DRG 165: MAJOR CHEST 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 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 165: MAJOR CHEST 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 (%)
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
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

DEMOGRAPHIC DETAILS OF DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 42,503 88.25
Black 3,199 6.64
Other 691 1.43
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 14,067 29.21
70 to 74 13,385 27.79
75 to 79 9,302 19.31

TOP ICD DIAGNOSIS CODES FOR DRG 165: MAJOR CHEST 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 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 16,195 33.63
V1582 Personal history of tobacco use 12,163 25.25
2724 Other and unspecified hyperlipidemia 10,288 21.36

TOP ICD PROCEDURE CODES FOR DRG 165: MAJOR CHEST 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 2013 to Dec 2017 % of DRG Volume
3220 Thoracoscopic Excision Of Lesion Or Tissue Of Lung 11,563 24.01
0BJ08ZZ Inspection of Tracheobronchial Tree, Via Natural or Artificial Opening Endoscopic 7,145 14.84
3322 Fiber-Optic Bronchoscopy 7,044 14.63

TOP HOSPITALS ASSOCIATED WITH DRG 165: MAJOR CHEST 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 2013 to Dec 2017 % of DRG Volume
Memorial Sloan Kettering Cancer Center 1275 YORK AVE New York NY 10065 585 1.21
Brigham and Women's Hospital 75 FRANCIS ST Boston MA 02115 547 1.14
University of Texas MD Anderson Cancer Center 1515 HOLCOMBE BLVD Houston TX 77030 439 0.91

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 165: MAJOR CHEST 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 2013 to Dec 2017 % of DRG Volume
DR. MICHAEL L. LIPTAY 1725 W HARRISON ST CHICAGO IL 60612 283 0.59
DR. ROBERT JOSEPH MCKENNA 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 253 0.53
DR. MARK DENNIS WIDMANN 100 MADISON AVE MORRISTOWN NJ 07960 213 0.44

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 165: MAJOR CHEST 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 2013 to Dec 2017 % of DRG Volume
DR. MICHAEL L. LIPTAY 1725 W HARRISON ST CHICAGO IL 60612 279 0.58
DR. ROBERT JOSEPH MCKENNA 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 267 0.55
DR. MARK DENNIS WIDMANN 100 MADISON AVE MORRISTOWN NJ 07960 213 0.44

DRG 165: MAJOR CHEST 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 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 16,195
General Surgery Major Chest Procedures Major Chest Procedures V1582 Personal history of tobacco use NA 12,163
General Surgery Major Chest Procedures Major Chest Procedures I10 Essential (primary) hypertension 11,198 11,524
General Surgery Major Chest Procedures Major Chest Procedures 2724 Other and unspecified hyperlipidemia NA 10,288
General Surgery Major Chest Procedures Major Chest Procedures Z87891 Personal history of nicotine dependence 9,188 9,596
General Surgery Major Chest Procedures Major Chest Procedures 1623 Malignant neoplasm of upper lobe, bronchus or lung NA 8,470
General Surgery Major Chest Procedures Major Chest Procedures 53081 Esophageal reflux NA 8,056
General Surgery Major Chest Procedures Major Chest Procedures E785 Hyperlipidemia, unspecified 6,880 7,924
General Surgery Major Chest Procedures Major Chest Procedures 496 Chronic airway obstruction, not elsewhere classified NA 6,497
General Surgery Major Chest Procedures Major Chest Procedures K219 Gastro-esophageal reflux disease without esophagitis 5,546 5,905