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 | 47.09 | NA | 19,672 | 93,108 | 17,931 | ||||||||||||
| 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 | 20.26 | NA | 8,464 | 44,676 | 7,553 | ||||||||||||
| 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 | 32.64 | NA | 13,635 | 63,102 | 12,017 |
DEMOGRAPHIC DETAILS OF DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 16,411 | 83.42 |
| Black | 1,695 | 8.62 |
| Hispanic | 516 | 2.62 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 5,033 | 25.58 |
| 70 to 74 | 3,017 | 15.34 |
| 65 to 69 | 3,006 | 15.28 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| K831 | Obstruction of bile duct | 3,060 | 15.56 |
| K8000 | Calculus of gallbladder with acute cholecystitis without obstruction | 2,063 | 10.49 |
| K8020 | Calculus of gallbladder without cholecystitis without obstruction | 1,932 | 9.82 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0FC98ZZ | Extirpation of Matter from Common Bile Duct, Via Natural or Artificial Opening Endoscopic | 4,386 | 22.3 |
| 0F798DZ | Dilation of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic | 3,365 | 17.11 |
| 0F9430Z | Drainage of Gallbladder with Drainage Device, Percutaneous Approach | 1,602 | 8.14 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 75 | 0.38 |
| Riverside Methodist Hospital | 3535 OLENTANGY RIVER RD | Columbus | OH | 43214 | 70 | 0.36 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 69 | 0.35 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 19 | 0.1 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GIUSEPPE ALIPERTI | 2821 N BALLAS RD | SAINT LOUIS | MO | 63131 | 25 | 0.13 |
| DR. JOHN YACOUB NASR | 1 MEDICAL CENTER DRIVE | MORGANTOWN | WV | 26506 | 23 | 0.12 |
| DR. WILLIAM B SILVERMAN | 200 HAWKINS DR | IOWA CITY | IA | 52242 | 19 | 0.1 |
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 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 Biliary Tract | Disorders Of The Biliary Tract | I10 | Essential (primary) hypertension | 20,472 | 9,480 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | E785 | Hyperlipidemia, unspecified | 12,575 | 7,966 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | K219 | Gastro-esophageal reflux disease without esophagitis | 9,868 | 6,187 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 8,109 | 5,653 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | Z87891 | Personal history of nicotine dependence | 7,556 | 5,464 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | Z7982 | Long term (current) use of aspirin | 4,177 | 3,953 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | E039 | Hypothyroidism, unspecified | 5,835 | 3,696 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | N179 | Acute kidney failure, unspecified | 5,678 | 3,623 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | E119 | Type 2 diabetes mellitus without complications | 8,194 | 3,434 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | E876 | Hypokalemia | 5,988 | 3,093 |