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 | 44.65 | NA | 813 | 7,277 | 794 | ||||||||||||
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 659 | 81.06 |
| Black | 96 | 11.81 |
| Other | 15 | 1.85 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 202 | 24.85 |
| 70 to 74 | 195 | 23.99 |
| 75 to 79 | 146 | 17.96 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| C23 | Malignant neoplasm of gallbladder | 59 | 7.26 |
| C252 | Malignant neoplasm of tail of pancreas | 43 | 5.29 |
| C251 | Malignant neoplasm of body of pancreas | 40 | 4.92 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0FB04ZX | Excision of Liver, Percutaneous Endoscopic Approach, Diagnostic | 145 | 17.84 |
| 0WJG4ZZ | Inspection of Peritoneal Cavity, Percutaneous Endoscopic Approach | 93 | 11.44 |
| 0FB00ZX | Excision of Liver, Open Approach, Diagnostic | 93 | 11.44 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 13 | 1.6 |
| Ochsner Medical Center | 1516 JEFFERSON HWY | New Orleans | LA | 70121 | NA | NA |
| St. Joseph's Hospital and Medical Center | 350 W THOMAS RD | Phoenix | AZ | 85013 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. WILLIAM R JARNAGIN | 1275 YORK AVE | NEW YORK | NY | 10021 | NA | NA |
| DR. DHIRESH ROHAN JEYARAJAH | 221 W COLORADO BLVD | DALLAS | TX | 75208 | NA | NA |
| DR. WILLIAM CHARLES CONWAY | 1514 JEFFERSON HIGHWAY | NEW ORLEANS | LA | 70121 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JAMES LOFTON CASHMAN | 2218 N 3RD ST | PHOENIX | AZ | 85004 | NA | NA |
| DR. WILLIAM R JARNAGIN | 1275 YORK AVE | NEW YORK | NY | 10021 | NA | NA |
| DR. ZIAD TARIK AWAD | 655 W 8TH ST | JACKSONVILLE | FL | 32209 | NA | NA |
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 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 | 5,665 | 438 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E785 | Hyperlipidemia, unspecified | 2,350 | 279 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | C787 | Secondary malignant neoplasm of liver and intrahepatic bile duct | 1,368 | 261 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Z87891 | Personal history of nicotine dependence | 2,635 | 239 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 2,286 | 238 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E119 | Type 2 diabetes mellitus without complications | 2,868 | 185 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,334 | 164 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E039 | Hypothyroidism, unspecified | 1,423 | 120 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | C786 | Secondary malignant neoplasm of retroperitoneum and peritoneum | 603 | 118 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Z7982 | Long term (current) use of aspirin | 650 | 109 |