Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 39,245 | 82.88 |
| Black | 5,692 | 12.02 |
| Hispanic | 894 | 1.89 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 20,399 | 43.08 |
| 65 to 69 | 7,855 | 16.59 |
| 70 to 74 | 6,459 | 13.64 |
TOP ICD DIAGNOSIS CODES FOR DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 10,724 | 22.65 |
| 5559 | Regional enteritis of unspecified site | 8,227 | 17.38 |
| 2768 | Hypopotassemia | 6,680 | 14.11 |
TOP ICD PROCEDURE CODES FOR DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 6,201 | 13.1 |
| 9904 | Transfusion Of Packed Cells | 2,290 | 4.84 |
| 0DBN8ZX | Excision of Sigmoid Colon, Via Natural or Artificial Opening Endoscopic, Diagnostic | 2,137 | 4.51 |
TOP HOSPITALS ASSOCIATED WITH DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 231 | 0.49 |
| Cleveland Clinic | 9500 EUCLID AVE | Cleveland | OH | 44195 | 169 | 0.36 |
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 145 | 0.31 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. MANAF MADOUN | 468 CADIEUX RD | GROSSE POINTE | MI | 48230 | 24 | 0.05 |
| DR. CARVER A HILLS | 2501 REED ST | PHILADELPHIA | PA | 19146 | 21 | 0.04 |
| DR. MARK J KORUDA | 101 MANNING DR | CHAPEL HILL | NC | 27514 | 19 | 0.04 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 14 | 0.03 |
DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 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 | 4019 | Unspecified essential hypertension | NA | 10,724 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | I10 | Essential (primary) hypertension | 11,062 | 9,670 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 5559 | Regional enteritis of unspecified site | NA | 8,227 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 2768 | Hypopotassemia | NA | 6,680 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 53081 | Esophageal reflux | NA | 6,389 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | K219 | Gastro-esophageal reflux disease without esophagitis | 6,549 | 6,175 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 2724 | Other and unspecified hyperlipidemia | NA | 6,089 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E876 | Hypokalemia | 8,614 | 5,561 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E785 | Hyperlipidemia, unspecified | 4,989 | 5,530 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | Z87891 | Personal history of nicotine dependence | 5,894 | 5,426 |