Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 94,971 | 91.27 |
| Black | 4,483 | 4.31 |
| Other | 1,321 | 1.27 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 70 to 74 | 24,884 | 23.91 |
| 65 to 69 | 23,728 | 22.8 |
| 75 to 79 | 23,459 | 22.55 |
TOP ICD DIAGNOSIS CODES FOR DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 38,321 | 36.83 |
| 4241 | Aortic valve disorders | 37,571 | 36.11 |
| 2724 | Other and unspecified hyperlipidemia | 36,773 | 35.34 |
TOP ICD PROCEDURE CODES FOR DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 52,008 | 49.98 |
| 5A1221Z | Performance of Cardiac Output, Continuous | 35,657 | 34.27 |
| 3521 | Open And Other Replacement Of Aortic Valve With Tissue Graft | 28,528 | 27.42 |
TOP HOSPITALS ASSOCIATED WITH DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 2,031 | 1.95 |
| Baylor Scott & White The Heart Hospital - Plano | 1100 ALLIED DR | Plano | TX | 75093 | 1,203 | 1.16 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 1,114 | 1.07 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. PATRICK MCCARTHY | 680 N LAKE SHORE DR | CHICAGO | IL | 60611 | 385 | 0.37 |
| DR. DAVID A HEIMANSOHN | 10590 N MERIDIAN ST STE 105 | INDIANAPOLIS | IN | 46290 | 331 | 0.32 |
| DR. MUBASHIR AHMED MUMTAZ | 205 S FRONT STREET | HARRISBURG | PA | 17104 | 307 | 0.3 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. PATRICK MCCARTHY | 680 N LAKE SHORE DR | CHICAGO | IL | 60611 | 383 | 0.37 |
| DR. ALFREDO TRENTO | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 351 | 0.34 |
| DR. JOHN M BROWN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 324 | 0.31 |
DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) 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 | 4019 | Unspecified essential hypertension | NA | 38,321 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 4241 | Aortic valve disorders | NA | 37,571 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 2724 | Other and unspecified hyperlipidemia | NA | 36,773 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 42731 | Atrial fibrillation | NA | 34,224 | |||||||||||||||||
| 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 | 31,921 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 2851 | Acute posthemorrhagic anemia | NA | 29,626 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | E785 | Hyperlipidemia, unspecified | 18,126 | 24,327 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | I10 | Essential (primary) hypertension | 22,027 | 24,135 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | D62 | Acute posthemorrhagic anemia | 18,207 | 22,282 | |||||||||||||||||
| 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 | 13,910 | 20,128 |