*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K120 - Recurrent oral aphthae - as a primary diagnosis code | K120 - Recurrent oral aphthae - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.25 | |
| Readmission Rate (%) | 27.26 | |
| Unplanned Readmission Rate (%) | 11.56 | |
| 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 K120 - Recurrent oral aphthae | 90 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD K120 - Recurrent oral aphthae in DRG | 58.82 | ||
| Avg LOS at DRG | 3.55 | ||
| Avg LOS with ICD K120 - Recurrent oral aphthae | 4.67 | ||
| Readmission Rate at DRG | 16.16 | ||
| Readmission Rate with ICD K120 - Recurrent oral aphthae | 27.78 | ||
| Unplanned Readmission Rate at DRG | 10.54 | ||
| Unplanned Readmission Rate with ICD K120 - Recurrent oral aphthae | 15.56 | ||
| Total Medicare payments at DRG | $61,877,531 | ||
| Total Medicare payments with ICD K120 - Recurrent oral aphthae | $559,453 | ||
| Total Medicare payment per Day at DRG | $1,590 | ||
| Total Medicare payment per Day with ICD K120 - Recurrent oral aphthae | $1,332 | ||
| Total Medicare payment per Hospitalization at DRG | $5,643 | ||
| Total Medicare payment per Hospitalization with ICD K120 - Recurrent oral aphthae | $6,216 | ||
| Total Medicare Charges at DRG | $330,565,798 | ||
| Total Medicare Charges with ICD K120 - Recurrent oral aphthae | $3,021,095 | ||
| Avg Charges at DRG | $30,145 | ||
| Avg Charges with ICD K120 - Recurrent oral aphthae | $33,568 | ||
| Mortality Rate at DRG | 0.26 | ||
| Mortality Rate with ICD K120 - Recurrent oral aphthae | NA | ||
| SNF Discharge Rate at DRG | 13.73 | ||
| SNF Discharge Rate with ICD K120 - Recurrent oral aphthae | NA | ||
| Home Discharge Rate at DRG | 61.66 | ||
| Home Discharge Rate with ICD K120 - Recurrent oral aphthae | 68.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K120 - Recurrent oral aphthae | 669 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K120 - Recurrent oral aphthae in DRG | 8.2 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K120 - Recurrent oral aphthae | 8.48 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K120 - Recurrent oral aphthae | 27.52 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K120 - Recurrent oral aphthae | 20.68 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K120 - Recurrent oral aphthae | $8,259,139 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K120 - Recurrent oral aphthae | $1,457 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K120 - Recurrent oral aphthae | $12,345 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K120 - Recurrent oral aphthae | $47,410,836 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K120 - Recurrent oral aphthae | $70,868 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K120 - Recurrent oral aphthae | 4.19 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K120 - Recurrent oral aphthae | 27.8 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K120 - Recurrent oral aphthae | 31.39 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD K120 - Recurrent oral aphthae | 153 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD K120 - Recurrent oral aphthae in DRG | 1.88 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD K120 - Recurrent oral aphthae | 9.09 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD K120 - Recurrent oral aphthae | 32.59 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD K120 - Recurrent oral aphthae | 22.96 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD K120 - Recurrent oral aphthae | $1,732,690 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD K120 - Recurrent oral aphthae | $1,246 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD K120 - Recurrent oral aphthae | $11,325 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD K120 - Recurrent oral aphthae | $10,533,688 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD K120 - Recurrent oral aphthae | $68,848 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD K120 - Recurrent oral aphthae | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD K120 - Recurrent oral aphthae | 33.99 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD K120 - Recurrent oral aphthae | 20.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD K120 - Recurrent oral aphthae | 130 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD K120 - Recurrent oral aphthae in DRG | 1.59 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD K120 - Recurrent oral aphthae | 7.6 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD K120 - Recurrent oral aphthae | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD K120 - Recurrent oral aphthae | 14.17 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD K120 - Recurrent oral aphthae | $1,297,096 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD K120 - Recurrent oral aphthae | $1,313 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD K120 - Recurrent oral aphthae | $9,978 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD K120 - Recurrent oral aphthae | $7,242,417 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD K120 - Recurrent oral aphthae | $55,711 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD K120 - Recurrent oral aphthae | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD K120 - Recurrent oral aphthae | 29.23 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD K120 - Recurrent oral aphthae | 33.85 |
*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 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD K120 - Recurrent oral aphthae | 103 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD K120 - Recurrent oral aphthae in DRG | 1.26 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD K120 - Recurrent oral aphthae | 8.06 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD K120 - Recurrent oral aphthae | 27.55 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD K120 - Recurrent oral aphthae | 18.37 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD K120 - Recurrent oral aphthae | $1,052,316 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD K120 - Recurrent oral aphthae | $1,268 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD K120 - Recurrent oral aphthae | $10,217 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD K120 - Recurrent oral aphthae | $5,896,229 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD K120 - Recurrent oral aphthae | $57,245 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD K120 - Recurrent oral aphthae | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD K120 - Recurrent oral aphthae | 37.86 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD K120 - Recurrent oral aphthae | 18.45 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 37 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 34 |
| UNIVERSITY OF KANSAS HOSPITAL | 4000 Cambridge St. | KANSAS CITY | KS | 66160 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 19 |