Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 37,335 | 78.45 |
| Black | 6,442 | 13.54 |
| Hispanic | 1,176 | 2.47 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 9,861 | 20.72 |
| 70 to 74 | 8,997 | 18.91 |
| 75 to 79 | 8,215 | 17.26 |
TOP ICD DIAGNOSIS CODES FOR DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 |
|---|---|---|---|
| 1977 | Malignant neoplasm of liver, secondary | 15,415 | 32.39 |
| 4019 | Unspecified essential hypertension | 14,677 | 30.84 |
| C787 | Secondary malignant neoplasm of liver and intrahepatic bile duct | 10,920 | 22.95 |
TOP ICD PROCEDURE CODES FOR DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 |
|---|---|---|---|
| 5011 | Closed (Percutaneous) [Needle] Biopsy Of Liver | 6,606 | 13.88 |
| 5491 | Percutaneous Abdominal Drainage | 4,375 | 9.19 |
| 9904 | Transfusion Of Packed Cells | 2,209 | 4.64 |
TOP HOSPITALS ASSOCIATED WITH DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 | 402 | 0.84 |
| Calvary Hospital | 1740 EASTCHESTER RD | Bronx | NY | 10461 | 345 | 0.72 |
| University of Texas MD Anderson Cancer Center | 1515 HOLCOMBE BLVD | Houston | TX | 77030 | 299 | 0.63 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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. IRINA MAKAREVICH | 150 55TH ST | BROOKLYN | NY | 11220 | 42 | 0.09 |
| DR. ALMA CARRINGTON | CALVARY HOSPITAL | BRONX | NY | 10461 | 39 | 0.08 |
| DR. ERIC REUVEN GOLDMAN | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 37 | 0.08 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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. KAREN T BROWN | 1275 YORK AVE | NEW YORK | NY | 10021 | 33 | 0.07 |
DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 1977 | Malignant neoplasm of liver, secondary | NA | 15,415 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 4019 | Unspecified essential hypertension | NA | 14,677 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | C787 | Secondary malignant neoplasm of liver and intrahepatic bile duct | 13,719 | 10,920 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | I10 | Essential (primary) hypertension | 12,682 | 10,594 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 2724 | Other and unspecified hyperlipidemia | NA | 8,836 | |||||||||||||||||
| 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 | 8,003 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | E785 | Hyperlipidemia, unspecified | 6,545 | 6,610 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | V4986 | Do not resuscitate status | NA | 6,373 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | V1582 | Personal history of tobacco use | NA | 6,346 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 1579 | Malignant neoplasm of pancreas, part unspecified | NA | 5,827 |