DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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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

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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 (%)
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)

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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)

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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 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)

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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)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
UAB 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-Massachusetts 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)

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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. 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)

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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. 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

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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 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