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 | 25.83 | NA | 15,726 | 76,493 | 13,971 | ||||||||||||
| 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 | 27.24 | NA | 16,587 | 92,237 | 15,587 | ||||||||||||
| 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 | 46.93 | NA | 28,574 | 146,831 | 26,729 |
DEMOGRAPHIC DETAILS OF DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 10,905 | 69.34 |
| Black | 3,371 | 21.44 |
| Hispanic | 571 | 3.63 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 6,389 | 40.63 |
| 65 to 69 | 2,591 | 16.48 |
| 70 to 74 | 2,085 | 13.26 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| K8590 | Acute pancreatitis without necrosis or infection, unspecified | 8,697 | 55.3 |
| K861 | Other chronic pancreatitis | 3,049 | 19.39 |
| K8510 | Biliary acute pancreatitis without necrosis or infection | 2,108 | 13.4 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 1,415 | 9.0 |
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 1,395 | 8.87 |
| 0F798DZ | Dilation of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic | 834 | 5.3 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Methodist Hospital | 7700 FLOYD CURL DRIVE | San Antonio | TX | 78229 | 55 | 0.35 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 55 | 0.35 |
| Indiana University Health | 1701 N SENATE | Indianapolis | IN | 46202 | 55 | 0.35 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 11 | 0.07 |
| DR. MOHAMMED MOMINUL HAQUE | 2336 DARTMOUTH BEND DR | WILDWOOD | MO | 63011 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GIUSEPPE ALIPERTI | 2821 N BALLAS RD | SAINT LOUIS | MO | 63131 | 15 | 0.1 |
| DR. DONALD A GARROW | 655 N INDIANA AVE | ENGLEWOOD | FL | 34223 | 13 | 0.08 |
| DR. FREDERICK C JOHLIN | 200 HAWKINS DR | IOWA CITY | IA | 52242 | 13 | 0.08 |
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 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | K8590 | Acute pancreatitis without necrosis or infection, unspecified | 5,070 | 8,697 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | E785 | Hyperlipidemia, unspecified | 10,438 | 5,702 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | I10 | Essential (primary) hypertension | 16,035 | 5,667 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | K219 | Gastro-esophageal reflux disease without esophagitis | 8,155 | 4,597 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 5,567 | 3,820 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | N186 | End stage renal disease | 5,448 | 3,609 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | E876 | Hypokalemia | 9,498 | 3,406 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | Z87891 | Personal history of nicotine dependence | 5,406 | 3,311 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | N179 | Acute kidney failure, unspecified | 6,859 | 3,103 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | Z992 | Dependence on renal dialysis | 4,318 | 3,084 |