Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 54.83 | NA | 784 | 4,794 | 782 | ||||||||||||
| 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 | 45.17 | NA | 646 | 3,531 | 635 |
DEMOGRAPHIC DETAILS OF DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER 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 | 600 | 76.53 |
| Black | 126 | 16.07 |
| Hispanic | 17 | 2.17 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 313 | 39.92 |
| Less than 65 | 267 | 34.06 |
| 70 to 74 | 134 | 17.09 |
TOP ICD DIAGNOSIS CODES FOR DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER 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 |
|---|---|---|---|
| Z421 | Encounter for breast reconstruction following mastectomy | 283 | 36.1 |
| N611 | Abscess of the breast and nipple | 75 | 9.57 |
| T8544XA | Capsular contracture of breast implant, initial encounter | 71 | 9.06 |
TOP ICD PROCEDURE CODES FOR DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER 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 |
|---|---|---|---|
| 0HPT0JZ | Removal of Synthetic Substitute from Right Breast, Open Approach | 112 | 14.29 |
| 0HPU0JZ | Removal of Synthetic Substitute from Left Breast, Open Approach | 106 | 13.52 |
| 0HHV0NZ | Insertion of Tissue Expander into Bilateral Breast, Open Approach | 76 | 9.69 |
TOP HOSPITALS ASSOCIATED WITH DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER 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 |
|---|---|---|---|---|---|---|
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 12 | 1.53 |
| University of Texas MD Anderson Cancer Center | 1515 HOLCOMBE BLVD | Houston | TX | 77030 | 11 | 1.4 |
| University of Kansas Hospital | 4000 Cambridge St. | Kansas City | KS | 66160 | 11 | 1.4 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER 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. BERNARD W CHANG | 227 SAINT PAUL PL | BALTIMORE | MD | 21202 | NA | NA |
| DR. JUSTIN M SACKS | 600 N WOLFE ST | BALTIMORE | MD | 21287 | NA | NA |
| DR. MARK F DEUTSCH | 980 JOHNSON FERRY RD NE | ATLANTA | GA | 30342 | NA | NA |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER 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. BERNARD W CHANG | 227 SAINT PAUL PL | BALTIMORE | MD | 21202 | NA | NA |
| DR. JUSTIN M SACKS | 600 N WOLFE ST | BALTIMORE | MD | 21287 | NA | NA |
| DR. ANKIT R DESAI | 14540 OLD SAINT AUGUSTINE RD | JACKSONVILLE | FL | 32258 | NA | NA |
DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER 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 | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | Z853 | Personal history of malignant neoplasm of breast | 4,492 | 511 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | I10 | Essential (primary) hypertension | 2,307 | 343 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | Z421 | Encounter for breast reconstruction following mastectomy | 2,877 | 283 | |||||||||||||||||
| 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 | 998 | 180 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | Z923 | Personal history of irradiation | 1,287 | 177 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | Z87891 | Personal history of nicotine dependence | 1,109 | 171 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | E785 | Hyperlipidemia, unspecified | 828 | 157 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | E039 | Hypothyroidism, unspecified | 888 | 152 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | F419 | Anxiety disorder, unspecified | 888 | 136 | |||||||||||||||||
| General Surgery | Breast Biopsy, Local Excision And Other Breast Procedures | Breast Biopsy, Local Excision And Other Breast Procedures | Z9013 | Acquired absence of bilateral breasts and nipples | 1,457 | 129 |