| 52100 - Dental caries, unspecified - as a primary diagnosis code | 52100 - Dental caries, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.29 | |
| Readmission Rate (%) | 25.74 | |
| Unplanned Readmission Rate (%) | 10.42 | |
| 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 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,876 | ||||
| Total Hospitalizations with ICD 52100 - Dental caries, unspecified | 99 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 52100 - Dental caries, unspecified in DRG | 31.73 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD 52100 - Dental caries, unspecified | 2.96 | ||||
| Readmission Rate at DRG | 17.01 | ||||
| Readmission Rate with ICD 52100 - Dental caries, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 11.26 | ||||
| Unplanned Readmission Rate with ICD 52100 - Dental caries, unspecified | NA | ||||
| Total Medicare payments at DRG | $40,132,520 | ||||
| Total Medicare payments with ICD 52100 - Dental caries, unspecified | $558,191 | ||||
| Total Medicare payment per Day at DRG | $1,481 | ||||
| Total Medicare payment per Day with ICD 52100 - Dental caries, unspecified | $1,905 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,837 | ||||
| Total Medicare payment per Hospitalization with ICD 52100 - Dental caries, unspecified | $5,638 | ||||
| Total Medicare Charges at DRG | $182,334,119 | ||||
| Total Medicare Charges with ICD 52100 - Dental caries, unspecified | $2,809,681 | ||||
| Avg Charges at DRG | $26,517 | ||||
| Avg Charges with ICD 52100 - Dental caries, unspecified | $28,381 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD 52100 - Dental caries, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.19 | ||||
| SNF Discharge Rate with ICD 52100 - Dental caries, unspecified | 11.11 | ||||
| Home Discharge Rate at DRG | 61.39 | ||||
| Home Discharge Rate with ICD 52100 - Dental caries, unspecified | 78.79 |
| DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 52100 - Dental caries, unspecified | 2,254 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 52100 - Dental caries, unspecified in DRG | 11.07 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 52100 - Dental caries, unspecified | 16.42 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 52100 - Dental caries, unspecified | 27.84 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 52100 - Dental caries, unspecified | 12.15 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 52100 - Dental caries, unspecified | $23,083,726 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 52100 - Dental caries, unspecified | $624 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 52100 - Dental caries, unspecified | $10,241 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 52100 - Dental caries, unspecified | $74,676,022 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 52100 - Dental caries, unspecified | $33,130 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 52100 - Dental caries, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 52100 - Dental caries, unspecified | 2.62 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 52100 - Dental caries, unspecified | 82.92 |
| DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/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 | 1,971 | ||||
| Total Hospitalizations with ICD 52100 - Dental caries, unspecified | 431 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 52100 - Dental caries, unspecified in DRG | 2.12 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD 52100 - Dental caries, unspecified | 4.88 | ||||
| Readmission Rate at DRG | 15.9 | ||||
| Readmission Rate with ICD 52100 - Dental caries, unspecified | 12.74 | ||||
| Unplanned Readmission Rate at DRG | 11.2 | ||||
| Unplanned Readmission Rate with ICD 52100 - Dental caries, unspecified | 8.25 | ||||
| Total Medicare payments at DRG | $18,261,178 | ||||
| Total Medicare payments with ICD 52100 - Dental caries, unspecified | $3,879,383 | ||||
| Total Medicare payment per Day at DRG | $1,865 | ||||
| Total Medicare payment per Day with ICD 52100 - Dental caries, unspecified | $1,845 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,265 | ||||
| Total Medicare payment per Hospitalization with ICD 52100 - Dental caries, unspecified | $9,001 | ||||
| Total Medicare Charges at DRG | $87,085,325 | ||||
| Total Medicare Charges with ICD 52100 - Dental caries, unspecified | $17,208,201 | ||||
| Avg Charges at DRG | $44,183 | ||||
| Avg Charges with ICD 52100 - Dental caries, unspecified | $39,926 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 52100 - Dental caries, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.72 | ||||
| SNF Discharge Rate with ICD 52100 - Dental caries, unspecified | 8.58 | ||||
| Home Discharge Rate at DRG | 68.09 | ||||
| Home Discharge Rate with ICD 52100 - Dental caries, unspecified | 75.41 |
| DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 173,056 | ||||
| Total Hospitalizations with ICD 52100 - Dental caries, unspecified | 202 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD 52100 - Dental caries, unspecified in DRG | 0.99 | ||||
| Avg LOS at DRG | 3.22 | ||||
| Avg LOS with ICD 52100 - Dental caries, unspecified | 6.18 | ||||
| Readmission Rate at DRG | 16.06 | ||||
| Readmission Rate with ICD 52100 - Dental caries, unspecified | 36.84 | ||||
| Unplanned Readmission Rate at DRG | 9.18 | ||||
| Unplanned Readmission Rate with ICD 52100 - Dental caries, unspecified | 10.0 | ||||
| Total Medicare payments at DRG | $1,112,419,471 | ||||
| Total Medicare payments with ICD 52100 - Dental caries, unspecified | $1,598,820 | ||||
| Total Medicare payment per Day at DRG | $1,997 | ||||
| Total Medicare payment per Day with ICD 52100 - Dental caries, unspecified | $1,280 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,428 | ||||
| Total Medicare payment per Hospitalization with ICD 52100 - Dental caries, unspecified | $7,915 | ||||
| Total Medicare Charges at DRG | $7,057,392,157 | ||||
| Total Medicare Charges with ICD 52100 - Dental caries, unspecified | $11,670,805 | ||||
| Avg Charges at DRG | $40,781 | ||||
| Avg Charges with ICD 52100 - Dental caries, unspecified | $57,776 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD 52100 - Dental caries, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 3.55 | ||||
| SNF Discharge Rate with ICD 52100 - Dental caries, unspecified | NA | ||||
| Home Discharge Rate at DRG | 78.82 | ||||
| Home Discharge Rate with ICD 52100 - Dental caries, unspecified | 70.79 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 52100 - Dental caries, unspecified | 177 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 52100 - Dental caries, unspecified in DRG | 0.87 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 52100 - Dental caries, unspecified | 4.85 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 52100 - Dental caries, unspecified | 18.56 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 52100 - Dental caries, unspecified | 12.57 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 52100 - Dental caries, unspecified | $1,254,226 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 52100 - Dental caries, unspecified | $1,462 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 52100 - Dental caries, unspecified | $7,086 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 52100 - Dental caries, unspecified | $5,388,962 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 52100 - Dental caries, unspecified | $30,446 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 52100 - Dental caries, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 52100 - Dental caries, unspecified | 15.82 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 52100 - Dental caries, unspecified | 56.5 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CENTURA HEALTH - PENROSE ST. FRANCIS HEALTH SERVICES | 2222 N NEVADA AVE | COLORADO SPRINGS | CO | 80907 | 130 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 118 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 108 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 18 |
| Dr. SANFORD NEIL MORRISON | 904 KEMPSVILLE RD STE 102 | VIRGINIA BEACH | VA | 23464 | 15 |
| Dr. ALLEN SCLAROFF | 1 BARNES JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ARTIE ANN BATES | 115 ROCKWOOD LN | HAZARD | KY | 41701 | 25 |
| Dr. HENRY LEPELY | 4131 UNIVERSITY BLVD S | JACKSONVILLE | FL | 32216 | 20 |
| Dr. NIKHIL D NIHALANI | 4133 UNIVERSITY BLVD S | JACKSONVILLE | FL | 32216 | 19 |