Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 385: INFLAMMATORY BOWEL DISEASE 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 385 | INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | Non Surgical | 15.83 | NA | 2,620 | 12,213 | 11,276 | ||||||||||||
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | Non Surgical | 61.36 | NA | 9,643 | 47,349 | 45,567 | ||||||||||||
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | Non Surgical | 22.81 | NA | 3,052 | 17,605 | 16,834 |
DEMOGRAPHIC DETAILS OF DRG 385: INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 9,864 | 80.77 |
| Black | 1,624 | 13.3 |
| Hispanic | 285 | 2.33 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 4,778 | 39.12 |
| 65 to 69 | 1,922 | 15.74 |
| 70 to 74 | 1,687 | 13.81 |
TOP ICD DIAGNOSIS CODES FOR DRG 385: INFLAMMATORY BOWEL DISEASE 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 |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 2,161 | 17.69 |
| 2768 | Hypopotassemia | 1,931 | 15.81 |
| 5559 | Regional enteritis of unspecified site | 1,655 | 13.55 |
TOP ICD PROCEDURE CODES FOR DRG 385: INFLAMMATORY BOWEL DISEASE 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 |
|---|---|---|---|
| 4525 | Closed [Endoscopic] Biopsy Of Large Intestine | 1,716 | 14.05 |
| 9904 | Transfusion Of Packed Cells | 1,191 | 9.75 |
| 0DBN8ZX | Excision of Sigmoid Colon, Via Natural or Artificial Opening Endoscopic, Diagnostic | 761 | 6.23 |
TOP HOSPITALS ASSOCIATED WITH DRG 385: INFLAMMATORY BOWEL DISEASE 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 |
|---|---|---|---|---|---|---|
| University of Michigan Health System | 1500 EAST MEDICAL CENTER DRIVE | Ann Arbor | MI | 48109 | 76 | 0.62 |
| Cleveland Clinic | 9500 EUCLID AVE | Cleveland | OH | 44195 | 58 | 0.47 |
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 55 | 0.45 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 385: INFLAMMATORY BOWEL DISEASE 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. JOHN I DELGADO | 2919 W SWANN AVE | TAMPA | FL | 33609 | 11 | 0.09 |
DRG 385: INFLAMMATORY BOWEL DISEASE 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E43 | Unspecified severe protein-calorie malnutrition | 3,162 | 2,163 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 4019 | Unspecified essential hypertension | NA | 2,161 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | I10 | Essential (primary) hypertension | 2,018 | 2,118 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 2768 | Hypopotassemia | NA | 1,931 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E876 | Hypokalemia | 2,091 | 1,871 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E860 | Dehydration | 1,950 | 1,688 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 5559 | Regional enteritis of unspecified site | NA | 1,655 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E785 | Hyperlipidemia, unspecified | 1,211 | 1,586 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | K219 | Gastro-esophageal reflux disease without esophagitis | 1,432 | 1,556 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 53081 | Esophageal reflux | NA | 1,551 |