Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | Surgical | 37.03 | NA | 4,092 | 21,581 | 19,689 | ||||||||||||
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | Surgical | 45.88 | NA | 5,304 | 26,740 | 26,549 | ||||||||||||
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | Surgical | 17.10 | NA | 1,932 | 9,966 | 9,934 |
DEMOGRAPHIC DETAILS OF DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 17,654 | 81.8 |
| Black | 1,988 | 9.21 |
| Hispanic | 541 | 2.51 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 5,734 | 26.57 |
| 70 to 74 | 4,800 | 22.24 |
| Less than 65 | 4,368 | 20.24 |
TOP ICD DIAGNOSIS CODES FOR DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES 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 | 6,236 | 28.9 |
| 2724 | Other and unspecified hyperlipidemia | 3,905 | 18.09 |
| 2851 | Acute posthemorrhagic anemia | 3,676 | 17.03 |
TOP ICD PROCEDURE CODES FOR DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES 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 |
|---|---|---|---|
| 0FBG0ZZ | Excision of Pancreas, Open Approach | 4,220 | 19.55 |
| 527 | Radical Pancreaticoduodenectomy | 4,068 | 18.85 |
| 9904 | Transfusion Of Packed Cells | 3,926 | 18.19 |
TOP HOSPITALS ASSOCIATED WITH DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES 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 |
|---|---|---|---|---|---|---|
| Indiana University Health | 1701 N SENATE | Indianapolis | IN | 46202 | 279 | 1.29 |
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 262 | 1.21 |
| NewYork Presbyterian - Columbia University Medical Center | 622 W 168TH ST | New York | NY | 10032 | 257 | 1.19 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES 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. JOHN CHABOT | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 125 | 0.58 |
| DR. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 98 | 0.45 |
| DR. FRANCIS R SPITZ | 3 COOPER PLZ | CAMDEN | NJ | 08103 | 93 | 0.43 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES 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. JOHN CHABOT | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 128 | 0.59 |
| DR. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 108 | 0.5 |
| DR. ASSAD HASSOUN | 2340 CLAY ST | SAN FRANCISCO | CA | 94115 | 95 | 0.44 |
DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | 4019 | Unspecified essential hypertension | NA | 6,236 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | I10 | Essential (primary) hypertension | 5,019 | 4,762 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 3,905 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | 2851 | Acute posthemorrhagic anemia | NA | 3,676 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 3,259 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | 53081 | Esophageal reflux | NA | 3,176 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | E785 | Hyperlipidemia, unspecified | 2,754 | 3,144 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | D62 | Acute posthemorrhagic anemia | 3,004 | 2,902 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | V1582 | Personal history of tobacco use | NA | 2,753 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 2,354 | 2,656 |