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 | 46.28 | NA | 902 | 9,441 | 836 | ||||||||||||
| 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 | 38.89 | NA | 758 | 7,610 | 730 | ||||||||||||
| 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 | 14.83 | NA | 289 | 2,500 | 287 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 713 | 79.05 |
| Black | 100 | 11.09 |
| Asian | 28 | 3.1 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 212 | 23.5 |
| 75 to 79 | 165 | 18.29 |
| 70 to 74 | 159 | 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| K831 | Obstruction of bile duct | 434 | 48.12 |
| K830 | Cholangitis | 136 | 15.08 |
| C250 | Malignant neoplasm of head of pancreas | 133 | 14.75 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| BF101ZZ | Fluoroscopy of Bile Ducts using Low Osmolar Contrast | 263 | 29.16 |
| 0FT40ZZ | Resection of Gallbladder, Open Approach | 262 | 29.05 |
| 0F9930Z | Drainage of Common Bile Duct with Drainage Device, Percutaneous Approach | 171 | 18.96 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Beth Israel Deaconess Medical Center | 330 BROOKLINE AVE | Boston | MA | 02215 | 14 | 1.55 |
| Missouri Baptist Medical Center | 3015 N BALLAS RD | Saint Louis | MO | 63131 | NA | NA |
| Cleveland Clinic | 9500 EUCLID AVE | Cleveland | OH | 44195 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GARY C VITALE | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | NA | NA |
| DR. THOMAS J HOWARD | 8040 CLEARVISTA PKWY | INDIANAPOLIS | IN | 46256 | NA | NA |
| DR. ITZHAK NIR | 2211 LOMAS BLVD NE | ALBUQUERQUE | NM | 87106 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. TODD K HOWARD | 555 N. NEW BALLAS | SAINT LOUIS | MO | 63141 | NA | NA |
| DR. ASSAD HASSOUN | 2340 CLAY ST | SAN FRANCISCO | CA | 94115 | NA | NA |
| DR. OMAR BARAKAT | 6624 FANNIN ST | HOUSTON | TX | 77030 | NA | NA |
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 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 | 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 | 438 | |||||||||||||||||
| 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 | 434 | |||||||||||||||||
| 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 | 310 | |||||||||||||||||
| 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 | 255 | |||||||||||||||||
| 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 | 234 | |||||||||||||||||
| 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 | 214 | |||||||||||||||||
| 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 | 207 | |||||||||||||||||
| 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. | E43 | Unspecified severe protein-calorie malnutrition | 1,551 | 177 | |||||||||||||||||
| 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 | 171 | |||||||||||||||||
| 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 | 146 |