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 35.96 NA 205 1,114 204
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

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 2017 to Dec 2017 % of DRG Volume
White 158 77.07
Black 30 14.63
Hispanic NA NA
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
75 to 79 41 20.0
70 to 74 40 19.51
Less than 65 40 19.51

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 2017 to Dec 2017 % of DRG Volume
S0522XA Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter 24 11.71
S0521XA Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter 19 9.27
H44001 Unspecified purulent endophthalmitis, right eye 16 7.8

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 2017 to Dec 2017 % of DRG Volume
08B53ZZ Excision of Left Vitreous, Percutaneous Approach 24 11.71
08Q7XZZ Repair Left Sclera, External Approach 24 11.71
08B43ZZ Excision of Right Vitreous, Percutaneous Approach 22 10.73

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 2017 to Dec 2017 % of DRG Volume
Massachusetts Eye and Ear Infirmary 243 CHARLES ST Boston MA 02114 NA NA
Wesley Medical Center 550 N HILLSIDE ST Wichita KS 67214 NA NA
Callahan Eye Hospital 1720 UNIVERSITY BLVD Birmingham AL 35233 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. DAVID M CHACKO 655 N WOODLAWN WICHITA KS 67208 NA NA
DR. ABDHISH RAMAN BHAVSAR 710 E 24TH ST MINNEAPOLIS MN 55404 NA NA
DR. JOSEPH S PULIDO 200 1ST ST SW ROCHESTER MN 55905 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. DAVID M CHACKO 655 N WOODLAWN WICHITA KS 67208 NA NA
DR. ABDHISH RAMAN BHAVSAR 710 E 24TH ST MINNEAPOLIS MN 55404 NA NA
DR. JOSEPH S PULIDO 200 1ST ST SW ROCHESTER MN 55905 NA NA

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 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 I10 Essential (primary) hypertension 535 117
General Surgery Intraocular Procedures Intraocular Procedures E785 Hyperlipidemia, unspecified 263 62
General Surgery Intraocular Procedures Intraocular Procedures K219 Gastro-esophageal reflux disease without esophagitis 85 32
General Surgery Intraocular Procedures Intraocular Procedures Z87891 Personal history of nicotine dependence 93 32
General Surgery Intraocular Procedures Intraocular Procedures I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 85 29
General Surgery Intraocular Procedures Intraocular Procedures E039 Hypothyroidism, unspecified 93 29
General Surgery Intraocular Procedures Intraocular Procedures E119 Type 2 diabetes mellitus without complications 178 27
General Surgery Intraocular Procedures Intraocular Procedures H409 Unspecified glaucoma 72 26
General Surgery Intraocular Procedures Intraocular Procedures S0522XA Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter 238 24
General Surgery Intraocular Procedures Intraocular Procedures Z79899 Other long term (current) drug therapy 68 21