Venice Regional Bayfront Health - Rankings, Doctors, Quality Outcomes & Information

All you need to know about Venice Regional Bayfront Health practicing at 540 The Rialto, Venice, FL, 34285 with Hospital NPI  1760427157.


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Venice Regional Bayfront Health Rankings & Experience

Rankings - Jan 2021 to Dec 2021

Endocrinology

Unique Endocrinology Medicare Patients Treated

Total payments

Endocrinology Medical

Unique Endocrinology Medical Medicare Patients Treated

Total payments

Cardiovascular

Unique Cardiovascular Medicare Patients Treated

Total payments

Cardiovascular Medical

Unique Cardiovascular Medical Medicare Patients Treated

Total payments

Metabolic disorders

Unique Metabolic disorders Medicare Patients Treated

Total payments

Hypertension

Unique Hypertension Medicare Patients Treated

Total payments

Gastroenterology

Unique Gastroenterology Medicare Patients Treated

Total payments

Gastroenterology Medical

Unique Gastroenterology Medical Medicare Patients Treated

Total payments

Urology

Unique Urology Medicare Patients Treated

Total payments

Urology Medical

Unique Urology Medical Medicare Patients Treated

Total payments

Orthopedic

Unique Orthopedic Medicare Patients Treated

Total payments

Orthopedic Medical

Unique Orthopedic Medical Medicare Patients Treated

Total payments

Pulmonology

Unique Pulmonology Medicare Patients Treated

Total payments

Pulmonology Medical

Unique Pulmonology Medical Medicare Patients Treated

Total payments

Nephrology

Unique Nephrology Medicare Patients Treated

Total payments

Nephrology Medical

Unique Nephrology Medical Medicare Patients Treated

Total payments

Atrial Fibrillation

Unique Atrial Fibrillation Medicare Patients Treated

Total payments

Diabetes Mellitus

Unique Diabetes Mellitus Medicare Patients Treated

Total payments

Cardiovascular Surgical

Unique Cardiovascular Surgical Medicare Patients Treated

Total payments

Heart Failure

Unique Heart Failure Medicare Patients Treated

Total payments

Thyroid Disorder

Unique Thyroid Disorder Medicare Patients Treated

Total payments

Urinary Tract Infections

Unique Urinary Tract Infections Medicare Patients Treated

Total payments

Oncology

Unique Oncology Medicare Patients Treated

Total payments

Oncology Medical

Unique Oncology Medical Medicare Patients Treated

Total payments

Gastroenterology Surgical

Unique Gastroenterology Surgical Medicare Patients Treated

Total payments

Orthopedic Surgical

Unique Orthopedic Surgical Medicare Patients Treated

Total payments

Osteoarthritis

Unique Osteoarthritis Medicare Patients Treated

Total payments

Benign Prostatic Hyperplasia (BPH)

Unique Benign Prostatic Hyperplasia (BPH) Medicare Patients Treated

Total payments

Obesity

Unique Obesity Medicare Patients Treated

Total payments

Diverticulitis

Unique Diverticulitis Medicare Patients Treated

Total payments

Pulmonology Surgical

Unique Pulmonology Surgical Medicare Patients Treated

Total payments

Malnutrition & Nutritional deficiencies

Unique Malnutrition & Nutritional deficiencies Medicare Patients Treated

Total payments

Pneumonia

Unique Pneumonia Medicare Patients Treated

Total payments

Acute Myocardial Infarction

Unique Acute Myocardial Infarction Medicare Patients Treated

Total payments

Constipation

Unique Constipation Medicare Patients Treated

Total payments

Gastrointestinal hemorrhage

Unique Gastrointestinal hemorrhage Medicare Patients Treated

Total payments

Osteoporosis

Unique Osteoporosis Medicare Patients Treated

Total payments

Urology Surgical

Unique Urology Surgical Medicare Patients Treated

Total payments

GERD

Unique GERD Medicare Patients Treated

Total payments

Pleural effusion

Unique Pleural effusion Medicare Patients Treated

Total payments

Bladder Disorder

Unique Bladder Disorder Medicare Patients Treated

Total payments

Hip & Knee Replacement

Unique Hip & Knee Replacement Medicare Patients Treated

Total payments

Dysphagia

Unique Dysphagia Medicare Patients Treated

Total payments

Spondylosis

Unique Spondylosis Medicare Patients Treated

Total payments

Lung Cancer

Unique Lung Cancer Medicare Patients Treated

Total payments

Stroke

Unique Stroke Medicare Patients Treated

Total payments

Stent Surgery

Unique Stent Surgery Medicare Patients Treated

Total payments

Gastritis

Unique Gastritis Medicare Patients Treated

Total payments

Rheumatoid Arthritis

Unique Rheumatoid Arthritis Medicare Patients Treated

Total payments

Ascites

Unique Ascites Medicare Patients Treated

Total payments

Pacemaker Procedure

Unique Pacemaker Procedure Medicare Patients Treated

Total payments

Liver Cirrhosis

Unique Liver Cirrhosis Medicare Patients Treated

Total payments

Urinary Incontinence

Unique Urinary Incontinence Medicare Patients Treated

Total payments

Intestinal obstruction

Unique Intestinal obstruction Medicare Patients Treated

Total payments

Pancreatitis

Unique Pancreatitis Medicare Patients Treated

Total payments

Diarrhea

Unique Diarrhea Medicare Patients Treated

Total payments

Colectomy Surgery

Unique Colectomy Surgery Medicare Patients Treated

Total payments

Liver Cancer

Unique Liver Cancer Medicare Patients Treated

Total payments

Bone Cancer

Unique Bone Cancer Medicare Patients Treated

Total payments

Hemorrhoids

Unique Hemorrhoids Medicare Patients Treated

Total payments

Cardiac Arrest

Unique Cardiac Arrest Medicare Patients Treated

Total payments

Degenerative disc disease

Unique Degenerative disc disease Medicare Patients Treated

Total payments

Irritable bowel syndrome

Unique Irritable bowel syndrome Medicare Patients Treated

Total payments

Barrett's esophagus

Unique Barrett's esophagus Medicare Patients Treated

Total payments

Colon Cancer

Unique Colon Cancer Medicare Patients Treated

Total payments

Prostate Cancer

Unique Prostate Cancer Medicare Patients Treated

Total payments

Heart Valve Surgery

Unique Heart Valve Surgery Medicare Patients Treated

Total payments

Bladder Cancer

Unique Bladder Cancer Medicare Patients Treated

Total payments

Nephrology Surgical

Unique Nephrology Surgical Medicare Patients Treated

Total payments

Goiter

Unique Goiter Medicare Patients Treated

Total payments

Bronchoscopy

Unique Bronchoscopy Medicare Patients Treated

Total payments

Brain Cancer

Unique Brain Cancer Medicare Patients Treated

Total payments

Esophagitis

Unique Esophagitis Medicare Patients Treated

Total payments

Pancreatic Cancer

Unique Pancreatic Cancer Medicare Patients Treated

Total payments

Skin Cancer

Unique Skin Cancer Medicare Patients Treated

Total payments

Scoliosis

Unique Scoliosis Medicare Patients Treated

Total payments

Peritonitis

Unique Peritonitis Medicare Patients Treated

Total payments

Kidney Cancer

Unique Kidney Cancer Medicare Patients Treated

Total payments

Crohn's Disease

Unique Crohn's Disease Medicare Patients Treated

Total payments

Appendectomy

Unique Appendectomy Medicare Patients Treated

Total payments

Radiculopathy

Unique Radiculopathy Medicare Patients Treated

Total payments

Breast Cancer

Unique Breast Cancer Medicare Patients Treated

Total payments

Acute Respiratory Distress Syndrome (ARDS)

Unique Acute Respiratory Distress Syndrome (ARDS) Medicare Patients Treated

Total payments

Ulcerative Colitis

Unique Ulcerative Colitis Medicare Patients Treated

Total payments

Cardiac Cancer

Unique Cardiac Cancer Medicare Patients Treated

Total payments

Nephritis

Unique Nephritis Medicare Patients Treated

Total payments

Esophageal cancer

Unique Esophageal cancer Medicare Patients Treated

Total payments

Anorectal Cancer

Unique Anorectal Cancer Medicare Patients Treated

Total payments

Peritoneal cancer

Unique Peritoneal cancer Medicare Patients Treated

Total payments

Stomach Cancer

Unique Stomach Cancer Medicare Patients Treated

Total payments

Cystourethroscopy

Unique Cystourethroscopy Medicare Patients Treated

Total payments

Hypo & Hyperparathyroidism

Unique Hypo & Hyperparathyroidism Medicare Patients Treated

Total payments

Nephrectomy Surgery

Unique Nephrectomy Surgery Medicare Patients Treated

Total payments

Uterine Cancer

Unique Uterine Cancer Medicare Patients Treated

Total payments

Polycystic Kidney Disease

Unique Polycystic Kidney Disease Medicare Patients Treated

Total payments

Endometrial Cancer

Unique Endometrial Cancer Medicare Patients Treated

Total payments

Ovarian Cancer

Unique Ovarian Cancer Medicare Patients Treated

Total payments

Dysuria

Unique Dysuria Medicare Patients Treated

Total payments

Endocrinology Surgical

Unique Endocrinology Surgical Medicare Patients Treated

Total payments

Oncology Surgical

Unique Oncology Surgical Medicare Patients Treated

Total payments

Oral Cancer

Unique Oral Cancer Medicare Patients Treated

Total payments

Thyroid Cancer

Unique Thyroid Cancer Medicare Patients Treated

Total payments

Elbow Surgery

Unique Elbow Surgery Medicare Patients Treated

Total payments

Kyphosis

Unique Kyphosis Medicare Patients Treated

Total payments

Affiliated Doctors

Dr. DILIP JOB MATHEW

1921 WALDEMERE ST, SARASOTA, FL, 34239

Specializations: Clinical Cardiac Electrophysiology

Counties Served: Sarasota, FL; Manatee, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. ANTONIO MORETTA

1921 WALDEMERE ST STE 301, SARASOTA, FL, 34239

Specializations: Clinical Cardiac Electrophysiology

Counties Served: Sarasota, FL; Manatee, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. JOSEPH NOAH

836 SUNSET LAKE BLVD, VENICE, FL, 34292

Specializations: Sports Medicine

Counties Served: Sarasota, FL; Charlotte, FL; Lee, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. ANDRES O SORIANO

836 SUNSET LAKE BLVD, VENICE, FL, 34292

Specializations: Hematology & Oncology

Counties Served: Sarasota, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. NOEL A. MAUN

901 TAMIAMI TRL S STE A2, VENICE, FL, 34285

Specializations: Medical Oncology

Counties Served: Sarasota, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. LALIT ANEJA

836 SUNSET LAKE BLVD STE 101, VENICE, FL, 34292

Specializations: Medical Oncology

Counties Served: Sarasota, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. THOMAS J RUANE

842 SUNSET LAKE BLVD, VENICE, FL, 34292

Specializations: Urology

Counties Served: Sarasota, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. KATIE R. AGNELLO

825 VENETIAN PKWY, VENICE, FL, 34285

Specializations: Gastroenterology

Counties Served: Sarasota, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. KIANOOSH KAVEH

3221 TAMIAMI TRL, PORT CHARLOTTE, FL, 33952

Specializations: Nephrology

Counties Served: Charlotte, FL; Sarasota, FL; De Soto, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. ROHIT PANKHANIYA

3221 TAMIAMI TRL, PORT CHARLOTTE, FL, 33952

Specializations: Nephrology

Counties Served: Charlotte, FL; Sarasota, FL; De Soto, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. LORRAINE SHERYL CHO CHUNG HING

1500 E VENICE AVE, VENICE, FL, 34292

Specializations: Nephrology

Counties Served: Sarasota, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. NANDHEESHA HANUMANTHAPPA

3221 TAMIAMI TRL, PORT CHARLOTTE, FL, 33952

Specializations: Nephrology

Counties Served: Charlotte, FL; Sarasota, FL; De Soto, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. CAREN BARTOSZ

825 VENETIAN PARKWAY, VENICE, FL, 34285

Specializations: Gastroenterology

Counties Served: Sarasota, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. EDMUND G WITKOWSKI

836 SUNSET LAKE BLVD, VENICE, FL, 34292

Specializations: Sports Medicine

Counties Served: Sarasota, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. PETER ROBERT DUMAS

825 VENETIAN PKWY, VENICE, FL, 34285

Specializations: Gastroenterology

Counties Served: Sarasota, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. RAJESH MALIK

315 75TH ST W, BRADENTON, FL, 34209

Specializations: Clinical Cardiac Electrophysiology

Counties Served: Sarasota, FL; Manatee, FL; Charlotte, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. PHILLIP M MIHM

512 NOKOMIS AVE S, VENICE, FL, 34285

Specializations: Diagnostic Radiology

Counties Served: Sarasota, FL; Charlotte, FL; Lee, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. TRAVIS ALAN CARTER

1400 LAKELAND HILLS BLVD BLDG A, LAKELAND, FL, 33805

Specializations: Diagnostic Radiology

Counties Served: Sarasota, FL; Charlotte, FL; Lee, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Dr. KIMBERLY ANN RUZEK

516 NOKOMIS AVE S, VENICE, FL, 34285

Specializations: Diagnostic Radiology

Counties Served: Sarasota, FL; Charlotte, FL; Lee, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Venice Regional Bayfront Health

Total Payments | Total Payments Associated with Venice Regional Bayfront Health

Quality Outcomes

  1. CMS Star Ratings Current, History & Forecasts
  2. CMS Hospital Readmission Rate Reduction Program (HRRP) Current, History & Forecasts
  3. Hospital Inpatient Quality Outcomes

2022 CMS Star Rating:

2023 Dexur Predicted CMS Star Rating: OR

Forecasted 2023 Peer Group -  5 Measure Peer Group | 2022 Peer Group -  5 Measure Peer Group

2023 Dexur Forecasted CMS Star Rating Group Summary Score:   -0.89 | 2022 CMS Star Rating Group Summary Score:   -0.44

Dexur Forecasted 2023 Group Summary Score - Min and Max Ranges for 5 Measure Group

MIN MAX MIN MAX MIN MAX MIN MAX MIN MAX
-1.76 -0.75 -0.74 -0.35 -0.34 -0.02 -0.01 0.35 0.35 1.18

The Hospital has a 2 star rating in 2022. For 2023, Dexur forecasts a 1 Star Rating or a 2 Star Rating since the forecasted Hospital group summary score of -0.89 is close to the max range of a 1 Star Rating . The 2023 Dexur forecasted Min & Max Group Summary score range of a 1 Star Rating Hospital in a 5 peer measure group hospital category is likely to be -1.76 to -0.75

Venice Regional Bayfront Health CMS Hospital Readmissions Reduction Program (HRRP) History and Forecasts

Dexur has access to Medicare claims data based on which it replicates the complex CMS HRRP methodology and forecasts the measure-level readmission rates of Hospitals 1-3 years in advance of the final published date. These readmission rates are analyzed to predict if Hospitals have a high, medium, or low chance of falling in the penalty in all the measures prescribed by CMS.

Dexur also boils the ocean to identify Real World Evidence (RWE) Risk factors that drive higher readmission rates for each measure. To get access to the detailed CMS HRRP Prediction report for each measure for this hospital, please email dexur@dexur.com

Measure & Time Periods 2022 CMS Penalty 2023 CMS Penalty 2024 Dexur Forecasted Penalty 2025 Dexur Forecasted Penalty
Measure Time PeriodJul 2017 to Dec 2019Jul 2018 to Jun 2021Jul 2019 to Jun 2022Jul 2020 to Jun 2023
Available Data Time PeriodJul 2017 to Dec 2019Jul 2018 to Jun 2021Jul 2019 to Mar 2022Jul 2020 to Mar 2022
Forecasted Data Time PeriodJul 2017 to Dec 2019 Jul 2018 to Jun 2021 Apr 2022 to Jun 2022
(3 months)
Apr 2022 to Jun 2023
(15 months)
Total HRRP Impact Y ($106,120) Y ($114,207)
AMI
(Acute Myocardial Infarction)
N N
CABG
(Coronary Artery Bypass Graft)
N N
COPD
(Chronic Obstructive Pulmonary Disease)
Y ($10,770) N
HF
(Heart Failure)
Y ($69,538) Y ($98,250)
PN
(Pneumonia)
N NA
TKA
(Total Knee Arthroplasty)
Y ($25,812) Y ($15,957)
High Confidence Medium Confidence Low Confidence

Venice Regional Bayfront Health Inpatient Quality Outcomes

Time Period - Apr 2019 to Mar 2022
Total Hospitalizations Unique Patients Payments % of Hospitalizations admitted via ED Avg. LOS Avg. ICU Los Readmission Rate In Hospital Mortality Rate 30 Day Mortality Rate Home Discharge Rate SNF Discharge Rate Home Health Discharge Rate Hospice Discharge Rate Revenue / Payments Per Day
All 11,307 7679 $114,114,034 85.33 4.22 3.83 24.29 3.92 14.78 36.57 17.99 24.47 6.31 $2,392
Non Surgical 7,818 5515 $55,795,107 96.71 4.0 3.6 24.51 4.06 17.01 36.54 18.09 23.19 7.98 $1,782
Surgical 3,489 3072 $58,318,927 59.82 4.7 4.28 23.79 2.51 6.41 36.63 17.77 27.34 2.58 $3,559
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS
DRG 871 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 872 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
HEART FAILURE AND SHOCK
DRG 291 - HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 292 - HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)
DRG 293 - HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
RESPIRATORY INFECTIONS AND INFLAMMATIONS
DRG 177 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 178 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC)
KIDNEY AND URINARY TRACT INFECTIONS
DRG 690 - KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 689 - KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
RENAL FAILURE
DRG 683 - RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 682 - RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 684 - RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
G.I. HEMORRHAGE
DRG 378 - G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 377 - G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 379 - G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
SIMPLE PNEUMONIA AND PLEURISY
DRG 193 - SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 194 - SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC)
DRG 195 - SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT
DRG 481 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 482 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 480 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE
DRG 280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY
DRG 470 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 469 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS
DRG 392 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 391 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
DRG 309 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 308 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 310 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION
DRG 065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS
DRG 064 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES
DRG 641 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 640 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES
DRG 483 - MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES
CELLULITIS
DRG 603 - CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 602 - CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
G.I. OBSTRUCTION
DRG 389 - G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC)
DRG 390 - G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 388 - G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT
DRG 247 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 246 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS
MAJOR SMALL AND LARGE BOWEL PROCEDURES
DRG 330 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 329 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 331 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
DRG 190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
PULMONARY EDEMA AND RESPIRATORY FAILURE
DRG 189 - PULMONARY EDEMA AND RESPIRATORY FAILURE
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE
DRG 853 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 854 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E.
DRG 418 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC)
DRG 419 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 417 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER KIDNEY AND URINARY TRACT DIAGNOSES
DRG 698 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 699 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION
DRG 287 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 286 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
RED BLOOD CELL DISORDERS
DRG 812 - RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 811 - RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
MEDICAL BACK PROBLEMS
DRG 552 - MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 551 - MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER VASCULAR PROCEDURES
DRG 253 - OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 252 - OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 254 - OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
PERMANENT CARDIAC PACEMAKER IMPLANT
DRG 243 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 244 - PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 242 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES
DRG 516 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 517 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 515 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM
DRG 661 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 660 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC)
DRG 659 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER DIGESTIVE SYSTEM DIAGNOSES
DRG 394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
PULMONARY EMBOLISM
DRG 176 - PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 175 - PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
SYNCOPE AND COLLAPSE
DRG 312 - SYNCOPE AND COLLAPSE
PERCUTANEOUS INTRACARDIAC PROCEDURES
DRG 274 - PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 273 - PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER MAJOR CARDIOVASCULAR PROCEDURES
DRG 271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC)
DRG 270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DIABETES
DRG 638 - DIABETES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 637 - DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
EXTRACRANIAL PROCEDURES
DRG 039 - EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 038 - EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
O.R. PROCEDURES FOR OBESITY
DRG 621 - O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 620 - O.R. PROCEDURES FOR OBESITY WITH COMPLICATION OR COMORBIDITY (CC)
DISORDERS OF PANCREAS EXCEPT MALIGNANCY
DRG 439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)
DRG 440 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 438 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CORONARY BYPASS WITH CARDIAC CATHETERIZATION
DRG 234 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 233 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
DRG 981 - EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 982 - EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC)
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT
DRG 208 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS
DRG 207 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
PERIPHERAL VASCULAR DISORDERS
DRG 300 - PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 299 - PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 301 - PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DISORDERS OF THE BILIARY TRACT
DRG 445 - DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 444 - DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
ENDOVASCULAR CARDIAC VALVE REPLACEMENT
DRG 267 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR
DRG 494 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 493 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)
FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH
DRG 563 - FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
SEIZURES
DRG 101 - SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 100 - SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE
DRG 522 - Hip replacement with principal diagnosis of hip fracture without MCC
CHEST PAIN
DRG 313 - CHEST PAIN
FRACTURES OF HIP AND PELVIS
DRG 536 - FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 535 - FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER CIRCULATORY SYSTEM DIAGNOSES
DRG 314 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 315 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES
DRG 166 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 167 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS
DRG 372 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 371 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON
DRG 269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC)
POISONING AND TOXIC EFFECTS OF DRUGS
DRG 917 - POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 918 - POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
TRANSIENT ISCHEMIA
DRG 069 - TRANSIENT ISCHEMIA
RESPIRATORY NEOPLASMS
DRG 181 - RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 180 - RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS
DRG 442 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 441 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER DISORDERS OF NERVOUS SYSTEM
DRG 092 - OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC)
DRG 091 - OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
MAJOR CHEST PROCEDURES
DRG 164 - MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 163 - MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
REVISION OF HIP OR KNEE REPLACEMENT
DRG 467 - REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 466 - REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
PNEUMOTHORAX
DRG 200 - PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC)
DRG 199 - PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
NONSPECIFIC CEREBROVASCULAR DISORDERS
DRG 071 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 070 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
DRG 326 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 327 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 328 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
CAROTID ARTERY STENT PROCEDURE
DRG 036 - CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
TRAUMATIC STUPOR AND COMA, COMA >1 HOUR
DRG 083 - TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC)
DRG 082 - TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CIRRHOSIS AND ALCOHOLIC HEPATITIS
DRG 432 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 433 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC)
ENDOCRINE DISORDERS
DRG 644 - ENDOCRINE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 643 - ENDOCRINE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
HYPERTENSION
DRG 305 - HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 304 - HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
TENDONITIS, MYOSITIS AND BURSITIS
DRG 558 - TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
TRAUMATIC STUPOR AND COMA, COMA <1 HOUR
DRG 086 - TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC)
PLEURAL EFFUSION
DRG 187 - PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC)
DRG 186 - PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER O.R. PROCEDURES FOR INJURIES
DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC)
CRANIAL AND PERIPHERAL NERVE DISORDERS
DRG 074 - CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 073 - CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION
DRG 236 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
FEVER
DRG 864 - FEVER
DEGENERATIVE NERVOUS SYSTEM DISORDERS
DRG 057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
SIGNS AND SYMPTOMS
DRG 948 - SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
COMPLICATIONS OF TREATMENT
DRG 920 - COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC)
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL
DRG 355 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 354 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC)
PERITONEAL ADHESIOLYSIS
DRG 336 - PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC)
POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS
DRG 862 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 863 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
BRONCHITIS AND ASTHMA
DRG 202 - BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES
DRG 357 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
KIDNEY AND URETER PROCEDURES FOR NEOPLASM
DRG 657 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC)
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS
DRG 809 - MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS
DRG 435 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 436 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC)
TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST
DRG 605 - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
DRG 988 - NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC)
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES
DRG 580 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
DRG 884 - ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION
DRG 220 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC)
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY
DRG 897 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
COMPLICATED PEPTIC ULCER
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY
DRG 543 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
NERVOUS SYSTEM NEOPLASMS
DRG 054 - NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT
DRG 062 - ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH COMPLICATION OR COMORBIDITY (CC)
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE
DRG 857 - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)
SKIN DEBRIDEMENT
DRG 571 - SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC)
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
DRG 870 - SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
OTHER KIDNEY AND URINARY TRACT PROCEDURES
DRG 673 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
COAGULATION DISORDERS
DRG 813 - COAGULATION DISORDERS
URINARY STONES WITHOUT ESW LITHOTRIPSY
DRG 694 - URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
LYMPHOMA AND NON-ACUTE LEUKEMIA
DRG 841 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC)
INGUINAL AND FEMORAL HERNIA PROCEDURES
DRG 351 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
OTHER CARDIOTHORACIC PROCEDURES
DRG 229 - OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
MAJOR MALE PELVIC PROCEDURES
DRG 707 - MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
INFLAMMATORY BOWEL DISEASE
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION
DRG 520 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT
MAJOR CHEST TRAUMA
DRG 184 - MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC)
DIGESTIVE MALIGNANCY
DRG 375 - DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)
SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES
DRG 512 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER RESPIRATORY SYSTEM DIAGNOSES
MAJOR ESOPHAGEAL DISORDERS
APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES
ACUTE MYOCARDIAL INFARCTION, EXPIRED
DRG 283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E.
ATHEROSCLEROSIS
DYSEQUILIBRIUM
DRG 149 - DYSEQUILIBRIUM
SPINAL FUSION EXCEPT CERVICAL
DRG 460 - SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
PANCREAS, LIVER AND SHUNT PROCEDURES
KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS
DRG 696 - KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS
CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION
TRANSURETHRAL PROCEDURES
CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI/HF/SHOCK
LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
DRG 956 - LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA
SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT
BONE DISEASES AND ARTHROPATHIES
BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE
VIRAL ILLNESS
DRG 866 - VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
INTERSTITIAL LUNG DISEASE
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION

Venice Regional Bayfront Health Operating Measures

Key Metric 2020 2019
Total Discharges 8,3338,315
Medicare Discharges 4,028 ( 48.34% )4,135 ( 49.73% )
Medicaid Discharges 238 ( 2.86% )267 ( 3.21% )
Total Revenue $755,168,749$713,076,529
Total Beds 229229
Total Patient Days 37,11134,181

Counties & Markets Served - Jan 2019 to Dec 2021

County Name Total Hospitalizations Marketshare of county
Sarasota County, FL
Charlotte County, FL
Manatee County, FL
Lee County, FL
Barnstable County, MA
Suffolk County, NY
De Soto County, FL
Oakland County, MI
Middlesex County, MA
Rockingham County, NH
Cook County, IL
Worcester County, MA
Plymouth County, MA
Essex County, MA
Mc Henry County, IL
Ocean County, NJ
Hamilton County, OH
Broward County, FL
Du Page County, IL
Hillsborough County, FL
Fairfield County, CT
Kent County, MI
Monmouth County, NJ
Hillsborough County, NH
Wayne County, MI
Northampton County, PA
Hennepin County, MN