Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 14,040 | 79.75 |
| Black | 2,456 | 13.95 |
| Hispanic | 479 | 2.72 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 9,040 | 51.35 |
| 65 to 69 | 2,725 | 15.48 |
| 70 to 74 | 2,087 | 11.85 |
TOP ICD DIAGNOSIS CODES FOR DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 4,461 | 25.34 |
| 5559 | Regional enteritis of unspecified site | 3,443 | 19.56 |
| 53081 | Esophageal reflux | 2,555 | 14.51 |
TOP ICD PROCEDURE CODES FOR DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 2,276 | 12.93 |
| 0DBN8ZX | Excision of Sigmoid Colon, Via Natural or Artificial Opening Endoscopic, Diagnostic | 662 | 3.76 |
| 4516 | Esophagogastroduodenoscopy [Egd] With Closed Biopsy | 646 | 3.67 |
TOP HOSPITALS ASSOCIATED WITH DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 92 | 0.52 |
| Ohio State University Hospital | 410 W 10TH AVE | Columbus | OH | 43210 | 56 | 0.32 |
| Beaumont Hospital Troy | 44201 DEQUINDRE RD | Troy | MI | 48085 | 55 | 0.31 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. ADAM ABODEELY | 2249 STATE ROUTE 86 | SARANAC LAKE | NY | 12983 | 26 | 0.15 |
| DR. JAMES D. EDMONSON | 703 ALCORN DR | CORINTH | MS | 38834 | 24 | 0.14 |
| DR. PAUL B. SANFORD | 1001 E SUPERIOR ST | DULUTH | MN | 55802 | 16 | 0.09 |
DRG 387: INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 4019 | Unspecified essential hypertension | NA | 4,461 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 5559 | Regional enteritis of unspecified site | NA | 3,443 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | I10 | Essential (primary) hypertension | 5,418 | 3,246 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 53081 | Esophageal reflux | NA | 2,555 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 2724 | Other and unspecified hyperlipidemia | NA | 2,288 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 2768 | Hypopotassemia | NA | 2,231 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 3051 | Tobacco use disorder | NA | 2,109 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 5569 | Ulcerative colitis, unspecified | NA | 2,049 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | K219 | Gastro-esophageal reflux disease without esophagitis | 3,582 | 1,954 | |||||||||||||||||
| Gastroenterology & Endocrinology | Inflammatory Bowel Disease | Inflammatory Bowel Disease | 311 | Depressive disorder, not elsewhere classified | NA | 1,904 |