DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS

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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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 (%)
655 MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Urology Major Bladder Procedures Major Bladder Procedures Surgical 20.31 NA 1,612 7,702 7,682
653 MAJOR BLADDER PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Urology Major Bladder Procedures Major Bladder Procedures Surgical 23.49 NA 1,862 8,909 8,179
654 MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) Urology Major Bladder Procedures Major Bladder Procedures Surgical 56.21 NA 4,456 21,320 21,182

DEMOGRAPHIC DETAILS OF DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 6,910 89.72
Black 366 4.75
Unknown 132 1.71
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 2,128 27.63
70 to 74 2,007 26.06
75 to 79 1,552 20.15

TOP ICD DIAGNOSIS CODES FOR DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 2,101 27.28
1889 Malignant neoplasm of bladder, part unspecified 1,587 20.61
V1582 Personal history of tobacco use 1,250 16.23

TOP ICD PROCEDURE CODES FOR DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
5771 Radical Cystectomy 2,283 29.64
5651 Formation Of Cutaneous Uretero-Ileostomy 2,068 26.85
403 Regional Lymph Node Excision 1,960 25.45

TOP HOSPITALS ASSOCIATED WITH DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
University of Texas MD Anderson Cancer Center 1515 HOLCOMBE BLVD Houston TX 77030 219 2.84
Indiana University Health 1701 N SENATE Indianapolis IN 46202 136 1.77
The Johns Hopkins Hospital 600 N WOLFE ST Baltimore MD 21287 125 1.62

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. TRINITY J BIVALACQUA 600 N WOLFE ST BALTIMORE MD 21287 82 1.06
DR. COLIN P. DINNEY 1515 HOLCOMBE BLVD HOUSTON TX 77030 58 0.75
DR. ASHISH M. KAMAT 1515 HOLCOMBE BLVD HOUSTON TX 77030 58 0.75

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. TRINITY J BIVALACQUA 600 N WOLFE ST BALTIMORE MD 21287 82 1.06
DR. ASHISH M. KAMAT 1515 HOLCOMBE BLVD HOUSTON TX 77030 57 0.74
DR. COLIN P. DINNEY 1515 HOLCOMBE BLVD HOUSTON TX 77030 56 0.73

DRG 655: MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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 (%)
Urology Major Bladder Procedures Major Bladder Procedures 4019 Unspecified essential hypertension NA 2,101
Urology Major Bladder Procedures Major Bladder Procedures I10 Essential (primary) hypertension 1,959 2,046
Urology Major Bladder Procedures Major Bladder Procedures 1889 Malignant neoplasm of bladder, part unspecified NA 1,587
Urology Major Bladder Procedures Major Bladder Procedures C679 Malignant neoplasm of bladder, unspecified 1,474 1,453
Urology Major Bladder Procedures Major Bladder Procedures E785 Hyperlipidemia, unspecified 1,109 1,288
Urology Major Bladder Procedures Major Bladder Procedures Z87891 Personal history of nicotine dependence 1,232 1,256
Urology Major Bladder Procedures Major Bladder Procedures V1582 Personal history of tobacco use NA 1,250
Urology Major Bladder Procedures Major Bladder Procedures 2724 Other and unspecified hyperlipidemia NA 1,191
Urology Major Bladder Procedures Major Bladder Procedures K219 Gastro-esophageal reflux disease without esophagitis 743 882
Urology Major Bladder Procedures Major Bladder Procedures 53081 Esophageal reflux NA 829