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 | 42.72 | NA | 778 | 8,001 | 700 | ||||||||||||
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Surgical | 12.63 | NA | 230 | 1,253 | 222 | ||||||||||||
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Surgical | 44.65 | NA | 813 | 7,277 | 794 |
DEMOGRAPHIC DETAILS OF DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 606 | 77.89 |
| Black | 97 | 12.47 |
| Hispanic | 23 | 2.96 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 189 | 24.29 |
| 70 to 74 | 158 | 20.31 |
| 75 to 79 | 150 | 19.28 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| C252 | Malignant neoplasm of tail of pancreas | 23 | 2.96 |
| K7031 | Alcoholic cirrhosis of liver with ascites | 21 | 2.7 |
| K767 | Hepatorenal syndrome | 18 | 2.31 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 165 | 21.21 |
| 0F798DZ | Dilation of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic | 151 | 19.41 |
| 0FB04ZX | Excision of Liver, Percutaneous Endoscopic Approach, Diagnostic | 138 | 17.74 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Virginia Mason Medical Center | 925 SENECA ST | Seattle | WA | 98101 | 11 | 1.41 |
| Atrium Health's Carolinas Medical Center | 1000 BLYTHE BLVD | Charlotte | NC | 28203 | 11 | 1.41 |
| NewYork Presbyterian - Columbia University Medical Center | 622 W 168TH ST | New York | NY | 10032 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. LISA A RUTSTEIN | 887 CONGRESS ST | PORTLAND | ME | 04102 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DAVID A. IANNITTI | 1025 MOREHEAD MEDICAL DR | CHARLOTTE | NC | 28204 | NA | NA |
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 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 | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | I10 | Essential (primary) hypertension | 4,726 | 352 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E785 | Hyperlipidemia, unspecified | 2,554 | 283 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | K831 | Obstruction of bile duct | 1,440 | 259 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Z87891 | Personal history of nicotine dependence | 3,026 | 202 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | C787 | Secondary malignant neoplasm of liver and intrahepatic bile duct | 1,228 | 193 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 2,129 | 182 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | N179 | Acute kidney failure, unspecified | 4,806 | 168 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E876 | Hypokalemia | 3,157 | 160 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,751 | 156 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | C250 | Malignant neoplasm of head of pancreas | 471 | 150 |