Jan 2013 to Dec 2017   |   Jan 2017 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 | 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | 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 | 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) | Back to Top |
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) | Back to Top |
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 | 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 | 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 |