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 | 36.12 | NA | 4,092 | 21,581 | 3,749 | ||||||||||||
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | Surgical | 46.82 | NA | 5,304 | 26,740 | 5,273 | ||||||||||||
| 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 | 17.06 | NA | 1,932 | 9,966 | 1,930 |
DEMOGRAPHIC DETAILS OF DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 3,342 | 81.67 |
| Black | 358 | 8.75 |
| Hispanic | 120 | 2.93 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 1,152 | 28.15 |
| 70 to 74 | 966 | 23.61 |
| Less than 65 | 777 | 18.99 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| K831 | Obstruction of bile duct | 1,021 | 24.95 |
| C250 | Malignant neoplasm of head of pancreas | 931 | 22.75 |
| C772 | Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes | 396 | 9.68 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0FBG0ZZ | Excision of Pancreas, Open Approach | 1,841 | 44.99 |
| 0FT40ZZ | Resection of Gallbladder, Open Approach | 1,454 | 35.53 |
| 0DB90ZZ | Excision of Duodenum, Open Approach | 1,199 | 29.3 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Indiana University Health | 1701 N SENATE | Indianapolis | IN | 46202 | 59 | 1.44 |
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 58 | 1.42 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 54 | 1.32 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOHN CHABOT | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 27 | 0.66 |
| DR. NICHOLAS NISSEN | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 21 | 0.51 |
| DR. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 18 | 0.44 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOHN CHABOT | 161 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 29 | 0.71 |
| DR. NICHOLAS NISSEN | 8700 BEVERLY BLVD. | LOS ANGELES | CA | 90048 | 21 | 0.51 |
| DR. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 19 | 0.46 |
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 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | I10 | Essential (primary) hypertension | 5,019 | 1,977 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | D62 | Acute posthemorrhagic anemia | 3,004 | 1,386 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | E785 | Hyperlipidemia, unspecified | 2,754 | 1,372 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 2,354 | 1,172 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | Z87891 | Personal history of nicotine dependence | 2,482 | 1,100 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | K831 | Obstruction of bile duct | 3,004 | 1,021 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | C250 | Malignant neoplasm of head of pancreas | 2,324 | 931 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | N179 | Acute kidney failure, unspecified | 1,636 | 784 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | E43 | Unspecified severe protein-calorie malnutrition | 1,585 | 770 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,317 | 762 |