Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | Surgical | 43.42 | 11,129 | 14,926 | 38,131 | 36,761 | ||||||||||||
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | Surgical | 56.58 | 14,377 | 20,477 | 49,679 | 49,443 |
DEMOGRAPHIC DETAILS OF DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 34,841 | 91.37 |
| Black | 1,800 | 4.72 |
| Hispanic | 430 | 1.13 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 14,771 | 38.74 |
| 80 to 84 | 8,858 | 23.23 |
| 75 to 79 | 6,474 | 16.98 |
TOP ICD DIAGNOSIS CODES FOR DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT 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 |
|---|---|---|---|
| Z006 | Encounter for examination for normal comparison and control in clinical research program | 29,102 | 76.32 |
| I350 | Nonrheumatic aortic (valve) stenosis | 22,614 | 59.31 |
| V707 | Person on outside of bus injured in collision with pedestrian or animal in traffic accident | 8,554 | 22.43 |
TOP ICD PROCEDURE CODES FOR DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT 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 |
|---|---|---|---|
| 02RF38Z | Replacement of Aortic Valve with Zooplastic Tissue, Percutaneous Approach | 24,404 | 64.0 |
| 3505 | Endovascular Replacement Of Aortic Valve | 7,771 | 20.38 |
| B24BZZ4 | Ultrasonography of Heart with Aorta, Transesophageal | 6,722 | 17.63 |
TOP HOSPITALS ASSOCIATED WITH DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT 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 |
|---|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 748 | 1.96 |
| NYU Winthrop Hospital | 259 1ST ST | Mineola | NY | 11501 | 434 | 1.14 |
| Morton Plant Hospital | 300 PINELLAS ST | Clearwater | FL | 33756 | 403 | 1.06 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT 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. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 474 | 1.24 |
| DR. JOSHUA DAVID ROVIN | 455 PINELLAS ST. | CLEARWATER | FL | 33756 | 348 | 0.91 |
| DR. MATHEW R WILLIAMS | 530 1ST AVE | NEW YORK | NY | 10016 | 280 | 0.73 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT 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. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 627 | 1.64 |
| DR. JOSHUA DAVID ROVIN | 455 PINELLAS ST. | CLEARWATER | FL | 33756 | 335 | 0.88 |
| DR. MATHEW R WILLIAMS | 530 1ST AVE | NEW YORK | NY | 10016 | 281 | 0.74 |
DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | Z006 | Encounter for examination for normal comparison and control in clinical research program | 14,892 | 29,102 | |||||||||||||||||
| Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | I350 | Nonrheumatic aortic (valve) stenosis | 12,711 | 22,614 | |||||||||||||||||
| Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 10,620 | 19,669 | |||||||||||||||||
| Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | E785 | Hyperlipidemia, unspecified | 10,306 | 18,411 | |||||||||||||||||
| Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | I5033 | Acute on chronic diastolic (congestive) heart failure | 6,260 | 12,508 | |||||||||||||||||
| Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | Z87891 | Personal history of nicotine dependence | 5,329 | 10,032 | |||||||||||||||||
| Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | Z7982 | Long term (current) use of aspirin | 3,621 | 8,976 | |||||||||||||||||
| Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | V707 | Person on outside of bus injured in collision with pedestrian or animal in traffic accident | NA | 8,554 | |||||||||||||||||
| Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | J449 | Chronic obstructive pulmonary disease, unspecified | 4,199 | 7,340 | |||||||||||||||||
| Cardiovascular | Endovascular Procedures | Endovascular Cardiac Valve Replacement | I110 | Hypertensive heart disease with heart failure | 1,296 | 7,036 |