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 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
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 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 7,537 87.57
Black 594 6.9
Unknown 138 1.6
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
65 to 69 2,598 30.18
70 to 74 2,464 28.63
75 to 79 1,692 19.66

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 2017 to Dec 2017 % of DRG Volume
C3411 Malignant neoplasm of upper lobe, right bronchus or lung 1,580 18.36
C3412 Malignant neoplasm of upper lobe, left bronchus or lung 1,346 15.64
C3431 Malignant neoplasm of lower lobe, right bronchus or lung 1,035 12.03

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 2017 to Dec 2017 % of DRG Volume
0BJ08ZZ Inspection of Tracheobronchial Tree, Via Natural or Artificial Opening Endoscopic 3,146 36.55
07B74ZX Excision of Thorax Lymphatic, Percutaneous Endoscopic Approach, Diagnostic 2,165 25.15
8E0W4CZ Robotic Assisted Procedure of Trunk Region, Percutaneous Endoscopic Approach 1,237 14.37

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 2017 to Dec 2017 % of DRG Volume
Brigham and Women's Hospital 75 FRANCIS ST Boston MA 02115 134 1.56
Memorial Sloan Kettering Cancer Center 1275 YORK AVE New York NY 10065 104 1.21
University of Texas MD Anderson Cancer Center 1515 HOLCOMBE BLVD Houston TX 77030 87 1.01

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 2017 to Dec 2017 % of DRG Volume
DR. SANDEEP JITENDRA KHANDHAR 2921 TELESTAR CT FALLS CHURCH VA 22042 50 0.58
DR. MICHAEL L. LIPTAY 1725 W HARRISON ST CHICAGO IL 60612 44 0.51
DR. JOSHUA ROBERT SONETT 161 FORT WASHINGTON AVE NEW YORK NY 10032 43 0.5

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 2017 to Dec 2017 % of DRG Volume
DR. SANDEEP JITENDRA KHANDHAR 2921 TELESTAR CT FALLS CHURCH VA 22042 49 0.57
DR. MICHAEL L. LIPTAY 1725 W HARRISON ST CHICAGO IL 60612 44 0.51
DR. JOSHUA ROBERT SONETT 161 FORT WASHINGTON AVE NEW YORK NY 10032 43 0.5

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 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 11,198 5,016
General Surgery Major Chest Procedures Major Chest Procedures Z87891 Personal history of nicotine dependence 9,188 4,290
General Surgery Major Chest Procedures Major Chest Procedures E785 Hyperlipidemia, unspecified 6,880 3,525
General Surgery Major Chest Procedures Major Chest Procedures K219 Gastro-esophageal reflux disease without esophagitis 5,546 2,623
General Surgery Major Chest Procedures Major Chest Procedures J449 Chronic obstructive pulmonary disease, unspecified 5,049 2,414
General Surgery Major Chest Procedures Major Chest Procedures Z7982 Long term (current) use of aspirin 1,993 1,705
General Surgery Major Chest Procedures Major Chest Procedures I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 2,639 1,666
General Surgery Major Chest Procedures Major Chest Procedures C3411 Malignant neoplasm of upper lobe, right bronchus or lung 3,642 1,580
General Surgery Major Chest Procedures Major Chest Procedures C3412 Malignant neoplasm of upper lobe, left bronchus or lung 2,864 1,346
General Surgery Major Chest Procedures Major Chest Procedures E119 Type 2 diabetes mellitus without complications 3,230 1,263