DRG 380: COMPLICATED PEPTIC ULCER WITH 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

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
7DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 380: COMPLICATED PEPTIC ULCER 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 (%)
380 COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) General Medicine Peptic Ulcer Complicated Peptic Ulcer Non Surgical 32.47 NA 5,388 19,607 17,624
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) General Medicine Peptic Ulcer Complicated Peptic Ulcer Non Surgical 53.11 NA 7,727 32,070 30,647
382 COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Medicine Peptic Ulcer Complicated Peptic Ulcer Non Surgical 14.42 NA 1,737 8,708 8,304

DEMOGRAPHIC DETAILS OF DRG 380: COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 15,445 78.77
Black 2,773 14.14
Hispanic 507 2.59
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 5,022 25.61
Greater than 84 3,599 18.36
65 to 69 3,056 15.59

TOP ICD DIAGNOSIS CODES FOR DRG 380: COMPLICATED PEPTIC ULCER 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
K2211 Ulcer of esophagus with bleeding 5,118 26.1
4019 Unspecified essential hypertension 3,460 17.65
53021 Ulcer of esophagus with bleeding 3,282 16.74

TOP ICD PROCEDURE CODES FOR DRG 380: COMPLICATED PEPTIC ULCER 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
4516 Esophagogastroduodenoscopy [Egd] With Closed Biopsy 3,646 18.6
0DJ08ZZ Inspection of Upper Intestinal Tract, Via Natural or Artificial Opening Endoscopic 3,190 16.27
4513 Other Endoscopy Of Small Intestine 2,699 13.77

TOP HOSPITALS ASSOCIATED WITH DRG 380: COMPLICATED PEPTIC ULCER 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
Cedars-Sinai Medical Center 8700 BEVERLY BLVD Los Angeles CA 90048 57 0.29
Methodist Hospital 7700 FLOYD CURL DRIVE San Antonio TX 78229 56 0.29
Yale New Haven Hospital 20 YORK ST New Haven CT 06504 55 0.28

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 380: COMPLICATED PEPTIC ULCER 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. LOVE N DALAL 2809 OLIVE HWY OROVILLE CA 95966 32 0.16
DR. MOUSTAFA E ALAMY 16660 PARAMOUNT BLVD PARAMOUNT CA 90723 24 0.12
DR. HRAIR P SIMONIAN 1001 TOWSON AVE FORT SMITH AR 72901 24 0.12

DRG 380: COMPLICATED PEPTIC ULCER 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 (%)
General Medicine Peptic Ulcer Complicated Peptic Ulcer K2211 Ulcer of esophagus with bleeding 2,975 5,118
General Medicine Peptic Ulcer Complicated Peptic Ulcer I10 Essential (primary) hypertension 2,890 4,127
General Medicine Peptic Ulcer Complicated Peptic Ulcer E785 Hyperlipidemia, unspecified 2,108 3,803
General Medicine Peptic Ulcer Complicated Peptic Ulcer D62 Acute posthemorrhagic anemia 2,282 3,779
General Medicine Peptic Ulcer Complicated Peptic Ulcer 4019 Unspecified essential hypertension NA 3,460
General Medicine Peptic Ulcer Complicated Peptic Ulcer K449 Diaphragmatic hernia without obstruction or gangrene 2,099 3,460
General Medicine Peptic Ulcer Complicated Peptic Ulcer 53021 Ulcer of esophagus with bleeding NA 3,282
General Medicine Peptic Ulcer Complicated Peptic Ulcer I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 1,589 2,961
General Medicine Peptic Ulcer Complicated Peptic Ulcer E876 Hypokalemia 1,840 2,716
General Medicine Peptic Ulcer Complicated Peptic Ulcer 2724 Other and unspecified hyperlipidemia NA 2,679