| 5225 - Periapical abscess without sinus - as a primary diagnosis code | 5225 - Periapical abscess without sinus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.41 | |
| Readmission Rate (%) | 20.4 | |
| Unplanned Readmission Rate (%) | 7.97 | |
| 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 159: DENTAL AND ORAL DISEASES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 137: MOUTH PROCEDURES WITH 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 5225 - Periapical abscess without sinus | 1,409 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 5225 - Periapical abscess without sinus in DRG | 47.76 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD 5225 - Periapical abscess without sinus | 3.06 | ||||
| Readmission Rate at DRG | 17.01 | ||||
| Readmission Rate with ICD 5225 - Periapical abscess without sinus | 10.56 | ||||
| Unplanned Readmission Rate at DRG | 11.26 | ||||
| Unplanned Readmission Rate with ICD 5225 - Periapical abscess without sinus | 7.68 | ||||
| Total Medicare payments at DRG | $40,132,520 | ||||
| Total Medicare payments with ICD 5225 - Periapical abscess without sinus | $7,257,506 | ||||
| Total Medicare payment per Day at DRG | $1,481 | ||||
| Total Medicare payment per Day with ICD 5225 - Periapical abscess without sinus | $1,686 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,837 | ||||
| Total Medicare payment per Hospitalization with ICD 5225 - Periapical abscess without sinus | $5,151 | ||||
| Total Medicare Charges at DRG | $182,334,119 | ||||
| Total Medicare Charges with ICD 5225 - Periapical abscess without sinus | $28,926,830 | ||||
| Avg Charges at DRG | $26,517 | ||||
| Avg Charges with ICD 5225 - Periapical abscess without sinus | $20,530 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD 5225 - Periapical abscess without sinus | NA | ||||
| SNF Discharge Rate at DRG | 14.19 | ||||
| SNF Discharge Rate with ICD 5225 - Periapical abscess without sinus | 6.53 | ||||
| Home Discharge Rate at DRG | 61.39 | ||||
| Home Discharge Rate with ICD 5225 - Periapical abscess without sinus | 77.22 |
| DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 2,560 | |
| Total Hospitalizations with ICD 5225 - Periapical abscess without sinus | 34 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD 5225 - Periapical abscess without sinus in DRG | 1.15 | |
| Avg LOS at DRG | 5.92 | |
| Avg LOS with ICD 5225 - Periapical abscess without sinus | 5.03 | |
| Readmission Rate at DRG | 17.79 | |
| Readmission Rate with ICD 5225 - Periapical abscess without sinus | NA | |
| Unplanned Readmission Rate at DRG | 8.84 | |
| Unplanned Readmission Rate with ICD 5225 - Periapical abscess without sinus | NA | |
| Total Medicare payments at DRG | $45,373,001 | |
| Total Medicare payments with ICD 5225 - Periapical abscess without sinus | $479,896 | |
| Total Medicare payment per Day at DRG | $2,994 | |
| Total Medicare payment per Day with ICD 5225 - Periapical abscess without sinus | $2,806 | |
| Total Medicare payment per Hospitalization at DRG | $17,724 | |
| Total Medicare payment per Hospitalization with ICD 5225 - Periapical abscess without sinus | $14,115 | |
| Total Medicare Charges at DRG | $212,636,724 | |
| Total Medicare Charges with ICD 5225 - Periapical abscess without sinus | $2,226,468 | |
| Avg Charges at DRG | $83,061 | |
| Avg Charges with ICD 5225 - Periapical abscess without sinus | $65,484 | |
| Mortality Rate at DRG | 1.21 | |
| Mortality Rate with ICD 5225 - Periapical abscess without sinus | NA | |
| SNF Discharge Rate at DRG | 16.68 | |
| SNF Discharge Rate with ICD 5225 - Periapical abscess without sinus | NA | |
| Home Discharge Rate at DRG | 58.98 | |
| Home Discharge Rate with ICD 5225 - Periapical abscess without sinus | 61.76 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 23 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 18 |
| METHODIST HOSPITALS | 600 GRANT ST | GARY | IN | 46402 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. BASEL HAJJAR | 3100 NORTH CAMPBELL ST | VALPARAISO | IN | 46385 | 13 |
| Dr. SANFORD NEIL MORRISON | 904 KEMPSVILLE RD STE 102 | VIRGINIA BEACH | VA | 23464 | 12 |
| DRG 885: PSYCHOSES | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 5225 - Periapical abscess without sinus | 1,544 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 5225 - Periapical abscess without sinus in DRG | 9.52 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 5225 - Periapical abscess without sinus | 15.07 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 5225 - Periapical abscess without sinus | 28.24 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 5225 - Periapical abscess without sinus | 11.1 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 5225 - Periapical abscess without sinus | $14,798,299 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 5225 - Periapical abscess without sinus | $636 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 5225 - Periapical abscess without sinus | $9,584 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 5225 - Periapical abscess without sinus | $45,990,720 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 5225 - Periapical abscess without sinus | $29,787 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 5225 - Periapical abscess without sinus | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 5225 - Periapical abscess without sinus | 1.75 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 5225 - Periapical abscess without sinus | 85.69 |
| 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) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,391 | ||||
| Total Hospitalizations with ICD 5225 - Periapical abscess without sinus | 553 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 5225 - Periapical abscess without sinus in DRG | 3.41 | ||||
| Avg LOS at DRG | 2.62 | ||||
| Avg LOS with ICD 5225 - Periapical abscess without sinus | 2.47 | ||||
| Readmission Rate at DRG | 11.18 | ||||
| Readmission Rate with ICD 5225 - Periapical abscess without sinus | 7.98 | ||||
| Unplanned Readmission Rate at DRG | 7.43 | ||||
| Unplanned Readmission Rate with ICD 5225 - Periapical abscess without sinus | 4.94 | ||||
| Total Medicare payments at DRG | $9,278,463 | ||||
| Total Medicare payments with ICD 5225 - Periapical abscess without sinus | $2,016,026 | ||||
| Total Medicare payment per Day at DRG | $1,480 | ||||
| Total Medicare payment per Day with ICD 5225 - Periapical abscess without sinus | $1,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,881 | ||||
| Total Medicare payment per Hospitalization with ICD 5225 - Periapical abscess without sinus | $3,646 | ||||
| Total Medicare Charges at DRG | $46,196,043 | ||||
| Total Medicare Charges with ICD 5225 - Periapical abscess without sinus | $9,006,939 | ||||
| Avg Charges at DRG | $19,321 | ||||
| Avg Charges with ICD 5225 - Periapical abscess without sinus | $16,287 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 5225 - Periapical abscess without sinus | NA | ||||
| SNF Discharge Rate at DRG | 7.86 | ||||
| SNF Discharge Rate with ICD 5225 - Periapical abscess without sinus | 3.44 | ||||
| Home Discharge Rate at DRG | 74.86 | ||||
| Home Discharge Rate with ICD 5225 - Periapical abscess without sinus | 82.46 |
| 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) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 5225 - Periapical abscess without sinus | 208 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 5225 - Periapical abscess without sinus in DRG | 1.28 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 5225 - Periapical abscess without sinus | 15.78 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 5225 - Periapical abscess without sinus | 16.58 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 5225 - Periapical abscess without sinus | 11.92 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 5225 - Periapical abscess without sinus | $4,441,828 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 5225 - Periapical abscess without sinus | $1,353 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 5225 - Periapical abscess without sinus | $21,355 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 5225 - Periapical abscess without sinus | $10,728,425 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 5225 - Periapical abscess without sinus | $51,579 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 5225 - Periapical abscess without sinus | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 5225 - Periapical abscess without sinus | 18.27 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 5225 - Periapical abscess without sinus | 26.44 |
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 257,265 | ||||
| Total Hospitalizations with ICD 5225 - Periapical abscess without sinus | 140 | ||||
| DRG Share of Total Hospitalizations | 1.13 | ||||
| % of Total ICD 5225 - Periapical abscess without sinus in DRG | 0.86 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 5225 - Periapical abscess without sinus | 3.83 | ||||
| Readmission Rate at DRG | 20.42 | ||||
| Readmission Rate with ICD 5225 - Periapical abscess without sinus | 14.07 | ||||
| Unplanned Readmission Rate at DRG | 13.45 | ||||
| Unplanned Readmission Rate with ICD 5225 - Periapical abscess without sinus | 9.63 | ||||
| Total Medicare payments at DRG | $1,129,638,166 | ||||
| Total Medicare payments with ICD 5225 - Periapical abscess without sinus | $568,951 | ||||
| Total Medicare payment per Day at DRG | $1,314 | ||||
| Total Medicare payment per Day with ICD 5225 - Periapical abscess without sinus | $1,061 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,391 | ||||
| Total Medicare payment per Hospitalization with ICD 5225 - Periapical abscess without sinus | $4,064 | ||||
| Total Medicare Charges at DRG | $5,148,191,149 | ||||
| Total Medicare Charges with ICD 5225 - Periapical abscess without sinus | $2,737,027 | ||||
| Avg Charges at DRG | $20,011 | ||||
| Avg Charges with ICD 5225 - Periapical abscess without sinus | $19,550 | ||||
| Mortality Rate at DRG | 0.85 | ||||
| Mortality Rate with ICD 5225 - Periapical abscess without sinus | NA | ||||
| SNF Discharge Rate at DRG | 20.19 | ||||
| SNF Discharge Rate with ICD 5225 - Periapical abscess without sinus | 15.0 | ||||
| Home Discharge Rate at DRG | 51.02 | ||||
| Home Discharge Rate with ICD 5225 - Periapical abscess without sinus | 62.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 115 |
| UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 80 |
| SENTARA NORFOLK GENERAL HOSPITAL | 600 GRESHAM DR | NORFOLK | VA | 23507 | 77 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. SANFORD NEIL MORRISON | 904 KEMPSVILLE RD STE 102 | VIRGINIA BEACH | VA | 23464 | 38 |
| Dr. BASEL HAJJAR | 3100 NORTH CAMPBELL ST | VALPARAISO | IN | 46385 | 33 |
| Dr. ALLEN SCLAROFF | 1 BARNES JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JAHANBAKHSH NASSERZARE | 1380 NE MIAMI GARDENS DR | NORTH MIAMI BEACH | FL | 33179 | 24 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 17 |
| Dr. GREGORY DALE SMITH | 2412 RING RD | ELIZABETHTOWN | KY | 42701 | 16 |