Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 031: VENTRICULAR SHUNT PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | Surgical | 17.37 | NA | 1,086 | 5,284 | 5,069 | ||||||||||||
| 032 | VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | Surgical | 36.22 | NA | 2,096 | 11,019 | 10,946 | ||||||||||||
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | Surgical | 46.41 | NA | 2,764 | 14,116 | 14,077 |
DEMOGRAPHIC DETAILS OF DRG 031: VENTRICULAR SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,241 | 80.26 |
| Black | 591 | 11.18 |
| Hispanic | 152 | 2.88 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 1,646 | 31.15 |
| 65 to 69 | 898 | 16.99 |
| 70 to 74 | 895 | 16.94 |
TOP ICD DIAGNOSIS CODES FOR DRG 031: VENTRICULAR SHUNT PROCEDURES 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 |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 1,413 | 26.74 |
| 3314 | Obstructive hydrocephalus | 1,141 | 21.59 |
| 3315 | Idiopathic normal pressure hydrocephalus (INPH) | 990 | 18.74 |
TOP ICD PROCEDURE CODES FOR DRG 031: VENTRICULAR SHUNT PROCEDURES 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 |
|---|---|---|---|
| 0234 | Ventricular Shunt To Abdominal Cavity And Organs | 1,745 | 33.02 |
| 0242 | Replacement Of Ventricular Shunt | 924 | 17.49 |
| 00163J6 | Bypass Cerebral Ventricle to Peritoneal Cavity with Synthetic Substitute, Percutaneous Approach | 915 | 17.32 |
TOP HOSPITALS ASSOCIATED WITH DRG 031: VENTRICULAR SHUNT PROCEDURES 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 |
|---|---|---|---|---|---|---|
| St. Joseph's Hospital and Medical Center | 350 W THOMAS RD | Phoenix | AZ | 85013 | 86 | 1.63 |
| Houston Methodist Hospital | 6565 FANNIN ST | Houston | TX | 77030 | 45 | 0.85 |
| UCSF Medical Center | 505 PARNASSUS AVE | San Francisco | CA | 94143 | 44 | 0.83 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 031: VENTRICULAR SHUNT PROCEDURES 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. MARK LUCIANO | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 23 | 0.44 |
| DR. KRIS A SMITH | 2910 N 3RD AVE | PHOENIX | AZ | 85013 | 17 | 0.32 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 031: VENTRICULAR SHUNT PROCEDURES 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. CHRISTOPHER DUMA | 3900 W COAST HWY | NEWPORT BEACH | CA | 92663 | 25 | 0.47 |
| DR. YI JONATHAN ZHANG | 6560 FANNIN ST | HOUSTON | TX | 77030 | 23 | 0.44 |
| DR. M HERTZEL SOUMEKH | 8008 FROST ST | SAN DIEGO | CA | 92123 | 20 | 0.38 |
DRG 031: VENTRICULAR SHUNT PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | 4019 | Unspecified essential hypertension | NA | 1,413 | |||||||||||||||||
| General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | I10 | Essential (primary) hypertension | 1,343 | 1,242 | |||||||||||||||||
| General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | 3314 | Obstructive hydrocephalus | NA | 1,141 | |||||||||||||||||
| General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | 3315 | Idiopathic normal pressure hydrocephalus (INPH) | NA | 990 | |||||||||||||||||
| General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 919 | |||||||||||||||||
| General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | G912 | (Idiopathic) normal pressure hydrocephalus | 769 | 869 | |||||||||||||||||
| General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | E785 | Hyperlipidemia, unspecified | 722 | 823 | |||||||||||||||||
| General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | 9962 | Mechanical complication of nervous system device, implant, and graft | NA | 764 | |||||||||||||||||
| General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | 53081 | Esophageal reflux | NA | 643 | |||||||||||||||||
| General Surgery | Ventricular Shunt Procedures | Ventricular Shunt Procedures | G9340 | Encephalopathy, unspecified | 654 | 609 |