| 5283 - Cellulitis and abscess of oral soft tissues - as a primary diagnosis code | 5283 - Cellulitis and abscess of oral soft tissues - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.3 | |
| Readmission Rate (%) | 18.22 | |
| Unplanned Readmission Rate (%) | 8.53 | |
| 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 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 138: MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,971 | ||||
| Total Hospitalizations with ICD 5283 - Cellulitis and abscess of oral soft tissues | 428 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 5283 - Cellulitis and abscess of oral soft tissues in DRG | 31.56 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD 5283 - Cellulitis and abscess of oral soft tissues | 5.13 | ||||
| Readmission Rate at DRG | 15.9 | ||||
| Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 14.82 | ||||
| Unplanned Readmission Rate at DRG | 11.2 | ||||
| Unplanned Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 9.88 | ||||
| Total Medicare payments at DRG | $18,261,178 | ||||
| Total Medicare payments with ICD 5283 - Cellulitis and abscess of oral soft tissues | $3,904,849 | ||||
| Total Medicare payment per Day at DRG | $1,865 | ||||
| Total Medicare payment per Day with ICD 5283 - Cellulitis and abscess of oral soft tissues | $1,777 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,265 | ||||
| Total Medicare payment per Hospitalization with ICD 5283 - Cellulitis and abscess of oral soft tissues | $9,123 | ||||
| Total Medicare Charges at DRG | $87,085,325 | ||||
| Total Medicare Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $17,945,238 | ||||
| Avg Charges at DRG | $44,183 | ||||
| Avg Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $41,928 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | ||||
| SNF Discharge Rate at DRG | 11.72 | ||||
| SNF Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 10.05 | ||||
| Home Discharge Rate at DRG | 68.09 | ||||
| Home Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 73.36 |
| DRG 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,619 | |||
| Total Hospitalizations with ICD 5283 - Cellulitis and abscess of oral soft tissues | 25 | |||
| DRG Share of Total Hospitalizations | 0.02 | |||
| % of Total ICD 5283 - Cellulitis and abscess of oral soft tissues in DRG | 1.84 | |||
| Avg LOS at DRG | 5.5 | |||
| Avg LOS with ICD 5283 - Cellulitis and abscess of oral soft tissues | 10.2 | |||
| Readmission Rate at DRG | 20.3 | |||
| Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | |||
| Unplanned Readmission Rate at DRG | 12.05 | |||
| Unplanned Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | |||
| Total Medicare payments at DRG | $61,566,684 | |||
| Total Medicare payments with ICD 5283 - Cellulitis and abscess of oral soft tissues | $392,065 | |||
| Total Medicare payment per Day at DRG | $2,425 | |||
| Total Medicare payment per Day with ICD 5283 - Cellulitis and abscess of oral soft tissues | $1,538 | |||
| Total Medicare payment per Hospitalization at DRG | $13,329 | |||
| Total Medicare payment per Hospitalization with ICD 5283 - Cellulitis and abscess of oral soft tissues | $15,683 | |||
| Total Medicare Charges at DRG | $289,037,694 | |||
| Total Medicare Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $2,470,750 | |||
| Avg Charges at DRG | $62,576 | |||
| Avg Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $98,830 | |||
| Mortality Rate at DRG | 1.36 | |||
| Mortality Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | |||
| SNF Discharge Rate at DRG | 11.08 | |||
| SNF Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | |||
| Home Discharge Rate at DRG | 63.46 | |||
| Home Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 52.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 14 |
| SENTARA NORFOLK GENERAL HOSPITAL | 600 GRESHAM DR | NORFOLK | VA | 23507 | 11 |
| DRG 137: MOUTH PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 1,971 | ||||
| Total Hospitalizations with ICD 5283 - Cellulitis and abscess of oral soft tissues | 600 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 5283 - Cellulitis and abscess of oral soft tissues in DRG | 13.4 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD 5283 - Cellulitis and abscess of oral soft tissues | 5.26 | ||||
| Readmission Rate at DRG | 15.9 | ||||
| Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 14.09 | ||||
| Unplanned Readmission Rate at DRG | 11.2 | ||||
| Unplanned Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 9.4 | ||||
| Total Medicare payments at DRG | $18,261,178 | ||||
| Total Medicare payments with ICD 5283 - Cellulitis and abscess of oral soft tissues | $5,658,450 | ||||
| Total Medicare payment per Day at DRG | $1,865 | ||||
| Total Medicare payment per Day with ICD 5283 - Cellulitis and abscess of oral soft tissues | $1,792 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,265 | ||||
| Total Medicare payment per Hospitalization with ICD 5283 - Cellulitis and abscess of oral soft tissues | $9,431 | ||||
| Total Medicare Charges at DRG | $87,085,325 | ||||
| Total Medicare Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $26,081,218 | ||||
| Avg Charges at DRG | $44,183 | ||||
| Avg Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $43,469 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | ||||
| SNF Discharge Rate at DRG | 11.72 | ||||
| SNF Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 10.33 | ||||
| Home Discharge Rate at DRG | 68.09 | ||||
| Home Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 73.0 |
| DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,202 | ||||
| Total Hospitalizations with ICD 5283 - Cellulitis and abscess of oral soft tissues | 136 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 5283 - Cellulitis and abscess of oral soft tissues in DRG | 3.04 | ||||
| Avg LOS at DRG | 6.64 | ||||
| Avg LOS with ICD 5283 - Cellulitis and abscess of oral soft tissues | 6.96 | ||||
| Readmission Rate at DRG | 26.07 | ||||
| Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 22.83 | ||||
| Unplanned Readmission Rate at DRG | 16.68 | ||||
| Unplanned Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 15.75 | ||||
| Total Medicare payments at DRG | $37,426,347 | ||||
| Total Medicare payments with ICD 5283 - Cellulitis and abscess of oral soft tissues | $1,625,533 | ||||
| Total Medicare payment per Day at DRG | $1,760 | ||||
| Total Medicare payment per Day with ICD 5283 - Cellulitis and abscess of oral soft tissues | $1,717 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,688 | ||||
| Total Medicare payment per Hospitalization with ICD 5283 - Cellulitis and abscess of oral soft tissues | $11,952 | ||||
| Total Medicare Charges at DRG | $155,792,630 | ||||
| Total Medicare Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $6,393,126 | ||||
| Avg Charges at DRG | $48,655 | ||||
| Avg Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $47,008 | ||||
| Mortality Rate at DRG | 4.84 | ||||
| Mortality Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | ||||
| SNF Discharge Rate at DRG | 18.83 | ||||
| SNF Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 22.79 | ||||
| Home Discharge Rate at DRG | 43.6 | ||||
| Home Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 40.44 |
| DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 27,028 | ||||
| Total Hospitalizations with ICD 5283 - Cellulitis and abscess of oral soft tissues | 88 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD 5283 - Cellulitis and abscess of oral soft tissues in DRG | 1.97 | ||||
| Avg LOS at DRG | 8.1 | ||||
| Avg LOS with ICD 5283 - Cellulitis and abscess of oral soft tissues | 6.57 | ||||
| Readmission Rate at DRG | 25.79 | ||||
| Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 16.09 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | ||||
| Total Medicare payments at DRG | $423,019,169 | ||||
| Total Medicare payments with ICD 5283 - Cellulitis and abscess of oral soft tissues | $1,388,921 | ||||
| Total Medicare payment per Day at DRG | $1,933 | ||||
| Total Medicare payment per Day with ICD 5283 - Cellulitis and abscess of oral soft tissues | $2,403 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,651 | ||||
| Total Medicare payment per Hospitalization with ICD 5283 - Cellulitis and abscess of oral soft tissues | $15,783 | ||||
| Total Medicare Charges at DRG | $1,906,935,146 | ||||
| Total Medicare Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $4,080,586 | ||||
| Avg Charges at DRG | $70,554 | ||||
| Avg Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $46,370 | ||||
| Mortality Rate at DRG | 0.74 | ||||
| Mortality Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | ||||
| SNF Discharge Rate at DRG | 28.27 | ||||
| SNF Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 12.5 | ||||
| Home Discharge Rate at DRG | 33.65 | ||||
| Home Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 67.05 |
| DRG 133: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,619 | ||||
| Total Hospitalizations with ICD 5283 - Cellulitis and abscess of oral soft tissues | 65 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 5283 - Cellulitis and abscess of oral soft tissues in DRG | 1.45 | ||||
| Avg LOS at DRG | 5.5 | ||||
| Avg LOS with ICD 5283 - Cellulitis and abscess of oral soft tissues | 7.23 | ||||
| Readmission Rate at DRG | 20.3 | ||||
| Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | ||||
| Unplanned Readmission Rate at DRG | 12.05 | ||||
| Unplanned Readmission Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | ||||
| Total Medicare payments at DRG | $61,566,684 | ||||
| Total Medicare payments with ICD 5283 - Cellulitis and abscess of oral soft tissues | $863,287 | ||||
| Total Medicare payment per Day at DRG | $2,425 | ||||
| Total Medicare payment per Day with ICD 5283 - Cellulitis and abscess of oral soft tissues | $1,837 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,329 | ||||
| Total Medicare payment per Hospitalization with ICD 5283 - Cellulitis and abscess of oral soft tissues | $13,281 | ||||
| Total Medicare Charges at DRG | $289,037,694 | ||||
| Total Medicare Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $4,616,957 | ||||
| Avg Charges at DRG | $62,576 | ||||
| Avg Charges with ICD 5283 - Cellulitis and abscess of oral soft tissues | $71,030 | ||||
| Mortality Rate at DRG | 1.36 | ||||
| Mortality Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | ||||
| SNF Discharge Rate at DRG | 11.08 | ||||
| SNF Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | NA | ||||
| Home Discharge Rate at DRG | 63.46 | ||||
| Home Discharge Rate with ICD 5283 - Cellulitis and abscess of oral soft tissues | 61.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| SENTARA NORFOLK GENERAL HOSPITAL | 600 GRESHAM DR | NORFOLK | VA | 23507 | 78 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 61 |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX | 1111 E MCDOWELL RD | PHOENIX | AZ | 85006 | 28 |
| 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 | 36 |