Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | Cardiovascular | Other Circulatory Procedures | Other Circulatory Procedures | Surgical | 100.00 | NA | 13,325 | 73,738 | 69,023 |
DEMOGRAPHIC DETAILS OF DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 45,891 | 62.24 |
| Black | 20,913 | 28.36 |
| Hispanic | 2,976 | 4.04 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 27,149 | 36.82 |
| 65 to 69 | 11,893 | 16.13 |
| 70 to 74 | 10,375 | 14.07 |
TOP ICD DIAGNOSIS CODES FOR DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | 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 | 26,306 | 35.67 |
| 40391 | Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease | 21,668 | 29.39 |
| 4280 | Congestive heart failure, unspecified | 17,200 | 23.33 |
TOP ICD PROCEDURE CODES FOR DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 3995 | Hemodialysis | 24,221 | 32.85 |
| 8622 | Excisional Debridement Of Wound, Infection, Or Burn | 14,776 | 20.04 |
| 3895 | Venous Catheterization For Renal Dialysis | 14,049 | 19.05 |
TOP HOSPITALS ASSOCIATED WITH DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 427 | 0.58 |
| Houston Methodist Hospital | 6565 FANNIN ST | Houston | TX | 77030 | 320 | 0.43 |
| Methodist University Hospital | 1265 UNION AVE | Memphis | TN | 38104 | 281 | 0.38 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ROMAN NOWYGROD | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 73 | 0.1 |
| DR. HAROLD BREM | 2500 JOHNSON AVE | BRONX | NY | 10463 | 64 | 0.09 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. WILLIAM MARTIN MCKINNON | 550 PEACHTREE ST NE | ATLANTA | GA | 30308 | 110 | 0.15 |
| DR. WILLIAM GREGORY MORGAN | 1705 RENAISSANCE BLVD | EDMOND | OK | 73013 | 86 | 0.12 |
| DR. FRANK M. YUSUF | 1601 W AVENUE J | LANCASTER | CA | 93534 | 85 | 0.12 |
DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 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 | Other Circulatory Procedures | Other Circulatory Procedures | 5856 | End stage renal disease | NA | 26,306 | |||||||||||||||||
| Cardiovascular | Other Circulatory Procedures | Other Circulatory Procedures | 40391 | Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease | NA | 21,668 | |||||||||||||||||
| Cardiovascular | Other Circulatory Procedures | Other Circulatory Procedures | 4280 | Congestive heart failure, unspecified | NA | 17,200 | |||||||||||||||||
| Cardiovascular | Other Circulatory Procedures | Other Circulatory Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 16,781 | |||||||||||||||||
| Cardiovascular | Other Circulatory Procedures | Other Circulatory Procedures | V4511 | Renal dialysis status | NA | 15,572 | |||||||||||||||||
| Cardiovascular | Other Circulatory Procedures | Other Circulatory Procedures | 28521 | Anemia in chronic kidney disease | NA | 12,898 | |||||||||||||||||
| Cardiovascular | Other Circulatory Procedures | Other Circulatory Procedures | 99673 | Other complications due to renal dialysis device, implant, and graft | NA | 12,396 | |||||||||||||||||
| Cardiovascular | Other Circulatory Procedures | Other Circulatory Procedures | E785 | Hyperlipidemia, unspecified | 10,259 | 11,784 | |||||||||||||||||
| Cardiovascular | Other Circulatory Procedures | Other Circulatory Procedures | 42731 | Atrial fibrillation | NA | 11,773 | |||||||||||||||||
| Cardiovascular | Other Circulatory Procedures | Other Circulatory Procedures | 41401 | Coronary atherosclerosis of native coronary artery | NA | 11,531 |