DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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 (%)
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
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
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

DEMOGRAPHIC DETAILS OF DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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 4,945 85.32
Black 547 9.44
Hispanic 106 1.83
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 1,466 25.29
65 to 69 1,450 25.02
70 to 74 1,050 18.12

TOP ICD DIAGNOSIS CODES FOR DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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 1,428 24.64
33818 Other acute postoperative pain 985 16.99
2724 Other and unspecified hyperlipidemia 754 13.01

TOP ICD PROCEDURE CODES FOR DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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
8669 Other Skin Graft To Other Sites 278 4.8
0309 Other Exploration And Decompression Of Spinal Canal 197 3.4
8622 Excisional Debridement Of Wound, Infection, Or Burn 176 3.04

TOP HOSPITALS ASSOCIATED WITH DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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
Mount Sinai Hospital 1 GUSTAVE L LEVY PL New York NY 10029 29 0.5
Mayo Clinic Hospital - Saint Marys Campus 1216 2ND ST SW Rochester MN 55902 29 0.5
Colorado Canyons Hospital and Medical Center 300 WEST OTTLEY AVE. Fruita CO 81521 28 0.48

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. LARRY D TICE 551 KOKOPELLI BLVD FRUITA CO 81521 23 0.4
DR. PRAKASH KRISHNAN 5 E 98TH ST NEW YORK NY 10029 11 0.19

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. LARRY D TICE 551 KOKOPELLI BLVD FRUITA CO 81521 24 0.41
DR. PRAKASH KRISHNAN 5 E 98TH ST NEW YORK NY 10029 11 0.19

DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES 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 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 2,167 1,736
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 1,428
General Surgery Major Procedures With Diagnosis Of Other Contact With Health Services O.R. Procedures With Diagnoses Of Other Contact With Health Services 33818 Other acute postoperative pain NA 985
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 1,028 974
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 973 795
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 754
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 833 674
General Surgery Major Procedures With Diagnosis Of Other Contact With Health Services O.R. Procedures With Diagnoses Of Other Contact With Health Services G8918 Other acute postprocedural pain 1,088 672
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 606
General Surgery Major Procedures With Diagnosis Of Other Contact With Health Services O.R. Procedures With Diagnoses Of Other Contact With Health Services E119 Type 2 diabetes mellitus without complications 760 600