Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | Back to Top |
| 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | Surgical | 59.16 | NA | 30,145 | 112,641 | 98,052 | ||||||||||||
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | Surgical | 8.07 | NA | 3,617 | 15,367 | 15,251 | ||||||||||||
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | Surgical | 32.77 | NA | 12,622 | 62,396 | 60,956 |
DEMOGRAPHIC DETAILS OF DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 89,536 | 79.49 |
| Black | 16,440 | 14.6 |
| Hispanic | 2,193 | 1.95 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 23,297 | 20.68 |
| 65 to 69 | 22,094 | 19.61 |
| 70 to 74 | 21,210 | 18.83 |
TOP ICD DIAGNOSIS CODES FOR DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 22,279 | 19.78 |
| 486 | Pneumonia, organism unspecified | 21,501 | 19.09 |
| 51881 | Acute respiratory failure | 19,576 | 17.38 |
TOP ICD PROCEDURE CODES FOR DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 387 | Interruption Of Vena Cava | 16,055 | 14.25 |
| 3324 | Closed [Endoscopic] Biopsy Of Bronchus | 15,758 | 13.99 |
| 3327 | Closed Endoscopic Biopsy Of Lung | 14,313 | 12.71 |
TOP HOSPITALS ASSOCIATED WITH DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Houston Methodist Hospital | 6565 FANNIN ST | Houston | TX | 77030 | 495 | 0.44 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 491 | 0.44 |
| Cleveland Clinic | 9500 EUCLID AVE | Cleveland | OH | 44195 | 381 | 0.34 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. VINH D NGUYEN | 5116 BISSONNET ST | BELLAIRE | TX | 77401 | 94 | 0.08 |
| DR. THOMAS S KALEEKAL | 6550 FANNIN ST | HOUSTON | TX | 77030 | 81 | 0.07 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. NAJI KAMAL BADDOURA | 14434 BRUCE B DOWNS BLVD | TAMPA | FL | 33613 | 165 | 0.15 |
| DR. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 155 | 0.14 |
| DR. ABDULKADIR HOURANI | 2051 W 25TH ST | YUMA | AZ | 85364 | 108 | 0.1 |
DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | Back to Top |
| 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 | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 4019 | Unspecified essential hypertension | NA | 22,279 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | I10 | Essential (primary) hypertension | 17,123 | 21,603 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 486 | Pneumonia, organism unspecified | NA | 21,501 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | E785 | Hyperlipidemia, unspecified | 13,213 | 20,825 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 51881 | Acute respiratory failure | NA | 19,576 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 19,413 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | J189 | Pneumonia, unspecified organism | 13,731 | 18,837 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | Z87891 | Personal history of nicotine dependence | 11,764 | 17,919 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | J9601 | Acute respiratory failure with hypoxia | 9,762 | 17,017 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 4280 | Congestive heart failure, unspecified | NA | 16,146 |