DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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 (%)
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 27.05 NA 5,785 30,430 30,105
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 29.52 NA 6,415 33,204 31,048
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 43.43 NA 10,758 48,848 47,970

DEMOGRAPHIC DETAILS OF DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 25,013 82.2
Black 3,388 11.13
Hispanic 650 2.14
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 8,037 26.41
Less than 65 7,622 25.05
70 to 74 5,471 17.98

TOP ICD DIAGNOSIS CODES FOR DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 8,422 27.68
2724 Other and unspecified hyperlipidemia 4,111 13.51
1749 Malignant neoplasm of breast (female), unspecified 3,410 11.21

TOP ICD PROCEDURE CODES FOR DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4023 Excision Of Axillary Lymph Node 4,319 14.19
8541 Unilateral Simple Mastectomy 3,148 10.35
07B60ZX Excision of Left Axillary Lymphatic, Open Approach, Diagnostic 2,534 8.33

TOP HOSPITALS ASSOCIATED WITH DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Methodist Hospital 7700 FLOYD CURL DRIVE San Antonio TX 78229 198 0.65
Moffitt Cancer Center 12902 MAGNOLIA DR Tampa FL 33612 182 0.6
University Hospital at Stony Brook NICOLLS RD Stony Brook NY 11794 130 0.43

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. CHRISTINE RIZK 114 WOODLAND ST HARTFORD CT 06105 49 0.16
DR. NAZANIN I KHAKPOUR 12902 MAGNOLIA DRIVE TAMPA FL 33612 47 0.15
DR. DAVID W HAMPE 5920 W PARKER RD PLANO TX 75093 45 0.15

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. CHRISTINE RIZK 114 WOODLAND ST HARTFORD CT 06105 50 0.16
DR. NEIL B FRIEDMAN 227 SAINT PAUL PL BALTIMORE MD 21202 43 0.14
DR. NAZANIN I KHAKPOUR 12902 MAGNOLIA DRIVE TAMPA FL 33612 40 0.13

DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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 (%)
General Surgery Other Skin, Subcutaneous Tissue And Breast Procedures Other Skin, Subcutaneous Tissue And Breast Procedures 4019 Unspecified essential hypertension NA 8,422
General Surgery Other Skin, Subcutaneous Tissue And Breast Procedures Other Skin, Subcutaneous Tissue And Breast Procedures I10 Essential (primary) hypertension 15,584 7,746
General Surgery Other Skin, Subcutaneous Tissue And Breast Procedures Other Skin, Subcutaneous Tissue And Breast Procedures 2724 Other and unspecified hyperlipidemia NA 4,111
General Surgery Other Skin, Subcutaneous Tissue And Breast Procedures Other Skin, Subcutaneous Tissue And Breast Procedures E785 Hyperlipidemia, unspecified 7,050 3,915
General Surgery Other Skin, Subcutaneous Tissue And Breast Procedures Other Skin, Subcutaneous Tissue And Breast Procedures 1749 Malignant neoplasm of breast (female), unspecified NA 3,410
General Surgery Other Skin, Subcutaneous Tissue And Breast Procedures Other Skin, Subcutaneous Tissue And Breast Procedures 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 3,195
General Surgery Other Skin, Subcutaneous Tissue And Breast Procedures Other Skin, Subcutaneous Tissue And Breast Procedures 53081 Esophageal reflux NA 3,160
General Surgery Other Skin, Subcutaneous Tissue And Breast Procedures Other Skin, Subcutaneous Tissue And Breast Procedures K219 Gastro-esophageal reflux disease without esophagitis 5,372 3,033
General Surgery Other Skin, Subcutaneous Tissue And Breast Procedures Other Skin, Subcutaneous Tissue And Breast Procedures Z87891 Personal history of nicotine dependence 5,359 2,610
General Surgery Other Skin, Subcutaneous Tissue And Breast Procedures Other Skin, Subcutaneous Tissue And Breast Procedures V1582 Personal history of tobacco use NA 2,389