Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 135: SINUS AND MASTOID 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 135 | SINUS AND MASTOID PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | Surgical | 67.02 | NA | 310 | 1,648 | 1,600 | ||||||||||||
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | Surgical | 32.98 | NA | 124 | 811 | 808 |
DEMOGRAPHIC DETAILS OF DRG 135: SINUS AND MASTOID PROCEDURES WITH 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 | 1,278 | 77.55 |
| Black | 242 | 14.68 |
| Hispanic | 35 | 2.12 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 536 | 32.52 |
| 65 to 69 | 342 | 20.75 |
| 70 to 74 | 259 | 15.72 |
TOP ICD DIAGNOSIS CODES FOR DRG 135: SINUS AND MASTOID PROCEDURES WITH 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 | 446 | 27.06 |
| 2724 | Other and unspecified hyperlipidemia | 287 | 17.42 |
| 4730 | Chronic maxillary sinusitis | 250 | 15.17 |
TOP ICD PROCEDURE CODES FOR DRG 135: SINUS AND MASTOID 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 2263 | Ethmoidectomy | 642 | 38.96 |
| 2262 | Excision Of Lesion Of Maxillary Sinus With Other Approach | 389 | 23.6 |
| 222 | Intranasal Antrotomy | 247 | 14.99 |
TOP HOSPITALS ASSOCIATED WITH DRG 135: SINUS AND MASTOID 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| University of North Carolina Hospital | 101 MANNING DR | Chapel Hill | NC | 27514 | 28 | 1.7 |
| Ronald Reagan UCLA Medical Center | 757 WESTWOOD PLZ | Los Angeles | CA | 90095 | 24 | 1.46 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 23 | 1.4 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 135: SINUS AND MASTOID 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JEFFREY D SUH | 200 MEDICAL PLZ | LOS ANGELES | CA | 90095 | 14 | 0.85 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 135: SINUS AND MASTOID 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JEFFREY D SUH | 200 MEDICAL PLZ | LOS ANGELES | CA | 90095 | 15 | 0.91 |
| DR. HAO TRAN | 133 BENMORE DR | WINTER PARK | FL | 32792 | 11 | 0.67 |
DRG 135: SINUS AND MASTOID 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 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 | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 4019 | Unspecified essential hypertension | NA | 446 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | I10 | Essential (primary) hypertension | 297 | 306 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 287 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 4730 | Chronic maxillary sinusitis | NA | 250 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 53081 | Esophageal reflux | NA | 232 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 232 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | E785 | Hyperlipidemia, unspecified | 157 | 208 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 191 | 188 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 4732 | Chronic ethmoidal sinusitis | NA | 186 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | V1582 | Personal history of tobacco use | NA | 181 |