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 | 20.88 | NA | 44,915 | 235,035 | 42,555 | ||||||||||||
| 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 | 79.12 | NA | 170,234 | 973,535 | 165,827 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 32,295 | 71.9 |
| Black | 8,802 | 19.6 |
| Hispanic | 1,681 | 3.74 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 13,402 | 29.84 |
| Greater than 84 | 8,083 | 18.0 |
| 65 to 69 | 6,427 | 14.31 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| Z992 | Dependence on renal dialysis | 10,133 | 22.56 |
| K529 | Noninfective gastroenteritis and colitis, unspecified | 8,473 | 18.86 |
| E43 | Unspecified severe protein-calorie malnutrition | 8,083 | 18.0 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0DB68ZX | Excision of Stomach, Via Natural or Artificial Opening Endoscopic, Diagnostic | 4,082 | 9.09 |
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 3,852 | 8.58 |
| 0DJ08ZZ | Inspection of Upper Intestinal Tract, Via Natural or Artificial Opening Endoscopic | 2,769 | 6.16 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 247 | 0.55 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 158 | 0.35 |
| Yale New Haven Hospital | 20 YORK ST | New Haven | CT | 06504 | 150 | 0.33 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ANDREW M QUELER | 415 S 28TH AVE | HATTIESBURG | MS | 39401 | 18 | 0.04 |
| DR. MANAF MADOUN | 468 CADIEUX RD | GROSSE POINTE | MI | 48230 | 18 | 0.04 |
| DR. ELHAM GHADISHAH | 3831 HUGHES AVE | CULVER CITY | CA | 90232 | 16 | 0.04 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. AZZAM MUFTAH | 12900 CORTEZ BLVD | BROOKSVILLE | FL | 34613 | 16 | 0.04 |
| DR. LOVE N DALAL | 2809 OLIVE HWY | OROVILLE | CA | 95966 | 14 | 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 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 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | E785 | Hyperlipidemia, unspecified | 27,255 | 16,576 | |||||||||||||||||
| Gastroenterology & Endocrinology | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | I10 | Essential (primary) hypertension | 31,624 | 14,505 | |||||||||||||||||
| Gastroenterology & Endocrinology | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | K219 | Gastro-esophageal reflux disease without esophagitis | 23,047 | 13,617 | |||||||||||||||||
| Gastroenterology & Endocrinology | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 19,962 | 12,640 | |||||||||||||||||
| Gastroenterology & Endocrinology | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | N186 | End stage renal disease | 20,557 | 11,790 | |||||||||||||||||
| Gastroenterology & Endocrinology | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | E860 | Dehydration | 20,115 | 11,228 | |||||||||||||||||
| Gastroenterology & Endocrinology | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Z87891 | Personal history of nicotine dependence | 15,631 | 10,444 | |||||||||||||||||
| Gastroenterology & Endocrinology | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Z992 | Dependence on renal dialysis | 17,106 | 10,133 | |||||||||||||||||
| Gastroenterology & Endocrinology | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | E876 | Hypokalemia | 17,833 | 9,547 | |||||||||||||||||
| Gastroenterology & Endocrinology | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders | E1122 | Type 2 diabetes mellitus with diabetic chronic kidney disease | 5,950 | 8,628 |