Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | Non Surgical | 54.84 | NA | 13,864 | 65,486 | 55,512 | ||||||||||||
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | Non Surgical | 39.86 | NA | 8,439 | 47,590 | 43,237 | ||||||||||||
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | Non Surgical | 5.30 | NA | 1,034 | 6,326 | 5,819 |
DEMOGRAPHIC DETAILS OF DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 50,740 | 77.48 |
| Black | 9,269 | 14.15 |
| Asian | 1,630 | 2.49 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 13,874 | 21.19 |
| 70 to 74 | 12,581 | 19.21 |
| 75 to 79 | 11,118 | 16.98 |
TOP ICD DIAGNOSIS CODES FOR DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 | 17,849 | 27.26 |
| 1977 | Malignant neoplasm of liver, secondary | 14,572 | 22.25 |
| 5762 | Obstruction of bile duct | 14,428 | 22.03 |
TOP ICD PROCEDURE CODES FOR DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 |
|---|---|---|---|
| 5187 | Endoscopic Insertion Of Stent (Tube) Into Bile Duct | 8,853 | 13.52 |
| 5185 | Endoscopic Sphincterotomy And Papillotomy | 7,134 | 10.89 |
| 0F798DZ | Dilation of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic | 6,666 | 10.18 |
TOP HOSPITALS ASSOCIATED WITH DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 | 383 | 0.58 |
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 347 | 0.53 |
| University of Texas MD Anderson Cancer Center | 1515 HOLCOMBE BLVD | Houston | TX | 77030 | 320 | 0.49 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOHN GUNN LEE | 101 THE CITY DRIVE SOUTH | ORANGE | CA | 92868 | 97 | 0.15 |
| DR. SHYAM VARADARAJULU | 2415 N ORANGE AVE | ORLANDO | FL | 32804 | 73 | 0.11 |
| DR. ADAM B ELFANT | 501 FELLOWSHIP RD | MOUNT LAUREL | NJ | 08054 | 61 | 0.09 |
DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 4019 | Unspecified essential hypertension | NA | 17,849 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | I10 | Essential (primary) hypertension | 14,186 | 14,973 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 1977 | Malignant neoplasm of liver, secondary | NA | 14,572 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 5762 | Obstruction of bile duct | NA | 14,428 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | K831 | Obstruction of bile duct | 10,786 | 12,536 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | C787 | Secondary malignant neoplasm of liver and intrahepatic bile duct | 12,388 | 12,293 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 2724 | Other and unspecified hyperlipidemia | NA | 11,538 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | E785 | Hyperlipidemia, unspecified | 7,866 | 10,327 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | V4986 | Do not resuscitate status | NA | 10,266 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 9,805 |