*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z972 - Presence of dental prosthetic device (complete) (partial) - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 9.74 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 312 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z972 - Presence of dental prosthetic device (complete) (partial) in DRG | 15.55 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 2.22 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 8.53 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 4.1 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $3,565,458 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $5,152 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $11,428 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $19,139,344 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $61,344 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 19.23 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 35.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 31 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z972 - Presence of dental prosthetic device (complete) (partial) in DRG | 1.55 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 16.06 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $648,996 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $1,303 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $20,935 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $1,378,096 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $44,455 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 35.48 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 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 039: EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 77,873 | ||||
| Total Hospitalizations with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 20 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD Z972 - Presence of dental prosthetic device (complete) (partial) in DRG | 1.0 | ||||
| Avg LOS at DRG | 1.47 | ||||
| Avg LOS with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 1.3 | ||||
| Readmission Rate at DRG | 7.45 | ||||
| Readmission Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| Unplanned Readmission Rate at DRG | 4.42 | ||||
| Unplanned Readmission Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| Total Medicare payments at DRG | $480,089,880 | ||||
| Total Medicare payments with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $126,441 | ||||
| Total Medicare payment per Day at DRG | $4,183 | ||||
| Total Medicare payment per Day with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $4,863 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,165 | ||||
| Total Medicare payment per Hospitalization with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $6,322 | ||||
| Total Medicare Charges at DRG | $3,274,292,628 | ||||
| Total Medicare Charges with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $598,113 | ||||
| Avg Charges at DRG | $42,047 | ||||
| Avg Charges with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $29,906 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| SNF Discharge Rate at DRG | 1.27 | ||||
| SNF Discharge Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| Home Discharge Rate at DRG | 91.79 | ||||
| Home Discharge Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 100.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 19 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z972 - Presence of dental prosthetic device (complete) (partial) in DRG | 0.95 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | 3.84 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $119,278 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $1,634 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $6,278 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $632,829 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | $33,307 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z972 - Presence of dental prosthetic device (complete) (partial) | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST HEALTH LEXINGTON | 1740 NICHOLASVILLE RD | LEXINGTON | KY | 40503 | 166 |
| THE UNIVERSITY OF TENNESSEE MEDICAL CENTER | 1924 ALCOA HWY | KNOXVILLE | TN | 37920 | 80 |
| MARY WASHINGTON HOSPITAL | 1001 SAM PERRY BLVD | FREDERICKSBURG | VA | 22401 | 72 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 34 |
| Dr. EDWIN MICHAEL HOLT | 1926 ALCOA HWY | KNOXVILLE | TN | 37920 | 17 |
| Dr. KURT ROLAND LARSON | 2800 WELLFORD ST | FREDERICKSBURG | VA | 22401 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DARRIN RICHARD MANGIACARNE | 5060 VALLEY VIEW BLVD NW | ROANOKE | VA | 24012 | 34 |
| Dr. LUIS R FRANCO | 1909 34TH ST | KENNER | LA | 70065 | 20 |
| Dr. JUSTIN JOHN GASPER | 121 SAINT LUKES CENTER DR | CHESTERFIELD | MO | 63017 | 18 |