DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) - 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 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 (%)
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
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
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

DEMOGRAPHIC DETAILS OF DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 14,147 87.48
Black 1,104 6.83
Unknown 246 1.52
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
70 to 74 4,513 27.91
65 to 69 4,282 26.48
75 to 79 3,273 20.24

TOP ICD DIAGNOSIS CODES FOR DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
C3411 Malignant neoplasm of upper lobe, right bronchus or lung 3,410 21.09
C3412 Malignant neoplasm of upper lobe, left bronchus or lung 2,739 16.94
C3431 Malignant neoplasm of lower lobe, right bronchus or lung 2,042 12.63

TOP ICD PROCEDURE CODES FOR DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)

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TOP HOSPITALS ASSOCIATED WITH DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Memorial Sloan Kettering Cancer Center 1275 YORK AVE New York NY 10065 335 2.07
Brigham and Women's Hospital 75 FRANCIS ST Boston MA 02115 186 1.15
Mayo Clinic Hospital - Saint Marys Campus 1216 2ND ST SW Rochester MN 55902 184 1.14

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)

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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. ROBERT JOSEPH MCKENNA 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 56 0.35
DR. VALERIE W RUSCH 1275 YORK AVE NEW YORK NY 10021 56 0.35
DR. LAURENCE N. SPIER 1000 NORTHERN BLVD GREAT NECK NY 11021 54 0.33

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)

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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. LAURENCE N. SPIER 1000 NORTHERN BLVD GREAT NECK NY 11021 55 0.34
DR. VALERIE W RUSCH 1275 YORK AVE NEW YORK NY 10021 55 0.34
DR. ROBERT JOSEPH MCKENNA 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 54 0.33

DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 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 19,919 8,804
General Surgery Major Chest Procedures Major Chest Procedures Z87891 Personal history of nicotine dependence 17,182 8,229
General Surgery Major Chest Procedures Major Chest Procedures E785 Hyperlipidemia, unspecified 12,996 6,821
General Surgery Major Chest Procedures Major Chest Procedures J449 Chronic obstructive pulmonary disease, unspecified 9,673 5,194
General Surgery Major Chest Procedures Major Chest Procedures K219 Gastro-esophageal reflux disease without esophagitis 9,290 5,053
General Surgery Major Chest Procedures Major Chest Procedures I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 6,375 3,888
General Surgery Major Chest Procedures Major Chest Procedures C3411 Malignant neoplasm of upper lobe, right bronchus or lung 7,004 3,410
General Surgery Major Chest Procedures Major Chest Procedures Z7982 Long term (current) use of aspirin 4,339 3,282
General Surgery Major Chest Procedures Major Chest Procedures C3412 Malignant neoplasm of upper lobe, left bronchus or lung 5,435 2,739
General Surgery Major Chest Procedures Major Chest Procedures E039 Hypothyroidism, unspecified 4,777 2,393