Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | Surgical | 43.81 | NA | 2,255 | 11,522 | 10,930 | ||||||||||||
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | Surgical | 3.96 | NA | 126 | 1,041 | 1,026 | ||||||||||||
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | Surgical | 52.24 | NA | 2,343 | 13,739 | 13,385 |
DEMOGRAPHIC DETAILS OF DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 6,278 | 54.49 |
| Black | 3,669 | 31.84 |
| Hispanic | 747 | 6.48 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 5,614 | 48.72 |
| 65 to 69 | 1,865 | 16.19 |
| 70 to 74 | 1,452 | 12.6 |
TOP ICD DIAGNOSIS CODES FOR DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS 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 |
|---|---|---|---|
| 5856 | End stage renal disease | 4,664 | 40.48 |
| 40391 | Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease | 3,979 | 34.53 |
| E1152 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene | 3,282 | 28.48 |
TOP ICD PROCEDURE CODES FOR DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS 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 |
|---|---|---|---|
| 8411 | Amputation Of Toe | 5,859 | 50.85 |
| 3995 | Hemodialysis | 4,116 | 35.72 |
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 1,984 | 17.22 |
TOP HOSPITALS ASSOCIATED WITH DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS 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 |
|---|---|---|---|---|---|---|
| Baptist Medical Center | 111 DALLAS ST | San Antonio | TX | 78205 | 64 | 0.56 |
| Methodist University Hospital | 1265 UNION AVE | Memphis | TN | 38104 | 60 | 0.52 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 44 | 0.38 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS 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. MICHAEL J ROHRER | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 18 | 0.16 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS 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. NESTOR MARTIN PACHECO | 5934 SOUTH STAPLES | CORPUS CHRISTI | TX | 78413 | 20 | 0.17 |
| DR. JAMES BOOTH BURKE | 1202 LOUISIANA AVENUE | SHREVEPORT | LA | 71101 | 18 | 0.16 |
| DR. ROBERT PETER CYR | 730 N MAIN AVE | SAN ANTONIO | TX | 78205 | 18 | 0.16 |
DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | 5856 | End stage renal disease | NA | 4,664 | |||||||||||||||||
| Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | 40391 | Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease | NA | 3,979 | |||||||||||||||||
| Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | N186 | End stage renal disease | 2,575 | 3,668 | |||||||||||||||||
| Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | E1152 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene | 2,312 | 3,282 | |||||||||||||||||
| Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | 7854 | Gangrene | NA | 3,108 | |||||||||||||||||
| Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | Z992 | Dependence on renal dialysis | 2,167 | 3,002 | |||||||||||||||||
| Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | V4511 | Renal dialysis status | NA | 2,992 | |||||||||||||||||
| Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | 25070 | Diabetes with peripheral circulatory disorders, type II or unspecified type, not stated as uncontrolled | NA | 2,824 | |||||||||||||||||
| Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | I120 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 2,269 | 2,666 | |||||||||||||||||
| Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | 2724 | Other and unspecified hyperlipidemia | NA | 2,572 |