*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.83 | |
| 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | 115 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified in DRG | 13.02 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | 14.09 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | 27.18 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | 10.68 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $1,130,600 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $698 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $9,831 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $3,920,629 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $34,092 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | 71.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | 15 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified in DRG | 1.7 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | 4.47 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $83,076 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $1,240 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $5,538 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $486,597 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $32,440 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS 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 | 1,013,774 | |||
| Total Hospitalizations with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | 12 | |||
| DRG Share of Total Hospitalizations | 3.08 | |||
| % of Total ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified in DRG | 1.36 | |||
| Avg LOS at DRG | 5.34 | |||
| Avg LOS with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | 4.83 | |||
| Readmission Rate at DRG | 28.25 | |||
| Readmission Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA | |||
| Unplanned Readmission Rate at DRG | 21.93 | |||
| Unplanned Readmission Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA | |||
| Total Medicare payments at DRG | $9,469,067,156 | |||
| Total Medicare payments with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $106,257 | |||
| Total Medicare payment per Day at DRG | $1,751 | |||
| Total Medicare payment per Day with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $1,832 | |||
| Total Medicare payment per Hospitalization at DRG | $9,340 | |||
| Total Medicare payment per Hospitalization with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $8,855 | |||
| Total Medicare Charges at DRG | $43,343,716,813 | |||
| Total Medicare Charges with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $677,470 | |||
| Avg Charges at DRG | $42,755 | |||
| Avg Charges with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | $56,456 | |||
| Mortality Rate at DRG | 3.72 | |||
| Mortality Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA | |||
| SNF Discharge Rate at DRG | 20.84 | |||
| SNF Discharge Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA | |||
| Home Discharge Rate at DRG | 37.68 | |||
| Home Discharge Rate with ICD K069 - Disorder of gingiva and edentulous alveolar ridge, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | 4600 SPOTSYLVANIA PARKWAY | FREDERICKSBURG | VA | 22408 | 11 |