Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | Surgical | 43.85 | NA | 8,594 | 44,101 | 43,829 | ||||||||||||
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | Surgical | 39.92 | NA | 7,369 | 40,146 | 40,032 | ||||||||||||
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | Surgical | 16.23 | NA | 3,182 | 16,327 | 15,361 |
DEMOGRAPHIC DETAILS OF DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 37,485 | 85.0 |
| Black | 4,150 | 9.41 |
| Hispanic | 989 | 2.24 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 12,672 | 28.73 |
| 65 to 69 | 10,478 | 23.76 |
| 70 to 74 | 8,079 | 18.32 |
TOP ICD DIAGNOSIS CODES FOR DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 13,622 | 30.89 |
| 55321 | Incisional hernia without mention of obstruction or gangrene | 8,347 | 18.93 |
| 2724 | Other and unspecified hyperlipidemia | 7,822 | 17.74 |
TOP ICD PROCEDURE CODES FOR DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0WUF0JZ | Supplement Abdominal Wall with Synthetic Substitute, Open Approach | 11,261 | 25.53 |
| 5361 | Other Open Incisional Hernia Repair With Graft Or Prosthesis | 10,052 | 22.79 |
| 0WQF0ZZ | Repair Abdominal Wall, Open Approach | 5,058 | 11.47 |
TOP HOSPITALS ASSOCIATED WITH DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 239 | 0.54 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 207 | 0.47 |
| Indiana University Health | 1701 N SENATE | Indianapolis | IN | 46202 | 195 | 0.44 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOHN ABRAM POWELSON | 550 UNIVERSITY BLVD | INDIANAPOLIS | IN | 46202 | 102 | 0.23 |
| DR. KRISTI L HAROLD | 5779 E MAYO BLVD | PHOENIX | AZ | 85054 | 58 | 0.13 |
| DR. GEORGE DENOTO | 139 PLANDOME ROAD | MANHASSET | NY | 11030 | 45 | 0.1 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOHN ABRAM POWELSON | 550 UNIVERSITY BLVD | INDIANAPOLIS | IN | 46202 | 105 | 0.24 |
| DR. KRISTI L HAROLD | 5779 E MAYO BLVD | PHOENIX | AZ | 85054 | 62 | 0.14 |
| DR. EDUARDO PARRA-DAVILA | 410 CELEBRATION PL STE 302 | CELEBRATION | FL | 34747 | 53 | 0.12 |
DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | 4019 | Unspecified essential hypertension | NA | 13,622 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | I10 | Essential (primary) hypertension | 13,906 | 11,174 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | 55321 | Incisional hernia without mention of obstruction or gangrene | NA | 8,347 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | 2724 | Other and unspecified hyperlipidemia | NA | 7,822 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | 53081 | Esophageal reflux | NA | 7,005 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | E785 | Hyperlipidemia, unspecified | 6,851 | 6,804 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | 55221 | Incisional ventral hernia with obstruction | NA | 6,728 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 6,478 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | K432 | Incisional hernia without obstruction or gangrene | 7,475 | 6,227 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | K219 | Gastro-esophageal reflux disease without esophagitis | 6,141 | 6,202 |