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 | 71.43 | NA | 310 | 1,648 | 302 | ||||||||||||
| 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 | 28.57 | NA | 124 | 811 | 123 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 238 | 76.77 |
| Black | 44 | 14.19 |
| Hispanic | NA | NA |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 83 | 26.77 |
| 65 to 69 | 75 | 24.19 |
| 70 to 74 | 49 | 15.81 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| J322 | Chronic ethmoidal sinusitis | 48 | 15.48 |
| J323 | Chronic sphenoidal sinusitis | 42 | 13.55 |
| J341 | Cyst and mucocele of nose and nasal sinus | 37 | 11.94 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 09BV4ZZ | Excision of Left Ethmoid Sinus, Percutaneous Endoscopic Approach | 63 | 20.32 |
| 099R4ZZ | Drainage of Left Maxillary Sinus, Percutaneous Endoscopic Approach | 62 | 20.0 |
| 099Q4ZZ | Drainage of Right Maxillary Sinus, Percutaneous Endoscopic Approach | 62 | 20.0 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | NA | NA |
| University of North Carolina Hospital | 101 MANNING DR | Chapel Hill | NC | 27514 | NA | NA |
| MUSC Medical Center | 169 ASHLEY AVE | Charleston | SC | 29403 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JEFFREY D SUH | 200 MEDICAL PLZ | LOS ANGELES | CA | 90095 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. HAO TRAN | 133 BENMORE DR | WINTER PARK | FL | 32792 | NA | NA |
| DR. JEFFREY D SUH | 200 MEDICAL PLZ | LOS ANGELES | CA | 90095 | NA | NA |
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 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 | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | I10 | Essential (primary) hypertension | 297 | 142 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | E785 | Hyperlipidemia, unspecified | 157 | 100 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 191 | 97 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | Z87891 | Personal history of nicotine dependence | 148 | 79 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | J320 | Chronic maxillary sinusitis | 289 | 70 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 106 | 70 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | E039 | Hypothyroidism, unspecified | 97 | 55 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | Z7982 | Long term (current) use of aspirin | 80 | 49 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | J322 | Chronic ethmoidal sinusitis | 182 | 48 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | J324 | Chronic pansinusitis | 131 | 45 |