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 | 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 8,033 | 83.3 |
| Black | 1,083 | 11.23 |
| Hispanic | 173 | 1.79 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 4,008 | 41.56 |
| 65 to 69 | 1,682 | 17.44 |
| 70 to 74 | 1,415 | 14.67 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| K5090 | Crohn's disease, unspecified, without complications | 1,237 | 12.83 |
| K50012 | Crohn's disease of small intestine with intestinal obstruction | 1,176 | 12.2 |
| K5190 | Ulcerative colitis, unspecified, without complications | 1,014 | 10.52 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0DBN8ZX | Excision of Sigmoid Colon, Via Natural or Artificial Opening Endoscopic, Diagnostic | 921 | 9.55 |
| 0DBP8ZX | Excision of Rectum, Via Natural or Artificial Opening Endoscopic, Diagnostic | 736 | 7.63 |
| 0DBB8ZX | Excision of Ileum, Via Natural or Artificial Opening Endoscopic, Diagnostic | 546 | 5.66 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 48 | 0.5 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 43 | 0.45 |
| Cleveland Clinic | 9500 EUCLID AVE | Cleveland | OH | 44195 | 29 | 0.3 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JAMES D. EDMONSON | 703 ALCORN DR | CORINTH | MS | 38834 | NA | NA |
| DR. CARVER A HILLS | 2501 REED ST | PHILADELPHIA | PA | 19146 | NA | NA |
| DR. MICHAEL J MERRY | 1010 FAIRWAY DR | FREEPORT | IL | 61032 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. SHAHID WAHID | 2031 MCDANIEL ST | N LAS VEGAS | NV | 89030 | NA | NA |
| DR. VICTOR LAWRINENKO | 2710 SAINT FRANCIS DR | WATERLOO | IA | 50702 | NA | NA |
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 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 | I10 | Essential (primary) hypertension | 11,062 | 4,108 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | K219 | Gastro-esophageal reflux disease without esophagitis | 6,549 | 2,793 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | Z87891 | Personal history of nicotine dependence | 5,894 | 2,472 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E785 | Hyperlipidemia, unspecified | 4,989 | 2,454 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E876 | Hypokalemia | 8,614 | 2,432 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | E860 | Dehydration | 7,828 | 2,258 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | Z9049 | Acquired absence of other specified parts of digestive tract | 4,845 | 1,961 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | F329 | Major depressive disorder, single episode, unspecified | 4,870 | 1,731 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | F419 | Anxiety disorder, unspecified | 5,482 | 1,689 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | N179 | Acute kidney failure, unspecified | 4,050 | 1,685 |