Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | Non Surgical | 24.24 | NA | 15,726 | 76,493 | 67,698 | ||||||||||||
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | Non Surgical | 29.23 | NA | 16,587 | 92,237 | 86,985 | ||||||||||||
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | Non Surgical | 46.53 | NA | 28,574 | 146,831 | 137,230 |
DEMOGRAPHIC DETAILS OF DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 52,954 | 69.23 |
| Black | 17,032 | 22.27 |
| Hispanic | 2,641 | 3.45 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 32,587 | 42.6 |
| 65 to 69 | 11,862 | 15.51 |
| 70 to 74 | 9,271 | 12.12 |
TOP ICD DIAGNOSIS CODES FOR DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 |
|---|---|---|---|
| 5770 | Acute pancreatitis | 37,570 | 49.12 |
| 4019 | Unspecified essential hypertension | 15,542 | 20.32 |
| 2724 | Other and unspecified hyperlipidemia | 14,121 | 18.46 |
TOP ICD PROCEDURE CODES FOR DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 |
|---|---|---|---|
| 3995 | Hemodialysis | 8,770 | 11.47 |
| 5185 | Endoscopic Sphincterotomy And Papillotomy | 3,748 | 4.9 |
| 3893 | Venous Catheterization, Not Elsewhere Classified | 3,699 | 4.84 |
TOP HOSPITALS ASSOCIATED WITH DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 |
|---|---|---|---|---|---|---|
| Indiana University Health | 1701 N SENATE | Indianapolis | IN | 46202 | 261 | 0.34 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 242 | 0.32 |
| Missouri Baptist Medical Center | 3015 N BALLAS RD | Saint Louis | MO | 63131 | 218 | 0.28 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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. MOHAMMED MOMINUL HAQUE | 2336 DARTMOUTH BEND DR | WILDWOOD | MO | 63011 | 54 | 0.07 |
| DR. GARY C VITALE | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 43 | 0.06 |
| DR. ARMEN HOVHANNISYAN | 5250 W CENTURY BLVD STE 333 | LOS ANGELES | CA | 90045 | 35 | 0.05 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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. GIUSEPPE ALIPERTI | 2821 N BALLAS RD | SAINT LOUIS | MO | 63131 | 144 | 0.19 |
| DR. SOVI JOSEPH | 3440 TAMIAMI TRL | PORT CHARLOTTE | FL | 33952 | 43 | 0.06 |
| DR. TEODOR CRISTIAN PITEA | 14416 W MEEKER BLVD BLDG C | SUN CITY WEST | AZ | 85375 | 40 | 0.05 |
DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | 5770 | Acute pancreatitis | NA | 37,570 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | 4019 | Unspecified essential hypertension | NA | 15,542 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | 2724 | Other and unspecified hyperlipidemia | NA | 14,121 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | I10 | Essential (primary) hypertension | 16,035 | 13,481 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | E785 | Hyperlipidemia, unspecified | 10,438 | 12,540 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | K8590 | Acute pancreatitis without necrosis or infection, unspecified | 5,070 | 11,042 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | 53081 | Esophageal reflux | NA | 10,845 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | 5856 | End stage renal disease | NA | 10,188 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | K219 | Gastro-esophageal reflux disease without esophagitis | 8,155 | 10,079 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 9,747 |