Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | ||||||||||||
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 | ||||||||||||
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 |
DEMOGRAPHIC DETAILS OF DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 114,649 | 78.08 |
Black | 22,157 | 15.09 |
Hispanic | 3,895 | 2.65 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
Less than 65 | 59,457 | 40.49 |
65 to 69 | 24,547 | 16.72 |
70 to 74 | 18,950 | 12.91 |
TOP ICD DIAGNOSIS CODES FOR DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 |
---|---|---|---|
5770 | Acute pancreatitis | 74,906 | 51.02 |
4019 | Unspecified essential hypertension | 43,071 | 29.33 |
2724 | Other and unspecified hyperlipidemia | 28,636 | 19.5 |
TOP ICD PROCEDURE CODES FOR DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 |
---|---|---|---|
4516 | Esophagogastroduodenoscopy [Egd] With Closed Biopsy | 4,130 | 2.81 |
5185 | Endoscopic Sphincterotomy And Papillotomy | 3,641 | 2.48 |
4513 | Other Endoscopy Of Small Intestine | 2,957 | 2.01 |
TOP HOSPITALS ASSOCIATED WITH DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 |
---|---|---|---|---|---|---|
UMass Memorial Medical Center | 55 LAKE AVENUE | Worcester | MA | 01655 | 407 | 0.28 |
AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 405 | 0.28 |
Indiana University Health | 1701 N SENATE | Indianapolis | IN | 46202 | 332 | 0.23 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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. GARY C VITALE | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | 48 | 0.03 |
DR. LEE T WIMBERLY | 50 MEDICAL PARK DR E | BIRMINGHAM | AL | 35235 | 44 | 0.03 |
DR. TURGUT Z ZIA | 2741 W LAYTON AVE | MILWAUKEE | WI | 53221 | 43 | 0.03 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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. JAMES W. OSTROFF | 350 PARNASSUS AVE | SAN FRANCISCO | CA | 94117 | 60 | 0.04 |
DR. DONALD A GARROW | 655 N INDIANA AVE | ENGLEWOOD | FL | 34223 | 42 | 0.03 |
DR. SHYAM VARADARAJULU | 2415 N ORANGE AVE | ORLANDO | FL | 32804 | 33 | 0.02 |
DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | 5770 | Acute pancreatitis | NA | 74,906 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | 4019 | Unspecified essential hypertension | NA | 43,071 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | I10 | Essential (primary) hypertension | 53,941 | 35,811 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | 2724 | Other and unspecified hyperlipidemia | NA | 28,636 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | E785 | Hyperlipidemia, unspecified | 27,204 | 23,861 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | 53081 | Esophageal reflux | NA | 23,482 | |||||||||||||||||
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 | 20,918 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | K219 | Gastro-esophageal reflux disease without esophagitis | 23,778 | 20,775 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | K8590 | Acute pancreatitis without necrosis or infection, unspecified | 12,924 | 19,586 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Pancreas Except Malignancy | Disorders Of Pancreas Except Malignancy | 3051 | Tobacco use disorder | NA | 19,411 |