Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 134 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | Surgical | 39.77 | NA | 1,339 | 7,553 | 7,483 | ||||||||||||
| 133 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | Surgical | 60.23 | NA | 2,174 | 11,440 | 11,082 |
DEMOGRAPHIC DETAILS OF DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. 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 | 6,312 | 83.57 |
| Black | 709 | 9.39 |
| Hispanic | 172 | 2.28 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 2,010 | 26.61 |
| Less than 65 | 1,947 | 25.78 |
| 70 to 74 | 1,383 | 18.31 |
TOP ICD DIAGNOSIS CODES FOR DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. 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 | 2,280 | 30.19 |
| 2724 | Other and unspecified hyperlipidemia | 1,187 | 15.72 |
| 53081 | Esophageal reflux | 1,133 | 15.0 |
TOP ICD PROCEDURE CODES FOR DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. 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 |
|---|---|---|---|
| 3142 | Laryngoscopy And Other Tracheoscopy | 549 | 7.27 |
| 280 | Incision And Drainage Of Tonsil And Peritonsillar Structures | 489 | 6.47 |
| 403 | Regional Lymph Node Excision | 371 | 4.91 |
TOP HOSPITALS ASSOCIATED WITH DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. 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 |
|---|---|---|---|---|---|---|
| University of Alabama Hospital | 619 19TH ST S | Birmingham | AL | 35249 | 175 | 2.32 |
| Ronald Reagan UCLA Medical Center | 757 WESTWOOD PLZ | Los Angeles | CA | 90095 | 127 | 1.68 |
| Thomas Jefferson University Hospital | 111 S 11TH ST | Philadelphia | PA | 19107 | 102 | 1.35 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. 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. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 92 | 1.22 |
| DR. GREGORY S WEINSTEIN | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 33 | 0.44 |
| DR. JOSEPH M CURRY | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 25 | 0.33 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. 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. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 93 | 1.23 |
| DR. GREGORY S WEINSTEIN | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 34 | 0.45 |
| DR. JOSEPH M CURRY | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 25 | 0.33 |
DRG 134: OTHER EAR, NOSE, MOUTH AND THROAT O.R. 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 | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | 4019 | Unspecified essential hypertension | NA | 2,280 | |||||||||||||||||
| General Surgery | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | I10 | Essential (primary) hypertension | 3,060 | 1,655 | |||||||||||||||||
| General Surgery | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 1,187 | |||||||||||||||||
| General Surgery | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | 53081 | Esophageal reflux | NA | 1,133 | |||||||||||||||||
| General Surgery | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | V1582 | Personal history of tobacco use | NA | 931 | |||||||||||||||||
| General Surgery | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | E785 | Hyperlipidemia, unspecified | 1,275 | 873 | |||||||||||||||||
| General Surgery | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 865 | |||||||||||||||||
| General Surgery | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | Z87891 | Personal history of nicotine dependence | 1,173 | 783 | |||||||||||||||||
| General Surgery | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 1,598 | 772 | |||||||||||||||||
| General Surgery | Other Ear, Nose, Mouth And Throat Procedures | Other Ear, Nose, Mouth And Throat O.R. Procedures | 3051 | Tobacco use disorder | NA | 619 |