DRG 054: NERVOUS SYSTEM NEOPLASMS WITH 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
CHARGE CAPTURE ANALYSIS FOR DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | |
| 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 (%) |
| 054 |
NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) |
Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
Non Surgical |
69.33 |
NA |
14,770 |
66,774 |
13,303 |
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| 055 |
NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) |
Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
Non Surgical |
30.67 |
NA |
6,535 |
36,374 |
5,934 |
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DEMOGRAPHIC DETAILS OF DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Race |
Total Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
|---|
| White |
12,106 |
81.96 |
| Black |
1,712 |
11.59 |
| Other |
230 |
1.56 |
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| Age Group ( Years ) |
Total Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
|---|
| 65 to 69 |
3,626 |
24.55 |
| 70 to 74 |
3,188 |
21.58 |
| 75 to 79 |
2,368 |
16.03 |
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TOP ICD DIAGNOSIS CODES FOR DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ICD PROCEDURE CODES FOR DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP HOSPITALS ASSOCIATED WITH DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Physician Name |
Address |
City |
State |
Zip Code |
Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
| DR. JOHNATHAN A ENGH |
200 LOTHROP ST |
PITTSBURGH |
PA |
15213 |
13 |
0.09 |
| DR. DEBORAH ANNE FORST |
55 FRUIT ST |
BOSTON |
MA |
02114 |
12 |
0.08 |
| DR. MICHAEL W MCDERMOTT |
400 PARNASSUS AVE RM A808 |
SAN FRANCISCO |
CA |
94143 |
11 |
0.07 |
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TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Physician Name |
Address |
City |
State |
Zip Code |
Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 |
% of DRG Volume |
| DR. DAVID M ROGERS |
5645 MAIN ST |
FLUSHING |
NY |
11355 |
NA |
NA |
DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | |
| 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 2017 to Dec 2017 |
National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 |
Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 |
National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 |
Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 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 (%) |
| Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
G936 |
Cerebral edema |
25,087 |
11,242 |
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| Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
C7931 |
Secondary malignant neoplasm of brain |
19,358 |
9,094 |
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| Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
I10 |
Essential (primary) hypertension |
16,838 |
7,764 |
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| Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
E785 |
Hyperlipidemia, unspecified |
9,095 |
5,425 |
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| Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
Z87891 |
Personal history of nicotine dependence |
8,954 |
4,830 |
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| Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
Z66 |
Do not resuscitate |
8,644 |
4,827 |
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| Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
Z515 |
Encounter for palliative care |
7,548 |
3,531 |
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| Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
K219 |
Gastro-esophageal reflux disease without esophagitis |
4,959 |
3,099 |
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| Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
I2510 |
Atherosclerotic heart disease of native coronary artery without angina pectoris |
4,139 |
2,720 |
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| Oncology & Hematology |
Nervous System Neoplasms |
Nervous System Neoplasms |
J449 |
Chronic obstructive pulmonary disease, unspecified |
4,216 |
2,679 |
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