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 | 64.99 | NA | 30,145 | 112,641 | 25,890 | ||||||||||||
| 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 | 7.80 | NA | 3,617 | 15,367 | 3,592 | ||||||||||||
| 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 | 27.21 | NA | 12,622 | 62,396 | 12,316 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 24,392 | 80.92 |
| Black | 3,788 | 12.57 |
| Hispanic | 605 | 2.01 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 6,372 | 21.14 |
| 65 to 69 | 6,079 | 20.17 |
| 70 to 74 | 5,829 | 19.34 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| J9621 | Acute and chronic respiratory failure with hypoxia | 6,579 | 21.82 |
| I2699 | Other pulmonary embolism without acute cor pulmonale | 3,364 | 11.16 |
| R042 | Hemoptysis | 2,371 | 7.87 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 5,178 | 17.18 |
| 0BH17EZ | Insertion of Endotracheal Airway into Trachea, Via Natural or Artificial Opening | 4,773 | 15.83 |
| 0B9F8ZX | Drainage of Right Lower Lung Lobe, Via Natural or Artificial Opening Endoscopic, Diagnostic | 4,661 | 15.46 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Yuma Regional Medical Center | 2400 S AVE A | Yuma | AZ | 85364 | 182 | 0.6 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 143 | 0.47 |
| Houston Methodist Hospital | 6565 FANNIN ST | Houston | TX | 77030 | 112 | 0.37 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. SHATISHKUMAR Y PATEL | 8200 WEDNESBURY LN | HOUSTON | TX | 77074 | 35 | 0.12 |
| DR. DINESH VERMA | 130 INDEPENDENCE CIR | CHICO | CA | 95973 | 34 | 0.11 |
| DR. SMITHA NARASIMHASWAMY | 600 RIVER AVE | LAKEWOOD | NJ | 08701 | 31 | 0.1 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 127 | 0.42 |
| DR. AZMI DRAW | 10214 WORTHINGTON LN | PROSPECT | KY | 40059 | 73 | 0.24 |
| DR. DINESH VERMA | 130 INDEPENDENCE CIR | CHICO | CA | 95973 | 44 | 0.15 |
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 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 | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | E785 | Hyperlipidemia, unspecified | 13,213 | 11,122 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | J189 | Pneumonia, unspecified organism | 13,731 | 10,199 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | I10 | Essential (primary) hypertension | 17,123 | 10,020 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | J9601 | Acute respiratory failure with hypoxia | 9,762 | 9,839 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | Z87891 | Personal history of nicotine dependence | 11,764 | 9,649 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 9,388 | 8,466 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 8,096 | 7,871 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | J440 | Chronic obstructive pulmonary disease with acute lower respiratory infection | 2,762 | 7,631 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 8,198 | 7,188 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | J9621 | Acute and chronic respiratory failure with hypoxia | 4,976 | 6,579 |