DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT 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 055: NERVOUS SYSTEM NEOPLASMS WITHOUT 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 (%)
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms Non Surgical 35.26 NA 6,535 36,374 33,042
054 NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms Non Surgical 64.74 NA 14,770 66,774 59,882

DEMOGRAPHIC DETAILS OF DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 30,075 82.68
Black 3,983 10.95
Hispanic 660 1.81
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 8,896 24.46
70 to 74 7,478 20.56
Less than 65 6,353 17.47

TOP ICD DIAGNOSIS CODES FOR DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT 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 11,211 30.82
1983 Secondary malignant neoplasm of brain and spinal cord 10,334 28.41
2724 Other and unspecified hyperlipidemia 6,648 18.28

TOP ICD PROCEDURE CODES FOR DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT 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
0113 Closed [Percutaneous] [Needle] Biopsy Of Brain 1,952 5.37
9229 Other Radiotherapeutic Procedure 1,435 3.95
9359 Other Immobilization, Pressure, And Attention To Wound 1,182 3.25

TOP HOSPITALS ASSOCIATED WITH DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT 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
Memorial Sloan Kettering Cancer Center 1275 YORK AVE New York NY 10065 373 1.03
Kessler Institute for Rehabilitation 1199 PLEASANT VALLEY WAY West Orange NJ 07052 355 0.98
Duke University Hospital 2301 ERWIN ROAD Durham NC 27710 276 0.76

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT 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. ALLAN FRIEDMAN DUKE UNIVERSITY MEDICAL CTR DURHAM NC 27710 157 0.43
DR. BRIAN MCDONALD 414 PAOLI PIKE MALVERN PA 19355 84 0.23
DR. GLENN MATTHEW SELIGER 51-55 ROUTE 9W WEST HAVERSTRAW NY 10993 55 0.15

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT 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. ALLAN FRIEDMAN DUKE UNIVERSITY MEDICAL CTR DURHAM NC 27710 158 0.43

DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT 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 (%)
Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms 4019 Unspecified essential hypertension NA 11,211
Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms 1983 Secondary malignant neoplasm of brain and spinal cord NA 10,334
Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms I10 Essential (primary) hypertension 9,885 9,130
Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms 2724 Other and unspecified hyperlipidemia NA 6,648
Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms C7931 Secondary malignant neoplasm of brain 8,334 6,607
Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms E785 Hyperlipidemia, unspecified 5,155 5,787
Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms V1582 Personal history of tobacco use NA 5,025
Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms Z87891 Personal history of nicotine dependence 4,071 4,255
Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 3,990
Oncology & Hematology Nervous System Neoplasms Nervous System Neoplasms V4986 Do not resuscitate status NA 3,811