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 | 38.49 | NA | 7,369 | 40,146 | 7,353 | ||||||||||||
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | Surgical | 16.62 | NA | 3,182 | 16,327 | 3,012 | ||||||||||||
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | Surgical | 44.89 | NA | 8,594 | 44,101 | 8,548 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 6,419 | 87.11 |
| Black | 497 | 6.74 |
| Hispanic | 168 | 2.28 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 2,050 | 27.82 |
| 70 to 74 | 1,696 | 23.02 |
| Less than 65 | 1,482 | 20.11 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| K432 | Incisional hernia without obstruction or gangrene | 3,193 | 43.33 |
| K430 | Incisional hernia with obstruction, without gangrene | 1,611 | 21.86 |
| K436 | Other and unspecified ventral hernia with obstruction, without gangrene | 803 | 10.9 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0WUF0JZ | Supplement Abdominal Wall with Synthetic Substitute, Open Approach | 4,543 | 61.65 |
| 0WUF4JZ | Supplement Abdominal Wall with Synthetic Substitute, Percutaneous Endoscopic Approach | 1,574 | 21.36 |
| 0WQF0ZZ | Repair Abdominal Wall, Open Approach | 1,192 | 16.18 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Cleveland Clinic | 9500 EUCLID AVE | Cleveland | OH | 44195 | 34 | 0.46 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 32 | 0.43 |
| Methodist Hospital | 7700 FLOYD CURL DRIVE | San Antonio | TX | 78229 | 32 | 0.43 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DAVID MICHAEL KRPATA | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 18 | 0.24 |
| DR. JEFFREY A BLATNIK | 4921 PARKVIEW PL | SAINT LOUIS | MO | 63110 | 12 | 0.16 |
| DR. ANDREI V. MANILCHUK | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 11 | 0.15 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DAVID MICHAEL KRPATA | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 18 | 0.24 |
| DR. JEFFREY A BLATNIK | 4921 PARKVIEW PL | SAINT LOUIS | MO | 63110 | 12 | 0.16 |
| DR. PARAG BHANOT | 3800 RESERVOIR RD NW | WASHINGTON | DC | 20007 | 11 | 0.15 |
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 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | I10 | Essential (primary) hypertension | 14,658 | 4,327 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | K432 | Incisional hernia without obstruction or gangrene | 11,628 | 3,193 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | K219 | Gastro-esophageal reflux disease without esophagitis | 6,268 | 2,258 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | E785 | Hyperlipidemia, unspecified | 6,600 | 2,229 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | Z87891 | Personal history of nicotine dependence | 4,641 | 1,887 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | K430 | Incisional hernia with obstruction, without gangrene | 6,370 | 1,611 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | E119 | Type 2 diabetes mellitus without complications | 5,376 | 1,311 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | E039 | Hypothyroidism, unspecified | 3,247 | 1,156 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | Z7982 | Long term (current) use of aspirin | 1,984 | 1,114 | |||||||||||||||||
| General Surgery | Hernia Procedures | Hernia Procedures Except Inguinal And Femoral | Z9049 | Acquired absence of other specified parts of digestive tract | 3,072 | 1,093 |