Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 52,298 | 83.82 |
| Black | 6,942 | 11.13 |
| Hispanic | 831 | 1.33 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 13,236 | 21.21 |
| 70 to 74 | 12,680 | 20.32 |
| 75 to 79 | 10,907 | 17.48 |
TOP ICD DIAGNOSIS CODES FOR DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 18,732 | 30.02 |
| 2724 | Other and unspecified hyperlipidemia | 13,459 | 21.57 |
| V1582 | Personal history of tobacco use | 11,650 | 18.67 |
TOP ICD PROCEDURE CODES FOR DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 10,495 | 16.82 |
| 3327 | Closed Endoscopic Biopsy Of Lung | 9,030 | 14.47 |
| 3324 | Closed [Endoscopic] Biopsy Of Bronchus | 8,288 | 13.28 |
TOP HOSPITALS ASSOCIATED WITH DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| 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 | 366 | 0.59 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 283 | 0.45 |
| Brigham and Women's Hospital | 75 FRANCIS ST | Boston | MA | 02115 | 257 | 0.41 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ROBERT J CERFOLIO | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 57 | 0.09 |
| DR. MARK DENNIS WIDMANN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 48 | 0.08 |
| DR. LOUIS F. JACQUES | 6545 FRANCE AVE S | EDINA | MN | 55435 | 48 | 0.08 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. LOUIS F. JACQUES | 6545 FRANCE AVE S | EDINA | MN | 55435 | 70 | 0.11 |
| DR. ROBERT J CERFOLIO | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 61 | 0.1 |
| DR. FEDERICO A STEINER | 100 MADISON AVE FL 4 | MORRISTOWN | NJ | 07960 | 56 | 0.09 |
DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 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 | 18,732 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | I10 | Essential (primary) hypertension | 14,114 | 13,895 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 13,459 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | V1582 | Personal history of tobacco use | NA | 11,650 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | Z87891 | Personal history of nicotine dependence | 9,158 | 10,602 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | E785 | Hyperlipidemia, unspecified | 8,925 | 10,528 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 53081 | Esophageal reflux | NA | 8,663 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 41519 | Other pulmonary embolism and infarction | NA | 8,536 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 7,739 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 6,217 | 7,673 |