DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 163: MAJOR CHEST PROCEDURES 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 (%)
163 MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Major Chest Procedures Major Chest Procedures Surgical 31.35 NA 12,208 61,264 54,611
165 MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Major Chest Procedures Major Chest Procedures Surgical 24.65 NA 8,607 48,163 48,065
164 MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) General Surgery Major Chest Procedures Major Chest Procedures Surgical 44.00 NA 16,172 85,968 85,325

DEMOGRAPHIC DETAILS OF DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 51,669 84.34
Black 5,941 9.7
Hispanic 960 1.57
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 13,950 22.77
70 to 74 13,123 21.42
Less than 65 12,984 21.19

TOP ICD DIAGNOSIS CODES FOR DRG 163: MAJOR CHEST PROCEDURES WITH 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 14,884 24.29
2724 Other and unspecified hyperlipidemia 12,191 19.9
V1582 Personal history of tobacco use 11,072 18.07

TOP ICD PROCEDURE CODES FOR DRG 163: MAJOR CHEST PROCEDURES WITH 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
3404 Insertion Of Intercostal Catheter For Drainage 10,878 17.76
0BJ08ZZ Inspection of Tracheobronchial Tree, Via Natural or Artificial Opening Endoscopic 7,526 12.28
9904 Transfusion Of Packed Cells 7,476 12.2

TOP HOSPITALS ASSOCIATED WITH DRG 163: MAJOR CHEST PROCEDURES WITH 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
Brigham and Women's Hospital-Massachusetts 75 FRANCIS ST Boston MA 02115 559 0.91
Mayo Clinic Hospital-Rochester 1216 2ND ST SW Rochester MN 55902 321 0.52
Baptist Memorial Hospital - Memphis 6019 WALNUT GROVE RD Memphis TN 38120 311 0.51

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 163: MAJOR CHEST PROCEDURES WITH 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. EDWARD T ROBBINS 6027 WALNUT GROVE ROAD MEMPHIS TN 38120 153 0.25
DR. RAPHAEL BUENO 75 FRANCIS ST BOSTON MA 02115 135 0.22

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 163: MAJOR CHEST PROCEDURES WITH 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. EDWARD T ROBBINS 6027 WALNUT GROVE ROAD MEMPHIS TN 38120 169 0.28
DR. JAMES A. CACCITOLO 703 S FLEISHEL AVE TYLER TX 75701 151 0.25
DR. LARKIN JEFFREY DANIELS 1855 SPRINGHILL AVE MOBILE AL 36607 134 0.22

DRG 163: MAJOR CHEST PROCEDURES 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 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 Major Chest Procedures Major Chest Procedures 4019 Unspecified essential hypertension NA 14,884
General Surgery Major Chest Procedures Major Chest Procedures I10 Essential (primary) hypertension 12,886 12,874
General Surgery Major Chest Procedures Major Chest Procedures 2724 Other and unspecified hyperlipidemia NA 12,191
General Surgery Major Chest Procedures Major Chest Procedures E785 Hyperlipidemia, unspecified 8,988 11,408
General Surgery Major Chest Procedures Major Chest Procedures V1582 Personal history of tobacco use NA 11,072
General Surgery Major Chest Procedures Major Chest Procedures Z87891 Personal history of nicotine dependence 9,443 10,974
General Surgery Major Chest Procedures Major Chest Procedures 486 Pneumonia, organism unspecified NA 10,175
General Surgery Major Chest Procedures Major Chest Procedures 42731 Atrial fibrillation NA 9,730
General Surgery Major Chest Procedures Major Chest Procedures 51881 Acute respiratory failure NA 8,781
General Surgery Major Chest Procedures Major Chest Procedures 496 Chronic airway obstruction, not elsewhere classified NA 8,588