DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS
Want to know more about Dexur's Capabilities? Get In Touch
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 | |
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) | |
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) | |
TOP ICD PROCEDURE CODES FOR DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP HOSPITALS ASSOCIATED WITH DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
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) | |
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 | |
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 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|