DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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 (%)
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections Non Surgical 14.90 NA 8,307 48,502 47,642
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections Non Surgical 33.85 NA 20,492 110,159 100,775
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections Non Surgical 51.24 NA 30,327 166,752 162,563

DEMOGRAPHIC DETAILS OF DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 43,064 88.79
Black 3,053 6.29
Hispanic 868 1.79
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 10,216 21.06
65 to 69 7,963 16.42
Less than 65 7,823 16.13

TOP ICD DIAGNOSIS CODES FOR DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
00845 Intestinal infection due to Clostridium difficile 22,612 46.62
4019 Unspecified essential hypertension 16,604 34.23
A047 Enterocolitis due to Clostridium difficile 13,701 28.25

TOP ICD PROCEDURE CODES FOR DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
5491 Percutaneous Abdominal Drainage 1,633 3.37
4525 Closed [Endoscopic] Biopsy Of Large Intestine 931 1.92
4516 Esophagogastroduodenoscopy [Egd] With Closed Biopsy 609 1.26

TOP HOSPITALS ASSOCIATED WITH DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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 166 0.34
Lakeland Regional Medical Center 1324 LAKELAND HILLS BLVD Lakeland FL 33805 152 0.31
Lee Memorial Hospital 2776 CLEVELAND AVE Ft Myers FL 33901 127 0.26

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. T GEORGE STOEV 526 HALLE PARK DRIVE COLLIERVILLE TN 38017 19 0.04
DR. SYED S HOSAIN 447 E MAIN ST WESTMINSTER MD 21157 18 0.04
DR. JOSEPH L PRATT 121 PRATT DR CORINTH MS 38834 17 0.04

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. T GEORGE STOEV 526 HALLE PARK DRIVE COLLIERVILLE TN 38017 18 0.04

DRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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 (%)
Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections 00845 Intestinal infection due to Clostridium difficile NA 22,612
Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections 4019 Unspecified essential hypertension NA 16,604
Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections A047 Enterocolitis due to Clostridium difficile 20,659 13,701
Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections I10 Essential (primary) hypertension 13,481 12,085
Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections 27651 Dehydration NA 10,087
Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections 2724 Other and unspecified hyperlipidemia NA 10,063
Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections 2768 Hypopotassemia NA 8,520
Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections E785 Hyperlipidemia, unspecified 7,624 7,394
Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections 53081 Esophageal reflux NA 7,119
Gastroenterology & Endocrinology Major Gastrointestinal Disorders And Peritoneal Infections Major Gastrointestinal Disorders And Peritoneal Infections E860 Dehydration 9,690 6,342