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 26.03 NA 171 1,163 171
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

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 2017 to Dec 2017 % of DRG Volume
White 140 81.87
Black 17 9.94
Other NA NA
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
75 to 79 38 22.22
Greater than 84 36 21.05
Less than 65 36 21.05

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 2017 to Dec 2017 % of DRG Volume
S0522XA Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter 23 13.45
S0521XA Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter 12 7.02
S0531XA Ocular laceration without prolapse or loss of intraocular tissue, right eye, initial encounter NA NA

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 2017 to Dec 2017 % of DRG Volume
08Q1XZZ Repair Left Eye, External Approach 22 12.87
0NSP04Z Reposition Right Orbit with Internal Fixation Device, Open Approach 19 11.11
0NSQ04Z Reposition Left Orbit with Internal Fixation Device, Open Approach 17 9.94

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 2017 to Dec 2017 % of DRG Volume
Massachusetts Eye and Ear Infirmary 243 CHARLES ST Boston MA 02114 24 14.04
Thomas Jefferson University Hospital 111 S 11TH ST Philadelphia PA 19107 NA NA
Arizona Specialty Hospital 2905 W WARNER RD Chandler AZ 85224 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. SEANNA RAE GROB 243 CHARLES ST BOSTON MA 02114 NA NA
DR. JAMES J. AUGSBURGER 222 PIEDMONT AVE CINCINNATI OH 45219 NA NA
DR. PRITHVI MRUTHYUNJAYA 300 PASTEUR DR STANFORD CA 94305 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. SEANNA RAE GROB 243 CHARLES ST BOSTON MA 02114 NA NA
DR. JAMES J. AUGSBURGER 222 PIEDMONT AVE CINCINNATI OH 45219 NA NA
DR. PRITHVI MRUTHYUNJAYA 300 PASTEUR DR STANFORD CA 94305 NA NA

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 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 425 97
General Surgery Orbital Procedures Orbital Procedures E785 Hyperlipidemia, unspecified 148 44
General Surgery Orbital Procedures Orbital Procedures E119 Type 2 diabetes mellitus without complications 93 35
General Surgery Orbital Procedures Orbital Procedures K219 Gastro-esophageal reflux disease without esophagitis 106 34
General Surgery Orbital Procedures Orbital Procedures Z87891 Personal history of nicotine dependence 106 32
General Surgery Orbital Procedures Orbital Procedures S0231XA Fracture of orbital floor, right side, initial encounter for closed fracture 110 25
General Surgery Orbital Procedures Orbital Procedures E039 Hypothyroidism, unspecified 55 24
General Surgery Orbital Procedures Orbital Procedures S0232XA Fracture of orbital floor, left side, initial encounter for closed fracture 119 23
General Surgery Orbital Procedures Orbital Procedures S0522XA Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter 59 23
General Surgery Orbital Procedures Orbital Procedures Z7982 Long term (current) use of aspirin 34 22