Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 130: MAJOR HEAD AND NECK 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 130 | MAJOR HEAD AND NECK PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Major Head And Neck Procedures | Major Head And Neck Procedures | Surgical | 34.88 | NA | 1,143 | 5,327 | 1,136 | ||||||||||||
| 129 | MAJOR HEAD AND NECK PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR MAJOR DEVICE | General Surgery | Major Head And Neck Procedures | Major Head And Neck Procedures | Surgical | 65.12 | NA | 2,134 | 9,109 | 2,102 |
DEMOGRAPHIC DETAILS OF DRG 130: MAJOR HEAD AND NECK 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 | 1,007 | 88.1 |
| Black | 64 | 5.6 |
| Other | 19 | 1.66 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 293 | 25.63 |
| 70 to 74 | 275 | 24.06 |
| 75 to 79 | 177 | 15.49 |
TOP ICD DIAGNOSIS CODES FOR DRG 130: MAJOR HEAD AND NECK 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 |
|---|---|---|---|
| C07 | Malignant neoplasm of parotid gland | 165 | 14.44 |
| C021 | Malignant neoplasm of border of tongue | 120 | 10.5 |
| C029 | Malignant neoplasm of tongue, unspecified | 114 | 9.97 |
TOP ICD PROCEDURE CODES FOR DRG 130: MAJOR HEAD AND NECK 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 |
|---|---|---|---|
| 07T10ZZ | Resection of Right Neck Lymphatic, Open Approach | 468 | 40.94 |
| 07T20ZZ | Resection of Left Neck Lymphatic, Open Approach | 444 | 38.85 |
| 0CB7XZZ | Excision of Tongue, External Approach | 176 | 15.4 |
TOP HOSPITALS ASSOCIATED WITH DRG 130: MAJOR HEAD AND NECK 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 |
|---|---|---|---|---|---|---|
| University of Alabama Hospital | 619 19TH ST S | Birmingham | AL | 35249 | 27 | 2.36 |
| University of Texas MD Anderson Cancer Center | 1515 HOLCOMBE BLVD | Houston | TX | 77030 | 24 | 2.1 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 19 | 1.66 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 130: MAJOR HEAD AND NECK 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. STEVEN R SCHIMMELE | 4606 D EAST STATE BLVD | FORT WAYNE | IN | 46815 | 11 | 0.96 |
| DR. MICHAEL JAY KAPLAN | 875 BLAKE WILBUR DR | STANFORD | CA | 94305 | NA | NA |
| DR. ERIC GENDEN | 5 E 98TH ST | NEW YORK | NY | 10029 | NA | NA |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 130: MAJOR HEAD AND NECK 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. STEVEN R SCHIMMELE | 4606 D EAST STATE BLVD | FORT WAYNE | IN | 46815 | 11 | 0.96 |
| DR. LANCE E OXFORD | 411 N. WASHINGTON AVE | DALLAS | TX | 75246 | 11 | 0.96 |
| DR. ERIC GENDEN | 5 E 98TH ST | NEW YORK | NY | 10029 | NA | NA |
DRG 130: MAJOR HEAD AND NECK 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 | Major Head And Neck Procedures | Major Head And Neck Procedures | I10 | Essential (primary) hypertension | 1,224 | 631 | |||||||||||||||||
| General Surgery | Major Head And Neck Procedures | Major Head And Neck Procedures | Z87891 | Personal history of nicotine dependence | 675 | 374 | |||||||||||||||||
| General Surgery | Major Head And Neck Procedures | Major Head And Neck Procedures | E785 | Hyperlipidemia, unspecified | 590 | 344 | |||||||||||||||||
| General Surgery | Major Head And Neck Procedures | Major Head And Neck Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 552 | 289 | |||||||||||||||||
| General Surgery | Major Head And Neck Procedures | Major Head And Neck Procedures | Z7982 | Long term (current) use of aspirin | 170 | 195 | |||||||||||||||||
| General Surgery | Major Head And Neck Procedures | Major Head And Neck Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 284 | 168 | |||||||||||||||||
| General Surgery | Major Head And Neck Procedures | Major Head And Neck Procedures | C07 | Malignant neoplasm of parotid gland | 297 | 165 | |||||||||||||||||
| General Surgery | Major Head And Neck Procedures | Major Head And Neck Procedures | E119 | Type 2 diabetes mellitus without complications | 365 | 163 | |||||||||||||||||
| General Surgery | Major Head And Neck Procedures | Major Head And Neck Procedures | E039 | Hypothyroidism, unspecified | 238 | 163 | |||||||||||||||||
| General Surgery | Major Head And Neck Procedures | Major Head And Neck Procedures | Z79899 | Other long term (current) drug therapy | 352 | 154 |