Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Surgical | 48.40 | NA | 778 | 8,001 | 6,769 | ||||||||||||
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Surgical | 7.58 | NA | 230 | 1,253 | 1,190 | ||||||||||||
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Surgical | 44.02 | NA | 813 | 7,277 | 6,991 |
DEMOGRAPHIC DETAILS OF DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 6,275 | 78.43 |
| Black | 962 | 12.02 |
| Hispanic | 261 | 3.26 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 2,419 | 30.23 |
| 65 to 69 | 2,007 | 25.08 |
| 70 to 74 | 1,393 | 17.41 |
TOP ICD DIAGNOSIS CODES FOR DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 |
|---|---|---|---|
| K7031 | Alcoholic cirrhosis of liver with ascites | 1,629 | 20.36 |
| K767 | Hepatorenal syndrome | 992 | 12.4 |
| 4019 | Unspecified essential hypertension | 811 | 10.14 |
TOP ICD PROCEDURE CODES FOR DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 |
|---|---|---|---|
| 0W9G3ZX | Drainage of Peritoneal Cavity, Percutaneous Approach, Diagnostic | 5,153 | 64.4 |
| 0W9G3ZZ | Drainage of Peritoneal Cavity, Percutaneous Approach | 2,050 | 25.62 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 967 | 12.09 |
TOP HOSPITALS ASSOCIATED WITH DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 |
|---|---|---|---|---|---|---|
| University of Alabama Hospital | 619 19TH ST S | Birmingham | AL | 35249 | 54 | 0.67 |
| Massachusetts General Hospital | 55 FRUIT ST | Boston | MA | 02114 | 51 | 0.64 |
| Beth Israel Deaconess Medical Center | 330 BROOKLINE AVE | Boston | MA | 02215 | 51 | 0.64 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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. LISA A RUTSTEIN | 887 CONGRESS ST | PORTLAND | ME | 04102 | 18 | 0.22 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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. DAVID A. IANNITTI | 1025 MOREHEAD MEDICAL DR | CHARLOTTE | NC | 28204 | 11 | 0.14 |
DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | R188 | Other ascites | 5,032 | 2,600 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | I10 | Essential (primary) hypertension | 4,726 | 2,236 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | N179 | Acute kidney failure, unspecified | 4,806 | 2,167 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | K766 | Portal hypertension | 5,588 | 2,117 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E871 | Hypo-osmolality and hyponatremia | 4,335 | 1,710 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E785 | Hyperlipidemia, unspecified | 2,554 | 1,664 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | K7031 | Alcoholic cirrhosis of liver with ascites | 5,996 | 1,629 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E119 | Type 2 diabetes mellitus without complications | 2,822 | 1,484 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Z87891 | Personal history of nicotine dependence | 3,026 | 1,469 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 2,129 | 1,429 |