Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | Non Surgical | 63.52 | NA | 71,459 | 379,291 | 64,707 | ||||||||||||
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | Non Surgical | 29.63 | NA | 33,328 | 220,002 | 32,008 | ||||||||||||
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | Non Surgical | 6.85 | NA | 7,703 | 52,489 | 7,437 |
DEMOGRAPHIC DETAILS OF DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 59,790 | 83.67 |
| Black | 6,652 | 9.31 |
| Asian | 1,540 | 2.16 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 25,513 | 35.7 |
| Less than 65 | 11,085 | 15.51 |
| 80 to 84 | 10,708 | 14.98 |
TOP ICD DIAGNOSIS CODES FOR DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| J690 | Pneumonitis due to inhalation of food and vomit | 53,320 | 74.62 |
| Z66 | Do not resuscitate | 24,375 | 34.11 |
| J9601 | Acute respiratory failure with hypoxia | 23,286 | 32.59 |
TOP ICD PROCEDURE CODES FOR DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 4,858 | 6.8 |
| 5A09357 | Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure | 4,418 | 6.18 |
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 2,939 | 4.11 |
TOP HOSPITALS ASSOCIATED WITH DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 221 | 0.31 |
| St. Mary's Medical Center | 201 NW R D MIZE RD | Blue Springs | MO | 64014 | 186 | 0.26 |
| North Kansas City Hospital | 2800 CLAY EDWARDS DR | North Kansas City | MO | 64116 | 181 | 0.25 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 53 | 0.07 |
| DR. NKECHI PATRICIA UGWUH-MOSS | 500 S UNIVERSITY AVE | LITTLE ROCK | AR | 72205 | 51 | 0.07 |
| DR. SALMAN S. ALY | 1201 CREEKWAY DRIVE | SUGAR LAND | TX | 77478 | 51 | 0.07 |
DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH 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 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | J690 | Pneumonitis due to inhalation of food and vomit | 65,135 | 53,320 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | E785 | Hyperlipidemia, unspecified | 31,705 | 25,442 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | Z66 | Do not resuscitate | 26,048 | 24,375 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | J9601 | Acute respiratory failure with hypoxia | 22,958 | 23,286 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | I10 | Essential (primary) hypertension | 40,698 | 21,801 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 27,255 | 20,532 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | K219 | Gastro-esophageal reflux disease without esophagitis | 24,025 | 19,816 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | Z87891 | Personal history of nicotine dependence | 23,715 | 18,858 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | R1310 | Dysphagia, unspecified | 20,111 | 16,310 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | E039 | Hypothyroidism, unspecified | 18,844 | 15,789 |