*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | Total National Projected Hospitalizations - Annualized (Present on Admission - All) | Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | Total Medicare Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| K0889 | Other specified disorders of teeth and supporting structures | NA | |||||||||||||
| K088 | Other specified disorders of teeth and supporting structures | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | 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 Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| K0889 | Other specified disorders of teeth and supporting structures | 11.28 | 26.49 | ||||||||||||||||
| K088 | Other specified disorders of teeth and supporting structures | 10.28 | 26.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 10,966 |
| Total Hospitalizations with ICD K088 - Other specified disorders of teeth and supporting structures | 22 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD K088 - Other specified disorders of teeth and supporting structures in DRG | 41.51 |
| Avg LOS at DRG | 3.55 |
| Avg LOS with ICD K088 - Other specified disorders of teeth and supporting structures | 3.32 |
| Readmission Rate at DRG | 16.16 |
| Readmission Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA |
| Unplanned Readmission Rate at DRG | 10.54 |
| Unplanned Readmission Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA |
| Total Medicare payments at DRG | $61,877,531 |
| Total Medicare payments with ICD K088 - Other specified disorders of teeth and supporting structures | $137,933 |
| Total Medicare payment per Day at DRG | $1,590 |
| Total Medicare payment per Day with ICD K088 - Other specified disorders of teeth and supporting structures | $1,889 |
| Total Medicare payment per Hospitalization at DRG | $5,643 |
| Total Medicare payment per Hospitalization with ICD K088 - Other specified disorders of teeth and supporting structures | $6,270 |
| Total Medicare Charges at DRG | $330,565,798 |
| Total Medicare Charges with ICD K088 - Other specified disorders of teeth and supporting structures | $488,110 |
| Avg Charges at DRG | $30,145 |
| Avg Charges with ICD K088 - Other specified disorders of teeth and supporting structures | $22,187 |
| Mortality Rate at DRG | 0.26 |
| Mortality Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA |
| SNF Discharge Rate at DRG | 13.73 |
| SNF Discharge Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA |
| Home Discharge Rate at DRG | 61.66 |
| Home Discharge Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 63.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD K088 - Other specified disorders of teeth and supporting structures | 1,507 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD K088 - Other specified disorders of teeth and supporting structures in DRG | 11.86 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD K088 - Other specified disorders of teeth and supporting structures | 15.02 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 28.47 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 11.17 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD K088 - Other specified disorders of teeth and supporting structures | $15,395,528 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD K088 - Other specified disorders of teeth and supporting structures | $680 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD K088 - Other specified disorders of teeth and supporting structures | $10,216 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD K088 - Other specified disorders of teeth and supporting structures | $49,387,686 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD K088 - Other specified disorders of teeth and supporting structures | $32,772 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 1.79 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 86.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K088 - Other specified disorders of teeth and supporting structures | 75 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K088 - Other specified disorders of teeth and supporting structures in DRG | 0.59 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K088 - Other specified disorders of teeth and supporting structures | 4.91 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 15.07 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K088 - Other specified disorders of teeth and supporting structures | $472,862 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K088 - Other specified disorders of teeth and supporting structures | $1,285 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K088 - Other specified disorders of teeth and supporting structures | $6,305 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K088 - Other specified disorders of teeth and supporting structures | $2,226,947 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K088 - Other specified disorders of teeth and supporting structures | $29,693 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 62.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD K088 - Other specified disorders of teeth and supporting structures | 51 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD K088 - Other specified disorders of teeth and supporting structures in DRG | 0.4 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD K088 - Other specified disorders of teeth and supporting structures | 3.37 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD K088 - Other specified disorders of teeth and supporting structures | $702,523 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD K088 - Other specified disorders of teeth and supporting structures | $4,084 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD K088 - Other specified disorders of teeth and supporting structures | $13,775 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD K088 - Other specified disorders of teeth and supporting structures | $2,931,219 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD K088 - Other specified disorders of teeth and supporting structures | $57,475 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 52.94 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES 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 | 365,119 | ||||
| Total Hospitalizations with ICD K088 - Other specified disorders of teeth and supporting structures | 45 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD K088 - Other specified disorders of teeth and supporting structures in DRG | 0.35 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD K088 - Other specified disorders of teeth and supporting structures | 6.29 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 39.53 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 25.58 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD K088 - Other specified disorders of teeth and supporting structures | $488,563 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD K088 - Other specified disorders of teeth and supporting structures | $1,726 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD K088 - Other specified disorders of teeth and supporting structures | $10,857 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD K088 - Other specified disorders of teeth and supporting structures | $2,141,407 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD K088 - Other specified disorders of teeth and supporting structures | $47,587 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD K088 - Other specified disorders of teeth and supporting structures | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD K088 - Other specified disorders of teeth and supporting structures | 51.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 43 |
| FORT LAUDERDALE HOSPITAL | 1601 E LAS OLAS BLVD | FORT LAUDERDALE | FL | 33301 | 37 |
| LAKESIDE BEHAVIORAL HEALTH SYSTEM | 2911 BRUNSWICK RD | MEMPHIS | TN | 38133 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAHANBAKHSH NASSERZARE | 1380 NE MIAMI GARDENS DR | NORTH MIAMI BEACH | FL | 33179 | 22 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 18 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAHANBAKHSH NASSERZARE | 1380 NE MIAMI GARDENS DR | NORTH MIAMI BEACH | FL | 33179 | 24 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 20 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 20 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |