DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%)
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
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 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 61,302 83.06
Black 7,529 10.2
Hispanic 1,806 2.45
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 14,404 19.52
Less than 65 12,795 17.34
65 to 69 12,768 17.3

TOP ICD DIAGNOSIS CODES FOR DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 26,695 36.17
2724 Other and unspecified hyperlipidemia 15,637 21.19
53081 Esophageal reflux 10,954 14.84

TOP ICD PROCEDURE CODES FOR DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
4525 Closed [Endoscopic] Biopsy Of Large Intestine 7,673 10.4
4513 Other Endoscopy Of Small Intestine 3,083 4.18
4523 Colonoscopy 2,894 3.92

TOP HOSPITALS ASSOCIATED WITH DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 412 0.56
Methodist Hospital 7700 FLOYD CURL DRIVE San Antonio TX 78229 211 0.29
Christiana Care Wilmington Hospital 501 W 14TH ST Wilmington DE 19801 191 0.26

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. ELIE FTEHA 359 AVENUE U BROOKLYN NY 11223 24 0.03

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. LUIS S NASIFF 1321 NW 14TH ST MIAMI FL 33125 33 0.04
DR. BHEEMA S SINGU 2840 SE 3RD CT OCALA FL 34471 32 0.04
DR. NICHOLAS H. SUN 3209 S 23RD ST TACOMA WA 98405 30 0.04

DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 Other Digestive System Diagnoses Other Digestive System Diagnoses 4019 Unspecified essential hypertension NA 26,695
Gastroenterology & Endocrinology Other Digestive System Diagnoses Other Digestive System Diagnoses I10 Essential (primary) hypertension 25,376 19,627
Gastroenterology & Endocrinology Other Digestive System Diagnoses Other Digestive System Diagnoses 2724 Other and unspecified hyperlipidemia NA 15,637
Gastroenterology & Endocrinology Other Digestive System Diagnoses Other Digestive System Diagnoses E785 Hyperlipidemia, unspecified 13,413 11,537
Gastroenterology & Endocrinology Other Digestive System Diagnoses Other Digestive System Diagnoses 53081 Esophageal reflux NA 10,954
Gastroenterology & Endocrinology Other Digestive System Diagnoses Other Digestive System Diagnoses 5579 Unspecified vascular insufficiency of intestine NA 9,867
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 9,140
Gastroenterology & Endocrinology Other Digestive System Diagnoses Other Digestive System Diagnoses 56210 Diverticulosis of colon (without mention of hemorrhage) NA 8,810
Gastroenterology & Endocrinology Other Digestive System Diagnoses Other Digestive System Diagnoses K219 Gastro-esophageal reflux disease without esophagitis 10,909 8,590
Gastroenterology & Endocrinology Other Digestive System Diagnoses Other Digestive System Diagnoses 2449 Unspecified acquired hypothyroidism NA 7,718