Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,988 | 78.85 |
| Black | 790 | 12.49 |
| Hispanic | 190 | 3.0 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 1,373 | 21.7 |
| 70 to 74 | 1,211 | 19.14 |
| 75 to 79 | 1,054 | 16.66 |
TOP ICD DIAGNOSIS CODES FOR DRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 2,317 | 36.63 |
| 2724 | Other and unspecified hyperlipidemia | 1,150 | 18.18 |
| 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 1,135 | 17.94 |
TOP ICD PROCEDURE CODES FOR DRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 5011 | Closed (Percutaneous) [Needle] Biopsy Of Liver | 824 | 13.03 |
| 5187 | Endoscopic Insertion Of Stent (Tube) Into Bile Duct | 389 | 6.15 |
| 5185 | Endoscopic Sphincterotomy And Papillotomy | 344 | 5.44 |
TOP HOSPITALS ASSOCIATED WITH DRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|---|---|---|
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 102 | 1.61 |
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 100 | 1.58 |
| Calvary Hospital | 1740 EASTCHESTER RD | Bronx | NY | 10461 | 52 | 0.82 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. CHRISTOS S GEORGIADES | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 28 | 0.44 |
| DR. JEAN-FRANCOIS H GESCHWIND | 20 YORK ST | NEW HAVEN | CT | 06510 | 26 | 0.41 |
| DR. KELVIN HONG | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 16 | 0.25 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. CHRISTOS S GEORGIADES | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 30 | 0.47 |
| DR. JEAN-FRANCOIS H GESCHWIND | 20 YORK ST | NEW HAVEN | CT | 06510 | 25 | 0.4 |
| DR. KELVIN HONG | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 21 | 0.33 |
DRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 2,317 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | I10 | Essential (primary) hypertension | 2,197 | 1,489 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 2724 | Other and unspecified hyperlipidemia | NA | 1,150 | |||||||||||||||||
| 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 | 1,135 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 1977 | Malignant neoplasm of liver, secondary | NA | 895 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 1550 | Malignant neoplasm of liver, primary | NA | 823 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | E785 | Hyperlipidemia, unspecified | 943 | 786 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 53081 | Esophageal reflux | NA | 751 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | V1582 | Personal history of tobacco use | NA | 741 | |||||||||||||||||
| Oncology & Hematology | Malignancy Of Hepatobiliary System Or Pancreas | Malignancy Of Hepatobiliary System Or Pancreas | 1579 | Malignant neoplasm of pancreas, part unspecified | NA | 659 |