Inpatient Pneumonia Discharges in Louisiana: Dr. Margaret Laughlin Winkler of North Oaks Medical Center Ranks Highest in Volume



By: Jeffrey Maser  Mar. 26, 2018

A Dexur study of inpatient Medicare claims data from CMS indicates that Dr. Margaret Laughlin Winkler of North Oaks Medical Center in Hammond accounted for 28 discharges with pneumonia in 2016, the most of any physician in Louisiana. Furthermore, Dr. Winkler accounted for 106 pneumonia discharges between 2013-2016, ranking 4th. In 2016, the 2nd highest volume physician was Dr. Kirit Patel of Willis - Knighton Medical Center in Shreveport with 27 discharges followed by Dr. Wen Liu, who also practices at Willis - Knighton, with 26 discharges. Dr. Cesar Ramirez-Astacio ranked 4th with 25 discharges, while splitting time between Iberia Medical Center in New Iberia and AMG Specialty Hospital - Lafayette. Five physicians had 22 discharges to tied for 5th in the rankings with three of these physicians practicing at Terrebonne General Medical Center in Houma.

Physicians were included in the rankings if they accounted for 11 or more pneumonia discharges between January - December 2016. Pneumonia is divided into three diagnosis related groups (DRG-193, DRG-194, and DRG-195) where DRG-193 and DRG-194 each accounted for nearly triple the national inpatient volume compared to DRG-195 in 2016. However, in the state of Louisiana, the discharges for DRG-193 and DRG-194 were only about double the volume of DRG-195 during this same year.

Pneumonia Discharge Volume by Diagnosis Related Group for the Nation and Louisiana Medicare Enrollees over Two Time Periods
DRG CodeDRG DescriptionNational Discharge Volume in 2016National Discharge Volume between 2013 - 2016Louisiana Discharge Volume in 2016Louisiana Discharge Volume between 2013 - 2016
194Simple Pneumonia And Pleurisy With Complication or Comorbidity142,542676,2792,85513,643
193Simple Pneumonia And Pleurisy With Major Complication or Comorbidity145,763594,1192,2999,974
195Simple Pneumonia And Pleurisy Without Complication or Comorbidity/Major Complication or Comorbidity52,644271,5481,2596,471

Along with ranking first in volume for all pneumonia discharges, Dr. Winkler was one of only six physicians in the state to report 11 or more discharges for DRG-194 (Simple Pneumonia And Pleurisy With Complication Or Comorbidity), with 13 discharges to rank 4th in volume. The three physicians ahead of Dr. Winkler in this ranking were Dr. Fadi Abou-Issa with 17 discharges, Dr. Russell Henry with 16 and Dr. Wen Liu with 14. Dr. Abou-Issa practices at Terrebonne General Medical Center while Dr. Henry splits his time between Terrebonne General and AMG Specialty Hospital - Houma in Houma.

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  1. Hospital Location and Total Discharge Volume for Pneumonia between January - December 2016 for the 10 Louisiana Physicians with the Highest Total Discharge Volume for Pneumonia between January - December 2016

ABOUT THE AUTHOR

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Jeffrey Maser

Jeffrey Maser is an analyst. He truly loves working with numbers and enjoys the challenge of turning healthcare data into a resource that real patients can use to help make important decisions. Jeff's passion for data will serve him well in his quest to become the top mind in Fantasy Hockey. He previously worked at Truven Health Analytics, now a part of IBM Watson Health, and is a graduate of Brandeis University.