*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K121 - Other forms of stomatitis - as a primary diagnosis code | K121 - Other forms of stomatitis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.21 | |
| Readmission Rate (%) | 28.75 | |
| Unplanned Readmission Rate (%) | 17.69 | |
| 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) | DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,966 | |||
| Total Hospitalizations with ICD K121 - Other forms of stomatitis | 209 | |||
| DRG Share of Total Hospitalizations | 0.03 | |||
| % of Total ICD K121 - Other forms of stomatitis in DRG | 48.27 | |||
| Avg LOS at DRG | 3.55 | |||
| Avg LOS with ICD K121 - Other forms of stomatitis | 4.25 | |||
| Readmission Rate at DRG | 16.16 | |||
| Readmission Rate with ICD K121 - Other forms of stomatitis | 27.14 | |||
| Unplanned Readmission Rate at DRG | 10.54 | |||
| Unplanned Readmission Rate with ICD K121 - Other forms of stomatitis | 21.11 | |||
| Total Medicare payments at DRG | $61,877,531 | |||
| Total Medicare payments with ICD K121 - Other forms of stomatitis | $1,185,787 | |||
| Total Medicare payment per Day at DRG | $1,590 | |||
| Total Medicare payment per Day with ICD K121 - Other forms of stomatitis | $1,335 | |||
| Total Medicare payment per Hospitalization at DRG | $5,643 | |||
| Total Medicare payment per Hospitalization with ICD K121 - Other forms of stomatitis | $5,674 | |||
| Total Medicare Charges at DRG | $330,565,798 | |||
| Total Medicare Charges with ICD K121 - Other forms of stomatitis | $6,492,347 | |||
| Avg Charges at DRG | $30,145 | |||
| Avg Charges with ICD K121 - Other forms of stomatitis | $31,064 | |||
| Mortality Rate at DRG | 0.26 | |||
| Mortality Rate with ICD K121 - Other forms of stomatitis | NA | |||
| SNF Discharge Rate at DRG | 13.73 | |||
| SNF Discharge Rate with ICD K121 - Other forms of stomatitis | 10.05 | |||
| Home Discharge Rate at DRG | 61.66 | |||
| Home Discharge Rate with ICD K121 - Other forms of stomatitis | 68.9 |
*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 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K121 - Other forms of stomatitis | 1,355 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K121 - Other forms of stomatitis in DRG | 9.83 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K121 - Other forms of stomatitis | 8.94 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K121 - Other forms of stomatitis | 29.78 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K121 - Other forms of stomatitis | 19.74 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K121 - Other forms of stomatitis | $16,952,271 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K121 - Other forms of stomatitis | $1,399 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K121 - Other forms of stomatitis | $12,511 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K121 - Other forms of stomatitis | $113,555,136 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K121 - Other forms of stomatitis | $83,805 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K121 - Other forms of stomatitis | 9.37 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K121 - Other forms of stomatitis | 23.17 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K121 - Other forms of stomatitis | 28.63 |
*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 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD K121 - Other forms of stomatitis | 270 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD K121 - Other forms of stomatitis in DRG | 1.96 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD K121 - Other forms of stomatitis | 16.2 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD K121 - Other forms of stomatitis | 28.79 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD K121 - Other forms of stomatitis | 12.06 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD K121 - Other forms of stomatitis | $3,089,441 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD K121 - Other forms of stomatitis | $706 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD K121 - Other forms of stomatitis | $11,442 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD K121 - Other forms of stomatitis | $11,166,149 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD K121 - Other forms of stomatitis | $41,356 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD K121 - Other forms of stomatitis | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD K121 - Other forms of stomatitis | 7.04 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD K121 - Other forms of stomatitis | 76.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD K121 - Other forms of stomatitis | 224 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD K121 - Other forms of stomatitis in DRG | 1.63 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD K121 - Other forms of stomatitis | 7.86 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD K121 - Other forms of stomatitis | 29.44 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD K121 - Other forms of stomatitis | 20.3 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD K121 - Other forms of stomatitis | $2,289,667 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD K121 - Other forms of stomatitis | $1,301 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD K121 - Other forms of stomatitis | $10,222 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD K121 - Other forms of stomatitis | $15,116,039 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD K121 - Other forms of stomatitis | $67,482 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD K121 - Other forms of stomatitis | 6.7 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD K121 - Other forms of stomatitis | 19.2 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD K121 - Other forms of stomatitis | 34.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD K121 - Other forms of stomatitis | 180 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD K121 - Other forms of stomatitis in DRG | 1.31 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD K121 - Other forms of stomatitis | 8.34 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD K121 - Other forms of stomatitis | 33.54 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD K121 - Other forms of stomatitis | 26.22 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD K121 - Other forms of stomatitis | $1,560,145 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD K121 - Other forms of stomatitis | $1,039 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD K121 - Other forms of stomatitis | $8,667 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD K121 - Other forms of stomatitis | $11,409,518 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD K121 - Other forms of stomatitis | $63,386 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD K121 - Other forms of stomatitis | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD K121 - Other forms of stomatitis | 23.89 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD K121 - Other forms of stomatitis | 33.33 |
| 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 | 76 |
| RUSH UNIVERSITY MEDICAL CENTER | 1653 W CONGRESS PKWY | CHICAGO | IL | 60612 | 61 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 59 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES PETER LITTLE | 1011 SPRING CREEK RD | CHATTANOOGA | TN | 37412 | 13 |
| Dr. SEUNG-YIL SONG | 7930 FROST ST STE 405 | SAN DIEGO | CA | 92123 | 12 |
| Dr. DAYMOND MCDUFFEY | 100 LACY ST NW | MARIETTA | GA | 30060 | 11 |