DRG 117: INTRAOCULAR 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 117: INTRAOCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 117: INTRAOCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 117: INTRAOCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 117: INTRAOCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 117: INTRAOCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 117: INTRAOCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 117: INTRAOCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 117: INTRAOCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 117: INTRAOCULAR 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 (%)
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
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

DEMOGRAPHIC DETAILS OF DRG 117: INTRAOCULAR 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 878 78.82
Black 158 14.18
Hispanic 26 2.33
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 228 20.47
65 to 69 208 18.67
75 to 79 188 16.88

TOP ICD DIAGNOSIS CODES FOR DRG 117: INTRAOCULAR 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 367 32.94
2724 Other and unspecified hyperlipidemia 200 17.95
25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled 148 13.29

TOP ICD PROCEDURE CODES FOR DRG 117: INTRAOCULAR 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
1474 Other Mechanical Vitrectomy 184 16.52
1151 Suture Of Corneal Laceration 95 8.53
1475 Injection Of Vitreous Substitute 89 7.99

TOP HOSPITALS ASSOCIATED WITH DRG 117: INTRAOCULAR 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 57 5.12
Thomas Jefferson University Hospital 111 S 11TH ST Philadelphia PA 19107 48 4.31
Phillips Eye Institute 2215 PARK AVE Minneapolis MN 55404 40 3.59

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 117: INTRAOCULAR 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. JOSEPH S PULIDO 200 1ST ST SW ROCHESTER MN 55905 24 2.15
DR. ABDHISH RAMAN BHAVSAR 710 E 24TH ST MINNEAPOLIS MN 55404 16 1.44
DR. DAVID M CHACKO 655 N WOODLAWN WICHITA KS 67208 13 1.17

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 117: INTRAOCULAR 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. JOSEPH S PULIDO 200 1ST ST SW ROCHESTER MN 55905 24 2.15
DR. ABDHISH RAMAN BHAVSAR 710 E 24TH ST MINNEAPOLIS MN 55404 16 1.44
DR. DAVID M CHACKO 655 N WOODLAWN WICHITA KS 67208 13 1.17

DRG 117: INTRAOCULAR 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 Intraocular Procedures Intraocular Procedures 4019 Unspecified essential hypertension NA 367
General Surgery Intraocular Procedures Intraocular Procedures I10 Essential (primary) hypertension 535 270
General Surgery Intraocular Procedures Intraocular Procedures 2724 Other and unspecified hyperlipidemia NA 200
General Surgery Intraocular Procedures Intraocular Procedures 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 148
General Surgery Intraocular Procedures Intraocular Procedures E785 Hyperlipidemia, unspecified 263 141
General Surgery Intraocular Procedures Intraocular Procedures 53081 Esophageal reflux NA 108
General Surgery Intraocular Procedures Intraocular Procedures 8711 Ocular laceration with prolapse or exposure of intraocular tissue NA 92
General Surgery Intraocular Procedures Intraocular Procedures V1582 Personal history of tobacco use NA 89
General Surgery Intraocular Procedures Intraocular Procedures K219 Gastro-esophageal reflux disease without esophagitis 85 81
General Surgery Intraocular Procedures Intraocular Procedures E119 Type 2 diabetes mellitus without complications 178 76