Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 445: DISORDERS OF THE BILIARY TRACT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 77,728 | 83.48 |
| Black | 8,115 | 8.72 |
| Hispanic | 2,561 | 2.75 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 24,803 | 26.64 |
| 80 to 84 | 14,091 | 15.13 |
| 75 to 79 | 13,775 | 14.79 |
TOP ICD DIAGNOSIS CODES FOR DRG 445: DISORDERS OF THE BILIARY TRACT 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 |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 27,245 | 29.26 |
| 2724 | Other and unspecified hyperlipidemia | 19,096 | 20.51 |
| 53081 | Esophageal reflux | 14,021 | 15.06 |
TOP ICD PROCEDURE CODES FOR DRG 445: DISORDERS OF THE BILIARY TRACT 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 |
|---|---|---|---|
| 5185 | Endoscopic Sphincterotomy And Papillotomy | 14,086 | 15.13 |
| 5188 | Endoscopic Removal Of Stone(s) From Biliary Tract | 10,784 | 11.58 |
| 0FC98ZZ | Extirpation of Matter from Common Bile Duct, Via Natural or Artificial Opening Endoscopic | 10,024 | 10.77 |
TOP HOSPITALS ASSOCIATED WITH DRG 445: DISORDERS OF THE BILIARY TRACT 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 |
|---|---|---|---|---|---|---|
| Beth Israel Deaconess Medical Center | 330 BROOKLINE AVE | Boston | MA | 02215 | 328 | 0.35 |
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 314 | 0.34 |
| Riverside Methodist Hospital | 3535 OLENTANGY RIVER RD | Columbus | OH | 43214 | 300 | 0.32 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 445: DISORDERS OF THE BILIARY TRACT 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. MOHAMMED MOMINUL HAQUE | 2336 DARTMOUTH BEND DR | WILDWOOD | MO | 63011 | 67 | 0.07 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 445: DISORDERS OF THE BILIARY TRACT 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. GIUSEPPE ALIPERTI | 2821 N BALLAS RD | SAINT LOUIS | MO | 63131 | 145 | 0.16 |
| DR. ADAM B ELFANT | 501 FELLOWSHIP RD | MOUNT LAUREL | NJ | 08054 | 115 | 0.12 |
| DR. SOVI JOSEPH | 3440 TAMIAMI TRL | PORT CHARLOTTE | FL | 33952 | 83 | 0.09 |
DRG 445: DISORDERS OF THE BILIARY TRACT 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 Biliary Tract | Disorders Of The Biliary Tract | 4019 | Unspecified essential hypertension | NA | 27,245 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | I10 | Essential (primary) hypertension | 20,472 | 22,061 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 2724 | Other and unspecified hyperlipidemia | NA | 19,096 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | E785 | Hyperlipidemia, unspecified | 12,575 | 17,022 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 53081 | Esophageal reflux | NA | 14,021 | |||||||||||||||||
| 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 | 13,377 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | K219 | Gastro-esophageal reflux disease without esophagitis | 9,868 | 13,056 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 8,109 | 12,108 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | Z87891 | Personal history of nicotine dependence | 7,556 | 11,171 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 42731 | Atrial fibrillation | NA | 10,817 |