Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 421: HEPATOBILIARY DIAGNOSTIC 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 5,986 | 82.26 |
| Black | 674 | 9.26 |
| Hispanic | 214 | 2.94 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 1,820 | 25.01 |
| Less than 65 | 1,786 | 24.54 |
| 70 to 74 | 1,494 | 20.53 |
TOP ICD DIAGNOSIS CODES FOR DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 1,093 | 15.02 |
| 2724 | Other and unspecified hyperlipidemia | 673 | 9.25 |
| 1977 | Malignant neoplasm of liver, secondary | 623 | 8.56 |
TOP ICD PROCEDURE CODES FOR DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 3,358 | 46.15 |
| 0W9G3ZZ | Drainage of Peritoneal Cavity, Percutaneous Approach | 930 | 12.78 |
| 5014 | Laparoscopic Liver Biopsy | 435 | 5.98 |
TOP HOSPITALS ASSOCIATED WITH DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 47 | 0.65 |
| University of Alabama Hospital | 619 19TH ST S | Birmingham | AL | 35249 | 46 | 0.63 |
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 45 | 0.62 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. WILLIAM R JARNAGIN | 1275 YORK AVE | NEW YORK | NY | 10021 | 18 | 0.25 |
| DR. WILLIAM CHARLES CONWAY | 1514 JEFFERSON HIGHWAY | NEW ORLEANS | LA | 70121 | 13 | 0.18 |
| DR. TODD K HOWARD | 555 N. NEW BALLAS | SAINT LOUIS | MO | 63141 | 13 | 0.18 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. WILLIAM R JARNAGIN | 1275 YORK AVE | NEW YORK | NY | 10021 | 17 | 0.23 |
| DR. WILLIAM CHARLES CONWAY | 1514 JEFFERSON HIGHWAY | NEW ORLEANS | LA | 70121 | 13 | 0.18 |
| DR. TODD K HOWARD | 555 N. NEW BALLAS | SAINT LOUIS | MO | 63141 | 13 | 0.18 |
DRG 421: HEPATOBILIARY DIAGNOSTIC 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 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 | I10 | Essential (primary) hypertension | 5,665 | 2,506 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | R188 | Other ascites | 4,403 | 1,841 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E785 | Hyperlipidemia, unspecified | 2,350 | 1,481 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E119 | Type 2 diabetes mellitus without complications | 2,868 | 1,365 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 2,286 | 1,364 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Z87891 | Personal history of nicotine dependence | 2,635 | 1,356 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | K766 | Portal hypertension | 4,713 | 1,318 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | K7031 | Alcoholic cirrhosis of liver with ascites | 5,610 | 1,179 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | 4019 | Unspecified essential hypertension | NA | 1,093 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | K7460 | Unspecified cirrhosis of liver | 2,660 | 1,089 |