Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 131: CRANIAL AND FACIAL PROCEDURES WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 131 | CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Cranial/Facial Procedures | Cranial And Facial Procedures | Surgical | 68.00 | NA | 1,279 | 6,434 | 1,250 | ||||||||||||
| 132 | CRANIAL AND FACIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Cranial/Facial Procedures | Cranial And Facial Procedures | Surgical | 32.00 | NA | 602 | 3,106 | 598 |
DEMOGRAPHIC DETAILS OF DRG 131: CRANIAL AND FACIAL PROCEDURES WITH 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 | 1,000 | 78.19 |
| Black | 188 | 14.7 |
| Hispanic | 28 | 2.19 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 422 | 32.99 |
| 65 to 69 | 237 | 18.53 |
| 70 to 74 | 220 | 17.2 |
TOP ICD DIAGNOSIS CODES FOR DRG 131: CRANIAL AND FACIAL PROCEDURES WITH 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 |
|---|---|---|---|
| S022XXA | Fracture of nasal bones, initial encounter for closed fracture | 218 | 17.04 |
| S0240FA | Zygomatic fracture, left side, initial encounter for closed fracture | 134 | 10.48 |
| S0240DA | Maxillary fracture, left side, initial encounter for closed fracture | 125 | 9.77 |
TOP ICD PROCEDURE CODES FOR DRG 131: CRANIAL AND FACIAL PROCEDURES WITH 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 |
|---|---|---|---|
| 0NSV04Z | Reposition Left Mandible with Internal Fixation Device, Open Approach | 249 | 19.47 |
| 0NSR04Z | Reposition Right Maxilla with Internal Fixation Device, Open Approach | 236 | 18.45 |
| 0NST04Z | Reposition Right Mandible with Internal Fixation Device, Open Approach | 232 | 18.14 |
TOP HOSPITALS ASSOCIATED WITH DRG 131: CRANIAL AND FACIAL PROCEDURES WITH 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 |
|---|---|---|---|---|---|---|
| Providence Saint Joseph Medical Center | 501 S BUENA VISTA ST | Burbank | CA | 91505 | 23 | 1.8 |
| University of Maryland Medical Center | 22 S GREENE STREET | Baltimore | MD | 21201 | 19 | 1.49 |
| University of Alabama Hospital | 619 19TH ST S | Birmingham | AL | 35249 | 14 | 1.09 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 131: CRANIAL AND FACIAL PROCEDURES WITH 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. MAYUR C PATEL | 2625 W ALAMEDA AVE | BURBANK | CA | 91505 | 11 | 0.86 |
| DR. LAWRENCE ALAN WOLFF | 16550 VENTURA BLVD STE 209 | ENCINO | CA | 91436 | NA | NA |
| DR. ADAM MIKIAL ZANATION | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | NA | NA |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 131: CRANIAL AND FACIAL PROCEDURES WITH 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. LAWRENCE ALAN WOLFF | 16550 VENTURA BLVD STE 209 | ENCINO | CA | 91436 | 21 | 1.64 |
| DR. RANDAL JOHN VECCHIONE | 2542 2ND AVE | SAN DIEGO | CA | 92103 | NA | NA |
| DR. VINCENT J NIP | 1380 LUSITANA ST | HONOLULU | HI | 96813 | NA | NA |
DRG 131: CRANIAL AND FACIAL PROCEDURES WITH 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 | Cranial/Facial Procedures | Cranial And Facial Procedures | I10 | Essential (primary) hypertension | 2,392 | 588 | |||||||||||||||||
| General Surgery | Cranial/Facial Procedures | Cranial And Facial Procedures | E785 | Hyperlipidemia, unspecified | 939 | 331 | |||||||||||||||||
| General Surgery | Cranial/Facial Procedures | Cranial And Facial Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 748 | 254 | |||||||||||||||||
| General Surgery | Cranial/Facial Procedures | Cranial And Facial Procedures | Z87891 | Personal history of nicotine dependence | 671 | 247 | |||||||||||||||||
| General Surgery | Cranial/Facial Procedures | Cranial And Facial Procedures | S022XXA | Fracture of nasal bones, initial encounter for closed fracture | 1,619 | 218 | |||||||||||||||||
| General Surgery | Cranial/Facial Procedures | Cranial And Facial Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 539 | 207 | |||||||||||||||||
| General Surgery | Cranial/Facial Procedures | Cranial And Facial Procedures | F17210 | Nicotine dependence, cigarettes, uncomplicated | 1,555 | 188 | |||||||||||||||||
| General Surgery | Cranial/Facial Procedures | Cranial And Facial Procedures | E039 | Hypothyroidism, unspecified | 467 | 185 | |||||||||||||||||
| General Surgery | Cranial/Facial Procedures | Cranial And Facial Procedures | Z7982 | Long term (current) use of aspirin | 348 | 177 | |||||||||||||||||
| General Surgery | Cranial/Facial Procedures | Cranial And Facial Procedures | D62 | Acute posthemorrhagic anemia | 701 | 175 |