Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | Surgical | 54.80 | NA | 6,279 | 16,066 | 6,227 | ||||||||||||
| 230 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | Surgical | NA | 3,308 | NA | 2,284 | NA | ||||||||||||
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | Surgical | 45.20 | NA | 5,178 | 14,043 | 4,798 |
DEMOGRAPHIC DETAILS OF DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 5,678 | 90.43 |
| Black | 256 | 4.08 |
| Other | 97 | 1.54 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 70 to 74 | 1,306 | 20.8 |
| 65 to 69 | 1,293 | 20.59 |
| 75 to 79 | 1,152 | 18.35 |
TOP ICD DIAGNOSIS CODES FOR DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT 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 |
|---|---|---|---|
| Z006 | Encounter for examination for normal comparison and control in clinical research program | 2,313 | 36.84 |
| D151 | Benign neoplasm of heart | 260 | 4.14 |
| T8203XA | Leakage of heart valve prosthesis, initial encounter | 51 | 0.81 |
TOP ICD PROCEDURE CODES FOR DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT 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 |
|---|---|---|---|
| 02UG3JZ | Supplement Mitral Valve with Synthetic Substitute, Percutaneous Approach | 2,168 | 34.53 |
| 5A1221Z | Performance of Cardiac Output, Continuous | 2,036 | 32.43 |
| 02100Z9 | Bypass Coronary Artery, One Artery from Left Internal Mammary, Open Approach | 1,440 | 22.93 |
TOP HOSPITALS ASSOCIATED WITH DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT 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 |
|---|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 114 | 1.82 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 73 | 1.16 |
| Cleveland Clinic | 9500 EUCLID AVE | Cleveland | OH | 44195 | 66 | 1.05 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT 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. SAIBAL KAR | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 72 | 1.15 |
| DR. GANSEVOORT HURLBUT DUNNINGTON | 300 PASTEUR DR | PALO ALTO | CA | 94305 | 40 | 0.64 |
| DR. STEVEN BURSTEIN | 1245 WILSHIRE BLVD | LOS ANGELES | CA | 90017 | 34 | 0.54 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT 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. SAIBAL KAR | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 72 | 1.15 |
| DR. GANSEVOORT HURLBUT DUNNINGTON | 300 PASTEUR DR | PALO ALTO | CA | 94305 | 41 | 0.65 |
| DR. STEVEN BURSTEIN | 1245 WILSHIRE BLVD | LOS ANGELES | CA | 90017 | 34 | 0.54 |
DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT 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 | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | E785 | Hyperlipidemia, unspecified | 3,735 | 3,610 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 2,388 | 2,931 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | I10 | Essential (primary) hypertension | 4,373 | 2,614 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | I340 | Nonrheumatic mitral (valve) insufficiency | 884 | 2,383 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | Z006 | Encounter for examination for normal comparison and control in clinical research program | 297 | 2,313 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | Z87891 | Personal history of nicotine dependence | 1,993 | 2,194 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | Z7901 | Long term (current) use of anticoagulants | 1,275 | 2,012 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | Z7982 | Long term (current) use of aspirin | 1,449 | 1,920 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | I480 | Paroxysmal atrial fibrillation | 1,283 | 1,631 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 1,640 | 1,583 |