Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | Surgical | 27.94 | NA | 6,415 | 33,204 | 6,050 | ||||||||||||
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | Surgical | 46.86 | NA | 10,758 | 48,848 | 10,535 | ||||||||||||
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | Surgical | 25.20 | NA | 5,785 | 30,430 | 5,692 |
DEMOGRAPHIC DETAILS OF DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,381 | 68.29 |
| Black | 1,496 | 23.32 |
| Hispanic | 238 | 3.71 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 2,483 | 38.71 |
| 65 to 69 | 872 | 13.59 |
| Greater than 84 | 858 | 13.37 |
TOP ICD DIAGNOSIS CODES FOR DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH 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 |
|---|---|---|---|
| L89154 | Pressure ulcer of sacral region, stage 4 | 1,518 | 23.66 |
| L89314 | Pressure ulcer of right buttock, stage 4 | 308 | 4.8 |
| L89324 | Pressure ulcer of left buttock, stage 4 | 304 | 4.74 |
TOP ICD PROCEDURE CODES FOR DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH 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 |
|---|---|---|---|
| 0KBP0ZZ | Excision of Left Hip Muscle, Open Approach | 1,462 | 22.79 |
| 0KBN0ZZ | Excision of Right Hip Muscle, Open Approach | 1,456 | 22.7 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 1,154 | 17.99 |
TOP HOSPITALS ASSOCIATED WITH DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH 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 |
|---|---|---|---|---|---|---|
| Methodist University Hospital | 1265 UNION AVE | Memphis | TN | 38104 | 35 | 0.55 |
| Promise Hospital of Baton Rouge | 5130 MANCUSO LANE | Baton Rouge | LA | 70809 | 27 | 0.42 |
| Colorado Acute Long Term Hospital | 1690 MEADE ST | Denver | CO | 80204 | 26 | 0.41 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH 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. MONIQUE LEONA CONSOER | 46 LOUIS PRIMA DR | COVINGTON | LA | 70433 | 28 | 0.44 |
| DR. SAM DELK | 176 S BELLEVUE BLVD | MEMPHIS | TN | 38104 | 28 | 0.44 |
| DR. GLENN ERIC HERRMANN | 130 OLD LARAMIE TRL E BLDG 4 | LAFAYETTE | CO | 80026 | 25 | 0.39 |
DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | E785 | Hyperlipidemia, unspecified | 4,139 | 2,058 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | I10 | Essential (primary) hypertension | 5,002 | 1,998 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 2,868 | 1,573 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | L89154 | Pressure ulcer of sacral region, stage 4 | 2,520 | 1,518 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | N186 | End stage renal disease | 2,541 | 1,445 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | E1122 | Type 2 diabetes mellitus with diabetic chronic kidney disease | 1,130 | 1,394 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 2,112 | 1,312 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | Z87891 | Personal history of nicotine dependence | 2,091 | 1,149 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | Z992 | Dependence on renal dialysis | 1,938 | 1,135 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | D649 | Anemia, unspecified | 2,363 | 1,029 |