| 1120 - Candidiasis of mouth - as a primary diagnosis code | 1120 - Candidiasis of mouth - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.65 | |
| Readmission Rate (%) | 30.89 | |
| Unplanned Readmission Rate (%) | 21.28 | |
| 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 | ||
| 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 | 6,876 | ||
| Total Hospitalizations with ICD 1120 - Candidiasis of mouth | 511 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD 1120 - Candidiasis of mouth in DRG | 54.36 | ||
| Avg LOS at DRG | 3.94 | ||
| Avg LOS with ICD 1120 - Candidiasis of mouth | 4.49 | ||
| Readmission Rate at DRG | 17.01 | ||
| Readmission Rate with ICD 1120 - Candidiasis of mouth | 29.34 | ||
| Unplanned Readmission Rate at DRG | 11.26 | ||
| Unplanned Readmission Rate with ICD 1120 - Candidiasis of mouth | 21.76 | ||
| Total Medicare payments at DRG | $40,132,520 | ||
| Total Medicare payments with ICD 1120 - Candidiasis of mouth | $3,176,394 | ||
| Total Medicare payment per Day at DRG | $1,481 | ||
| Total Medicare payment per Day with ICD 1120 - Candidiasis of mouth | $1,386 | ||
| Total Medicare payment per Hospitalization at DRG | $5,837 | ||
| Total Medicare payment per Hospitalization with ICD 1120 - Candidiasis of mouth | $6,216 | ||
| Total Medicare Charges at DRG | $182,334,119 | ||
| Total Medicare Charges with ICD 1120 - Candidiasis of mouth | $13,189,399 | ||
| Avg Charges at DRG | $26,517 | ||
| Avg Charges with ICD 1120 - Candidiasis of mouth | $25,811 | ||
| Mortality Rate at DRG | 0.35 | ||
| Mortality Rate with ICD 1120 - Candidiasis of mouth | NA | ||
| SNF Discharge Rate at DRG | 14.19 | ||
| SNF Discharge Rate with ICD 1120 - Candidiasis of mouth | 15.66 | ||
| Home Discharge Rate at DRG | 61.39 | ||
| Home Discharge Rate with ICD 1120 - Candidiasis of mouth | 50.88 |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 1120 - Candidiasis of mouth | 19,485 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 1120 - Candidiasis of mouth in DRG | 9.03 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 1120 - Candidiasis of mouth | 10.38 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 1120 - Candidiasis of mouth | 30.53 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 1120 - Candidiasis of mouth | 19.81 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 1120 - Candidiasis of mouth | $266,658,432 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 1120 - Candidiasis of mouth | $1,318 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 1120 - Candidiasis of mouth | $13,685 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 1120 - Candidiasis of mouth | $1,489,172,435 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 1120 - Candidiasis of mouth | $76,427 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 1120 - Candidiasis of mouth | 10.32 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 1120 - Candidiasis of mouth | 32.36 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 1120 - Candidiasis of mouth | 19.31 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 1120 - Candidiasis of mouth | 6,652 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 1120 - Candidiasis of mouth in DRG | 3.08 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 1120 - Candidiasis of mouth | 6.27 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 1120 - Candidiasis of mouth | 21.21 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 1120 - Candidiasis of mouth | 14.2 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 1120 - Candidiasis of mouth | $44,405,136 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 1120 - Candidiasis of mouth | $1,064 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 1120 - Candidiasis of mouth | $6,675 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 1120 - Candidiasis of mouth | $233,956,777 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 1120 - Candidiasis of mouth | $35,171 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 1120 - Candidiasis of mouth | 1.19 | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 1120 - Candidiasis of mouth | 20.38 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 1120 - Candidiasis of mouth | 45.57 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD 1120 - Candidiasis of mouth | 3,337 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD 1120 - Candidiasis of mouth in DRG | 1.55 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD 1120 - Candidiasis of mouth | 6.93 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD 1120 - Candidiasis of mouth | 25.82 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 1120 - Candidiasis of mouth | 17.59 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD 1120 - Candidiasis of mouth | $24,826,062 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD 1120 - Candidiasis of mouth | $1,073 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD 1120 - Candidiasis of mouth | $7,440 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD 1120 - Candidiasis of mouth | $141,871,278 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD 1120 - Candidiasis of mouth | $42,515 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD 1120 - Candidiasis of mouth | 2.31 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 1120 - Candidiasis of mouth | 26.85 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD 1120 - Candidiasis of mouth | 36.17 |
| 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 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 1120 - Candidiasis of mouth | 2,789 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 1120 - Candidiasis of mouth in DRG | 1.29 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 1120 - Candidiasis of mouth | 5.85 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 1120 - Candidiasis of mouth | 26.51 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 1120 - Candidiasis of mouth | 18.21 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 1120 - Candidiasis of mouth | $18,019,088 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 1120 - Candidiasis of mouth | $1,104 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 1120 - Candidiasis of mouth | $6,461 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 1120 - Candidiasis of mouth | $91,545,634 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 1120 - Candidiasis of mouth | $32,824 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 1120 - Candidiasis of mouth | 1.76 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 1120 - Candidiasis of mouth | 29.76 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 1120 - Candidiasis of mouth | 32.63 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 808 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 691 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 560 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ROBERT BENJAMIN POWERS | 5728 MAJOR BLVD | ORLANDO | FL | 32819 | 143 |
| Dr. CHIOCHEN CHENG | 133 BAILEY RD | ANDOVER | MA | 01810 | 117 |
| Dr. WILDA MURPHY | 4343 W NEWBERRY RD | GAINESVILLE | FL | 32607 | 74 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ROBERT BENJAMIN POWERS | 5728 MAJOR BLVD | ORLANDO | FL | 32819 | 196 |
| Dr. GREGORY J ZUERCHER | 172 KINSLEY ST | NASHUA | NH | 03060 | 185 |
| Dr. CHIOCHEN CHENG | 133 BAILEY RD | ANDOVER | MA | 01810 | 155 |