DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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 (%)
113 ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Orbital Procedures Orbital Procedures Surgical 71.45 NA 486 2,910 2,841
114 ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Orbital Procedures Orbital Procedures Surgical 28.55 NA 171 1,163 1,154

DEMOGRAPHIC DETAILS OF DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 2,284 78.49
Black 417 14.33
Hispanic 93 3.2
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 674 23.16
Less than 65 644 22.13
65 to 69 420 14.43

TOP ICD DIAGNOSIS CODES FOR DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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 901 30.96
2724 Other and unspecified hyperlipidemia 570 19.59
8026 Closed fracture of orbital floor (blow-out) 525 18.04

TOP ICD PROCEDURE CODES FOR DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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
1682 Repair Of Rupture Of Eyeball 417 14.33
7679 Other Open Reduction Of Facial Fracture 412 14.16
7692 Insertion Of Synthetic Implant In Facial Bone 263 9.04

TOP HOSPITALS ASSOCIATED WITH DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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
Thomas Jefferson University Hospital 111 S 11TH ST Philadelphia PA 19107 81 2.78
University Hospital 150 BERGEN ST Newark NJ 07103 32 1.1
UW Medicine Harborview Medical Center 325 9TH AVE Seattle WA 98104 32 1.1

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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. TIMOTHY G MURRAY 6705 S RED RD SOUTH MIAMI FL 33143 20 0.69

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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. TIMOTHY G MURRAY 6705 S RED RD SOUTH MIAMI FL 33143 20 0.69
DR. RANDAL JOHN VECCHIONE 2542 2ND AVE SAN DIEGO CA 92103 18 0.62
DR. JASON AARON SOKOL 7400 STATE LINE RD PRAIRIE VILLAGE KS 66208 12 0.41

DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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 (%)
General Surgery Orbital Procedures Orbital Procedures 4019 Unspecified essential hypertension NA 901
General Surgery Orbital Procedures Orbital Procedures I10 Essential (primary) hypertension 697 588
General Surgery Orbital Procedures Orbital Procedures 2724 Other and unspecified hyperlipidemia NA 570
General Surgery Orbital Procedures Orbital Procedures 8026 Closed fracture of orbital floor (blow-out) NA 525
General Surgery Orbital Procedures Orbital Procedures 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 409
General Surgery Orbital Procedures Orbital Procedures E785 Hyperlipidemia, unspecified 352 390
General Surgery Orbital Procedures Orbital Procedures 42731 Atrial fibrillation NA 335
General Surgery Orbital Procedures Orbital Procedures 53081 Esophageal reflux NA 328
General Surgery Orbital Procedures Orbital Procedures 2449 Unspecified acquired hypothyroidism NA 293
General Surgery Orbital Procedures Orbital Procedures 41401 Coronary atherosclerosis of native coronary artery NA 286