Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | Surgical | 43.87 | NA | 6,726 | 38,394 | 37,184 | ||||||||||||
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | Surgical | 46.81 | NA | 7,480 | 40,975 | 35,861 | ||||||||||||
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | Surgical | 9.32 | NA | 1,460 | 8,157 | 7,979 |
DEMOGRAPHIC DETAILS OF DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 31,803 | 82.83 |
| Black | 4,358 | 11.35 |
| Hispanic | 719 | 1.87 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 7,515 | 19.57 |
| 70 to 74 | 6,912 | 18.0 |
| Less than 65 | 6,625 | 17.26 |
TOP ICD DIAGNOSIS CODES FOR DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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 | 9,880 | 25.73 |
| 2724 | Other and unspecified hyperlipidemia | 6,912 | 18.0 |
| 2851 | Acute posthemorrhagic anemia | 4,983 | 12.98 |
TOP ICD PROCEDURE CODES FOR DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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 |
|---|---|---|---|
| 9904 | Transfusion Of Packed Cells | 4,950 | 12.89 |
| 387 | Interruption Of Vena Cava | 4,845 | 12.62 |
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 3,786 | 9.86 |
TOP HOSPITALS ASSOCIATED WITH DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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 | 165 | 0.43 |
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 150 | 0.39 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 138 | 0.36 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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. LISA A RUTSTEIN | 887 CONGRESS ST | PORTLAND | ME | 04102 | 30 | 0.08 |
| DR. JAMES D LUKETICH | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 17 | 0.04 |
| DR. MAZIN F AL-KASSPOOLES | 3901 RAINBOW BLVD. | KANSAS CITY | KS | 66160 | 17 | 0.04 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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. LISA A RUTSTEIN | 887 CONGRESS ST | PORTLAND | ME | 04102 | 29 | 0.08 |
| DR. HORNG JYH LIN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 23 | 0.06 |
| DR. PHILIP J DOMBROWSKI | 25 MAIN ST | HYANNIS | MA | 02601 | 23 | 0.06 |
DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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 | Other Digestive System Procedures | Other Digestive System O.R. Procedures | I10 | Essential (primary) hypertension | 12,856 | 10,124 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | 4019 | Unspecified essential hypertension | NA | 9,880 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | E785 | Hyperlipidemia, unspecified | 7,033 | 7,070 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 6,912 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | D62 | Acute posthemorrhagic anemia | 8,083 | 6,315 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 5,448 | 5,326 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | Z87891 | Personal history of nicotine dependence | 5,440 | 5,074 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | 2851 | Acute posthemorrhagic anemia | NA | 4,983 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | 53081 | Esophageal reflux | NA | 4,963 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 4,101 | 4,715 |