Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
408 | BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | Surgical | 48.29 | NA | 902 | 9,441 | 8,653 | ||||||||||||
409 | BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | Surgical | 38.92 | NA | 758 | 7,610 | 7,359 | ||||||||||||
410 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | Surgical | 12.79 | NA | 289 | 2,500 | 2,439 |
DEMOGRAPHIC DETAILS OF DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 7,574 | 80.22 |
Black | 1,038 | 10.99 |
Hispanic | 232 | 2.46 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
65 to 69 | 1,780 | 18.85 |
Greater than 84 | 1,709 | 18.1 |
70 to 74 | 1,664 | 17.63 |
TOP ICD DIAGNOSIS CODES FOR DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. 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 |
---|---|---|---|
K831 | Obstruction of bile duct | 3,160 | 33.47 |
4019 | Unspecified essential hypertension | 1,241 | 13.14 |
K830 | Cholangitis | 980 | 10.38 |
TOP ICD PROCEDURE CODES FOR DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. 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 |
---|---|---|---|
0F9430Z | Drainage of Gallbladder with Drainage Device, Percutaneous Approach | 2,217 | 23.48 |
0F9930Z | Drainage of Common Bile Duct with Drainage Device, Percutaneous Approach | 1,749 | 18.53 |
BF101ZZ | Fluoroscopy of Bile Ducts using Low Osmolar Contrast | 1,658 | 17.56 |
TOP HOSPITALS ASSOCIATED WITH DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. 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 |
---|---|---|---|---|---|---|
Lahey Hospital & Medical Center | 41 MALL RD | Burlington | MA | 01805 | 75 | 0.79 |
Beth Israel Deaconess Medical Center | 330 BROOKLINE AVE | Boston | MA | 02215 | 68 | 0.72 |
Indiana University Health | 1701 N SENATE | Indianapolis | IN | 46202 | 62 | 0.66 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. 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. GARY C VITALE | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 13 | 0.14 |
DR. THOMAS J HOWARD | 8040 CLEARVISTA PKWY | INDIANAPOLIS | IN | 46256 | 11 | 0.12 |
DR. ITZHAK NIR | 2211 LOMAS BLVD NE | ALBUQUERQUE | NM | 87106 | 11 | 0.12 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. 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. ASSAD HASSOUN | 2340 CLAY ST | SAN FRANCISCO | CA | 94115 | 19 | 0.2 |
DR. TODD K HOWARD | 555 N. NEW BALLAS | SAINT LOUIS | MO | 63141 | 15 | 0.16 |
DR. GARY C VITALE | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 12 | 0.13 |
DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. 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 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | I10 | Essential (primary) hypertension | 5,495 | 3,504 | |||||||||||||||||
General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | K831 | Obstruction of bile duct | 5,652 | 3,160 | |||||||||||||||||
General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | E785 | Hyperlipidemia, unspecified | 3,565 | 2,581 | |||||||||||||||||
General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | K219 | Gastro-esophageal reflux disease without esophagitis | 2,720 | 1,881 | |||||||||||||||||
General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 2,435 | 1,828 | |||||||||||||||||
General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | Z87891 | Personal history of nicotine dependence | 2,567 | 1,805 | |||||||||||||||||
General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | E876 | Hypokalemia | 2,737 | 1,560 | |||||||||||||||||
General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | N179 | Acute kidney failure, unspecified | 2,193 | 1,525 | |||||||||||||||||
General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | E119 | Type 2 diabetes mellitus without complications | 2,320 | 1,403 | |||||||||||||||||
General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | 4019 | Unspecified essential hypertension | NA | 1,241 |