Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
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 | 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 | 4,746 | 82.04 |
| Black | 608 | 10.51 |
| Hispanic | 139 | 2.4 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 1,557 | 26.91 |
| Less than 65 | 1,449 | 25.05 |
| 70 to 74 | 1,068 | 18.46 |
TOP ICD DIAGNOSIS CODES FOR DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 |
|---|---|---|---|
| Z170 | Estrogen receptor positive status [ER+] | 546 | 9.44 |
| C50912 | Malignant neoplasm of unspecified site of left female breast | 519 | 8.97 |
| C50911 | Malignant neoplasm of unspecified site of right female breast | 498 | 8.61 |
TOP ICD PROCEDURE CODES FOR DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 |
|---|---|---|---|
| 07B60ZX | Excision of Left Axillary Lymphatic, Open Approach, Diagnostic | 1,020 | 17.63 |
| 07B50ZX | Excision of Right Axillary Lymphatic, Open Approach, Diagnostic | 943 | 16.3 |
| 0HTV0ZZ | Resection of Bilateral Breast, Open Approach | 612 | 10.58 |
TOP HOSPITALS ASSOCIATED WITH DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 |
|---|---|---|---|---|---|---|
| Methodist Hospital | 7700 FLOYD CURL DRIVE | San Antonio | TX | 78229 | 37 | 0.64 |
| Long Island Jewish Medical Center | 270-05 76 AVE | New Hyde Park | NY | 11040 | 30 | 0.52 |
| Massachusetts General Hospital | 55 FRUIT ST | Boston | MA | 02114 | 29 | 0.5 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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. KAREN M KOSTROFF | 2001 MARCUS AVE | LAKE SUCCESS | NY | 11042 | 11 | 0.19 |
| DR. RONALD L. BAUER | 199 PARK CLUB LN | WILLIAMSVILLE | NY | 14221 | 11 | 0.19 |
| DR. BRIAN O'HEA | 37 RESEARCH WAY | EAST SETAUKET | NY | 11733 | 11 | 0.19 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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. JESSICA A RAYHANABAD | 3951 KATELLA AVE | LOS ALAMITOS | CA | 90720 | 13 | 0.22 |
| DR. BRIAN O'HEA | 37 RESEARCH WAY | EAST SETAUKET | NY | 11733 | 11 | 0.19 |
| DR. KAREN M KOSTROFF | 2001 MARCUS AVE | LAKE SUCCESS | NY | 11042 | 11 | 0.19 |
DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | I10 | Essential (primary) hypertension | 15,584 | 3,073 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | E785 | Hyperlipidemia, unspecified | 7,050 | 1,560 | |||||||||||||||||
| 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 | 1,252 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | Z87891 | Personal history of nicotine dependence | 5,359 | 1,165 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | E119 | Type 2 diabetes mellitus without complications | 5,367 | 879 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | E039 | Hypothyroidism, unspecified | 3,961 | 833 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | Z7982 | Long term (current) use of aspirin | 1,793 | 737 | |||||||||||||||||
| 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 | 2,193 | 734 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | F329 | Major depressive disorder, single episode, unspecified | 3,349 | 721 | |||||||||||||||||
| General Surgery | Other Skin, Subcutaneous Tissue And Breast Procedures | Other Skin, Subcutaneous Tissue And Breast Procedures | Z79899 | Other long term (current) drug therapy | 2,592 | 678 |