Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | Surgical | 42.41 | NA | 646 | 3,531 | 3,476 | ||||||||||||
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | Surgical | 57.59 | NA | 784 | 4,794 | 4,781 |
DEMOGRAPHIC DETAILS OF DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES 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 | 2,533 | 71.74 |
| Black | 806 | 22.83 |
| Hispanic | 82 | 2.32 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 1,537 | 43.53 |
| 65 to 69 | 890 | 25.21 |
| 70 to 74 | 431 | 12.21 |
TOP ICD DIAGNOSIS CODES FOR DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES 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 | 875 | 24.78 |
| V103 | Person boarding or alighting a pedal cycle injured in collision with pedestrian or animal | 729 | 20.65 |
| 6110 | Inflammatory disease of breast | 640 | 18.13 |
TOP ICD PROCEDURE CODES FOR DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES 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 |
|---|---|---|---|
| 8521 | Local Excision Of Lesion Of Breast | 650 | 18.41 |
| 8512 | Open Biopsy Of Breast | 462 | 13.08 |
| 8594 | Removal Of Implant Of Breast | 305 | 8.64 |
TOP HOSPITALS ASSOCIATED WITH DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES 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 |
|---|---|---|---|---|---|---|
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 24 | 0.68 |
| University of Washington Medical Center | 1959 NE PACIFIC ST | Seattle | WA | 98195 | 20 | 0.57 |
| University of Texas MD Anderson Cancer Center | 1515 HOLCOMBE BLVD | Houston | TX | 77030 | 18 | 0.51 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES 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. JOHN S MANCOLL | 1925 GLENN MITCHELL DR STE 206 | VIRGINIA BEACH | VA | 23456 | 11 | 0.31 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES 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. JOHN S MANCOLL | 1925 GLENN MITCHELL DR STE 206 | VIRGINIA BEACH | VA | 23456 | 11 | 0.31 |
DRG 584: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES 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 | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | 4019 | Unspecified essential hypertension | NA | 875 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | V103 | Person boarding or alighting a pedal cycle injured in collision with pedestrian or animal | NA | 729 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | I10 | Essential (primary) hypertension | 1,258 | 666 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | 6110 | Inflammatory disease of breast | NA | 640 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | Z853 | Personal history of malignant neoplasm of breast | 1,819 | 606 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 526 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | 53081 | Esophageal reflux | NA | 472 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 658 | 428 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 422 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | E785 | Hyperlipidemia, unspecified | 573 | 412 |