Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | ||||||||||||
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 |
DEMOGRAPHIC DETAILS OF DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 2,397 | 81.78 |
Black | 329 | 11.22 |
Hispanic | 72 | 2.46 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
Less than 65 | 713 | 24.33 |
65 to 69 | 682 | 23.27 |
70 to 74 | 504 | 17.2 |
TOP ICD DIAGNOSIS CODES FOR DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 | 916 | 31.25 |
2724 | Other and unspecified hyperlipidemia | 534 | 18.22 |
25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 515 | 17.57 |
TOP ICD PROCEDURE CODES FOR DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 |
---|---|---|---|
4011 | Biopsy Of Lymphatic Structure | 471 | 16.07 |
387 | Interruption Of Vena Cava | 256 | 8.73 |
5491 | Percutaneous Abdominal Drainage | 256 | 8.73 |
TOP HOSPITALS ASSOCIATED WITH DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 |
---|---|---|---|---|---|---|
Massachusetts General Hospital | 55 FRUIT ST | Boston | MA | 02114 | 22 | 0.75 |
Barnes Jewish Hospital | 1 BARNES-JEWISH HOSPITAL PLZ | Saint Louis | MO | 63110 | 20 | 0.68 |
University of Virginia Health System University Hospital | 1215 LEE ST PFS | Charlottesville | VA | 22908 | 19 | 0.65 |
DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 4019 | Unspecified essential hypertension | NA | 916 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | I10 | Essential (primary) hypertension | 714 | 563 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 534 | |||||||||||||||||
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 | 515 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 53081 | Esophageal reflux | NA | 428 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | E785 | Hyperlipidemia, unspecified | 403 | 364 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 361 | 352 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | V1582 | Personal history of tobacco use | NA | 349 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 78959 | Other ascites | NA | 313 | |||||||||||||||||
Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 2859 | Anemia, unspecified | NA | 300 |