DRG 765: CESAREAN SECTION WITH 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 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 765: CESAREAN SECTION WITH 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 (%)
765 CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Obstetrics & Gynecology Cesarean Section Cesarean Section Surgical 61.43 NA 3,722 19,937 19,726
766 CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Obstetrics & Gynecology Cesarean Section Cesarean Section Surgical 38.57 NA 2,062 12,516 12,447

DEMOGRAPHIC DETAILS OF DRG 765: CESAREAN SECTION WITH 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 10,675 53.54
Black 6,440 32.3
Hispanic 1,547 7.76
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 19,937 100.0

TOP ICD DIAGNOSIS CODES FOR DRG 765: CESAREAN SECTION WITH 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
V270 Motorcycle driver injured in collision with fixed or stationary object in nontraffic accident 10,327 51.8
Z370 Single live birth 7,992 40.09
64891 Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition 5,633 28.25

TOP ICD PROCEDURE CODES FOR DRG 765: CESAREAN SECTION WITH 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
741 Low Cervical Cesarean Section 10,752 53.93
10D00Z1 Extraction of Products of Conception, Low Cervical, Open Approach 8,333 41.8
7534 Other Fetal Monitoring 1,920 9.63

TOP HOSPITALS ASSOCIATED WITH DRG 765: CESAREAN SECTION WITH 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
Women & Infants Hospital of Rhode Island 101 DUDLEY ST Providence RI 02905 119 0.6
University of Alabama Hospital 619 19TH ST S Birmingham AL 35249 103 0.52
Barnes Jewish Hospital 1 BARNES-JEWISH HOSPITAL PLZ Saint Louis MO 63110 95 0.48

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 765: CESAREAN SECTION WITH 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. CHAD A STRITTMATTER 2157 MAIN ST BUFFALO NY 14214 24 0.12
DR. SALIH Y YASIN 1611 NW 12TH AVE MIAMI FL 33101 24 0.12
DR. STEVEN DONALD JOHNSON 10498 MONTGOMERY RD. CINCINNATI OH 45242 23 0.12

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 765: CESAREAN SECTION WITH 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. SALIH Y YASIN 1611 NW 12TH AVE MIAMI FL 33101 28 0.14
DR. NICOLE CHERISE GILLMAN 825 FAIRFAX AVE NORFOLK VA 23507 20 0.1

DRG 765: CESAREAN SECTION WITH 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 (%)
Obstetrics & Gynecology Cesarean Section Cesarean Section V270 Motorcycle driver injured in collision with fixed or stationary object in nontraffic accident NA 10,327
Obstetrics & Gynecology Cesarean Section Cesarean Section Z370 Single live birth 450,508 7,992
Obstetrics & Gynecology Cesarean Section Cesarean Section 64891 Other current conditions classifiable elsewhere of mother, delivered, with or without mention of antepartum condition NA 5,633
Obstetrics & Gynecology Cesarean Section Cesarean Section 65421 Previous cesarean delivery, delivered, with or without mention of antepartum condition NA 5,473
Obstetrics & Gynecology Cesarean Section Cesarean Section 64841 Mental disorders of mother, delivered, with or without mention of antepartum condition NA 3,994
Obstetrics & Gynecology Cesarean Section Cesarean Section 64911 Obesity complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition NA 3,227
Obstetrics & Gynecology Cesarean Section Cesarean Section O99214 Obesity complicating childbirth 94,469 2,707
Obstetrics & Gynecology Cesarean Section Cesarean Section O99344 Other mental disorders complicating childbirth 24,157 2,622
Obstetrics & Gynecology Cesarean Section Cesarean Section 65971 Abnormality in fetal heart rate or rhythm, delivered, with or without mention of antepartum condition NA 2,498
Obstetrics & Gynecology Cesarean Section Cesarean Section Z3A39 39 weeks gestation of pregnancy 144,359 2,388