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 | 15.56 | NA | 12,880 | 73,807 | 12,360 | ||||||||||||
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | Non Surgical | 52.64 | NA | 43,582 | 226,127 | 41,815 | ||||||||||||
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | Non Surgical | 31.81 | NA | 26,334 | 124,614 | 23,791 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 10,635 | 82.57 |
| Black | 1,301 | 10.1 |
| Hispanic | 310 | 2.41 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 2,330 | 18.09 |
| 65 to 69 | 2,317 | 17.99 |
| 70 to 74 | 2,270 | 17.62 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| K559 | Vascular disorder of intestine, unspecified | 1,762 | 13.68 |
| K648 | Other hemorrhoids | 1,318 | 10.23 |
| K436 | Other and unspecified ventral hernia with obstruction, without gangrene | 683 | 5.3 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0DJD8ZZ | Inspection of Lower Intestinal Tract, Via Natural or Artificial Opening Endoscopic | 790 | 6.13 |
| 0DBN8ZX | Excision of Sigmoid Colon, Via Natural or Artificial Opening Endoscopic, Diagnostic | 568 | 4.41 |
| 0DBM8ZX | Excision of Descending Colon, Via Natural or Artificial Opening Endoscopic, Diagnostic | 548 | 4.25 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Baptist Medical Center Jacksonville | 800 PRUDENTIAL DR | Jacksonville | FL | 32207 | 45 | 0.35 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 43 | 0.33 |
| Methodist Hospital | 7700 FLOYD CURL DRIVE | San Antonio | TX | 78229 | 37 | 0.29 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. STAVROS NICHOLAS STAVROPOULOS | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | NA | NA |
| DR. AMIT P SAHA | 4200 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | NA | NA |
| DR. GRIGORIY KRICHMAR | 510 HICKSVILLE RD | MASSAPEQUA | NY | 11758 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. LIJIAN WANG | 1600 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 11 | 0.09 |
| DR. KISHOR KUMAR KALLAHALLI MUNIYAPPA | 2626 CARE DR | TALLAHASSEE | FL | 32308 | 11 | 0.09 |
| DR. STAVROS NICHOLAS STAVROPOULOS | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 11 | 0.09 |
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 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 | Other Digestive System Diagnoses | Other Digestive System Diagnoses | I10 | Essential (primary) hypertension | 25,376 | 7,846 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | E785 | Hyperlipidemia, unspecified | 13,413 | 4,742 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | K219 | Gastro-esophageal reflux disease without esophagitis | 10,909 | 3,520 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | Z87891 | Personal history of nicotine dependence | 7,114 | 3,002 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 6,506 | 2,607 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | Z7982 | Long term (current) use of aspirin | 4,313 | 2,426 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | E039 | Hypothyroidism, unspecified | 6,349 | 2,308 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | E119 | Type 2 diabetes mellitus without complications | 8,181 | 2,198 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | K559 | Vascular disorder of intestine, unspecified | 4,653 | 1,762 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Digestive System Diagnoses | Other Digestive System Diagnoses | Z79899 | Other long term (current) drug therapy | 3,043 | 1,707 |