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 | 47.73 | NA | 2,255 | 11,522 | 2,133 | ||||||||||||
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 | 2.67 | NA | 126 | 1,041 | 125 | ||||||||||||
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 | 49.60 | NA | 2,343 | 13,739 | 2,276 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 1,245 | 55.21 |
Black | 682 | 30.24 |
Hispanic | 151 | 6.7 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
Less than 65 | 1,071 | 47.49 |
65 to 69 | 386 | 17.12 |
70 to 74 | 304 | 13.48 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
E1152 | Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene | 1,668 | 73.97 |
E1052 | Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene | 105 | 4.66 |
I70268 | Atherosclerosis of native arteries of extremities with gangrene, other extremity | 91 | 4.04 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
5A1D60Z | Performance of Urinary Filtration, Multiple | 768 | 34.06 |
5A1D70Z | 339 | 15.03 | |
0Y6Q0Z0 | Detachment at Left 1st Toe, Complete, Open Approach | 245 | 10.86 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
Methodist University Hospital | 1265 UNION AVE | Memphis | TN | 38104 | 16 | 0.71 |
Baptist Medical Center | 111 DALLAS ST | San Antonio | TX | 78205 | 13 | 0.58 |
Methodist Hospital | 7700 FLOYD CURL DRIVE | San Antonio | TX | 78229 | 11 | 0.49 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. MICHAEL J ROHRER | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. MICHAEL J ROHRER | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | NA | NA |
DR. BRANDON JAMES HAWKINS | 3857 STOCKDALE HWY | BAKERSFIELD | CA | 93309 | NA | NA |
DR. NESTOR MARTIN PACHECO | 5934 SOUTH STAPLES | CORPUS CHRISTI | TX | 78413 | NA | NA |
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 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | 1,668 | |||||||||||||||||
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 | 1,629 | |||||||||||||||||
Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | E1122 | Type 2 diabetes mellitus with diabetic chronic kidney disease | 1,173 | 1,485 | |||||||||||||||||
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 | 1,320 | |||||||||||||||||
Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,670 | 1,064 | |||||||||||||||||
Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | E785 | Hyperlipidemia, unspecified | 1,746 | 1,042 | |||||||||||||||||
Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | D631 | Anemia in chronic kidney disease | 1,326 | 939 | |||||||||||||||||
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 | 920 | |||||||||||||||||
Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | Z794 | Long term (current) use of insulin | 1,436 | 862 | |||||||||||||||||
Orthopedics | Upper Limb And Toe Amputation For Circulatory System Disorders | Upper Limb And Toe Amputation For Circulatory System Disorders | E1169 | Type 2 diabetes mellitus with other specified complication | 552 | 726 |