingival enlargement | 12 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD K061 - Gingival enlargement in DRG | 3.16 |
| Avg LOS at DRG | 18.13 |
| Avg LOS with ICD K061 - Gingival enlargement | 26.08 |
| Readmission Rate at DRG | 54.07 |
| Readmission Rate with ICD K061 - Gingival enlargement | NA |
| Unplanned Readmission Rate at DRG | 16.69 |
| Unplanned Readmission Rate with ICD K061 - Gingival enlargement | NA |
| Total Medicare payments at DRG | $290,192,733 |
| Total Medicare payments with ICD K061 - Gingival enlargement | $645,087 |
| Total Medicare payment per Day at DRG | $2,714 |
| Total Medicare payment per Day with ICD K061 - Gingival enlargement | $2,061 |
| Total Medicare payment per Hospitalization at DRG | $49,219 |
| Total Medicare payment per Hospitalization with ICD K061 - Gingival enlargement | $53,757 |
| Total Medicare Charges at DRG | $1,120,537,950 |
| Total Medicare Charges with ICD K061 - Gingival enlargement | $3,127,037 |
| Avg Charges at DRG | $190,051 |
| Avg Charges with ICD K061 - Gingival enlargement | $260,586 |
| Mortality Rate at DRG | 5.34 |
| Mortality Rate with ICD K061 - Gingival enlargement | NA |
| SNF Discharge Rate at DRG | 2.63 |
| SNF Discharge Rate with ICD K061 - Gingival enlargement | NA |
| Home Discharge Rate at DRG | 67.25 |
| Home Discharge Rate with ICD K061 - Gingival enlargement | NA |