Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 619: O.R. PROCEDURES FOR OBESITY 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 619 | O.R. PROCEDURES FOR OBESITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | Surgical | 5.21 | NA | 971 | 5,121 | 948 | ||||||||||||
| 620 | O.R. PROCEDURES FOR OBESITY WITH COMPLICATION OR COMORBIDITY (CC) | Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | Surgical | 20.48 | NA | 3,814 | 19,685 | 3,802 | ||||||||||||
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | Surgical | 74.31 | NA | 13,841 | 68,366 | 13,826 |
DEMOGRAPHIC DETAILS OF DRG 619: O.R. PROCEDURES FOR OBESITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 559 | 57.57 |
| Black | 314 | 32.34 |
| Hispanic | 56 | 5.77 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 734 | 75.59 |
| 65 to 69 | 169 | 17.4 |
| 70 to 74 | 45 | 4.63 |
TOP ICD DIAGNOSIS CODES FOR DRG 619: O.R. PROCEDURES FOR OBESITY WITH 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 |
|---|---|---|---|
| K9581 | Infection due to other bariatric procedure | NA | NA |
| 0389 | Unspecified septicemia | NA | NA |
| 04104 | Streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group D [Enterococcus] | NA | NA |
TOP ICD PROCEDURE CODES FOR DRG 619: O.R. PROCEDURES FOR OBESITY WITH 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 |
|---|---|---|---|
| 0DB64Z3 | Excision of Stomach, Percutaneous Endoscopic Approach, Vertical | 673 | 69.31 |
| 0D164ZA | Bypass Stomach to Jejunum, Percutaneous Endoscopic Approach | 223 | 22.97 |
| 0DJ08ZZ | Inspection of Upper Intestinal Tract, Via Natural or Artificial Opening Endoscopic | 203 | 20.91 |
TOP HOSPITALS ASSOCIATED WITH DRG 619: O.R. PROCEDURES FOR OBESITY WITH 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 |
|---|---|---|---|---|---|---|
| Medical City Fort Worth | 900 8TH AVE | Fort Worth | TX | 76104 | 20 | 2.06 |
| University of Cincinnati Medical Center | 234 GOODMAN STREET | Cincinnati | OH | 45219 | 19 | 1.96 |
| Baylor Scott & White Medical Center - Temple | 2401 S 31ST ST | Temple | TX | 76508 | 14 | 1.44 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 619: O.R. PROCEDURES FOR OBESITY WITH 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. DAVID ANDERS PROVOST | 2401 S 31ST ST | TEMPLE | TX | 76508 | NA | NA |
| DR. JAY PATEL | 800 8TH AVE | FORT WORTH | TX | 76104 | NA | NA |
| DR. CHRISTOPHER L. BELL | 7777 FOREST LN | DALLAS, | TX | 75230 | NA | NA |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 619: O.R. PROCEDURES FOR OBESITY WITH 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. JAY PATEL | 800 8TH AVE | FORT WORTH | TX | 76104 | 19 | 1.96 |
| DR. TAYYAB S DIWAN | 234 GOODMAN ST | CINCINNATI | OH | 45219 | 12 | 1.24 |
| DR. DAVID ANDERS PROVOST | 2401 S 31ST ST | TEMPLE | TX | 76508 | NA | NA |
DRG 619: O.R. PROCEDURES FOR OBESITY 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 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | E6601 | Morbid (severe) obesity due to excess calories | 2,936 | 936 | |||||||||||||||||
| Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | G4733 | Obstructive sleep apnea (adult) (pediatric) | 1,500 | 528 | |||||||||||||||||
| Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | N186 | End stage renal disease | 760 | 471 | |||||||||||||||||
| Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | K219 | Gastro-esophageal reflux disease without esophagitis | 1,317 | 419 | |||||||||||||||||
| Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | Z992 | Dependence on renal dialysis | 616 | 415 | |||||||||||||||||
| Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | E785 | Hyperlipidemia, unspecified | 1,113 | 408 | |||||||||||||||||
| Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | I120 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 688 | 364 | |||||||||||||||||
| Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | E1122 | Type 2 diabetes mellitus with diabetic chronic kidney disease | 255 | 332 | |||||||||||||||||
| Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | Z87891 | Personal history of nicotine dependence | 616 | 273 | |||||||||||||||||
| Obesity, Bariatric, Stomach & Duodenal | Procedures For Obesity | O.R. Procedures For Obesity | I10 | Essential (primary) hypertension | 1,406 | 270 |