Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | ||||||||||||
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 |
DEMOGRAPHIC DETAILS OF DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 22,274 | 83.3 |
Black | 2,205 | 8.25 |
Asian | 654 | 2.45 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
65 to 69 | 7,996 | 29.9 |
70 to 74 | 6,511 | 24.35 |
75 to 79 | 4,683 | 17.51 |
TOP ICD DIAGNOSIS CODES FOR DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|
4019 | Unspecified essential hypertension | 8,531 | 31.9 |
2724 | Other and unspecified hyperlipidemia | 4,805 | 17.97 |
53081 | Esophageal reflux | 4,237 | 15.85 |
TOP ICD PROCEDURE CODES FOR DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 4,422 | 16.54 |
0FT40ZZ | Resection of Gallbladder, Open Approach | 4,000 | 14.96 |
527 | Radical Pancreaticoduodenectomy | 3,951 | 14.78 |
TOP HOSPITALS ASSOCIATED WITH DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 773 | 2.89 |
The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 571 | 2.14 |
Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 434 | 1.62 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 229 | 0.86 |
DR. PETER J ALLEN | 1275 YORK AVE | NEW YORK | NY | 10021 | 225 | 0.84 |
DR. WILLIAM R JARNAGIN | 1275 YORK AVE | NEW YORK | NY | 10021 | 189 | 0.71 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 236 | 0.88 |
DR. PETER J ALLEN | 1275 YORK AVE | NEW YORK | NY | 10021 | 220 | 0.82 |
DR. WILLIAM R JARNAGIN | 1275 YORK AVE | NEW YORK | NY | 10021 | 171 | 0.64 |
DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 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 | 8,531 | |||||||||||||||||
General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | I10 | Essential (primary) hypertension | 6,842 | 6,509 | |||||||||||||||||
General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 4,805 | |||||||||||||||||
General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | 53081 | Esophageal reflux | NA | 4,237 | |||||||||||||||||
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 | 4,075 | |||||||||||||||||
General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | E785 | Hyperlipidemia, unspecified | 3,366 | 3,988 | |||||||||||||||||
General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | V1582 | Personal history of tobacco use | NA | 3,848 | |||||||||||||||||
General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 2,979 | 3,541 | |||||||||||||||||
General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | Z87891 | Personal history of nicotine dependence | 3,417 | 3,482 | |||||||||||||||||
General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | 1977 | Malignant neoplasm of liver, secondary | NA | 2,975 |