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 | 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,407 | 83.09 |
| Black | 414 | 7.81 |
| Asian | 140 | 2.64 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 1,625 | 30.64 |
| 70 to 74 | 1,385 | 26.11 |
| 75 to 79 | 968 | 18.25 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| C250 | Malignant neoplasm of head of pancreas | 912 | 17.19 |
| C772 | Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes | 675 | 12.73 |
| C220 | Liver cell carcinoma | 530 | 9.99 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0FBG0ZZ | Excision of Pancreas, Open Approach | 2,005 | 37.8 |
| 0FT40ZZ | Resection of Gallbladder, Open Approach | 1,812 | 34.16 |
| 0DB90ZZ | Excision of Duodenum, Open Approach | 1,117 | 21.06 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 171 | 3.22 |
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 133 | 2.51 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 94 | 1.77 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. PETER J ALLEN | 1275 YORK AVE | NEW YORK | NY | 10021 | 57 | 1.07 |
| DR. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 55 | 1.04 |
| DR. WILLIAM R JARNAGIN | 1275 YORK AVE | NEW YORK | NY | 10021 | 50 | 0.94 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. MALCOLM M BILIMORIA | 880 W CENTRAL RD | ARLINGTON HEIGHTS | IL | 60005 | 55 | 1.04 |
| DR. PETER J ALLEN | 1275 YORK AVE | NEW YORK | NY | 10021 | 54 | 1.02 |
| DR. WILLIAM R JARNAGIN | 1275 YORK AVE | NEW YORK | NY | 10021 | 47 | 0.89 |
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 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 | 6,842 | 2,904 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | E785 | Hyperlipidemia, unspecified | 3,366 | 1,872 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 2,979 | 1,699 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | Z87891 | Personal history of nicotine dependence | 3,417 | 1,614 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | D62 | Acute posthemorrhagic anemia | 2,516 | 1,020 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | E119 | Type 2 diabetes mellitus without complications | 2,686 | 970 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,402 | 924 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | C787 | Secondary malignant neoplasm of liver and intrahepatic bile duct | 3,344 | 915 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | C250 | Malignant neoplasm of head of pancreas | 1,802 | 912 | |||||||||||||||||
| General Surgery | Pancreas, Liver And Shunt Procedures | Pancreas, Liver And Shunt Procedures | Z7982 | Long term (current) use of aspirin | 939 | 839 |