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 2013 to Dec 2017   |   Jan 2017 to Dec 2017

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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 33.01 NA 12,208 61,264 10,905
165 MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) General Surgery Major Chest Procedures Major Chest Procedures Surgical 23.27 NA 8,607 48,163 8,586
164 MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) General Surgery Major Chest Procedures Major Chest Procedures Surgical 43.72 NA 16,172 85,968 16,062

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

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 10,296 84.34
Black 1,159 9.49
Other 171 1.4
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
65 to 69 2,840 23.26
70 to 74 2,663 21.81
Less than 65 2,418 19.81

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 2017 to Dec 2017 % of DRG Volume
J869 Pyothorax without fistula 1,965 16.1
C3411 Malignant neoplasm of upper lobe, right bronchus or lung 1,238 10.14
C3412 Malignant neoplasm of upper lobe, left bronchus or lung 921 7.54

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 2017 to Dec 2017 % of DRG Volume
0BJ08ZZ Inspection of Tracheobronchial Tree, Via Natural or Artificial Opening Endoscopic 3,215 26.34
02HV33Z Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach 2,328 19.07
0BH17EZ Insertion of Endotracheal Airway into Trachea, Via Natural or Artificial Opening 1,854 15.19

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 2017 to Dec 2017 % of DRG Volume
Mayo Clinic Hospital - Saint Marys Campus 1216 2ND ST SW Rochester MN 55902 88 0.72
Brigham and Women's Hospital 75 FRANCIS ST Boston MA 02115 78 0.64
Baptist Memorial Hospital 6019 WALNUT GROVE RD Memphis TN 38120 65 0.53

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 2017 to Dec 2017 % of DRG Volume
DR. EDWARD T ROBBINS 6027 WALNUT GROVE ROAD MEMPHIS TN 38120 35 0.29
DR. DAVID J SUGARBAKER 6620 MAIN ST STE 1325 HOUSTON TX 77030 26 0.21
DR. CHRISTOPHER J MUTRIE 6029 WALNUT GROVE ROAD MEMPHIS TN 38120 24 0.2

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 2017 to Dec 2017 % of DRG Volume
DR. EDWARD T ROBBINS 6027 WALNUT GROVE ROAD MEMPHIS TN 38120 38 0.31
DR. JAMES A. CACCITOLO 703 S FLEISHEL AVE TYLER TX 75701 28 0.23
DR. CHRISTOPHER J MUTRIE 6029 WALNUT GROVE ROAD MEMPHIS TN 38120 27 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 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 Major Chest Procedures Major Chest Procedures I10 Essential (primary) hypertension 12,886 4,901
General Surgery Major Chest Procedures Major Chest Procedures E785 Hyperlipidemia, unspecified 8,988 4,883
General Surgery Major Chest Procedures Major Chest Procedures Z87891 Personal history of nicotine dependence 9,443 4,664
General Surgery Major Chest Procedures Major Chest Procedures I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 5,665 3,398
General Surgery Major Chest Procedures Major Chest Procedures K219 Gastro-esophageal reflux disease without esophagitis 5,907 3,383
General Surgery Major Chest Procedures Major Chest Procedures J9601 Acute respiratory failure with hypoxia 5,890 3,345
General Surgery Major Chest Procedures Major Chest Procedures J189 Pneumonia, unspecified organism 9,163 3,047
General Surgery Major Chest Procedures Major Chest Procedures J90 Pleural effusion, not elsewhere classified 7,960 3,028
General Surgery Major Chest Procedures Major Chest Procedures J449 Chronic obstructive pulmonary disease, unspecified 6,885 3,025
General Surgery Major Chest Procedures Major Chest Procedures J9811 Atelectasis 6,103 2,554