DRG 376: DIGESTIVE MALIGNANCY 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 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 376: DIGESTIVE MALIGNANCY 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 (%)
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
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
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

DEMOGRAPHIC DETAILS OF DRG 376: DIGESTIVE MALIGNANCY 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 6,451 79.8
Black 1,015 12.56
Hispanic 193 2.39
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 1,783 22.06
65 to 69 1,579 19.53
70 to 74 1,402 17.34

TOP ICD DIAGNOSIS CODES FOR DRG 376: DIGESTIVE MALIGNANCY 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
4019 Unspecified essential hypertension 2,610 32.29
2724 Other and unspecified hyperlipidemia 1,407 17.4
25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled 1,035 12.8

TOP ICD PROCEDURE CODES FOR DRG 376: DIGESTIVE MALIGNANCY 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
4516 Esophagogastroduodenoscopy [Egd] With Closed Biopsy 1,167 14.44
4525 Closed [Endoscopic] Biopsy Of Large Intestine 847 10.48
9904 Transfusion Of Packed Cells 719 8.89

TOP HOSPITALS ASSOCIATED WITH DRG 376: DIGESTIVE MALIGNANCY 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
Calvary Hospital 1740 EASTCHESTER RD Bronx NY 10461 47 0.58
University of Texas MD Anderson Cancer Center 1515 HOLCOMBE BLVD Houston TX 77030 45 0.56
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 44 0.54

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 376: DIGESTIVE MALIGNANCY 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. JONATHAN C SALO 1021 MOREHEAD MEDICAL DR CHARLOTTE NC 28204 11 0.14
DR. DONALD E LOW 1100 9TH AVE SEATTLE WA 98101 11 0.14

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 376: DIGESTIVE MALIGNANCY 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. STAVROS NICHOLAS STAVROPOULOS 3401 N BROAD ST PHILADELPHIA PA 19140 15 0.19
DR. JONATHAN C SALO 1021 MOREHEAD MEDICAL DR CHARLOTTE NC 28204 11 0.14

DRG 376: DIGESTIVE MALIGNANCY 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 (%)
Oncology & Hematology Digestive Malignancy Digestive Malignancy 4019 Unspecified essential hypertension NA 2,610
Oncology & Hematology Digestive Malignancy Digestive Malignancy I10 Essential (primary) hypertension 2,826 2,029
Oncology & Hematology Digestive Malignancy Digestive Malignancy 2724 Other and unspecified hyperlipidemia NA 1,407
Oncology & Hematology Digestive Malignancy Digestive Malignancy E785 Hyperlipidemia, unspecified 1,419 1,174
Oncology & Hematology Digestive Malignancy Digestive Malignancy 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 1,035
Oncology & Hematology Digestive Malignancy Digestive Malignancy 53081 Esophageal reflux NA 970
Oncology & Hematology Digestive Malignancy Digestive Malignancy V1582 Personal history of tobacco use NA 932
Oncology & Hematology Digestive Malignancy Digestive Malignancy Z87891 Personal history of nicotine dependence 1,092 902
Oncology & Hematology Digestive Malignancy Digestive Malignancy K219 Gastro-esophageal reflux disease without esophagitis 1,181 803
Oncology & Hematology Digestive Malignancy Digestive Malignancy E119 Type 2 diabetes mellitus without complications 1,126 702