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 73.97 NA 486 2,910 476
114 ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Orbital Procedures Orbital Procedures Surgical 26.03 NA 171 1,163 171

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 2017 to Dec 2017 % of DRG Volume
White 383 78.81
Black 65 13.37
Hispanic 12 2.47
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Greater than 84 111 22.84
Less than 65 94 19.34
80 to 84 75 15.43

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 2017 to Dec 2017 % of DRG Volume
S0232XA Fracture of orbital floor, left side, initial encounter for closed fracture 106 21.81
S0231XA Fracture of orbital floor, right side, initial encounter for closed fracture 82 16.87
H05012 Cellulitis of left orbit 32 6.58

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 2017 to Dec 2017 % of DRG Volume
0NSQ04Z Reposition Left Orbit with Internal Fixation Device, Open Approach 69 14.2
0NSP04Z Reposition Right Orbit with Internal Fixation Device, Open Approach 65 13.37
08T1XZZ Resection of Left Eye, External Approach 55 11.32

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 2017 to Dec 2017 % of DRG Volume
Massachusetts Eye and Ear Infirmary 243 CHARLES ST Boston MA 02114 NA NA
Thomas Jefferson University Hospital 111 S 11TH ST Philadelphia PA 19107 NA NA
Duke University Hospital 2301 ERWIN ROAD Durham NC 27710 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. TIMOTHY G MURRAY 6705 S RED RD SOUTH MIAMI FL 33143 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. RONALD MANCINI 5323 HARRY HINES BLVD DALLAS TX 75390 NA NA
DR. RANDAL JOHN VECCHIONE 2542 2ND AVE SAN DIEGO CA 92103 NA NA
DR. JASON AARON SOKOL 7400 STATE LINE RD PRAIRIE VILLAGE KS 66208 NA NA

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 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 (%)
General Surgery Orbital Procedures Orbital Procedures I10 Essential (primary) hypertension 697 238
General Surgery Orbital Procedures Orbital Procedures E785 Hyperlipidemia, unspecified 352 157
General Surgery Orbital Procedures Orbital Procedures S0232XA Fracture of orbital floor, left side, initial encounter for closed fracture 187 106
General Surgery Orbital Procedures Orbital Procedures K219 Gastro-esophageal reflux disease without esophagitis 204 94
General Surgery Orbital Procedures Orbital Procedures I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 204 88
General Surgery Orbital Procedures Orbital Procedures E039 Hypothyroidism, unspecified 204 84
General Surgery Orbital Procedures Orbital Procedures Z87891 Personal history of nicotine dependence 199 84
General Surgery Orbital Procedures Orbital Procedures S0231XA Fracture of orbital floor, right side, initial encounter for closed fracture 208 82
General Surgery Orbital Procedures Orbital Procedures Z7982 Long term (current) use of aspirin 110 81
General Surgery Orbital Procedures Orbital Procedures F329 Major depressive disorder, single episode, unspecified 148 65