Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | Surgical | 46.67 | NA | 2,352 | 13,993 | 13,278 | ||||||||||||
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | Surgical | 33.99 | NA | 1,544 | 10,191 | 8,797 | ||||||||||||
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | Surgical | 19.33 | NA | 1,183 | 5,796 | 5,732 |
DEMOGRAPHIC DETAILS OF DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 11,854 | 84.71 |
| Black | 1,368 | 9.78 |
| Hispanic | 261 | 1.87 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 3,310 | 23.65 |
| 65 to 69 | 2,800 | 20.01 |
| 70 to 74 | 2,478 | 17.71 |
TOP ICD DIAGNOSIS CODES FOR DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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 | 3,879 | 27.72 |
| V5789 | Care involving other specified rehabilitation procedure | 3,355 | 23.98 |
| 2724 | Other and unspecified hyperlipidemia | 2,715 | 19.4 |
TOP ICD PROCEDURE CODES FOR DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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 |
|---|---|---|---|
| 8622 | Excisional Debridement Of Wound, Infection, Or Burn | 1,228 | 8.78 |
| 387 | Interruption Of Vena Cava | 857 | 6.12 |
| 9383 | Occupational Therapy | 852 | 6.09 |
TOP HOSPITALS ASSOCIATED WITH DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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 |
|---|---|---|---|---|---|---|
| Mount Sinai Hospital | 1 GUSTAVE L LEVY PL | New York | NY | 10029 | 79 | 0.56 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 79 | 0.56 |
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 72 | 0.51 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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. PADMAJA KONDAMURI | 8840 CALUMET AVE | MUNSTER | IN | 46321 | 39 | 0.28 |
| DR. RAMAKRISHNA R KOSURI | 11110 MEDICAL CAMPUS RD | HAGERSTOWN | MD | 21742 | 34 | 0.24 |
| DR. ALEX CLARK WILLINGHAM | 5101 MEDICAL DR | SAN ANTONIO | TX | 78229 | 29 | 0.21 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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. ALEX CLARK WILLINGHAM | 5101 MEDICAL DR | SAN ANTONIO | TX | 78229 | 29 | 0.21 |
| DR. THOMAS GILBERT | 11116 MEDICAL CAMPUS RD | HAGERSTOWN | MD | 21742 | 20 | 0.14 |
| DR. LARRY D TICE | 551 KOKOPELLI BLVD | FRUITA | CO | 81521 | 18 | 0.13 |
DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | 4019 | Unspecified essential hypertension | NA | 3,879 | |||||||||||||||||
| General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | I10 | Essential (primary) hypertension | 3,791 | 3,571 | |||||||||||||||||
| General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | V5789 | Care involving other specified rehabilitation procedure | NA | 3,355 | |||||||||||||||||
| General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | 2724 | Other and unspecified hyperlipidemia | NA | 2,715 | |||||||||||||||||
| General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | E785 | Hyperlipidemia, unspecified | 2,205 | 2,424 | |||||||||||||||||
| General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | K219 | Gastro-esophageal reflux disease without esophagitis | 1,776 | 1,883 | |||||||||||||||||
| General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | 53081 | Esophageal reflux | NA | 1,683 | |||||||||||||||||
| General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | Z87891 | Personal history of nicotine dependence | 1,551 | 1,647 | |||||||||||||||||
| General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,151 | 1,571 | |||||||||||||||||
| General Surgery | Major Procedures With Diagnosis Of Other Contact With Health Services | O.R. Procedures With Diagnoses Of Other Contact With Health Services | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 1,567 |