Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | Surgical | 64.70 | NA | 1,060 | 6,205 | 5,380 | ||||||||||||
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | Surgical | 4.74 | NA | 78 | 455 | 444 | ||||||||||||
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | Surgical | 30.56 | NA | 483 | 2,931 | 2,812 |
DEMOGRAPHIC DETAILS OF DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,636 | 74.71 |
| Black | 1,011 | 16.29 |
| Hispanic | 201 | 3.24 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 1,831 | 29.51 |
| 65 to 69 | 1,346 | 21.69 |
| 70 to 74 | 1,081 | 17.42 |
TOP ICD DIAGNOSIS CODES FOR DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 1,300 | 20.95 |
| 2724 | Other and unspecified hyperlipidemia | 1,082 | 17.44 |
| 78959 | Other ascites | 1,064 | 17.15 |
TOP ICD PROCEDURE CODES FOR DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 |
|---|---|---|---|
| 5491 | Percutaneous Abdominal Drainage | 1,220 | 19.66 |
| 387 | Interruption Of Vena Cava | 971 | 15.65 |
| 9904 | Transfusion Of Packed Cells | 957 | 15.42 |
TOP HOSPITALS ASSOCIATED WITH DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 47 | 0.76 |
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 43 | 0.69 |
| Barnes Jewish Hospital | 1 BARNES-JEWISH HOSPITAL PLZ | Saint Louis | MO | 63110 | 37 | 0.6 |
DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 4019 | Unspecified essential hypertension | NA | 1,300 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 1,082 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 78959 | Other ascites | NA | 1,064 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | I10 | Essential (primary) hypertension | 1,143 | 977 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 5849 | Acute kidney failure, unspecified | NA | 950 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 901 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 5770 | Acute pancreatitis | NA | 839 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 53081 | Esophageal reflux | NA | 793 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 2761 | Hyposmolality and/or hyponatremia | NA | 771 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | E785 | Hyperlipidemia, unspecified | 692 | 767 |