Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 228: OTHER CARDIOTHORACIC PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | Surgical | 43.35 | NA | 5,178 | 14,043 | 12,813 | ||||||||||||
| 230 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | Surgical | 7.05 | 3,308 | NA | 2,284 | 2,268 | ||||||||||||
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | Surgical | 49.60 | NA | 6,279 | 16,066 | 15,855 |
DEMOGRAPHIC DETAILS OF DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 11,678 | 83.16 |
| Black | 1,387 | 9.88 |
| Hispanic | 265 | 1.89 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 3,019 | 21.5 |
| 70 to 74 | 2,993 | 21.31 |
| 75 to 79 | 2,563 | 18.25 |
TOP ICD DIAGNOSIS CODES FOR DRG 228: OTHER CARDIOTHORACIC PROCEDURES 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 |
|---|---|---|---|
| 41401 | Coronary atherosclerosis of native coronary artery | 3,311 | 23.58 |
| 42731 | Atrial fibrillation | 2,759 | 19.65 |
| 2724 | Other and unspecified hyperlipidemia | 2,557 | 18.21 |
TOP ICD PROCEDURE CODES FOR DRG 228: OTHER CARDIOTHORACIC PROCEDURES 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 |
|---|---|---|---|
| 5A1221Z | Performance of Cardiac Output, Continuous | 3,815 | 27.17 |
| 3961 | Extracorporeal Circulation Auxiliary To Open Heart Surgery | 3,511 | 25.0 |
| 02100Z9 | Bypass Coronary Artery, One Artery from Left Internal Mammary, Open Approach | 2,649 | 18.86 |
TOP HOSPITALS ASSOCIATED WITH DRG 228: OTHER CARDIOTHORACIC PROCEDURES 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 |
|---|---|---|---|---|---|---|
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 179 | 1.27 |
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 156 | 1.11 |
| Cleveland Clinic | 9500 EUCLID AVE | Cleveland | OH | 44195 | 101 | 0.72 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 228: OTHER CARDIOTHORACIC PROCEDURES 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 G CABLE | 5668 E STATE ST | ROCKFORD | IL | 61108 | 61 | 0.43 |
| DR. RANDALL KEVIN WOLF | 6400 FANNIN ST | HOUSTON | TX | 77030 | 50 | 0.36 |
| DR. SAIBAL KAR | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 48 | 0.34 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 228: OTHER CARDIOTHORACIC PROCEDURES 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 G CABLE | 5668 E STATE ST | ROCKFORD | IL | 61108 | 69 | 0.49 |
| DR. SAIBAL KAR | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 59 | 0.42 |
| DR. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 59 | 0.42 |
DRG 228: OTHER CARDIOTHORACIC PROCEDURES 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 | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | E785 | Hyperlipidemia, unspecified | 3,765 | 5,231 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 3,395 | 4,863 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | 41401 | Coronary atherosclerosis of native coronary artery | NA | 3,311 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | D62 | Acute posthemorrhagic anemia | 2,856 | 2,849 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | 42731 | Atrial fibrillation | NA | 2,759 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | Z87891 | Personal history of nicotine dependence | 1,959 | 2,713 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | I10 | Essential (primary) hypertension | 3,570 | 2,702 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | I340 | Nonrheumatic mitral (valve) insufficiency | 969 | 2,619 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | I480 | Paroxysmal atrial fibrillation | 1,428 | 2,589 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 2,557 |