DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS
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Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | |
| 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 (%) |
| 175 |
PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) |
Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
Non Surgical |
37.73 |
NA |
27,283 |
113,695 |
105,721 |
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| 176 |
PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) |
Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
Non Surgical |
62.27 |
NA |
34,446 |
187,680 |
182,479 |
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DEMOGRAPHIC DETAILS OF DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Race |
Total Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
|---|
| White |
93,014 |
81.81 |
| Black |
16,318 |
14.35 |
| Hispanic |
1,358 |
1.19 |
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| Age Group ( Years ) |
Total Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
|---|
| Greater than 84 |
22,009 |
19.36 |
| 65 to 69 |
19,541 |
17.19 |
| 70 to 74 |
19,204 |
16.89 |
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TOP ICD DIAGNOSIS CODES FOR DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ICD PROCEDURE CODES FOR DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP HOSPITALS ASSOCIATED WITH DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Physician Name |
Address |
City |
State |
Zip Code |
Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
| DR. ZIAD SOUS |
1145 S UTICA AVE |
TULSA |
OK |
74104 |
45 |
0.04 |
| DR. RAJESH AGARWAL |
6770 MAYFIELD RD |
MAYFIELD HEIGHTS |
OH |
44124 |
31 |
0.03 |
| DR. LEE T WIMBERLY |
50 MEDICAL PARK DR E |
BIRMINGHAM |
AL |
35235 |
26 |
0.02 |
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TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
| Physician Name |
Address |
City |
State |
Zip Code |
Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
| DR. MARGARET H VERHEY |
5880 UNIVERSITY AVE |
WEST DES MOINES |
IA |
50266 |
23 |
0.02 |
| DR. TODD G MATROS |
3705 OLENTANGY RIVER RD |
COLUMBUS |
OH |
43214 |
20 |
0.02 |
DRG 175: PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | |
| 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 (%) |
| Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
41519 |
Other pulmonary embolism and infarction |
NA |
51,416 |
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| Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
I2699 |
Other pulmonary embolism without acute cor pulmonale |
33,689 |
48,608 |
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| Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
I10 |
Essential (primary) hypertension |
19,558 |
27,238 |
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| Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
4019 |
Unspecified essential hypertension |
NA |
26,034 |
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| Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
E785 |
Hyperlipidemia, unspecified |
13,090 |
22,991 |
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| Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
2724 |
Other and unspecified hyperlipidemia |
NA |
20,527 |
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| Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
J9601 |
Acute respiratory failure with hypoxia |
9,940 |
20,284 |
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| Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
51881 |
Acute respiratory failure |
NA |
18,279 |
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| Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
Z87891 |
Personal history of nicotine dependence |
9,804 |
17,820 |
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| Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
486 |
Pneumonia, organism unspecified |
NA |
17,758 |
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