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 | 27.21 | NA | 12,622 | 62,396 | 12,316 | ||||||||||||
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 | ||||||||||||
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 |
DEMOGRAPHIC DETAILS OF DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 10,573 | 83.77 |
Black | 1,263 | 10.01 |
Hispanic | 197 | 1.56 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
70 to 74 | 2,769 | 21.94 |
65 to 69 | 2,749 | 21.78 |
75 to 79 | 2,228 | 17.65 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
J910 | Malignant pleural effusion | 827 | 6.55 |
C3411 | Malignant neoplasm of upper lobe, right bronchus or lung | 725 | 5.74 |
R590 | Localized enlarged lymph nodes | 661 | 5.24 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
06H03DZ | Insertion of Intraluminal Device into Inferior Vena Cava, Percutaneous Approach | 1,582 | 12.53 |
07B74ZX | Excision of Thorax Lymphatic, Percutaneous Endoscopic Approach, Diagnostic | 1,241 | 9.83 |
0BJ08ZZ | Inspection of Tracheobronchial Tree, Via Natural or Artificial Opening Endoscopic | 1,227 | 9.72 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 69 | 0.55 |
UT Southwestern Medical Center | 6201 HARRY HINES BLVD | Dallas | TX | 75390 | 68 | 0.54 |
Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 67 | 0.53 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. CLARK BEEMAN FULLER | 8635 W 3RD ST | LOS ANGELES | CA | 90048 | 23 | 0.18 |
DR. MARK DENNIS WIDMANN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 16 | 0.13 |
DR. CHARLES CARMECI | 520 MEDICAL CENTER DR | MEDFORD | OR | 97504 | 12 | 0.1 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. CLARK BEEMAN FULLER | 8635 W 3RD ST | LOS ANGELES | CA | 90048 | 23 | 0.18 |
DR. MARK DENNIS WIDMANN | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 20 | 0.16 |
DR. MALLAPPA NEELAPPA | 2275 S ELKS LANE | YUMA | AZ | 85364 | 19 | 0.15 |
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 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 | I10 | Essential (primary) hypertension | 14,114 | 6,083 | |||||||||||||||||
General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | E785 | Hyperlipidemia, unspecified | 8,925 | 4,998 | |||||||||||||||||
General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | Z87891 | Personal history of nicotine dependence | 9,158 | 4,989 | |||||||||||||||||
General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 6,217 | 3,724 | |||||||||||||||||
General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 5,151 | 3,091 | |||||||||||||||||
General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | J449 | Chronic obstructive pulmonary disease, unspecified | 5,414 | 2,642 | |||||||||||||||||
General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | Z7982 | Long term (current) use of aspirin | 3,077 | 2,367 | |||||||||||||||||
General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | E039 | Hypothyroidism, unspecified | 3,723 | 2,100 | |||||||||||||||||
General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | Z79899 | Other long term (current) drug therapy | 2,992 | 1,967 | |||||||||||||||||
General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | E119 | Type 2 diabetes mellitus without complications | 4,509 | 1,827 |