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 | 18.20 | NA | 2,636 | 11,355 | 2,619 | ||||||||||||
| 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 | 36.24 | NA | 5,247 | 24,590 | 4,830 | ||||||||||||
| 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 | 45.56 | NA | 6,597 | 30,536 | 6,491 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 2,245 | 85.17 |
| Black | 229 | 8.69 |
| Unknown | 49 | 1.86 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 565 | 21.43 |
| Less than 65 | 547 | 20.75 |
| 70 to 74 | 522 | 19.8 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| R29701 | NIHSS score 1 | 78 | 2.96 |
| G513 | Clonic hemifacial spasm | 62 | 2.35 |
| G540 | Brachial plexus disorders | 58 | 2.2 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0JH632Z | Insertion of Monitoring Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach | 618 | 23.44 |
| 0JH602Z | Insertion of Monitoring Device into Chest Subcutaneous Tissue and Fascia, Open Approach | 385 | 14.61 |
| 02HK3JZ | Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach | 129 | 4.89 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Delray Medical Center | 5352 LINTON BLVD | Delray Beach | FL | 33484 | 25 | 0.95 |
| University of California Davis Medical Center | 2315 STOCKTON BLVD | Sacramento | CA | 95817 | 24 | 0.91 |
| Kaleida Health | 100 HIGH ST | Buffalo | NY | 14203 | 20 | 0.76 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. RAYMOND F SEKULA | 201 STATE ST | ERIE | PA | 16550 | 15 | 0.57 |
| DR. KIARASH SHAHLAIE | DEPARTMENT OF NEUROLOGICAL SURGERY | SACRAMENTO | CA | 95817 | 13 | 0.49 |
| DR. ANANT I PATEL | 12180 N MOPAC EXPY | AUSTIN | TX | 78758 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. RAYMOND F SEKULA | 201 STATE ST | ERIE | PA | 16550 | 15 | 0.57 |
| DR. KIARASH SHAHLAIE | DEPARTMENT OF NEUROLOGICAL SURGERY | SACRAMENTO | CA | 95817 | 13 | 0.49 |
| DR. NAGESH CHOPRA | 3705 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | NA | NA |
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 2017 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 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 | I10 | Essential (primary) hypertension | 3,026 | 1,610 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | E785 | Hyperlipidemia, unspecified | 1,598 | 1,215 | |||||||||||||||||
| 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 | 646 | |||||||||||||||||
| 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 | 585 | |||||||||||||||||
| 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 | 573 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 663 | 512 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | E039 | Hypothyroidism, unspecified | 722 | 412 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | E119 | Type 2 diabetes mellitus without complications | 773 | 401 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | I639 | Cerebral infarction, unspecified | 255 | 376 | |||||||||||||||||
| General Surgery | Peripheral And Cranial Nerve And Other Nervous System Procedures | Peripheral, Cranial Nerve And Other Nervous System Procedures | Z8673 | Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits | 433 | 361 |