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 | 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | Back to Top |
ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|
4019 | Unspecified essential hypertension | 26,695 | 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) | 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 | 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) | 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 | 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) | Back to Top |
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) | Back to Top |
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 | 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 | 26,695 | |||||||||||||||||
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 |