Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 005 | LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | Surgical | 73.55 | NA | 1,176 | 5,763 | 5,544 | ||||||||||||
| 006 | LIVER TRANSPLANT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | Surgical | 26.45 | NA | 495 | 2,073 | 2,061 |
DEMOGRAPHIC DETAILS OF DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,447 | 77.16 |
| Black | 555 | 9.63 |
| Hispanic | 323 | 5.6 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 3,265 | 56.65 |
| 65 to 69 | 2,022 | 35.09 |
| 70 to 74 | 446 | 7.74 |
TOP ICD DIAGNOSIS CODES FOR DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 78959 | Other ascites | 1,691 | 29.34 |
| 5715 | Cirrhosis of liver without mention of alcohol | 1,588 | 27.56 |
| 5723 | Portal hypertension | 1,467 | 25.46 |
TOP ICD PROCEDURE CODES FOR DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 5059 | Other Transplant Of Liver | 2,981 | 51.73 |
| 0FY00Z0 | Transplantation of Liver, Allogeneic, Open Approach | 2,773 | 48.12 |
| 0093 | Epidural Space | 2,573 | 44.65 |
TOP HOSPITALS ASSOCIATED WITH DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Mayo Clinic | 4500 SAN PABLO RD S | Jacksonville | FL | 32224 | 197 | 3.42 |
| Ochsner Medical Center | 1516 JEFFERSON HWY | New Orleans | LA | 70121 | 179 | 3.11 |
| Cleveland Clinic | 9500 EUCLID AVE | Cleveland | OH | 44195 | 121 | 2.1 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOHN A. GOSS | 6620 MAIN ST | HOUSTON | TX | 77030 | 51 | 0.88 |
| DR. JULIE K HEIMBACH | 200 1ST ST SW | ROCHESTER | MN | 55905 | 46 | 0.8 |
| DR. ALFRED JOSEPH TECTOR | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 45 | 0.78 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. RAFIK MARK GHOBRIAL M.D. | 6550 FANNIN ST | HOUSTON | TX | 77030 | 59 | 1.02 |
| DR. ADEL BOZORGZADEH | 55 LAKE AVE N | WORCESTER | MA | 01655 | 59 | 1.02 |
| DR. JOHN A. GOSS | 6620 MAIN ST | HOUSTON | TX | 77030 | 58 | 1.01 |
DRG 005: LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | 78959 | Other ascites | NA | 1,691 | |||||||||||||||||
| Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | 5715 | Cirrhosis of liver without mention of alcohol | NA | 1,588 | |||||||||||||||||
| Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | D62 | Acute posthemorrhagic anemia | 2,707 | 1,588 | |||||||||||||||||
| Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | K766 | Portal hypertension | 2,307 | 1,514 | |||||||||||||||||
| Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | 5723 | Portal hypertension | NA | 1,467 | |||||||||||||||||
| Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | 2851 | Acute posthemorrhagic anemia | NA | 1,462 | |||||||||||||||||
| Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | R188 | Other ascites | 1,436 | 1,077 | |||||||||||||||||
| Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | 5849 | Acute kidney failure, unspecified | NA | 1,049 | |||||||||||||||||
| Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | N179 | Acute kidney failure, unspecified | 1,674 | 960 | |||||||||||||||||
| Gastroenterology & Endocrinology | Liver Or Intestinal Transplant | Liver Or Intestinal Transplant | 2875 | Thrombocytopenia, unspecified | NA | 938 |