Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 230: OTHER CARDIOTHORACIC PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 230: OTHER CARDIOTHORACIC PROCEDURES 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 | 2,084 | 91.24 |
| Black | 84 | 3.68 |
| Unknown | 42 | 1.84 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 749 | 32.79 |
| 70 to 74 | 645 | 28.24 |
| 75 to 79 | 401 | 17.56 |
TOP ICD DIAGNOSIS CODES FOR DRG 230: OTHER CARDIOTHORACIC PROCEDURES 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 |
|---|---|---|---|
| 42731 | Atrial fibrillation | 977 | 42.78 |
| 4019 | Unspecified essential hypertension | 971 | 42.51 |
| 2724 | Other and unspecified hyperlipidemia | 742 | 32.49 |
TOP ICD PROCEDURE CODES FOR DRG 230: OTHER CARDIOTHORACIC PROCEDURES 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 | 678 | 29.68 |
| 8872 | Diagnostic Ultrasound Of Heart | 569 | 24.91 |
| 3733 | Excision Or Destruction Of Other Lesion Or Tissue Of Heart, Open Approach | 534 | 23.38 |
TOP HOSPITALS ASSOCIATED WITH DRG 230: OTHER CARDIOTHORACIC PROCEDURES 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 |
|---|---|---|---|---|---|---|
| Adventist Health St. Helena | 10 WOODLAND RD | Saint Helena | CA | 94574 | 74 | 3.24 |
| The Heart Hospital at Deaconess Gateway | 4007 GATEWAY BLVD | Newburgh | IN | 47630 | 45 | 1.97 |
| Oklahoma Heart Hospital South | 5200 EAST I-240 SERVICE RD | Oklahoma City | OK | 73135 | 39 | 1.71 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 230: OTHER CARDIOTHORACIC PROCEDURES 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. GANSEVOORT HURLBUT DUNNINGTON | 300 PASTEUR DR | PALO ALTO | CA | 94305 | 55 | 2.41 |
| DR. RANDALL KEVIN WOLF | 6400 FANNIN ST | HOUSTON | TX | 77030 | 38 | 1.66 |
| DR. GOYA V RAIKAR | 5224 E I 240 SERVICE RD | OKLAHOMA CITY | OK | 73135 | 33 | 1.44 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 230: OTHER CARDIOTHORACIC PROCEDURES 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. GANSEVOORT HURLBUT DUNNINGTON | 300 PASTEUR DR | PALO ALTO | CA | 94305 | 72 | 3.15 |
| DR. RANDALL KEVIN WOLF | 6400 FANNIN ST | HOUSTON | TX | 77030 | 41 | 1.8 |
| DR. DOMINIC C CEFALI | 4015 GATEWAY BLVD | NEWBURGH | IN | 47630 | 37 | 1.62 |
DRG 230: OTHER CARDIOTHORACIC PROCEDURES 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 | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | 42731 | Atrial fibrillation | NA | 977 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | 4019 | Unspecified essential hypertension | NA | 971 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 742 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | 41401 | Coronary atherosclerosis of native coronary artery | NA | 709 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | I10 | Essential (primary) hypertension | 1,564 | 614 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | E785 | Hyperlipidemia, unspecified | 1,083 | 480 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | V1582 | Personal history of tobacco use | NA | 384 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 347 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 816 | 338 | |||||||||||||||||
| Cardiovascular | Other Cardiothoracic Procedures | Other Cardiothoracic Procedures | 53081 | Esophageal reflux | NA | 330 |