Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | Surgical | 17.08 | NA | 2,636 | 11,355 | 11,251 | ||||||||||||
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | Surgical | 36.99 | NA | 5,247 | 24,590 | 22,617 | ||||||||||||
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | Surgical | 45.93 | NA | 6,597 | 30,536 | 30,017 |
DEMOGRAPHIC DETAILS OF DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 9,683 | 85.28 |
| Black | 1,016 | 8.95 |
| Hispanic | 200 | 1.76 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 3,145 | 27.7 |
| 65 to 69 | 2,175 | 19.15 |
| 70 to 74 | 1,898 | 16.72 |
TOP ICD DIAGNOSIS CODES FOR DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 3,481 | 30.66 |
| 2724 | Other and unspecified hyperlipidemia | 2,366 | 20.84 |
| 53081 | Esophageal reflux | 1,417 | 12.48 |
TOP ICD PROCEDURE CODES FOR DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 3779 | Revision Or Relocation Of Pacemaker Pocket | 897 | 7.9 |
| 0JH632Z | Insertion of Monitoring Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach | 730 | 6.43 |
| 8606 | Insertion Of Totally Implantable Infusion Pump | 692 | 6.09 |
TOP HOSPITALS ASSOCIATED WITH DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|---|---|---|
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 100 | 0.88 |
| UPMC Presbyterian Shadyside | 200 LOTHROP ST | Pittsburgh | PA | 15213 | 93 | 0.82 |
| Barnes Jewish Hospital | 1 BARNES-JEWISH HOSPITAL PLZ | Saint Louis | MO | 63110 | 73 | 0.64 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. RAYMOND F SEKULA | 201 STATE ST | ERIE | PA | 16550 | 57 | 0.5 |
| DR. LOUIS ANTHONY WHITWORTH | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 38 | 0.33 |
| DR. ANANT I PATEL | 12180 N MOPAC EXPY | AUSTIN | TX | 78758 | 28 | 0.25 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. RAYMOND F SEKULA | 201 STATE ST | ERIE | PA | 16550 | 56 | 0.49 |
| DR. LOUIS ANTHONY WHITWORTH | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 39 | 0.34 |
| DR. ANANT I PATEL | 12180 N MOPAC EXPY | AUSTIN | TX | 78758 | 30 | 0.26 |
DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | 4019 | Unspecified essential hypertension | NA | 3,481 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | I10 | Essential (primary) hypertension | 3,026 | 2,923 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 2,366 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | E785 | Hyperlipidemia, unspecified | 1,598 | 2,042 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | 53081 | Esophageal reflux | NA | 1,417 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | Z87891 | Personal history of nicotine dependence | 939 | 1,128 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 1,045 | 1,126 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | V1582 | Personal history of tobacco use | NA | 1,118 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 1,034 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | Z7982 | Long term (current) use of aspirin | 539 | 940 |