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 | 17.11 | NA | 2,620 | 12,213 | 2,413 | ||||||||||||
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | Non Surgical | 62.96 | NA | 9,643 | 47,349 | 9,280 | ||||||||||||
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | Non Surgical | 19.93 | NA | 3,052 | 17,605 | 2,920 |
DEMOGRAPHIC DETAILS OF DRG 385: INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 2,099 | 80.11 |
| Black | 351 | 13.4 |
| Hispanic | 58 | 2.21 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 973 | 37.14 |
| 65 to 69 | 423 | 16.15 |
| 70 to 74 | 389 | 14.85 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| K5100 | Ulcerative (chronic) pancolitis without complications | 257 | 9.81 |
| K51911 | Ulcerative colitis, unspecified with rectal bleeding | 144 | 5.5 |
| K50012 | Crohn's disease of small intestine with intestinal obstruction | 142 | 5.42 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0DBN8ZX | Excision of Sigmoid Colon, Via Natural or Artificial Opening Endoscopic, Diagnostic | 318 | 12.14 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 312 | 11.91 |
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 292 | 11.15 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| University of Michigan Health System | 1500 EAST MEDICAL CENTER DRIVE | Ann Arbor | MI | 48109 | 22 | 0.84 |
| Sarasota Memorial Hospital | 1700 S TAMIAMI TRL | Sarasota | FL | 34239 | 16 | 0.61 |
| Beaumont Hospital Troy | 44201 DEQUINDRE RD | Troy | MI | 48085 | 16 | 0.61 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOHN I DELGADO | 2919 W SWANN AVE | TAMPA | FL | 33609 | NA | NA |
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 2017 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 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 | 967 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | I10 | Essential (primary) hypertension | 2,018 | 869 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E876 | Hypokalemia | 2,091 | 863 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E860 | Dehydration | 1,950 | 740 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | K219 | Gastro-esophageal reflux disease without esophagitis | 1,432 | 715 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E785 | Hyperlipidemia, unspecified | 1,211 | 705 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | Z87891 | Personal history of nicotine dependence | 1,245 | 666 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | Z681 | Body mass index (BMI) 19 or less, adult | 1,423 | 548 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 837 | 512 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | N179 | Acute kidney failure, unspecified | 964 | 493 |