Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 804: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | Surgical | 21.20 | NA | 556 | 2,629 | 2,610 | ||||||||||||
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | Surgical | 35.56 | NA | 866 | 4,411 | 4,042 | ||||||||||||
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | Surgical | 43.24 | NA | 1,025 | 5,363 | 5,262 |
DEMOGRAPHIC DETAILS OF DRG 804: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 2,113 | 80.37 |
| Black | 349 | 13.28 |
| Hispanic | 44 | 1.67 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 755 | 28.72 |
| 70 to 74 | 575 | 21.87 |
| Less than 65 | 506 | 19.25 |
TOP ICD DIAGNOSIS CODES FOR DRG 804: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 754 | 28.68 |
| 7856 | Enlargement of lymph nodes | 592 | 22.52 |
| 2724 | Other and unspecified hyperlipidemia | 458 | 17.42 |
TOP ICD PROCEDURE CODES FOR DRG 804: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 4011 | Biopsy Of Lymphatic Structure | 451 | 17.15 |
| 8E0W4CZ | Robotic Assisted Procedure of Trunk Region, Percutaneous Endoscopic Approach | 168 | 6.39 |
| 0782 | Other Total Excision Of Thymus | 142 | 5.4 |
TOP HOSPITALS ASSOCIATED WITH DRG 804: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|---|---|---|
| Brigham and Women's Hospital | 75 FRANCIS ST | Boston | MA | 02115 | 21 | 0.8 |
| University of Alabama Hospital | 619 19TH ST S | Birmingham | AL | 35249 | 18 | 0.68 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 16 | 0.61 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 804: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. ROBERT J CERFOLIO | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 14 | 0.53 |
| DR. ROBERT JOSEPH MCKENNA | 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 11 | 0.42 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 804: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. ROBERT J CERFOLIO | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 13 | 0.49 |
| DR. ROBERT JOSEPH MCKENNA | 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 12 | 0.46 |
DRG 804: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | 4019 | Unspecified essential hypertension | NA | 754 | |||||||||||||||||
| General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | I10 | Essential (primary) hypertension | 960 | 670 | |||||||||||||||||
| General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | 7856 | Enlargement of lymph nodes | NA | 592 | |||||||||||||||||
| General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | 2724 | Other and unspecified hyperlipidemia | NA | 458 | |||||||||||||||||
| General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | E785 | Hyperlipidemia, unspecified | 565 | 426 | |||||||||||||||||
| General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | 2126 | Benign neoplasm of thymus | NA | 363 | |||||||||||||||||
| General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | Z87891 | Personal history of nicotine dependence | 488 | 355 | |||||||||||||||||
| General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | 53081 | Esophageal reflux | NA | 347 | |||||||||||||||||
| General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | R590 | Localized enlarged lymph nodes | 790 | 346 | |||||||||||||||||
| General Surgery | Other Procedures Of The Blood And Blood Forming Organs | Other O.R. Procedures Of The Blood And Blood Forming Organs | K219 | Gastro-esophageal reflux disease without esophagitis | 378 | 341 |