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 | 45.12 | NA | 16,413 | 91,170 | 15,145 | ||||||||||||
| 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 | 8.11 | NA | 2,949 | 20,190 | 2,922 | ||||||||||||
| 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 | 46.77 | NA | 17,015 | 104,054 | 16,806 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 14,070 | 85.72 |
| Black | 1,333 | 8.12 |
| Other | 264 | 1.61 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 70 to 74 | 4,100 | 24.98 |
| 65 to 69 | 3,805 | 23.18 |
| 75 to 79 | 3,617 | 22.04 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| I350 | Nonrheumatic aortic (valve) stenosis | 4,343 | 26.46 |
| I340 | Nonrheumatic mitral (valve) insufficiency | 4,223 | 25.73 |
| R570 | Cardiogenic shock | 2,025 | 12.34 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 5A1221Z | Performance of Cardiac Output, Continuous | 14,057 | 85.65 |
| 02RF08Z | Replacement of Aortic Valve with Zooplastic Tissue, Open Approach | 6,929 | 42.22 |
| B24BZZ4 | Ultrasonography of Heart with Aorta, Transesophageal | 4,128 | 25.15 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Cleveland Clinic | 9500 EUCLID AVE | Cleveland | OH | 44195 | 286 | 1.74 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 220 | 1.34 |
| CHI St. Luke's Health - Baylor St. Luke's Medical Center | 6720 BERTNER ST | Houston | TX | 77030 | 206 | 1.26 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 84 | 0.51 |
| DR. JOSEPH S. COSELLI | 6770 BERTNER ST | HOUSTON | TX | 77030 | 66 | 0.4 |
| DR. JOSEPH LAMELAS | 4300 ALTON RD | MIAMI BEACH | FL | 33140 | 60 | 0.37 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 87 | 0.53 |
| DR. JOSEPH LAMELAS | 4300 ALTON RD | MIAMI BEACH | FL | 33140 | 67 | 0.41 |
| DR. JOSEPH S. COSELLI | 6770 BERTNER ST | HOUSTON | TX | 77030 | 63 | 0.38 |
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 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | D62 | Acute posthemorrhagic anemia | 19,244 | 9,821 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | E785 | Hyperlipidemia, unspecified | 16,222 | 8,856 | |||||||||||||||||
| 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 | 8,141 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | D696 | Thrombocytopenia, unspecified | 9,668 | 4,986 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | I10 | Essential (primary) hypertension | 17,399 | 4,955 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | Z87891 | Personal history of nicotine dependence | 9,609 | 4,872 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | I350 | Nonrheumatic aortic (valve) stenosis | 8,797 | 4,343 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | I480 | Paroxysmal atrial fibrillation | 6,647 | 4,316 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | I340 | Nonrheumatic mitral (valve) insufficiency | 8,610 | 4,223 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | I110 | Hypertensive heart disease with heart failure | 1,491 | 4,052 |