Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | Surgical | 73.16 | NA | 1,353 | 9,034 | 8,974 | ||||||||||||
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | Surgical | 26.84 | NA | 724 | 3,315 | 3,201 |
DEMOGRAPHIC DETAILS OF DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 7,508 | 83.11 |
| Black | 942 | 10.43 |
| Hispanic | 244 | 2.7 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 4,104 | 45.43 |
| 80 to 84 | 1,715 | 18.98 |
| 75 to 79 | 1,267 | 14.02 |
TOP ICD DIAGNOSIS CODES FOR DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT 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 |
|---|---|---|---|
| V5331 | Fitting and adjustment of cardiac pacemaker | 3,202 | 35.44 |
| 4019 | Unspecified essential hypertension | 2,902 | 32.12 |
| 42731 | Atrial fibrillation | 2,751 | 30.45 |
TOP ICD PROCEDURE CODES FOR DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT 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 |
|---|---|---|---|
| 3787 | Replacement Of Any Type Pacemaker Device With Dual-Chamber Device | 4,229 | 46.81 |
| 0JPT0PZ | Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach | 2,943 | 32.58 |
| 0JH606Z | Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach | 2,443 | 27.04 |
TOP HOSPITALS ASSOCIATED WITH DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT 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 |
|---|---|---|---|---|---|---|
| North Shore University Hospital | 300 COMMUNITY DRIVE | Manhasset | NY | 11030 | 89 | 0.99 |
| St. Francis Hospital Roslyn | 100 PORT WASHINGTON BLVD | Roslyn | NY | 11576 | 66 | 0.73 |
| New York Community Hospital of Brooklyn | 2525 KINGS HWY | Brooklyn | NY | 11229 | 62 | 0.69 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT 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. RAM JADONATH | NSUH DEPT OF MEDICINE CARDIOLOGY | MANHASSET | NY | 11030 | 31 | 0.34 |
| DR. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 22 | 0.24 |
| DR. ROGER A. MARINCHAK | 261 OLD YORK RD | JENKINTOWN | PA | 19046 | 20 | 0.22 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT 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. RAM JADONATH | NSUH DEPT OF MEDICINE CARDIOLOGY | MANHASSET | NY | 11030 | 43 | 0.48 |
| DR. MIKHAIL VAYNBLAT | 4802 10TH AVE | BROOKLYN | NY | 11219 | 28 | 0.31 |
| DR. WILLIAM SCOTT SHIN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 23 | 0.25 |
DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT 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 | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | V5331 | Fitting and adjustment of cardiac pacemaker | NA | 3,202 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | 4019 | Unspecified essential hypertension | NA | 2,902 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | 42731 | Atrial fibrillation | NA | 2,751 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | 2724 | Other and unspecified hyperlipidemia | NA | 2,553 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | 4280 | Congestive heart failure, unspecified | NA | 2,150 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | 41401 | Coronary atherosclerosis of native coronary artery | NA | 1,801 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | E785 | Hyperlipidemia, unspecified | 2,031 | 1,765 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | I10 | Essential (primary) hypertension | 2,469 | 1,764 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,831 | 1,604 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | Z45010 | Encounter for checking and testing of cardiac pacemaker pulse generator [battery] | 1,933 | 1,572 |