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 | 54.76 | NA | 984 | 10,089 | 983 | ||||||||||||
| 582 | MASTECTOMY FOR MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | Surgical | 45.24 | NA | 813 | 8,294 | 804 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 814 | 82.72 |
| Black | 111 | 11.28 |
| Hispanic | 18 | 1.83 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 296 | 30.08 |
| 70 to 74 | 228 | 23.17 |
| 75 to 79 | 152 | 15.45 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| C50912 | Malignant neoplasm of unspecified site of left female breast | 265 | 26.93 |
| C50911 | Malignant neoplasm of unspecified site of right female breast | 262 | 26.63 |
| D0511 | Intraductal carcinoma in situ of right breast | 76 | 7.72 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0HTU0ZZ | Resection of Left Breast, Open Approach | 311 | 31.61 |
| 0HTT0ZZ | Resection of Right Breast, Open Approach | 307 | 31.2 |
| 0HTV0ZZ | Resection of Bilateral Breast, Open Approach | 152 | 15.45 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Brigham and Women's Faulkner Hospital | 1153 CENTRE ST | Boston | MA | 02130 | 13 | 1.32 |
| Riverview Medical Center | 1 RIVERVIEW PLZ | Red Bank | NJ | 07701 | 11 | 1.12 |
| Northside Hospital | 1100 JOHNSON FERRY RD NE | Atlanta | GA | 30342 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DEBRA ELLEN CAMAL | 257 MONMOUTH RD | OAKHURST | NJ | 07755 | 11 | 1.12 |
| DR. FAINA NAKHLIS | 1153 CENTRE ST | BOSTON | MA | 02130 | NA | NA |
| DR. MICHELLE CONNOLLY SPECHT | 55 FRUIT ST | BOSTON | MA | 02114 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DEBRA ELLEN CAMAL | 257 MONMOUTH RD | OAKHURST | NJ | 07755 | 11 | 1.12 |
| DR. FAINA NAKHLIS | 1153 CENTRE ST | BOSTON | MA | 02130 | NA | NA |
| DR. FREDRICKA M BORLAND | 110 E SAVANNAH AVE | MCALLEN | TX | 78503 | NA | NA |
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 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 | Mastectomy For Malignancy | Mastectomy For Malignancy | I10 | Essential (primary) hypertension | 2,278 | 508 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | C50912 | Malignant neoplasm of unspecified site of left female breast | 2,184 | 265 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | C50911 | Malignant neoplasm of unspecified site of right female breast | 2,001 | 262 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | E785 | Hyperlipidemia, unspecified | 875 | 240 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | K219 | Gastro-esophageal reflux disease without esophagitis | 947 | 207 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | Z87891 | Personal history of nicotine dependence | 786 | 193 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | E119 | Type 2 diabetes mellitus without complications | 786 | 166 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | Z170 | Estrogen receptor positive status [ER+] | 773 | 161 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | E039 | Hypothyroidism, unspecified | 688 | 160 | |||||||||||||||||
| General Surgery | Mastectomy For Malignancy | Mastectomy For Malignancy | Z853 | Personal history of malignant neoplasm of breast | 552 | 127 |