Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 34,961 | 87.08 |
| Black | 2,956 | 7.36 |
| Hispanic | 869 | 2.16 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 10,923 | 27.21 |
| Less than 65 | 8,775 | 21.86 |
| 70 to 74 | 8,677 | 21.61 |
TOP ICD DIAGNOSIS CODES FOR DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 12,914 | 32.17 |
| 55321 | Incisional hernia without mention of obstruction or gangrene | 9,952 | 24.79 |
| K432 | Incisional hernia without obstruction or gangrene | 7,540 | 18.78 |
TOP ICD PROCEDURE CODES FOR DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 0WUF0JZ | Supplement Abdominal Wall with Synthetic Substitute, Open Approach | 10,697 | 26.65 |
| 5361 | Other Open Incisional Hernia Repair With Graft Or Prosthesis | 10,394 | 25.89 |
| 0WUF4JZ | Supplement Abdominal Wall with Synthetic Substitute, Percutaneous Endoscopic Approach | 3,730 | 9.29 |
TOP HOSPITALS ASSOCIATED WITH DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 184 | 0.46 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 174 | 0.43 |
| NewYork Presbyterian - Weill Cornell Medical Center | 525 E 68TH ST | New York | NY | 10021 | 146 | 0.36 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GEORGE DENOTO | 139 PLANDOME ROAD | MANHASSET | NY | 11030 | 74 | 0.18 |
| DR. JOHN SCOTT ROTH | UNIVERSITY OF KENTUCKY DEPARTMENT OF SURGERY | LEXINGTON | KY | 40536 | 48 | 0.12 |
| DR. MARK JAY WATSON | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 43 | 0.11 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GEORGE DENOTO | 139 PLANDOME ROAD | MANHASSET | NY | 11030 | 79 | 0.2 |
| DR. JOHN SCOTT ROTH | UNIVERSITY OF KENTUCKY DEPARTMENT OF SURGERY | LEXINGTON | KY | 40536 | 50 | 0.12 |
| DR. MARK JAY WATSON | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 43 | 0.11 |
DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL 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 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 | 12,914 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | I10 | Essential (primary) hypertension | 14,658 | 10,467 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | 55321 | Incisional hernia without mention of obstruction or gangrene | NA | 9,952 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | K432 | Incisional hernia without obstruction or gangrene | 11,628 | 7,540 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | 2724 | Other and unspecified hyperlipidemia | NA | 6,220 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | 53081 | Esophageal reflux | NA | 6,107 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | 55221 | Incisional ventral hernia with obstruction | NA | 5,548 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | E785 | Hyperlipidemia, unspecified | 6,600 | 5,189 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | K219 | Gastro-esophageal reflux disease without esophagitis | 6,268 | 5,168 | |||||||||||||||||
| 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 | 5,147 |