Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 18,444 | 91.35 |
| Black | 787 | 3.9 |
| Unknown | 266 | 1.32 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 70 to 74 | 5,058 | 25.05 |
| 65 to 69 | 4,882 | 24.18 |
| 75 to 79 | 4,464 | 22.11 |
TOP ICD DIAGNOSIS CODES FOR DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 8,693 | 43.06 |
| 4241 | Aortic valve disorders | 7,550 | 37.39 |
| 2724 | Other and unspecified hyperlipidemia | 7,078 | 35.06 |
TOP ICD PROCEDURE CODES FOR DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 9,464 | 46.87 |
| 5A1221Z | Performance of Cardiac Output, Continuous | 5,301 | 26.26 |
| 3521 | Open And Other Replacement Of Aortic Valve With Tissue Graft | 5,273 | 26.12 |
TOP HOSPITALS ASSOCIATED WITH DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 222 | 1.1 |
| Duke University Hospital | 2301 ERWIN ROAD | Durham | NC | 27710 | 219 | 1.08 |
| Morristown Medical Center | 100 MADISON AVE | Morristown | NJ | 07960 | 212 | 1.05 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. JOSEPH LAMELAS | 4300 ALTON RD | MIAMI BEACH | FL | 33140 | 128 | 0.63 |
| DR. GEORGE C HUGHES | 403 W 27TH ST | LUMBERTON | NC | 28358 | 118 | 0.58 |
| DR. JOHN M BROWN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 112 | 0.55 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. JOSEPH LAMELAS | 4300 ALTON RD | MIAMI BEACH | FL | 33140 | 125 | 0.62 |
| DR. JOHN M BROWN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 118 | 0.58 |
| DR. GEORGE C HUGHES | 403 W 27TH ST | LUMBERTON | NC | 28358 | 106 | 0.53 |
DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 4019 | Unspecified essential hypertension | NA | 8,693 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 4241 | Aortic valve disorders | NA | 7,550 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 2724 | Other and unspecified hyperlipidemia | NA | 7,078 | |||||||||||||||||
| 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 | 5,844 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | I10 | Essential (primary) hypertension | 5,478 | 5,245 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | 42731 | Atrial fibrillation | NA | 4,576 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | E785 | Hyperlipidemia, unspecified | 3,748 | 4,229 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | V1582 | Personal history of tobacco use | NA | 3,760 | |||||||||||||||||
| 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 | 2,987 | 3,363 | |||||||||||||||||
| Cardiovascular | Cardiac Valve And Other Major Cardiothoracic Procedures | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization | I350 | Nonrheumatic aortic (valve) stenosis | 3,234 | 3,247 |