Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | Back to Top |
| DRG Code | DRG Description | Category | Sub Category | DRG Group | Surgical Category | Case Mix Level | Total National Projected Hospitalizations - Annualized | Total Medicare Hospitalizations - Jan 2017 to Dec 2017 | Total Medicare Hospitalizations - Jan 2013 to Dec 2017 | Total Medicare Hospitalizations After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | Surgical | 87.93 | NA | 2,014 | 9,653 | 8,449 | ||||||||||||
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | Surgical | 12.07 | NA | 187 | 1,325 | 1,301 |
DEMOGRAPHIC DETAILS OF DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 6,627 | 68.65 |
| Black | 2,203 | 22.82 |
| Hispanic | 263 | 2.72 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 4,640 | 48.07 |
| 65 to 69 | 2,910 | 30.15 |
| 70 to 74 | 1,427 | 14.78 |
TOP ICD DIAGNOSIS CODES FOR DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4280 | Congestive heart failure, unspecified | 4,006 | 41.5 |
| 2851 | Acute posthemorrhagic anemia | 2,882 | 29.86 |
| 78551 | Cardiogenic shock | 2,683 | 27.79 |
TOP ICD PROCEDURE CODES FOR DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4A023N6 | Measurement of Cardiac Sampling and Pressure, Right Heart, Percutaneous Approach | 4,468 | 46.29 |
| 3961 | Extracorporeal Circulation Auxiliary To Open Heart Surgery | 4,066 | 42.12 |
| 5A1221Z | Performance of Cardiac Output, Continuous | 3,866 | 40.05 |
TOP HOSPITALS ASSOCIATED WITH DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Barnes Jewish Hospital | 1 BARNES-JEWISH HOSPITAL PLZ | Saint Louis | MO | 63110 | 287 | 2.97 |
| Duke University Hospital | 2301 ERWIN ROAD | Durham | NC | 27710 | 284 | 2.94 |
| Advocate Christ Medical Center | 4440 W 95TH ST | Oak Lawn | IL | 60453 | 207 | 2.14 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. CARMELO A MILANO | 403 W 27TH ST | LUMBERTON | NC | 28358 | 156 | 1.62 |
| DR. AKINOBU ITOH | 1 CHILDRENS PL | SAINT LOUIS | MO | 63110 | 115 | 1.19 |
| DR. JOHN Y UM | 988102 NEBRASKA MEDICAL CENTER | OMAHA | NE | 68198 | 111 | 1.15 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. CARMELO A MILANO | 403 W 27TH ST | LUMBERTON | NC | 28358 | 149 | 1.54 |
| DR. SCOTT C SILVESTRY | 2415 N ORANGE AVE | ORLANDO | FL | 32804 | 126 | 1.31 |
| DR. PATROKLOS STEVEN PAPPAS | 4400 W 95TH ST | OAK LAWN | IL | 60453 | 120 | 1.24 |
DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | Back to Top |
| Category | Sub Category | DRG Group | ICD Codes | ICD Description | National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - All) Jan 2013 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 to Dec 2017 | Total Discharges After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | 4280 | Congestive heart failure, unspecified | NA | 4,006 | |||||||||||||||||
| Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | D62 | Acute posthemorrhagic anemia | 3,455 | 3,234 | |||||||||||||||||
| Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | 2851 | Acute posthemorrhagic anemia | NA | 2,882 | |||||||||||||||||
| Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | R570 | Cardiogenic shock | 3,417 | 2,778 | |||||||||||||||||
| Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | 78551 | Cardiogenic shock | NA | 2,683 | |||||||||||||||||
| Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | 42731 | Atrial fibrillation | NA | 2,361 | |||||||||||||||||
| Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | 42823 | Acute on chronic systolic heart failure | NA | 2,335 | |||||||||||||||||
| Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | N179 | Acute kidney failure, unspecified | 2,800 | 2,322 | |||||||||||||||||
| Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | 4254 | Other primary cardiomyopathies | NA | 2,312 | |||||||||||||||||
| Cardiovascular | Heart Transplant Or Implant Of Heart Assist System | Heart Transplant Or Implant Of Heart Assist System | 5849 | Acute kidney failure, unspecified | NA | 2,263 |