DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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 (%)
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Gastroenterology & Endocrinology Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Non Surgical 19.45 NA 44,915 235,035 222,145
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) Gastroenterology & Endocrinology Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Non Surgical 80.55 NA 170,234 973,535 948,019

DEMOGRAPHIC DETAILS OF DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 168,347 71.63
Black 47,558 20.23
Hispanic 8,767 3.73
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 75,664 32.19
Greater than 84 41,280 17.56
65 to 69 32,624 13.88

TOP ICD DIAGNOSIS CODES FOR DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 46,402 19.74
2724 Other and unspecified hyperlipidemia 45,586 19.4
53081 Esophageal reflux 37,926 16.14

TOP ICD PROCEDURE CODES FOR DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
3995 Hemodialysis 29,065 12.37
4516 Esophagogastroduodenoscopy [Egd] With Closed Biopsy 21,043 8.95
4513 Other Endoscopy Of Small Intestine 12,720 5.41

TOP HOSPITALS ASSOCIATED WITH DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Florida Hospital Orlando 601 E ROLLINS ST Orlando FL 32803 1,258 0.54
Beaumont Hospital, Royal Oak 3601 W 13 MILE RD Royal Oak MI 48073 841 0.36
Yale New Haven Hospital 20 YORK ST New Haven CT 06504 663 0.28

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. JAMES M LALLY 13193 CENTRAL AVE CHINO CA 91710 145 0.06
DR. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 77 0.03
DR. ANDREW M QUELER 415 S 28TH AVE HATTIESBURG MS 39401 73 0.03

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. HERSHEL JACKSON 3990 JOHN R ST DETROIT MI 48201 91 0.04
DR. HRAIR P SIMONIAN 1001 TOWSON AVE FORT SMITH AR 72901 65 0.03

DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders 4019 Unspecified essential hypertension NA 46,402
Gastroenterology & Endocrinology Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders 2724 Other and unspecified hyperlipidemia NA 45,586
Gastroenterology & Endocrinology Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders 53081 Esophageal reflux NA 37,926
Gastroenterology & Endocrinology Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders 5856 End stage renal disease NA 37,783
Gastroenterology & Endocrinology Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders E785 Hyperlipidemia, unspecified 27,255 37,065
Gastroenterology & Endocrinology Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders I10 Essential (primary) hypertension 31,624 35,659
Gastroenterology & Endocrinology Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders 40391 Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease NA 30,896
Gastroenterology & Endocrinology Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 30,861
Gastroenterology & Endocrinology Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders K219 Gastro-esophageal reflux disease without esophagitis 23,047 30,065
Gastroenterology & Endocrinology Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders 4280 Congestive heart failure, unspecified NA 28,977