Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 390: G.I. OBSTRUCTION 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | Non Surgical | 32.42 | NA | 34,623 | 189,756 | 33,373 | ||||||||||||
| 388 | G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | Non Surgical | 18.46 | NA | 19,716 | 97,395 | 17,618 | ||||||||||||
| 389 | G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | Non Surgical | 49.12 | NA | 52,465 | 275,615 | 50,128 |
DEMOGRAPHIC DETAILS OF DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 29,319 | 84.68 |
| Black | 2,910 | 8.4 |
| Hispanic | 716 | 2.07 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 70 to 74 | 6,653 | 19.22 |
| 65 to 69 | 6,605 | 19.08 |
| 75 to 79 | 5,856 | 16.91 |
TOP ICD DIAGNOSIS CODES FOR DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| K5660 | Unspecified intestinal obstruction | 16,120 | 46.56 |
| K565 | Intestinal adhesions [bands] with obstruction (postprocedural) (postinfection) | 4,339 | 12.53 |
| K567 | Ileus, unspecified | 3,138 | 9.06 |
TOP ICD PROCEDURE CODES FOR DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 0D9670Z | Drainage of Stomach with Drainage Device, Via Natural or Artificial Opening | 4,233 | 12.23 |
| 0DJD8ZZ | Inspection of Lower Intestinal Tract, Via Natural or Artificial Opening Endoscopic | 392 | 1.13 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 309 | 0.89 |
TOP HOSPITALS ASSOCIATED WITH DRG 390: G.I. OBSTRUCTION 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| NorthShore University HealthSystem Evanston Hospital | 2650 RIDGE AVE | Evanston | IL | 60201 | 82 | 0.24 |
| Boca Raton Regional Hospital | 800 MEADOWS ROAD | Boca Raton | FL | 33486 | 81 | 0.23 |
| Methodist Hospital | 7700 FLOYD CURL DRIVE | San Antonio | TX | 78229 | 80 | 0.23 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 390: G.I. OBSTRUCTION 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOHN PIN WEI | 41 MALL RD | BURLINGTON | MA | 01805 | 14 | 0.04 |
| DR. MARK ANTHONY VERSNICK | 1411 PHYSICIANS DR | WILMINGTON | NC | 28401 | 14 | 0.04 |
| DR. MELANIA YEATS | 630 W MAPLE ST | FARMINGTON | NM | 87401 | 14 | 0.04 |
DRG 390: G.I. OBSTRUCTION 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 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 | G.I. Obstruction | G.I. Obstruction | I10 | Essential (primary) hypertension | 46,269 | 20,161 | |||||||||||||||||
| Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | K5660 | Unspecified intestinal obstruction | 60,775 | 16,120 | |||||||||||||||||
| Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | E785 | Hyperlipidemia, unspecified | 24,199 | 11,343 | |||||||||||||||||
| Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | K219 | Gastro-esophageal reflux disease without esophagitis | 19,579 | 9,726 | |||||||||||||||||
| Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | Z87891 | Personal history of nicotine dependence | 13,485 | 7,977 | |||||||||||||||||
| Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | Z9049 | Acquired absence of other specified parts of digestive tract | 13,833 | 7,128 | |||||||||||||||||
| Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | Z7982 | Long term (current) use of aspirin | 7,501 | 6,057 | |||||||||||||||||
| Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | E039 | Hypothyroidism, unspecified | 11,836 | 5,913 | |||||||||||||||||
| Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 10,195 | 5,738 | |||||||||||||||||
| Gastroenterology & Endocrinology | G.I. Obstruction | G.I. Obstruction | E119 | Type 2 diabetes mellitus without complications | 13,901 | 5,043 |