DRG 114: ORBITAL PROCEDURES WITHOUT 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 114: ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 114: ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 114: ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 114: ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 114: ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 114: ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 114: ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 114: ORBITAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 114: ORBITAL PROCEDURES WITHOUT 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 (%)
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
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

DEMOGRAPHIC DETAILS OF DRG 114: ORBITAL PROCEDURES WITHOUT 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 936 80.48
Black 148 12.73
Hispanic 28 2.41
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 232 19.95
Less than 65 207 17.8
65 to 69 205 17.63

TOP ICD DIAGNOSIS CODES FOR DRG 114: ORBITAL PROCEDURES WITHOUT 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 419 36.03
2724 Other and unspecified hyperlipidemia 227 19.52
8026 Closed fracture of orbital floor (blow-out) 153 13.16

TOP ICD PROCEDURE CODES FOR DRG 114: ORBITAL PROCEDURES WITHOUT 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 159 13.67
7679 Other Open Reduction Of Facial Fracture 141 12.12
7692 Insertion Of Synthetic Implant In Facial Bone 103 8.86

TOP HOSPITALS ASSOCIATED WITH DRG 114: ORBITAL PROCEDURES WITHOUT 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
Massachusetts Eye and Ear Infirmary 243 CHARLES ST Boston MA 02114 48 4.13
Thomas Jefferson University Hospital 111 S 11TH ST Philadelphia PA 19107 35 3.01
University of Cincinnati Medical Center 234 GOODMAN STREET Cincinnati OH 45219 26 2.24

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 114: ORBITAL PROCEDURES WITHOUT 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. PRABAKAR KUMAR RAO 517 S EUCLID AVE SAINT LOUIS MO 63110 17 1.46
DR. PRITHVI MRUTHYUNJAYA 300 PASTEUR DR STANFORD CA 94305 16 1.38
DR. JAMES J. AUGSBURGER 222 PIEDMONT AVE CINCINNATI OH 45219 15 1.29

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 114: ORBITAL PROCEDURES WITHOUT 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. PRABAKAR KUMAR RAO 517 S EUCLID AVE SAINT LOUIS MO 63110 15 1.29
DR. PRITHVI MRUTHYUNJAYA 300 PASTEUR DR STANFORD CA 94305 15 1.29
DR. JAMES J. AUGSBURGER 222 PIEDMONT AVE CINCINNATI OH 45219 12 1.03

DRG 114: ORBITAL PROCEDURES WITHOUT 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 419
General Surgery Orbital Procedures Orbital Procedures I10 Essential (primary) hypertension 425 240
General Surgery Orbital Procedures Orbital Procedures 2724 Other and unspecified hyperlipidemia NA 227
General Surgery Orbital Procedures Orbital Procedures 8026 Closed fracture of orbital floor (blow-out) NA 153
General Surgery Orbital Procedures Orbital Procedures 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 150
General Surgery Orbital Procedures Orbital Procedures 53081 Esophageal reflux NA 146
General Surgery Orbital Procedures Orbital Procedures E785 Hyperlipidemia, unspecified 148 116
General Surgery Orbital Procedures Orbital Procedures 2449 Unspecified acquired hypothyroidism NA 111
General Surgery Orbital Procedures Orbital Procedures 1906 Malignant neoplasm of choroid NA 95
General Surgery Orbital Procedures Orbital Procedures V1582 Personal history of tobacco use NA 94