Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS 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 | 4,455 | 83.99 |
| Black | 524 | 9.88 |
| Hispanic | 120 | 2.26 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 1,221 | 23.02 |
| Greater than 84 | 991 | 18.68 |
| 65 to 69 | 886 | 16.7 |
TOP ICD DIAGNOSIS CODES FOR DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS 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 | 1,598 | 30.13 |
| 28860 | Leukocytosis, unspecified | 1,286 | 24.25 |
| 2724 | Other and unspecified hyperlipidemia | 921 | 17.36 |
TOP ICD PROCEDURE CODES FOR DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS 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 |
|---|---|---|---|
| 9904 | Transfusion Of Packed Cells | 111 | 2.09 |
| 5491 | Percutaneous Abdominal Drainage | 92 | 1.73 |
| 4131 | Biopsy Of Bone Marrow | 77 | 1.45 |
TOP HOSPITALS ASSOCIATED WITH DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS 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 |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 50 | 0.94 |
| University Hospital SUNY Health Science Center | 750 E ADAMS ST | Syracuse | NY | 13210 | 29 | 0.55 |
| Mary Hurley Hospital | 6 N COVINGTON ST | Coalgate | OK | 74538 | 17 | 0.32 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS 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. RICHARD J HELTON | 108 W OHIO | COALGATE | OK | 74538 | 18 | 0.34 |
| DR. ANA MERCEDES SOTO | 445 AVE GONZALEZ CLEMENTE | MAYAGUEZ | PR | 00682 | 13 | 0.25 |
| DR. IVAN A BOLIVAR | 5703 RED BUG LAKE RD | WINTER SPRINGS | FL | 32708 | 12 | 0.23 |
DRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | 4019 | Unspecified essential hypertension | NA | 1,598 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | I10 | Essential (primary) hypertension | 1,772 | 1,295 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | 28860 | Leukocytosis, unspecified | NA | 1,286 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | 2724 | Other and unspecified hyperlipidemia | NA | 921 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | E785 | Hyperlipidemia, unspecified | 871 | 755 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | D72829 | Elevated white blood cell count, unspecified | 1,351 | 726 | |||||||||||||||||
| 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 | 668 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | 53081 | Esophageal reflux | NA | 562 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | K219 | Gastro-esophageal reflux disease without esophagitis | 595 | 480 | |||||||||||||||||
| Oncology & Hematology | Reticuloendothelial And Immunity Disorders | Reticuloendothelial And Immunity Disorders | 42731 | Atrial fibrillation | NA | 457 |