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 | 42.93 | NA | 6,726 | 38,394 | 6,538 | ||||||||||||
| 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 | 47.75 | NA | 7,480 | 40,975 | 6,607 | ||||||||||||
| 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 | 1,439 |
DEMOGRAPHIC DETAILS OF DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 5,591 | 83.13 |
| Black | 734 | 10.91 |
| Hispanic | 120 | 1.78 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 1,267 | 18.84 |
| 70 to 74 | 1,255 | 18.66 |
| 75 to 79 | 1,126 | 16.74 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| C786 | Secondary malignant neoplasm of retroperitoneum and peritoneum | 677 | 10.07 |
| K551 | Chronic vascular disorders of intestine | 479 | 7.12 |
| K5731 | Diverticulosis of large intestine without perforation or abscess with bleeding | 399 | 5.93 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 1,309 | 19.46 |
| 06H03DZ | Insertion of Intraluminal Device into Inferior Vena Cava, Percutaneous Approach | 1,077 | 16.01 |
| 0DJ08ZZ | Inspection of Upper Intestinal Tract, Via Natural or Artificial Opening Endoscopic | 799 | 11.88 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 30 | 0.45 |
| Massachusetts General Hospital | 55 FRUIT ST | Boston | MA | 02114 | 29 | 0.43 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 25 | 0.37 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JONATHAN EDWARD TAMMELA | 835 S VAN BUREN ST | GREEN BAY | WI | 54301 | NA | NA |
| DR. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | NA | NA |
| DR. MAZIN F AL-KASSPOOLES | 3901 RAINBOW BLVD. | KANSAS CITY | KS | 66160 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. HORNG JYH LIN | 2000 MOWRY AVE | FREMONT | CA | 94538 | NA | NA |
| DR. BRIAN JAMES MONTAGUE | 4516 N ARMENIA AVE | TAMPA | FL | 33603 | NA | NA |
| DR. RYAN MATTHEW LEVY | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | NA | NA |
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 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 | Other Digestive System Procedures | Other Digestive System O.R. Procedures | I10 | Essential (primary) hypertension | 12,856 | 3,358 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | E785 | Hyperlipidemia, unspecified | 7,033 | 2,634 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | D62 | Acute posthemorrhagic anemia | 8,083 | 2,208 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 5,448 | 1,921 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | Z87891 | Personal history of nicotine dependence | 5,440 | 1,873 | |||||||||||||||||
| 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 | 1,768 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | E039 | Hypothyroidism, unspecified | 3,344 | 1,278 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | Z7982 | Long term (current) use of aspirin | 2,180 | 1,243 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | Z7901 | Long term (current) use of anticoagulants | 2,520 | 1,229 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | N179 | Acute kidney failure, unspecified | 3,697 | 1,070 |