Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Medicine | Peptic Ulcer | Uncomplicated Peptic Ulcer | Non Surgical | 18.29 | NA | 1,335 | 6,259 | 6,030 | ||||||||||||
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Medicine | Peptic Ulcer | Uncomplicated Peptic Ulcer | Non Surgical | 81.71 | NA | 5,252 | 27,969 | 27,549 |
DEMOGRAPHIC DETAILS OF DRG 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,402 | 70.33 |
| Black | 1,287 | 20.56 |
| Hispanic | 211 | 3.37 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 1,879 | 30.02 |
| 65 to 69 | 959 | 15.32 |
| Greater than 84 | 946 | 15.11 |
TOP ICD DIAGNOSIS CODES FOR DRG 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 53190 | Gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction | 1,629 | 26.03 |
| K259 | Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation | 1,417 | 22.64 |
| 4019 | Unspecified essential hypertension | 1,159 | 18.52 |
TOP ICD PROCEDURE CODES FOR DRG 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4516 | Esophagogastroduodenoscopy [Egd] With Closed Biopsy | 2,204 | 35.21 |
| 0DB68ZX | Excision of Stomach, Via Natural or Artificial Opening Endoscopic, Diagnostic | 1,553 | 24.81 |
| 9904 | Transfusion Of Packed Cells | 724 | 11.57 |
TOP HOSPITALS ASSOCIATED WITH DRG 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| 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 | 53 | 0.85 |
| Oroville Hospital | 2767 OLIVE HWY | Oroville | CA | 95966 | 24 | 0.38 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 20 | 0.32 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. HARINATH SHEELA | 100 N DEAN RD | ORLANDO | FL | 32825 | 12 | 0.19 |
| DR. VISHNU P REDDY | 3256 S PINE AVE | OCALA | FL | 34471 | 11 | 0.18 |
| DR. AHMAD HASSAN ABURASHED | 27209 LAHSER RD | SOUTHFIELD | MI | 48034 | 11 | 0.18 |
DRG 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 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 | Uncomplicated Peptic Ulcer | 53190 | Gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction | NA | 1,629 | |||||||||||||||||
| General Medicine | Peptic Ulcer | Uncomplicated Peptic Ulcer | K259 | Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation | 1,411 | 1,417 | |||||||||||||||||
| General Medicine | Peptic Ulcer | Uncomplicated Peptic Ulcer | E785 | Hyperlipidemia, unspecified | 905 | 1,176 | |||||||||||||||||
| General Medicine | Peptic Ulcer | Uncomplicated Peptic Ulcer | 4019 | Unspecified essential hypertension | NA | 1,159 | |||||||||||||||||
| General Medicine | Peptic Ulcer | Uncomplicated Peptic Ulcer | 2724 | Other and unspecified hyperlipidemia | NA | 1,152 | |||||||||||||||||
| General Medicine | Peptic Ulcer | Uncomplicated Peptic Ulcer | K269 | Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation | 875 | 1,131 | |||||||||||||||||
| General Medicine | Peptic Ulcer | Uncomplicated Peptic Ulcer | 53290 | Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction | NA | 1,100 | |||||||||||||||||
| General Medicine | Peptic Ulcer | Uncomplicated Peptic Ulcer | I10 | Essential (primary) hypertension | 1,109 | 1,083 | |||||||||||||||||
| General Medicine | Peptic Ulcer | Uncomplicated Peptic Ulcer | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 722 | 891 | |||||||||||||||||
| General Medicine | Peptic Ulcer | Uncomplicated Peptic Ulcer | 5856 | End stage renal disease | NA | 837 |