DRG 116: INTRAOCULAR 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 116: INTRAOCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 116: INTRAOCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 116: INTRAOCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 116: INTRAOCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 116: INTRAOCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 116: INTRAOCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 116: INTRAOCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 116: INTRAOCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 116: INTRAOCULAR 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 (%)
116 INTRAOCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Intraocular Procedures Intraocular Procedures Surgical 62.93 NA 365 1,891 1,832
117 INTRAOCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Intraocular Procedures Intraocular Procedures Surgical 37.07 NA 205 1,114 1,105

DEMOGRAPHIC DETAILS OF DRG 116: INTRAOCULAR 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 1,374 72.66
Black 365 19.3
Hispanic 59 3.12
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 560 29.61
Greater than 84 371 19.62
65 to 69 271 14.33

TOP ICD DIAGNOSIS CODES FOR DRG 116: INTRAOCULAR 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 492 26.02
2724 Other and unspecified hyperlipidemia 341 18.03
25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled 242 12.8

TOP ICD PROCEDURE CODES FOR DRG 116: INTRAOCULAR 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
1474 Other Mechanical Vitrectomy 287 15.18
1475 Injection Of Vitreous Substitute 143 7.56
1151 Suture Of Corneal Laceration 134 7.09

TOP HOSPITALS ASSOCIATED WITH DRG 116: INTRAOCULAR 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 37 1.96
Massachusetts Eye and Ear Infirmary 243 CHARLES ST Boston MA 02114 26 1.37
North Carolina Baptist Hospital MEDICAL CENTER BLVD Winston Salem NC 27157 25 1.32

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 116: INTRAOCULAR 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. YEWLIN CHEE 908 JEFFERSON ST SEATTLE WA 98104 11 0.58

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 116: INTRAOCULAR 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. LAWRENCE T GOODWIN 21840 NORMANDIE AVE TORRANCE CA 90502 11 0.58
DR. YEWLIN CHEE 908 JEFFERSON ST SEATTLE WA 98104 11 0.58

DRG 116: INTRAOCULAR 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 Intraocular Procedures Intraocular Procedures 4019 Unspecified essential hypertension NA 492
General Surgery Intraocular Procedures Intraocular Procedures I10 Essential (primary) hypertension 480 376
General Surgery Intraocular Procedures Intraocular Procedures 2724 Other and unspecified hyperlipidemia NA 341
General Surgery Intraocular Procedures Intraocular Procedures E785 Hyperlipidemia, unspecified 250 320
General Surgery Intraocular Procedures Intraocular Procedures 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 242
General Surgery Intraocular Procedures Intraocular Procedures 42731 Atrial fibrillation NA 221
General Surgery Intraocular Procedures Intraocular Procedures I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 161 206
General Surgery Intraocular Procedures Intraocular Procedures 53081 Esophageal reflux NA 197
General Surgery Intraocular Procedures Intraocular Procedures 4280 Congestive heart failure, unspecified NA 194
General Surgery Intraocular Procedures Intraocular Procedures 41401 Coronary atherosclerosis of native coronary artery NA 185