Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
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 | 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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) | Back to Top |
| 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) | Back to Top |
| 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) | Back to Top |
| 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) | Back to Top |
| 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 - Saint Marys Campus | 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) | Back to Top |
| 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) | Back to Top |
| 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 | 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |