Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 37,390 | 83.69 |
| Black | 3,510 | 7.86 |
| Hispanic | 1,439 | 3.22 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 10,293 | 23.04 |
| 65 to 69 | 7,779 | 17.41 |
| 70 to 74 | 7,231 | 16.19 |
TOP ICD DIAGNOSIS CODES FOR DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 15,558 | 34.82 |
| 2724 | Other and unspecified hyperlipidemia | 9,452 | 21.16 |
| 53081 | Esophageal reflux | 6,862 | 15.36 |
TOP ICD PROCEDURE CODES FOR DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 6,417 | 14.36 |
| 5188 | Endoscopic Removal Of Stone(s) From Biliary Tract | 4,680 | 10.48 |
| 0FC98ZZ | Extirpation of Matter from Common Bile Duct, Via Natural or Artificial Opening Endoscopic | 4,105 | 9.19 |
TOP HOSPITALS ASSOCIATED WITH DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|---|---|---|
| Missouri Baptist Medical Center | 3015 N BALLAS RD | Saint Louis | MO | 63131 | 159 | 0.36 |
| NorthShore University HealthSystem Evanston Hospital | 2650 RIDGE AVE | Evanston | IL | 60201 | 148 | 0.33 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 142 | 0.32 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. MOHAMMED MOMINUL HAQUE | 2336 DARTMOUTH BEND DR | WILDWOOD | MO | 63011 | 72 | 0.16 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 116 | 0.26 |
| DR. ADAM B ELFANT | 501 FELLOWSHIP RD | MOUNT LAUREL | NJ | 08054 | 49 | 0.11 |
| DR. SOVI JOSEPH | 3440 TAMIAMI TRL | PORT CHARLOTTE | FL | 33952 | 44 | 0.1 |
DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 15,558 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | I10 | Essential (primary) hypertension | 15,291 | 12,004 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 2724 | Other and unspecified hyperlipidemia | NA | 9,452 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | E785 | Hyperlipidemia, unspecified | 7,688 | 7,411 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 53081 | Esophageal reflux | NA | 6,862 | |||||||||||||||||
| 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 | 5,893 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | K219 | Gastro-esophageal reflux disease without esophagitis | 7,140 | 5,766 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 4,369 | 4,702 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | 41401 | Coronary atherosclerosis of native coronary artery | NA | 4,387 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | Z87891 | Personal history of nicotine dependence | 4,279 | 4,323 |