Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | Non Surgical | 29.35 | NA | 26,334 | 124,614 | 111,641 | ||||||||||||
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | Non Surgical | 17.38 | NA | 12,880 | 73,807 | 70,731 | ||||||||||||
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | Non Surgical | 53.26 | NA | 43,582 | 226,127 | 216,659 |
DEMOGRAPHIC DETAILS OF DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 92,329 | 74.09 |
| Black | 22,088 | 17.73 |
| Hispanic | 3,858 | 3.1 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 28,733 | 23.06 |
| Greater than 84 | 24,264 | 19.47 |
| 65 to 69 | 18,954 | 15.21 |
TOP ICD DIAGNOSIS CODES FOR DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES 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 | 26,225 | 21.04 |
| 2724 | Other and unspecified hyperlipidemia | 21,484 | 17.24 |
| 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 16,371 | 13.14 |
TOP ICD PROCEDURE CODES FOR DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES 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 |
|---|---|---|---|
| 9904 | Transfusion Of Packed Cells | 13,857 | 11.12 |
| 3995 | Hemodialysis | 9,748 | 7.82 |
| 4513 | Other Endoscopy Of Small Intestine | 8,381 | 6.73 |
TOP HOSPITALS ASSOCIATED WITH DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES 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 | 663 | 0.53 |
| Barnes Jewish Hospital | 1 BARNES-JEWISH HOSPITAL PLZ | Saint Louis | MO | 63110 | 386 | 0.31 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 363 | 0.29 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES 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. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 57 | 0.05 |
| DR. SHRIKANT TAMHANE | 23517 MAIN ST STE 103 | CARSON | CA | 90745 | 54 | 0.04 |
| DR. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 50 | 0.04 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES 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. MOUSTAFA E ALAMY | 16660 PARAMOUNT BLVD | PARAMOUNT | CA | 90723 | 171 | 0.14 |
| DR. CHIA CHI GEORGE LAI | 500 N GARFIELD AVE | MONTEREY PARK | CA | 91754 | 84 | 0.07 |
| DR. NAGARAJ M CHETTY | 15211 VANOWEN STREET | VAN NUYS | CA | 91405 | 54 | 0.04 |
DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES 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 | Other Digestive System Diagnoses | Other Digestive System Diagnoses | 4019 | Unspecified essential hypertension | NA | 26,225 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | I10 | Essential (primary) hypertension | 19,511 | 22,249 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | 2724 | Other and unspecified hyperlipidemia | NA | 21,484 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | E785 | Hyperlipidemia, unspecified | 14,016 | 20,462 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 16,371 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | 42731 | Atrial fibrillation | NA | 16,273 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 10,931 | 16,247 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | 53081 | Esophageal reflux | NA | 16,056 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | K219 | Gastro-esophageal reflux disease without esophagitis | 10,986 | 15,283 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | 4280 | Congestive heart failure, unspecified | NA | 15,088 |