Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 13,253 | 86.24 |
| Black | 1,269 | 8.26 |
| Other | 234 | 1.52 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 3,878 | 25.24 |
| 70 to 74 | 3,612 | 23.5 |
| 75 to 79 | 2,612 | 17.0 |
TOP ICD DIAGNOSIS CODES FOR DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 4,228 | 27.51 |
| 2724 | Other and unspecified hyperlipidemia | 2,559 | 16.65 |
| V1582 | Personal history of tobacco use | 2,446 | 15.92 |
TOP ICD PROCEDURE CODES FOR DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 3327 | Closed Endoscopic Biopsy Of Lung | 2,066 | 13.44 |
| 3324 | Closed [Endoscopic] Biopsy Of Bronchus | 1,859 | 12.1 |
| 0BBC4ZX | Excision of Right Upper Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic | 1,434 | 9.33 |
TOP HOSPITALS ASSOCIATED WITH DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|---|---|---|
| University of Alabama Hospital | 619 19TH ST S | Birmingham | AL | 35249 | 96 | 0.62 |
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 83 | 0.54 |
| Brigham and Women's Hospital | 75 FRANCIS ST | Boston | MA | 02115 | 78 | 0.51 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 34 | 0.22 |
| DR. LOUIS F. JACQUES | 6545 FRANCE AVE S | EDINA | MN | 55435 | 32 | 0.21 |
| DR. CHRISTIAN R GALVEZ-PADILLA | 777 NORTH STREET | PITTSFIELD | MA | 01201 | 32 | 0.21 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. PAUL F CASTELLANOS | 619 19TH STREET SOUTH | BIRMINGHAM | AL | 35233 | 35 | 0.23 |
| DR. LOUIS F. JACQUES | 6545 FRANCE AVE S | EDINA | MN | 55435 | 32 | 0.21 |
| DR. MICHAEL WEYANT | 12605 E 16TH AVE | AURORA | CO | 80045 | 31 | 0.2 |
DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | I10 | Essential (primary) hypertension | 4,462 | 4,387 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 4019 | Unspecified essential hypertension | NA | 4,228 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | Z87891 | Personal history of nicotine dependence | 3,081 | 3,205 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | E785 | Hyperlipidemia, unspecified | 2,630 | 2,954 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 2,559 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | V1582 | Personal history of tobacco use | NA | 2,446 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 2,231 | 2,428 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | 53081 | Esophageal reflux | NA | 1,996 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | J449 | Chronic obstructive pulmonary disease, unspecified | 1,661 | 1,781 | |||||||||||||||||
| General Surgery | Other Respiratory System Procedures | Other Respiratory System O.R. Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,202 | 1,609 |