Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 136: SINUS AND MASTOID 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 136: SINUS AND MASTOID 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 | 669 | 82.49 |
| Black | 83 | 10.23 |
| Other | 17 | 2.1 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 188 | 23.18 |
| 70 to 74 | 170 | 20.96 |
| Less than 65 | 159 | 19.61 |
TOP ICD DIAGNOSIS CODES FOR DRG 136: SINUS AND MASTOID 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 | 270 | 33.29 |
| 2724 | Other and unspecified hyperlipidemia | 143 | 17.63 |
| 53081 | Esophageal reflux | 121 | 14.92 |
TOP ICD PROCEDURE CODES FOR DRG 136: SINUS AND MASTOID 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 |
|---|---|---|---|
| 2263 | Ethmoidectomy | 269 | 33.17 |
| 2262 | Excision Of Lesion Of Maxillary Sinus With Other Approach | 234 | 28.85 |
| 222 | Intranasal Antrotomy | 101 | 12.45 |
TOP HOSPITALS ASSOCIATED WITH DRG 136: SINUS AND MASTOID 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 |
|---|---|---|---|---|---|---|
| Hospital of the University of Pennsylvania | 3400 SPRUCE ST | Philadelphia | PA | 19104 | 36 | 4.44 |
| MUSC Medical Center | 169 ASHLEY AVE | Charleston | SC | 29403 | 31 | 3.82 |
| Ronald Reagan UCLA Medical Center | 757 WESTWOOD PLZ | Los Angeles | CA | 90095 | 25 | 3.08 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 136: SINUS AND MASTOID 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. JEFFREY D SUH | 200 MEDICAL PLZ | LOS ANGELES | CA | 90095 | 17 | 2.1 |
| DR. RODNEY SCHLOSSER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 16 | 1.97 |
| DR. JAMES N PALMER | 3400 SPRUCE STREET | PHILADELPHIA | PA | 19104 | 13 | 1.6 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 136: SINUS AND MASTOID 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. RODNEY SCHLOSSER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 19 | 2.34 |
| DR. JEFFREY D SUH | 200 MEDICAL PLZ | LOS ANGELES | CA | 90095 | 18 | 2.22 |
| DR. JAMES N PALMER | 3400 SPRUCE STREET | PHILADELPHIA | PA | 19104 | 14 | 1.73 |
DRG 136: SINUS AND MASTOID 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 | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 4019 | Unspecified essential hypertension | NA | 270 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | I10 | Essential (primary) hypertension | 255 | 159 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 143 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 53081 | Esophageal reflux | NA | 121 | |||||||||||||||||
| 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 | 116 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 4730 | Chronic maxillary sinusitis | NA | 112 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 47819 | Other disease of nasal cavity and sinuses | NA | 92 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | V1582 | Personal history of tobacco use | NA | 90 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | E785 | Hyperlipidemia, unspecified | 85 | 88 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | 4732 | Chronic ethmoidal sinusitis | NA | 76 |