Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 444: DISORDERS OF THE BILIARY TRACT 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
444 | DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | Non Surgical | 31.41 | NA | 13,635 | 63,102 | 55,423 | ||||||||||||
446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | Non Surgical | 22.24 | NA | 8,464 | 44,676 | 39,696 | ||||||||||||
445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | Non Surgical | 46.35 | NA | 19,672 | 93,108 | 84,393 |
DEMOGRAPHIC DETAILS OF DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 50,201 | 79.56 |
Black | 7,168 | 11.36 |
Hispanic | 2,069 | 3.28 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
Greater than 84 | 16,525 | 26.19 |
Less than 65 | 10,232 | 16.22 |
80 to 84 | 9,229 | 14.63 |
TOP ICD DIAGNOSIS CODES FOR DRG 444: DISORDERS OF THE BILIARY TRACT 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 |
---|---|---|---|
4019 | Unspecified essential hypertension | 15,888 | 25.18 |
2724 | Other and unspecified hyperlipidemia | 12,931 | 20.49 |
5770 | Acute pancreatitis | 11,115 | 17.61 |
TOP ICD PROCEDURE CODES FOR DRG 444: DISORDERS OF THE BILIARY TRACT 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 |
---|---|---|---|
5185 | Endoscopic Sphincterotomy And Papillotomy | 10,771 | 17.07 |
5188 | Endoscopic Removal Of Stone(s) From Biliary Tract | 7,777 | 12.32 |
0FC98ZZ | Extirpation of Matter from Common Bile Duct, Via Natural or Artificial Opening Endoscopic | 6,724 | 10.66 |
TOP HOSPITALS ASSOCIATED WITH DRG 444: DISORDERS OF THE BILIARY TRACT 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 |
---|---|---|---|---|---|---|
Beth Israel Deaconess Medical Center | 330 BROOKLINE AVE | Boston | MA | 02215 | 278 | 0.44 |
Yale New Haven Hospital | 20 YORK ST | New Haven | CT | 06504 | 209 | 0.33 |
Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 191 | 0.3 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 444: DISORDERS OF THE BILIARY TRACT 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 | 74 | 0.12 |
DR. ADAM B ELFANT | 501 FELLOWSHIP RD | MOUNT LAUREL | NJ | 08054 | 70 | 0.11 |
DR. MANDEEP SAWHNEY | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 63 | 0.1 |
DRG 444: DISORDERS OF THE BILIARY TRACT 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 Biliary Tract | Disorders Of The Biliary Tract | 4019 | Unspecified essential hypertension | NA | 15,888 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 2724 | Other and unspecified hyperlipidemia | NA | 12,931 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | I10 | Essential (primary) hypertension | 9,392 | 12,329 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | E785 | Hyperlipidemia, unspecified | 7,131 | 11,275 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 5770 | Acute pancreatitis | NA | 11,115 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 53081 | Esophageal reflux | NA | 9,093 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 8,951 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 5,193 | 8,833 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 42731 | Atrial fibrillation | NA | 8,279 | |||||||||||||||||
Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 4280 | Congestive heart failure, unspecified | NA | 8,169 |