DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT 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 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT 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 (%)
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)

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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)

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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)

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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)

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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 1,703 1.87
Mayo Clinic Hospital-Rochester 1216 2ND ST SW Rochester MN 55902 1,064 1.17
The 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)

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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. 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)

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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. 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

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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 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