DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 374: DIGESTIVE MALIGNANCY WITH 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 (%)
374 DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Oncology & Hematology Digestive Malignancy Digestive Malignancy Non Surgical 36.70 NA 11,193 48,950 40,637
375 DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) Oncology & Hematology Digestive Malignancy Digestive Malignancy Non Surgical 57.24 NA 14,593 76,341 70,067
376 DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Oncology & Hematology Digestive Malignancy Digestive Malignancy Non Surgical 6.06 NA 1,383 8,084 7,468

DEMOGRAPHIC DETAILS OF DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 36,852 75.28
Black 7,865 16.07
Asian 1,307 2.67
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 10,177 20.79
70 to 74 9,025 18.44
Greater than 84 8,801 17.98

TOP ICD DIAGNOSIS CODES FOR DRG 374: DIGESTIVE MALIGNANCY WITH 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
4019 Unspecified essential hypertension 10,789 22.04
V4986 Do not resuscitate status 7,705 15.74
2724 Other and unspecified hyperlipidemia 7,349 15.01

TOP ICD PROCEDURE CODES FOR DRG 374: DIGESTIVE MALIGNANCY WITH 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
9904 Transfusion Of Packed Cells 6,985 14.27
4516 Esophagogastroduodenoscopy [Egd] With Closed Biopsy 5,871 11.99
30233N1 Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach 4,440 9.07

TOP HOSPITALS ASSOCIATED WITH DRG 374: DIGESTIVE MALIGNANCY WITH 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
University of Texas MD Anderson Cancer Center 1515 HOLCOMBE BLVD Houston TX 77030 298 0.61
Memorial Sloan Kettering Cancer Center 1275 YORK AVE New York NY 10065 255 0.52
Calvary Hospital 1740 EASTCHESTER RD Bronx NY 10461 246 0.5

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 374: DIGESTIVE MALIGNANCY WITH 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. ALMA CARRINGTON CALVARY HOSPITAL BRONX NY 10461 33 0.07
DR. IRINA MAKAREVICH 150 55TH ST BROOKLYN NY 11220 33 0.07
DR. ANDREW ZARETSKY 1379 54TH ST BROOKLYN NY 11219 26 0.05

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 374: DIGESTIVE MALIGNANCY WITH 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. MOUSTAFA E ALAMY 16660 PARAMOUNT BLVD PARAMOUNT CA 90723 23 0.05
DR. DAVID GIACINTO FORCIONE 55 FRUIT ST BOSTON MA 02114 22 0.04
DR. MOHAMMED BARAWI 28963 LITTLE MACK AVE ST CLAIR SHORES MI 48081 21 0.04

DRG 374: DIGESTIVE MALIGNANCY WITH 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 (%)
Oncology & Hematology Digestive Malignancy Digestive Malignancy 4019 Unspecified essential hypertension NA 10,789
Oncology & Hematology Digestive Malignancy Digestive Malignancy I10 Essential (primary) hypertension 9,426 10,348
Oncology & Hematology Digestive Malignancy Digestive Malignancy E43 Unspecified severe protein-calorie malnutrition 8,164 8,963
Oncology & Hematology Digestive Malignancy Digestive Malignancy Z66 Do not resuscitate 7,174 8,315
Oncology & Hematology Digestive Malignancy Digestive Malignancy V4986 Do not resuscitate status NA 7,705
Oncology & Hematology Digestive Malignancy Digestive Malignancy E785 Hyperlipidemia, unspecified 5,384 7,490
Oncology & Hematology Digestive Malignancy Digestive Malignancy 2724 Other and unspecified hyperlipidemia NA 7,349
Oncology & Hematology Digestive Malignancy Digestive Malignancy Z515 Encounter for palliative care 7,118 7,133
Oncology & Hematology Digestive Malignancy Digestive Malignancy 1977 Malignant neoplasm of liver, secondary NA 7,062
Oncology & Hematology Digestive Malignancy Digestive Malignancy V667 Person on outside of heavy transport vehicle injured in collision with other nonmotor vehicle in traffic accident NA 6,707