DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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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

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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)

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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)

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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)

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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)

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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)

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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)

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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

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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