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 64.04 NA 365 1,891 350
117 INTRAOCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Intraocular Procedures Intraocular Procedures Surgical 35.96 NA 205 1,114 204

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 2017 to Dec 2017 % of DRG Volume
White 259 70.96
Black 77 21.1
Hispanic 11 3.01
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Less than 65 103 28.22
Greater than 84 74 20.27
65 to 69 50 13.7

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 2017 to Dec 2017 % of DRG Volume
S0522XA Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter 46 12.6
S0521XA Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter 34 9.32
S0531XA Ocular laceration without prolapse or loss of intraocular tissue, right eye, initial encounter 28 7.67

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 2017 to Dec 2017 % of DRG Volume
3E0C329 Introduction of Other Anti-infective into Eye, Percutaneous Approach 46 12.6
08B53ZZ Excision of Left Vitreous, Percutaneous Approach 45 12.33
08Q7XZZ Repair Left Sclera, External Approach 45 12.33

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 2017 to Dec 2017 % of DRG Volume
Ohio State University Hospital 410 W 10TH AVE Columbus OH 43210 NA NA
Thomas Jefferson University Hospital 111 S 11TH ST Philadelphia PA 19107 NA NA
Tampa General Hospital 1 TAMPA GENERAL CIRCLE Tampa FL 33606 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. YEWLIN CHEE 908 JEFFERSON ST SEATTLE WA 98104 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. LAWRENCE T GOODWIN 21840 NORMANDIE AVE TORRANCE CA 90502 NA NA
DR. YEWLIN CHEE 908 JEFFERSON ST SEATTLE WA 98104 NA NA

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 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 Intraocular Procedures Intraocular Procedures E785 Hyperlipidemia, unspecified 250 157
General Surgery Intraocular Procedures Intraocular Procedures I10 Essential (primary) hypertension 480 156
General Surgery Intraocular Procedures Intraocular Procedures I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 161 100
General Surgery Intraocular Procedures Intraocular Procedures K219 Gastro-esophageal reflux disease without esophagitis 187 85
General Surgery Intraocular Procedures Intraocular Procedures Z87891 Personal history of nicotine dependence 123 82
General Surgery Intraocular Procedures Intraocular Procedures E039 Hypothyroidism, unspecified 123 68
General Surgery Intraocular Procedures Intraocular Procedures E1122 Type 2 diabetes mellitus with diabetic chronic kidney disease 97 65
General Surgery Intraocular Procedures Intraocular Procedures Z794 Long term (current) use of insulin 182 63
General Surgery Intraocular Procedures Intraocular Procedures Z7982 Long term (current) use of aspirin 80 57
General Surgery Intraocular Procedures Intraocular Procedures J449 Chronic obstructive pulmonary disease, unspecified 97 55