Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | ||||||||||||
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 | ||||||||||||
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 |
DEMOGRAPHIC DETAILS OF DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 185,627 | 82.09 |
Black | 26,237 | 11.6 |
Hispanic | 5,204 | 2.3 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
Greater than 84 | 45,816 | 20.26 |
Less than 65 | 42,618 | 18.85 |
65 to 69 | 35,776 | 15.82 |
TOP ICD DIAGNOSIS CODES FOR DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|
4019 | Unspecified essential hypertension | 67,869 | 30.01 |
2724 | Other and unspecified hyperlipidemia | 45,779 | 20.24 |
53081 | Esophageal reflux | 33,027 | 14.61 |
TOP ICD PROCEDURE CODES FOR DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|
4525 | Closed [Endoscopic] Biopsy Of Large Intestine | 19,006 | 8.41 |
9904 | Transfusion Of Packed Cells | 14,649 | 6.48 |
4513 | Other Endoscopy Of Small Intestine | 11,728 | 5.19 |
TOP HOSPITALS ASSOCIATED WITH DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 1,063 | 0.47 |
Yale New Haven Hospital | 20 YORK ST | New Haven | CT | 06504 | 592 | 0.26 |
Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 575 | 0.25 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 84 | 0.04 |
DR. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 69 | 0.03 |
DR. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 62 | 0.03 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 135 | 0.06 |
DR. NICHOLAS H. SUN | 3209 S 23RD ST | TACOMA | WA | 98405 | 97 | 0.04 |
DR. CHIA CHI GEORGE LAI | 500 N GARFIELD AVE | MONTEREY PARK | CA | 91754 | 83 | 0.04 |
DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 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 | 67,869 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | I10 | Essential (primary) hypertension | 50,073 | 52,227 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | 2724 | Other and unspecified hyperlipidemia | NA | 45,779 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | E785 | Hyperlipidemia, unspecified | 30,493 | 38,505 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | 53081 | Esophageal reflux | NA | 33,027 | |||||||||||||||||
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 | 30,237 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | K219 | Gastro-esophageal reflux disease without esophagitis | 22,937 | 28,898 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | 42731 | Atrial fibrillation | NA | 25,733 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 18,041 | 25,434 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | Z87891 | Personal history of nicotine dependence | 17,930 | 24,796 |