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 | 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 | ||||||||||||
| 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 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 7,118 | 84.1 |
| Black | 620 | 7.33 |
| Hispanic | 254 | 3.0 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 1,927 | 22.77 |
| 70 to 74 | 1,485 | 17.54 |
| 65 to 69 | 1,468 | 17.34 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| K8050 | Calculus of bile duct without cholangitis or cholecystitis without obstruction | 1,218 | 14.39 |
| K8000 | Calculus of gallbladder with acute cholecystitis without obstruction | 1,005 | 11.87 |
| K810 | Acute cholecystitis | 917 | 10.83 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0FC98ZZ | Extirpation of Matter from Common Bile Duct, Via Natural or Artificial Opening Endoscopic | 1,726 | 20.39 |
| 0F798DZ | Dilation of Common Bile Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic | 1,019 | 12.04 |
| 0F9430Z | Drainage of Gallbladder with Drainage Device, Percutaneous Approach | 508 | 6.0 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| NorthShore University HealthSystem Evanston Hospital | 2650 RIDGE AVE | Evanston | IL | 60201 | 38 | 0.45 |
| West Virginia University Hospitals | 1 MEDICAL CENTER DRIVE | Morgantown | WV | 26506 | 27 | 0.32 |
| Maimonides Medical Center | 4802 10TH AVE | Brooklyn | NY | 11219 | 26 | 0.31 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GARY C VITALE | 401 E CHESTNUT ST | LOUISVILLE | KY | 40202 | NA | NA |
| DR. MOHAMMED MOMINUL HAQUE | 2336 DARTMOUTH BEND DR | WILDWOOD | MO | 63011 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOHN YACOUB NASR | 1 MEDICAL CENTER DRIVE | MORGANTOWN | WV | 26506 | 15 | 0.18 |
| DR. SOVI JOSEPH | 3440 TAMIAMI TRL | PORT CHARLOTTE | FL | 33952 | 11 | 0.13 |
| DR. OLIVER W CASS | 6500 EXCELSIOR BLVD | MINNEAPOLIS | MN | 55404 | NA | NA |
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 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 | 15,291 | 5,140 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | E785 | Hyperlipidemia, unspecified | 7,688 | 3,301 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | K219 | Gastro-esophageal reflux disease without esophagitis | 7,140 | 2,546 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 4,369 | 2,073 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | Z87891 | Personal history of nicotine dependence | 4,279 | 2,021 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | Z7982 | Long term (current) use of aspirin | 2,452 | 1,661 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | E039 | Hypothyroidism, unspecified | 3,438 | 1,484 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | E119 | Type 2 diabetes mellitus without complications | 5,066 | 1,445 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | K8050 | Calculus of bile duct without cholangitis or cholecystitis without obstruction | 5,703 | 1,218 | |||||||||||||||||
| Gastroenterology & Endocrinology | Disorders Of Biliary Tract | Disorders Of The Biliary Tract | Z79899 | Other long term (current) drug therapy | 1,802 | 1,208 |