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 | 28.57 | NA | 124 | 811 | 123 | ||||||||||||
| 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 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 102 | 82.26 |
| Black | 15 | 12.1 |
| Unknown | NA | NA |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 33 | 26.61 |
| 70 to 74 | 29 | 23.39 |
| 75 to 79 | 25 | 20.16 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| D140 | Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 25 | 20.16 |
| J341 | Cyst and mucocele of nose and nasal sinus | 22 | 17.74 |
| J321 | Chronic frontal sinusitis | 20 | 16.13 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 8E09XBZ | Computer Assisted Procedure of Head and Neck Region | 20 | 16.13 |
| 09BS4ZZ | Excision of Right Frontal Sinus, Percutaneous Endoscopic Approach | 15 | 12.1 |
| 09BV4ZZ | Excision of Left Ethmoid Sinus, Percutaneous Endoscopic Approach | 14 | 11.29 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Hospital of the University of Pennsylvania | 3400 SPRUCE ST | Philadelphia | PA | 19104 | NA | NA |
| MUSC Medical Center | 169 ASHLEY AVE | Charleston | SC | 29403 | NA | NA |
| Lenox Hill Hospital | 100 E 77TH ST | New York | NY | 10021 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JAMES N PALMER | 3400 SPRUCE STREET | PHILADELPHIA | PA | 19104 | NA | NA |
| DR. RODNEY SCHLOSSER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | NA | NA |
| DR. NITHIN DEV ADAPPA | 3400 SPRUCE STREET | PHILADELPHIA | PA | 19104 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JAMES N PALMER | 3400 SPRUCE STREET | PHILADELPHIA | PA | 19104 | NA | NA |
| DR. RODNEY SCHLOSSER | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | NA | NA |
| DR. JEFFREY D SUH | 200 MEDICAL PLZ | LOS ANGELES | CA | 90095 | NA | NA |
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 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 | 255 | 68 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | E785 | Hyperlipidemia, unspecified | 85 | 40 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 72 | 37 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | Z87891 | Personal history of nicotine dependence | 76 | 29 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | D140 | Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 46 | 25 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | J341 | Cyst and mucocele of nose and nasal sinus | 97 | 22 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | E039 | Hypothyroidism, unspecified | 59 | 22 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 55 | 21 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | J320 | Chronic maxillary sinusitis | 110 | 21 | |||||||||||||||||
| General Surgery | Sinus And Mastoid Procedures | Sinus And Mastoid Procedures | Z7982 | Long term (current) use of aspirin | 21 | 20 |