Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 970: HIV WITH EXTENSIVE O.R. PROCEDURE WITHOUT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | Surgical | 8.44 | NA | 27 | 277 | 271 | ||||||||||||
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | Surgical | 91.56 | NA | 549 | 3,004 | 2,610 |
DEMOGRAPHIC DETAILS OF DRG 970: HIV WITH EXTENSIVE O.R. PROCEDURE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 143 | 51.62 |
| Black | 107 | 38.63 |
| Hispanic | 17 | 6.14 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 241 | 87.0 |
| 65 to 69 | 26 | 9.39 |
| 70 to 74 | NA | NA |
TOP ICD DIAGNOSIS CODES FOR DRG 970: HIV WITH EXTENSIVE O.R. PROCEDURE WITHOUT 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 |
|---|---|---|---|
| 042 | Human immunodeficiency virus [HIV] disease | 181 | 65.34 |
| 3051 | Tobacco use disorder | 65 | 23.47 |
| 4019 | Unspecified essential hypertension | 50 | 18.05 |
TOP ICD PROCEDURE CODES FOR DRG 970: HIV WITH EXTENSIVE O.R. PROCEDURE WITHOUT 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 |
|---|---|---|---|
| 8622 | Excisional Debridement Of Wound, Infection, Or Burn | 22 | 7.94 |
| 9904 | Transfusion Of Packed Cells | 19 | 6.86 |
| 8151 | Total Hip Replacement | 19 | 6.86 |
TOP HOSPITALS ASSOCIATED WITH DRG 970: HIV WITH EXTENSIVE O.R. PROCEDURE WITHOUT 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 |
|---|---|---|---|---|---|---|
| Barnes Jewish Hospital | 1 BARNES-JEWISH HOSPITAL PLZ | Saint Louis | MO | 63110 | NA | NA |
| Morristown Medical Center | 100 MADISON AVE | Morristown | NJ | 07960 | NA | NA |
| Carle Foundation Hospital | 611 W PARK ST | Urbana | IL | 61801 | NA | NA |
DRG 970: HIV WITH EXTENSIVE O.R. PROCEDURE WITHOUT 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 | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | 042 | Human immunodeficiency virus [HIV] disease | NA | 181 | |||||||||||||||||
| General Surgery | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | B20 | Human immunodeficiency virus [HIV] disease | 463 | 96 | |||||||||||||||||
| General Surgery | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | 3051 | Tobacco use disorder | NA | 65 | |||||||||||||||||
| General Surgery | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | 4019 | Unspecified essential hypertension | NA | 50 | |||||||||||||||||
| General Surgery | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | I10 | Essential (primary) hypertension | 131 | 36 | |||||||||||||||||
| General Surgery | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | 2724 | Other and unspecified hyperlipidemia | NA | 32 | |||||||||||||||||
| General Surgery | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | 5849 | Acute kidney failure, unspecified | NA | 30 | |||||||||||||||||
| General Surgery | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | 53081 | Esophageal reflux | NA | 28 | |||||||||||||||||
| General Surgery | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | V1582 | Personal history of tobacco use | NA | 25 | |||||||||||||||||
| General Surgery | Hiv With Extensive O.R. Procedure | Hiv With Extensive O.R. Procedure | F17210 | Nicotine dependence, cigarettes, uncomplicated | 127 | 24 |