Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | Non Surgical | 6.45 | NA | 4,750 | 28,459 | 4,385 | ||||||||||||
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | Non Surgical | 63.64 | NA | 46,890 | 242,096 | 41,165 | ||||||||||||
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | Non Surgical | 29.91 | NA | 22,037 | 116,983 | 20,625 |
DEMOGRAPHIC DETAILS OF DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 3,927 | 82.67 |
| Black | 518 | 10.91 |
| Hispanic | 98 | 2.06 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 884 | 18.61 |
| 70 to 74 | 862 | 18.15 |
| 65 to 69 | 856 | 18.02 |
TOP ICD DIAGNOSIS CODES FOR DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| I309 | Acute pericarditis, unspecified | 333 | 7.01 |
| I319 | Disease of pericardium, unspecified | 269 | 5.66 |
| I301 | Infective pericarditis | 73 | 1.54 |
TOP ICD PROCEDURE CODES FOR DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 3E05317 | Introduction of Other Thrombolytic into Peripheral Artery, Percutaneous Approach | 132 | 2.78 |
| 0W9D30Z | Drainage of Pericardial Cavity with Drainage Device, Percutaneous Approach | 125 | 2.63 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 105 | 2.21 |
TOP HOSPITALS ASSOCIATED WITH DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 Hospital | 7700 FLOYD CURL DRIVE | San Antonio | TX | 78229 | 21 | 0.44 |
| Yale New Haven Hospital | 20 YORK ST | New Haven | CT | 06504 | 20 | 0.42 |
| Baptist Medical Center Jacksonville | 800 PRUDENTIAL DR | Jacksonville | FL | 32207 | 20 | 0.42 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. JOHN M RANSOM | 9601 LILE DR | LITTLE ROCK | AR | 72205 | NA | NA |
| DR. MARK V SHERRID | 425 W 59TH ST | NEW YORK | NY | 10019 | NA | NA |
| DR. KYME CLINTON | 501 ARVEN CT | ALTAMONTE SPRINGS | FL | 32701 | NA | NA |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. MARK V SHERRID | 425 W 59TH ST | NEW YORK | NY | 10019 | NA | NA |
| DR. IMAD S FARRUKH | 3584 W 9000 S STE 201 | WEST JORDAN | UT | 84088 | NA | NA |
| DR. ROXANA SULICA | 16TH STREET AT 1ST AVENUE | NEW YORK | NY | 10003 | NA | NA |
DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | I10 | Essential (primary) hypertension | 9,039 | 2,609 | |||||||||||||||||
| Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | E785 | Hyperlipidemia, unspecified | 6,188 | 2,112 | |||||||||||||||||
| Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 4,097 | 1,519 | |||||||||||||||||
| Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | I959 | Hypotension, unspecified | 4,364 | 1,432 | |||||||||||||||||
| Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | Z87891 | Personal history of nicotine dependence | 3,259 | 1,178 | |||||||||||||||||
| Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | Z7982 | Long term (current) use of aspirin | 2,358 | 1,090 | |||||||||||||||||
| Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | K219 | Gastro-esophageal reflux disease without esophagitis | 2,843 | 1,058 | |||||||||||||||||
| Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | E039 | Hypothyroidism, unspecified | 2,256 | 827 | |||||||||||||||||
| Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | E119 | Type 2 diabetes mellitus without complications | 3,085 | 797 | |||||||||||||||||
| Cardiovascular | Other Circulatory System Diagnoses | Other Circulatory System Diagnoses | J449 | Chronic obstructive pulmonary disease, unspecified | 1,955 | 748 |