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 | 65.14 | NA | 1,353 | 9,034 | 1,343 | ||||||||||||
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | Surgical | 34.86 | NA | 724 | 3,315 | 703 |
DEMOGRAPHIC DETAILS OF DRG 259: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 1,123 | 83.0 |
| Black | 142 | 10.5 |
| Hispanic | 34 | 2.51 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 604 | 44.64 |
| 80 to 84 | 252 | 18.63 |
| 75 to 79 | 178 | 13.16 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| Z45010 | Encounter for checking and testing of cardiac pacemaker pulse generator [battery] | 566 | 41.83 |
| T82111A | Breakdown (mechanical) of cardiac pulse generator (battery), initial encounter | 152 | 11.23 |
| T82191A | Other mechanical complication of cardiac pulse generator (battery), initial encounter | 88 | 6.5 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0JPT0PZ | Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach | 1,144 | 84.55 |
| 0JH606Z | Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach | 1,016 | 75.09 |
| 0JH604Z | Insertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach | 142 | 10.5 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| North Shore University Hospital | 300 COMMUNITY DRIVE | Manhasset | NY | 11030 | 19 | 1.4 |
| St. Francis Hospital Roslyn | 100 PORT WASHINGTON BLVD | Roslyn | NY | 11576 | 13 | 0.96 |
| Long Island Jewish Medical Center | 270-05 76 AVE | New Hyde Park | NY | 11040 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GEORGE JUANG | 565 PLANDOME RD | MANHASSET | NY | 11030 | NA | NA |
| DR. ESTEBAN MARTIN KLOOSTERMAN | 1800 E COMMERCIAL BLVD | FORT LAUDERDALE | FL | 33308 | NA | NA |
| DR. JOSHUA D STERN | 100 PORT WASHINGTON BLVD. | ROSLYN | NY | 11576 | NA | NA |
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 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | E785 | Hyperlipidemia, unspecified | 2,031 | 650 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,831 | 618 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | Z45010 | Encounter for checking and testing of cardiac pacemaker pulse generator [battery] | 1,933 | 566 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | I10 | Essential (primary) hypertension | 2,469 | 563 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | I495 | Sick sinus syndrome | 1,317 | 425 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | Z7901 | Long term (current) use of anticoagulants | 943 | 357 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | E039 | Hypothyroidism, unspecified | 828 | 339 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | Z7982 | Long term (current) use of aspirin | 548 | 308 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | Z87891 | Personal history of nicotine dependence | 816 | 304 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | I442 | Atrioventricular block, complete | 803 | 299 |