*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K068 - Other specified disorders of gingiva and edentulous alveolar ridge - as a primary diagnosis code | K068 - Other specified disorders of gingiva and edentulous alveolar ridge - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.62 | |
| Readmission Rate (%) | 25.19 | |
| Unplanned Readmission Rate (%) | 10.57 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 10,966 | ||
| Total Hospitalizations with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 180 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge in DRG | 50.99 | ||
| Avg LOS at DRG | 3.55 | ||
| Avg LOS with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 2.39 | ||
| Readmission Rate at DRG | 16.16 | ||
| Readmission Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 16.27 | ||
| Unplanned Readmission Rate at DRG | 10.54 | ||
| Unplanned Readmission Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 7.23 | ||
| Total Medicare payments at DRG | $61,877,531 | ||
| Total Medicare payments with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $893,116 | ||
| Total Medicare payment per Day at DRG | $1,590 | ||
| Total Medicare payment per Day with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $2,077 | ||
| Total Medicare payment per Hospitalization at DRG | $5,643 | ||
| Total Medicare payment per Hospitalization with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $4,962 | ||
| Total Medicare Charges at DRG | $330,565,798 | ||
| Total Medicare Charges with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $3,713,850 | ||
| Avg Charges at DRG | $30,145 | ||
| Avg Charges with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $20,633 | ||
| Mortality Rate at DRG | 0.26 | ||
| Mortality Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | NA | ||
| SNF Discharge Rate at DRG | 13.73 | ||
| SNF Discharge Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 11.11 | ||
| Home Discharge Rate at DRG | 61.66 | ||
| Home Discharge Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 62.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 813: COAGULATION DISORDERS | 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 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,384 | ||||
| Total Hospitalizations with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 423 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge in DRG | 12.76 | ||||
| Avg LOS at DRG | 4.8 | ||||
| Avg LOS with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 4.15 | ||||
| Readmission Rate at DRG | 25.23 | ||||
| Readmission Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 19.9 | ||||
| Unplanned Readmission Rate at DRG | 17.62 | ||||
| Unplanned Readmission Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 16.49 | ||||
| Total Medicare payments at DRG | $631,066,601 | ||||
| Total Medicare payments with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $5,635,669 | ||||
| Total Medicare payment per Day at DRG | $2,963 | ||||
| Total Medicare payment per Day with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $3,211 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,218 | ||||
| Total Medicare payment per Hospitalization with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $13,323 | ||||
| Total Medicare Charges at DRG | $2,703,173,885 | ||||
| Total Medicare Charges with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $24,616,138 | ||||
| Avg Charges at DRG | $60,904 | ||||
| Avg Charges with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $58,194 | ||||
| Mortality Rate at DRG | 2.97 | ||||
| Mortality Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 2.6 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 8.98 | ||||
| Home Discharge Rate at DRG | 52.04 | ||||
| Home Discharge Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 63.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 062: ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,432 | ||||
| Total Hospitalizations with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 72 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge in DRG | 2.17 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 4.69 | ||||
| Readmission Rate at DRG | 30.74 | ||||
| Readmission Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 34.92 | ||||
| Unplanned Readmission Rate at DRG | 18.94 | ||||
| Unplanned Readmission Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 25.4 | ||||
| Total Medicare payments at DRG | $376,347,273 | ||||
| Total Medicare payments with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $628,944 | ||||
| Total Medicare payment per Day at DRG | $1,873 | ||||
| Total Medicare payment per Day with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $1,861 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,284 | ||||
| Total Medicare payment per Hospitalization with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $8,735 | ||||
| Total Medicare Charges at DRG | $1,794,383,177 | ||||
| Total Medicare Charges with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $3,228,500 | ||||
| Avg Charges at DRG | $39,496 | ||||
| Avg Charges with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $44,840 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | NA | ||||
| SNF Discharge Rate at DRG | 7.48 | ||||
| SNF Discharge Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | NA | ||||
| Home Discharge Rate at DRG | 67.79 | ||||
| Home Discharge Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 63.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 51 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 5.14 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 24.49 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $291,888 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $1,114 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $5,723 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $2,016,892 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $39,547 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 35.29 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 45.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,754 | ||||
| Total Hospitalizations with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 40 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge in DRG | 1.21 | ||||
| Avg LOS at DRG | 7.23 | ||||
| Avg LOS with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 7.3 | ||||
| Readmission Rate at DRG | 32.29 | ||||
| Readmission Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 37.5 | ||||
| Unplanned Readmission Rate at DRG | 21.76 | ||||
| Unplanned Readmission Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | NA | ||||
| Total Medicare payments at DRG | $372,381,670 | ||||
| Total Medicare payments with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $787,891 | ||||
| Total Medicare payment per Day at DRG | $2,167 | ||||
| Total Medicare payment per Day with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $2,698 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,677 | ||||
| Total Medicare payment per Hospitalization with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $19,697 | ||||
| Total Medicare Charges at DRG | $1,638,402,442 | ||||
| Total Medicare Charges with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $3,419,530 | ||||
| Avg Charges at DRG | $68,974 | ||||
| Avg Charges with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | $85,488 | ||||
| Mortality Rate at DRG | 7.14 | ||||
| Mortality Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | NA | ||||
| SNF Discharge Rate at DRG | 14.42 | ||||
| SNF Discharge Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | NA | ||||
| Home Discharge Rate at DRG | 43.4 | ||||
| Home Discharge Rate with ICD K068 - Other specified disorders of gingiva and edentulous alveolar ridge | 42.5 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 19 |
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 16 |