DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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CHARGE CAPTURE ANALYSIS FOR DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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 (%)
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Surgical 68.38 NA 6,978 47,035 40,720
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Surgical 31.62 NA 2,778 21,746 21,221
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROEDURESC WITH CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Surgical 4.45 NA 303 3,058 2,977

DEMOGRAPHIC DETAILS OF DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 39,859 84.74
Black 4,174 8.87
Hispanic 831 1.77
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
70 to 74 9,780 20.79
65 to 69 9,540 20.28
75 to 79 9,497 20.19

TOP ICD DIAGNOSIS CODES FOR DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
41401 Coronary atherosclerosis of native coronary artery 19,463 41.38
4280 Congestive heart failure, unspecified 18,780 39.93
42731 Atrial fibrillation 15,207 32.33

TOP ICD PROCEDURE CODES FOR DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
8856 Coronary Arteriography Using Two Catheters 22,222 47.25
3961 Extracorporeal Circulation Auxiliary To Open Heart Surgery 19,876 42.26
8872 Diagnostic Ultrasound Of Heart 14,505 30.84

TOP HOSPITALS ASSOCIATED WITH DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Cleveland Clinic 9500 EUCLID AVE Cleveland OH 44195 647 1.38
Mayo Clinic Hospital-Rochester 1216 2ND ST SW Rochester MN 55902 580 1.23
NewYork-Presbyterian/Columbia University Medical Center 622 W 168TH ST New York NY 10032 564 1.2

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. LEONARD GIRARDI 525 E 68TH ST # M404 NEW YORK NY 10065 286 0.61
DR. AMMAR S BAFI 110 IRVING ST NW WASHINGTON DC 20010 144 0.31
DR. ROBERTO G COLANGELO 100 PORT WASHINGTON BLVD ROSLYN NY 11576 127 0.27

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. LEONARD GIRARDI 525 E 68TH ST # M404 NEW YORK NY 10065 272 0.58
DR. ROBERTO G COLANGELO 100 PORT WASHINGTON BLVD ROSLYN NY 11576 162 0.34
DR. AMMAR S BAFI 110 IRVING ST NW WASHINGTON DC 20010 144 0.31

DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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 (%)
Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization 41401 Coronary atherosclerosis of native coronary artery NA 19,463
Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization 4280 Congestive heart failure, unspecified NA 18,780
Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization 42731 Atrial fibrillation NA 15,207
Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization 2724 Other and unspecified hyperlipidemia NA 14,887
Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization 2851 Acute posthemorrhagic anemia NA 11,833
Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization 4019 Unspecified essential hypertension NA 11,645
Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization 4241 Aortic valve disorders NA 11,179
Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 11,551 10,732
Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization E785 Hyperlipidemia, unspecified 10,735 10,359
Cardiovascular Cardiac Valve And Other Major Cardiothoracic Procedures Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization D62 Acute posthemorrhagic anemia 9,103 8,714