Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | Surgical | 42.32 | NA | 16,413 | 91,170 | 83,656 | ||||||||||||
221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT 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 Without Cardiac Catheterization | Surgical | 9.37 | NA | 2,949 | 20,190 | 19,980 | ||||||||||||
220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | Surgical | 48.30 | NA | 17,015 | 104,054 | 102,758 |
DEMOGRAPHIC DETAILS OF DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 78,973 | 86.62 |
Black | 7,261 | 7.96 |
Other | 1,326 | 1.45 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
70 to 74 | 19,825 | 21.75 |
75 to 79 | 19,640 | 21.54 |
65 to 69 | 18,485 | 20.28 |
TOP ICD DIAGNOSIS CODES FOR DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT 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 |
---|---|---|---|
42731 | Atrial fibrillation | 30,645 | 33.61 |
2724 | Other and unspecified hyperlipidemia | 28,834 | 31.63 |
41401 | Coronary atherosclerosis of native coronary artery | 27,351 | 30.0 |
TOP ICD PROCEDURE CODES FOR DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT 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 |
---|---|---|---|
3961 | Extracorporeal Circulation Auxiliary To Open Heart Surgery | 43,038 | 47.21 |
5A1221Z | Performance of Cardiac Output, Continuous | 32,112 | 35.22 |
8872 | Diagnostic Ultrasound Of Heart | 25,428 | 27.89 |
TOP HOSPITALS ASSOCIATED WITH DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT 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 | 1,703 | 1.87 |
Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 1,064 | 1.17 |
Mount Sinai Hospital | 1 GUSTAVE L LEVY PL | New York | NY | 10029 | 950 | 1.04 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT 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. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 359 | 0.39 |
DR. A MARC GILLINOV | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 282 | 0.31 |
DR. JAMES E DAVIES | 200 1ST ST SW | ROCHESTER | MN | 55905 | 280 | 0.31 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT 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. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 362 | 0.4 |
DR. JOSEPH LAMELAS | 4300 ALTON RD | MIAMI BEACH | FL | 33140 | 305 | 0.33 |
DR. WILSON Y SZETO | 51 N 39TH ST | PHILADELPHIA | PA | 19104 | 302 | 0.33 |
DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT 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 Without Cardiac Catheterization | 42731 | Atrial fibrillation | NA | 30,645 | |||||||||||||||||
Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 2724 | Other and unspecified hyperlipidemia | NA | 28,834 | |||||||||||||||||
Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 41401 | Coronary atherosclerosis of native coronary artery | NA | 27,351 | |||||||||||||||||
Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 2851 | Acute posthemorrhagic anemia | NA | 26,776 | |||||||||||||||||
Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 4280 | Congestive heart failure, unspecified | NA | 26,571 | |||||||||||||||||
Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 4241 | Aortic valve disorders | NA | 25,463 | |||||||||||||||||
Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 4019 | Unspecified essential hypertension | NA | 25,213 | |||||||||||||||||
Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | D62 | Acute posthemorrhagic anemia | 19,244 | 21,845 | |||||||||||||||||
Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | E785 | Hyperlipidemia, unspecified | 16,222 | 20,570 | |||||||||||||||||
Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 14,365 | 18,967 |