Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | Non Surgical | 53.34 | NA | 2,955 | 15,504 | 14,704 | ||||||||||||
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | Non Surgical | 28.42 | NA | 1,754 | 8,260 | 7,376 | ||||||||||||
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | Non Surgical | 18.25 | NA | 1,019 | 5,304 | 5,042 |
DEMOGRAPHIC DETAILS OF DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 12,823 | 82.71 |
| Black | 1,700 | 10.96 |
| Hispanic | 335 | 2.16 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 3,639 | 23.47 |
| Greater than 84 | 2,861 | 18.45 |
| 65 to 69 | 2,480 | 16.0 |
TOP ICD DIAGNOSIS CODES FOR DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 4,252 | 27.43 |
| 28860 | Leukocytosis, unspecified | 3,655 | 23.57 |
| 2724 | Other and unspecified hyperlipidemia | 2,819 | 18.18 |
TOP ICD PROCEDURE CODES FOR DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 9904 | Transfusion Of Packed Cells | 922 | 5.95 |
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 407 | 2.63 |
| 4131 | Biopsy Of Bone Marrow | 307 | 1.98 |
TOP HOSPITALS ASSOCIATED WITH DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 153 | 0.99 |
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 57 | 0.37 |
| Texas Health Presbyterian Hospital Dallas | 8200 WALNUT HILL LANE | Dallas | TX | 75231 | 56 | 0.36 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ALAN G KAYE | 8440 WALNUT HILL LN STE 600 | DALLAS | TX | 75231 | 39 | 0.25 |
| DR. RICHARD J HELTON | 108 W OHIO | COALGATE | OK | 74538 | 21 | 0.14 |
| DR. TANYA O AGARD | 5703 RED BUG LAKE RD # 341 | WINTER SPRINGS | FL | 32708 | 17 | 0.11 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ALAN G KAYE | 8440 WALNUT HILL LN STE 600 | DALLAS | TX | 75231 | 31 | 0.2 |
DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | 4019 | Unspecified essential hypertension | NA | 4,252 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | 28860 | Leukocytosis, unspecified | NA | 3,655 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | I10 | Essential (primary) hypertension | 3,633 | 3,280 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | 2724 | Other and unspecified hyperlipidemia | NA | 2,819 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | E785 | Hyperlipidemia, unspecified | 1,959 | 2,289 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | D72829 | Elevated white blood cell count, unspecified | 2,146 | 2,111 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 2,024 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | 53081 | Esophageal reflux | NA | 1,925 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | 42731 | Atrial fibrillation | NA | 1,659 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | K219 | Gastro-esophageal reflux disease without esophagitis | 1,559 | 1,638 |