Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Surgical | 31.73 | NA | 4,080 | 37,312 | 33,802 | ||||||||||||
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Surgical | 68.27 | NA | 6,009 | 80,296 | 78,046 |
DEMOGRAPHIC DETAILS OF DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 29,819 | 79.92 |
| Black | 5,132 | 13.75 |
| Hispanic | 747 | 2.0 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 7,193 | 19.28 |
| 70 to 74 | 6,685 | 17.92 |
| 65 to 69 | 6,531 | 17.5 |
TOP ICD DIAGNOSIS CODES FOR DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT 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 |
|---|---|---|---|
| 4280 | Congestive heart failure, unspecified | 18,240 | 48.89 |
| 41401 | Coronary atherosclerosis of native coronary artery | 15,633 | 41.9 |
| 2724 | Other and unspecified hyperlipidemia | 15,383 | 41.23 |
TOP ICD PROCEDURE CODES FOR DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT 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 |
|---|---|---|---|
| 8856 | Coronary Arteriography Using Two Catheters | 12,584 | 33.73 |
| 3734 | Excision Or Destruction Of Other Lesion Or Tissue Of Heart, Endovascular Approach | 11,103 | 29.76 |
| 0066 | Percutaneous Transluminal Coronary Angioplasty [Ptca] | 10,727 | 28.75 |
TOP HOSPITALS ASSOCIATED WITH DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT 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 |
|---|---|---|---|---|---|---|
| MedStar Washington Hospital Center | 110 IRVING ST NW | Washington | DC | 20010 | 344 | 0.92 |
| Mount Sinai Hospital | 1 GUSTAVE L LEVY PL | New York | NY | 10029 | 296 | 0.79 |
| NewYork Presbyterian - Columbia University Medical Center | 622 W 168TH ST | New York | NY | 10032 | 179 | 0.48 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT 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. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 77 | 0.21 |
| DR. SUSHEEL KUMAR KODALI | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 56 | 0.15 |
| DR. LOWELL FRANKLIN SATLER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 56 | 0.15 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT 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. SAMIN SHARMA | 5 E 98TH ST | NEW YORK | NY | 10029 | 107 | 0.29 |
| DR. PAUL D MAHONEY | 844 KEMPSVILLE RD | NORFOLK | VA | 23502 | 59 | 0.16 |
| DR. VIVEK RAJAGOPAL | 275 COLLIER RD NW | ATLANTA | GA | 30309 | 56 | 0.15 |
DRG 250: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT 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 | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | 4280 | Congestive heart failure, unspecified | NA | 18,240 | |||||||||||||||||
| Cardiovascular | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | 41401 | Coronary atherosclerosis of native coronary artery | NA | 15,633 | |||||||||||||||||
| Cardiovascular | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | 2724 | Other and unspecified hyperlipidemia | NA | 15,383 | |||||||||||||||||
| Cardiovascular | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | 42731 | Atrial fibrillation | NA | 13,987 | |||||||||||||||||
| Cardiovascular | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | 4019 | Unspecified essential hypertension | NA | 10,130 | |||||||||||||||||
| Cardiovascular | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 8,322 | |||||||||||||||||
| Cardiovascular | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | V1582 | Personal history of tobacco use | NA | 7,077 | |||||||||||||||||
| Cardiovascular | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | 42732 | Atrial flutter | NA | 6,815 | |||||||||||||||||
| Cardiovascular | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | V4582 | Percutaneous transluminal coronary angioplasty status | NA | 6,515 | |||||||||||||||||
| Cardiovascular | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | Percutaneous Cardiovascular Procedures Without Coronary Artery Stent | 5849 | Acute kidney failure, unspecified | NA | 6,135 |