Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 597: MALIGNANT BREAST DISORDERS WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 597 | MALIGNANT BREAST DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | Non Surgical | 37.99 | NA | 1,465 | 5,617 | 4,548 | ||||||||||||
| 599 | MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | Non Surgical | 4.86 | NA | 155 | 719 | 650 | ||||||||||||
| 598 | MALIGNANT BREAST DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | Non Surgical | 57.15 | NA | 1,730 | 8,450 | 7,632 |
DEMOGRAPHIC DETAILS OF DRG 597: MALIGNANT BREAST DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,004 | 71.28 |
| Black | 1,250 | 22.25 |
| Hispanic | 105 | 1.87 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 1,238 | 22.04 |
| Less than 65 | 1,114 | 19.83 |
| 70 to 74 | 1,002 | 17.84 |
TOP ICD DIAGNOSIS CODES FOR DRG 597: MALIGNANT BREAST DISORDERS WITH 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 |
|---|---|---|---|
| 1749 | Malignant neoplasm of breast (female), unspecified | 2,003 | 35.66 |
| J910 | Malignant pleural effusion | 1,468 | 26.13 |
| C50919 | Malignant neoplasm of unspecified site of unspecified female breast | 1,187 | 21.13 |
TOP ICD PROCEDURE CODES FOR DRG 597: MALIGNANT BREAST DISORDERS WITH 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 |
|---|---|---|---|
| 3491 | Thoracentesis | 780 | 13.89 |
| 0W993ZZ | Drainage of Right Pleural Cavity, Percutaneous Approach | 476 | 8.47 |
| 8511 | Closed [Percutaneous] [Needle] Biopsy Of Breast | 354 | 6.3 |
TOP HOSPITALS ASSOCIATED WITH DRG 597: MALIGNANT BREAST DISORDERS WITH 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 |
|---|---|---|---|---|---|---|
| Calvary Hospital | 1740 EASTCHESTER RD | Bronx | NY | 10461 | 115 | 2.05 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 57 | 1.01 |
| University of Texas MD Anderson Cancer Center | 1515 HOLCOMBE BLVD | Houston | TX | 77030 | 21 | 0.37 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 597: MALIGNANT BREAST DISORDERS WITH 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. IRINA MAKAREVICH | 150 55TH ST | BROOKLYN | NY | 11220 | 17 | 0.3 |
| DR. ANDREW ZARETSKY | 1379 54TH ST | BROOKLYN | NY | 11219 | 16 | 0.28 |
| DR. SREENIVASA R PATIBANDLA | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 16 | 0.28 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 597: MALIGNANT BREAST DISORDERS WITH 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. DEVMANI JAITLY | 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 13 | 0.23 |
DRG 597: MALIGNANT BREAST DISORDERS WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | 1749 | Malignant neoplasm of breast (female), unspecified | NA | 2,003 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | C7951 | Secondary malignant neoplasm of bone | 1,938 | 1,572 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | J910 | Malignant pleural effusion | 1,606 | 1,468 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | I10 | Essential (primary) hypertension | 1,411 | 1,351 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | Z66 | Do not resuscitate | 1,504 | 1,236 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | C50919 | Malignant neoplasm of unspecified site of unspecified female breast | 1,738 | 1,187 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | 1985 | Secondary malignant neoplasm of bone and bone marrow | NA | 1,163 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | 4019 | Unspecified essential hypertension | NA | 1,062 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | Z515 | Encounter for palliative care | 1,449 | 980 | |||||||||||||||||
| Oncology & Hematology | Malignant Breast Disorders | Malignant Breast Disorders | C787 | Secondary malignant neoplasm of liver and intrahepatic bile duct | 1,279 | 872 |