DRG 801: SPLENECTOMY 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 801: SPLENECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 801: SPLENECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 801: SPLENECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 801: SPLENECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 801: SPLENECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6DRG 801: SPLENECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 801: SPLENECTOMY 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 (%)
801 SPLENECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Splenectomy Splenectomy Surgical 19.74 NA 191 1,129 1,125
800 SPLENECTOMY WITH COMPLICATION OR COMORBIDITY (CC) General Surgery Splenectomy Splenectomy Surgical 37.23 NA 382 2,129 2,088
799 SPLENECTOMY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Splenectomy Splenectomy Surgical 43.03 NA 478 2,461 2,131

DEMOGRAPHIC DETAILS OF DRG 801: SPLENECTOMY 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 969 85.83
Black 89 7.88
Hispanic 27 2.39
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 331 29.32
70 to 74 262 23.21
Less than 65 248 21.97

TOP ICD DIAGNOSIS CODES FOR DRG 801: SPLENECTOMY 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 341 30.2
28731 Immune thrombocytopenic purpura 331 29.32
53081 Esophageal reflux 193 17.09

TOP ICD PROCEDURE CODES FOR DRG 801: SPLENECTOMY 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
415 Total Splenectomy 672 59.52
07TP4ZZ Resection of Spleen, Percutaneous Endoscopic Approach 292 25.86
07TP0ZZ Resection of Spleen, Open Approach 120 10.63

TOP HOSPITALS ASSOCIATED WITH DRG 801: SPLENECTOMY 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
Indiana University Health 1701 N SENATE Indianapolis IN 46202 NA NA
WellStar Kennestone Hospital 677 CHURCH ST NE Marietta GA 30060 NA NA
Cleveland Clinic 9500 EUCLID AVE Cleveland OH 44195 NA NA

DRG 801: SPLENECTOMY 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 (%)
General Surgery Splenectomy Splenectomy 4019 Unspecified essential hypertension NA 341
General Surgery Splenectomy Splenectomy 28731 Immune thrombocytopenic purpura NA 331
General Surgery Splenectomy Splenectomy I10 Essential (primary) hypertension 280 208
General Surgery Splenectomy Splenectomy 53081 Esophageal reflux NA 193
General Surgery Splenectomy Splenectomy D693 Immune thrombocytopenic purpura 510 179
General Surgery Splenectomy Splenectomy 2724 Other and unspecified hyperlipidemia NA 166
General Surgery Splenectomy Splenectomy 7892 Splenomegaly NA 154
General Surgery Splenectomy Splenectomy 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 142
General Surgery Splenectomy Splenectomy R161 Splenomegaly, not elsewhere classified 361 130
General Surgery Splenectomy Splenectomy V1582 Personal history of tobacco use NA 124