DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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CHARGE CAPTURE ANALYSIS FOR DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS GROUP BASED ON MEDICARE

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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 (%)
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS Cardiovascular Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Surgical 29.67 NA 46,945 191,358 181,198
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) Cardiovascular Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Surgical 70.33 NA 89,567 453,529 448,841

DEMOGRAPHIC DETAILS OF DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 156,248 81.65
Black 20,745 10.84
Hispanic 4,266 2.23
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 39,606 20.7
70 to 74 36,517 19.08
Less than 65 35,436 18.52

TOP ICD DIAGNOSIS CODES FOR DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
41401 Coronary atherosclerosis of native coronary artery 80,503 42.07
2724 Other and unspecified hyperlipidemia 59,515 31.1
I214 Non-ST elevation (NSTEMI) myocardial infarction 49,965 26.11

TOP ICD PROCEDURE CODES FOR DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
0066 Percutaneous Transluminal Coronary Angioplasty [Ptca] 98,445 51.45
3607 Insertion Of Drug-Eluting Coronary Artery Stent(s) 96,954 50.67
B2111ZZ Fluoroscopy of Multiple Coronary Arteries using Low Osmolar Contrast 78,713 41.13

TOP HOSPITALS ASSOCIATED WITH DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Abbott Northwestern Hospital 800 E 28TH ST Minneapolis MN 55407 786 0.41
Saint Thomas West Hospital 4220 HARDING RD Nashville TN 37205 730 0.38
Cedars-Sinai Medical Center 8700 BEVERLY BLVD Los Angeles CA 90048 628 0.33

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. SAMIN SHARMA 5 E 98TH ST NEW YORK NY 10029 187 0.1
DR. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 164 0.09

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. JON A ROBKEN 1236 E RUSHOLME ST DAVENPORT IA 52803 272 0.14
DR. SAMIN SHARMA 5 E 98TH ST NEW YORK NY 10029 239 0.12
DR. JUAN Y KURDI 4316 23RD ST LUBBOCK TX 79410 186 0.1

DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS SUMMARY TABLE

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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 Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent 41401 Coronary atherosclerosis of native coronary artery NA 80,503
Cardiovascular Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent E785 Hyperlipidemia, unspecified 48,679 61,904
Cardiovascular Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 47,736 60,137
Cardiovascular Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent 2724 Other and unspecified hyperlipidemia NA 59,515
Cardiovascular Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent I214 Non-ST elevation (NSTEMI) myocardial infarction 36,388 49,965
Cardiovascular Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent 4280 Congestive heart failure, unspecified NA 48,882
Cardiovascular Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent 41071 Subendocardial infarction, initial episode of care NA 44,387
Cardiovascular Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent 4019 Unspecified essential hypertension NA 38,808
Cardiovascular Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent I10 Essential (primary) hypertension 35,589 32,658
Cardiovascular Percutaneous Cardiovascular Procedures With Coronary Artery Stent Percutaneous Cardiovascular Procedures With Drug-Eluting Stent 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 29,266