Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 583: MASTECTOMY FOR MALIGNANCY 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 583: MASTECTOMY FOR MALIGNANCY WITHOUT 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 | 8,267 | 81.94 |
| Black | 1,255 | 12.44 |
| Other | 173 | 1.71 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 3,029 | 30.02 |
| 70 to 74 | 2,177 | 21.58 |
| 75 to 79 | 1,515 | 15.02 |
TOP ICD DIAGNOSIS CODES FOR DRG 583: MASTECTOMY FOR MALIGNANCY WITHOUT 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 | 4,106 | 40.7 |
| 1749 | Malignant neoplasm of breast (female), unspecified | 3,995 | 39.6 |
| 2724 | Other and unspecified hyperlipidemia | 1,722 | 17.07 |
TOP ICD PROCEDURE CODES FOR DRG 583: MASTECTOMY FOR MALIGNANCY WITHOUT 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 | 3,921 | 38.86 |
| 8541 | Unilateral Simple Mastectomy | 2,082 | 20.64 |
| 8595 | Insertion Of Breast Tissue Expander | 1,927 | 19.1 |
TOP HOSPITALS ASSOCIATED WITH DRG 583: MASTECTOMY FOR MALIGNANCY 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Brigham and Women's Faulkner Hospital | 1153 CENTRE ST | Boston | MA | 02130 | 61 | 0.6 |
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 56 | 0.56 |
| Hartford Hospital | 80 SEYMOUR ST | Hartford | CT | 06102 | 54 | 0.54 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 583: MASTECTOMY FOR MALIGNANCY 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DEBRA ELLEN CAMAL | 257 MONMOUTH RD | OAKHURST | NJ | 07755 | 39 | 0.39 |
| DR. MARGARET MARY DUGGAN | 1153 CENTRE ST | BOSTON | MA | 02130 | 23 | 0.23 |
| DR. ALEXANDER J. SWISTEL | 425 E 61ST ST | NEW YORK | NY | 10021 | 22 | 0.22 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 583: MASTECTOMY FOR MALIGNANCY 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DEBRA ELLEN CAMAL | 257 MONMOUTH RD | OAKHURST | NJ | 07755 | 39 | 0.39 |
| DR. MARGARET MARY DUGGAN | 1153 CENTRE ST | BOSTON | MA | 02130 | 23 | 0.23 |
| DR. NEIL B FRIEDMAN | 227 SAINT PAUL PL | BALTIMORE | MD | 21202 | 22 | 0.22 |
DRG 583: MASTECTOMY FOR MALIGNANCY 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 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 | 4,106 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 1749 | Malignant neoplasm of breast (female), unspecified | NA | 3,995 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 2724 | Other and unspecified hyperlipidemia | NA | 1,722 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 53081 | Esophageal reflux | NA | 1,506 | |||||||||||||||||
| 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 | 1,480 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | I10 | Essential (primary) hypertension | 2,278 | 1,343 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 2449 | Unspecified acquired hypothyroidism | NA | 1,188 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 2330 | Carcinoma in situ of breast | NA | 1,102 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | 1748 | Malignant neoplasm of other specified sites of female breast | NA | 1,042 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | V1582 | Personal history of tobacco use | NA | 985 |