Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 582: MASTECTOMY FOR MALIGNANCY WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 582 | MASTECTOMY FOR MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | Surgical | 45.12 | NA | 813 | 8,294 | 8,235 | ||||||||||||
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | Surgical | 54.88 | NA | 984 | 10,089 | 10,078 |
DEMOGRAPHIC DETAILS OF DRG 582: MASTECTOMY FOR MALIGNANCY WITH 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 | 6,512 | 78.51 |
| Black | 1,345 | 16.22 |
| Hispanic | 123 | 1.48 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 2,034 | 24.52 |
| 70 to 74 | 1,564 | 18.86 |
| 75 to 79 | 1,289 | 15.54 |
TOP ICD DIAGNOSIS CODES FOR DRG 582: MASTECTOMY FOR MALIGNANCY WITH 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 | 3,327 | 40.11 |
| 1749 | Malignant neoplasm of breast (female), unspecified | 3,148 | 37.96 |
| 1963 | Secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb | 3,028 | 36.51 |
TOP ICD PROCEDURE CODES FOR DRG 582: MASTECTOMY FOR MALIGNANCY WITH 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 |
|---|---|---|---|
| 8543 | Unilateral Extended Simple Mastectomy | 4,345 | 52.39 |
| 8541 | Unilateral Simple Mastectomy | 1,419 | 17.11 |
| 8595 | Insertion Of Breast Tissue Expander | 870 | 10.49 |
TOP HOSPITALS ASSOCIATED WITH DRG 582: MASTECTOMY FOR MALIGNANCY WITH 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 |
|---|---|---|---|---|---|---|
| Abbott Northwestern Hospital | 800 E 28TH ST | Minneapolis | MN | 55407 | 50 | 0.6 |
| Moffitt Cancer Center | 12902 MAGNOLIA DR | Tampa | FL | 33612 | 49 | 0.59 |
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 47 | 0.57 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 582: MASTECTOMY FOR MALIGNANCY WITH 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. BRIAN O'HEA | 37 RESEARCH WAY | EAST SETAUKET | NY | 11733 | 18 | 0.22 |
| DR. TOMI EVANS | 701 E 28TH ST | LONG BEACH | CA | 90806 | 16 | 0.19 |
| DR. LOUIS C BLAUM | 540 PIERCE ST | KINGSTON | PA | 18704 | 15 | 0.18 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 582: MASTECTOMY FOR MALIGNANCY WITH 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. BRIAN O'HEA | 37 RESEARCH WAY | EAST SETAUKET | NY | 11733 | 18 | 0.22 |
| DR. TOMI EVANS | 701 E 28TH ST | LONG BEACH | CA | 90806 | 17 | 0.2 |
| DR. VIOLET M MCINTOSH | 350 ENGLE STREET | ENGLEWOOD | NJ | 07631 | 16 | 0.19 |
DRG 582: MASTECTOMY FOR MALIGNANCY WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 4019 | Unspecified essential hypertension | NA | 3,327 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 1749 | Malignant neoplasm of breast (female), unspecified | NA | 3,148 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 1963 | Secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb | NA | 3,028 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 2724 | Other and unspecified hyperlipidemia | NA | 1,709 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 1,523 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 53081 | Esophageal reflux | NA | 1,358 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 2449 | Unspecified acquired hypothyroidism | NA | 1,090 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 1748 | Malignant neoplasm of other specified sites of female breast | NA | 1,074 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | I10 | Essential (primary) hypertension | 1,351 | 1,050 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | V860 | Driver of special all-terrain or other off-road motor vehicle injured in traffic accident | NA | 1,009 |