DRG 176: PULMONARY EMBOLISM WITHOUT 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 176: PULMONARY EMBOLISM WITHOUT 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 (%) |
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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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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DEMOGRAPHIC DETAILS OF DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
Race |
Total Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
White |
155,204 |
82.7 |
Black |
25,509 |
13.59 |
Hispanic |
1,986 |
1.06 |
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Age Group ( Years ) |
Total Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
65 to 69 |
37,524 |
19.99 |
70 to 74 |
35,075 |
18.69 |
75 to 79 |
30,880 |
16.45 |
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TOP ICD DIAGNOSIS CODES FOR DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ICD PROCEDURE CODES FOR DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP HOSPITALS ASSOCIATED WITH DRG 176: PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 176: PULMONARY EMBOLISM WITHOUT 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. DINESH VERMA |
130 INDEPENDENCE CIR |
CHICO |
CA |
95973 |
75 |
0.04 |
DR. ZIAD SOUS |
1145 S UTICA AVE |
TULSA |
OK |
74104 |
55 |
0.03 |
DR. STEVEN M ELWELL |
6901 MEDICAL PARKWAY |
WACO |
TX |
76712 |
51 |
0.03 |
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DRG 176: PULMONARY EMBOLISM WITHOUT 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 |
99,930 |
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Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
I2699 |
Other pulmonary embolism without acute cor pulmonale |
83,457 |
75,920 |
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Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
4019 |
Unspecified essential hypertension |
NA |
59,804 |
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Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
I10 |
Essential (primary) hypertension |
44,021 |
44,728 |
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Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
2724 |
Other and unspecified hyperlipidemia |
NA |
43,055 |
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Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
E785 |
Hyperlipidemia, unspecified |
27,170 |
32,393 |
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Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
53081 |
Esophageal reflux |
NA |
26,156 |
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Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
V1582 |
Personal history of tobacco use |
NA |
23,761 |
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Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
Z87891 |
Personal history of nicotine dependence |
18,258 |
22,214 |
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Pulmonology |
Pulmonary Embolism |
Pulmonary Embolism |
25000 |
Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled |
NA |
21,467 |
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