DRG 152: OTITIS MEDIA AND URI WITH 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

CHARGE CAPTURE ANALYSIS FOR DRG 152: OTITIS MEDIA AND URI WITH 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 (%)
152 OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) General Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri Non Surgical 26.82 NA 4,529 25,997 4,374
153 OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) General Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri Non Surgical 73.18 NA 12,359 79,820 12,085

DEMOGRAPHIC DETAILS OF DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 3,324 73.39
Black 775 17.11
Hispanic 153 3.38
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Greater than 84 1,157 25.55
Less than 65 1,093 24.13
80 to 84 613 13.53

TOP ICD DIAGNOSIS CODES FOR DRG 152: OTITIS MEDIA AND URI WITH 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
J111 Influenza due to unidentified influenza virus with other respiratory manifestations 1,726 38.11
J069 Acute upper respiratory infection, unspecified 1,528 33.74
J020 Streptococcal pharyngitis 153 3.38

TOP ICD PROCEDURE CODES FOR DRG 152: OTITIS MEDIA AND URI WITH 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
5A1D60Z Performance of Urinary Filtration, Multiple 290 6.4
5A1D00Z Performance of Urinary Filtration, Single 205 4.53
5A1D70Z 174 3.84

TOP HOSPITALS ASSOCIATED WITH DRG 152: OTITIS MEDIA AND URI WITH 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
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 26 0.57
Yale New Haven Hospital 20 YORK ST New Haven CT 06504 23 0.51
Morristown Medical Center 100 MADISON AVE Morristown NJ 07960 19 0.42

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 152: OTITIS MEDIA AND URI WITH 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. KWAME DAPAAH-AFRIYIE 164 SUMMIT AVE PROVIDENCE RI 02906 NA NA
DR. ANDREW M QUELER 415 S 28TH AVE HATTIESBURG MS 39401 NA NA
DR. RAJESH AGARWAL 6770 MAYFIELD RD MAYFIELD HEIGHTS OH 44124 NA NA

DRG 152: OTITIS MEDIA AND URI WITH 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 Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri E785 Hyperlipidemia, unspecified 2,567 1,808
General Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri J111 Influenza due to unidentified influenza virus with other respiratory manifestations 2,524 1,726
General Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri J069 Acute upper respiratory infection, unspecified 4,203 1,528
General Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri I10 Essential (primary) hypertension 2,966 1,447
General Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 1,513 1,316
General Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri Z87891 Personal history of nicotine dependence 1,266 1,135
General Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri K219 Gastro-esophageal reflux disease without esophagitis 1,823 1,089
General Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri N186 End stage renal disease 1,640 948
General Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri Z7982 Long term (current) use of aspirin 888 854
General Medicine Otitis Media And Upper Respiratory Infection Otitis Media And Uri E039 Hypothyroidism, unspecified 1,075 849