DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 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 (%)
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)

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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)

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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 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)

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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)

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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 366 0.59
Florida Hospital Orlando 601 E ROLLINS ST Orlando FL 32803 283 0.45
Brigham and Women's Hospital-Massachusetts 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)

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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. 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)

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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. 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

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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 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