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 | 36.16 | NA | 8,439 | 47,590 | 7,749 | ||||||||||||
| 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 | 59.41 | NA | 13,864 | 65,486 | 11,854 | ||||||||||||
| 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 | 4.43 | NA | 1,034 | 6,326 | 953 |
DEMOGRAPHIC DETAILS OF DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 6,610 | 78.33 |
| Black | 1,097 | 13.0 |
| Hispanic | 215 | 2.55 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 1,880 | 22.28 |
| 70 to 74 | 1,712 | 20.29 |
| 75 to 79 | 1,405 | 16.65 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| C787 | Secondary malignant neoplasm of liver and intrahepatic bile duct | 4,575 | 54.21 |
| C259 | Malignant neoplasm of pancreas, unspecified | 1,811 | 21.46 |
| C220 | Liver cell carcinoma | 998 | 11.83 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0W9G3ZZ | Drainage of Peritoneal Cavity, Percutaneous Approach | 899 | 10.65 |
| 0FB13ZX | Excision of Right Lobe Liver, Percutaneous Approach, Diagnostic | 851 | 10.08 |
| 0FB03ZX | Excision of Liver, Percutaneous Approach, Diagnostic | 633 | 7.5 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| University of Texas MD Anderson Cancer Center | 1515 HOLCOMBE BLVD | Houston | TX | 77030 | 97 | 1.15 |
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 73 | 0.87 |
| Calvary Hospital | 1740 EASTCHESTER RD | Bronx | NY | 10461 | 55 | 0.65 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ANDREW ZARETSKY | 1379 54TH ST | BROOKLYN | NY | 11219 | NA | NA |
| DR. CHHAVI BANSAL KUMAR | 550 1ST AVE | NEW YORK | NY | 10016 | NA | NA |
| DR. DEVMANI JAITLY | 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. LORENZO CARSON | 417 W 3RD AVE | ALBANY | GA | 31701 | NA | NA |
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 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 4,575 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | I10 | Essential (primary) hypertension | 12,682 | 4,337 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | E785 | Hyperlipidemia, unspecified | 6,545 | 2,818 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | Z87891 | Personal history of nicotine dependence | 5,835 | 2,368 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | Z66 | Do not resuscitate | 5,457 | 2,366 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | K219 | Gastro-esophageal reflux disease without esophagitis | 4,186 | 1,941 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | Z515 | Encounter for palliative care | 6,013 | 1,904 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | C259 | Malignant neoplasm of pancreas, unspecified | 5,962 | 1,811 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | E119 | Type 2 diabetes mellitus without complications | 5,894 | 1,742 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 3,604 | 1,640 |