Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | Non Surgical | 33.75 | NA | 33,328 | 220,002 | 210,637 | ||||||||||||
| 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 | 8.05 | NA | 7,703 | 52,489 | 50,285 | ||||||||||||
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | Non Surgical | 58.19 | NA | 71,459 | 379,291 | 338,464 |
DEMOGRAPHIC DETAILS OF DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 188,843 | 85.84 |
| Black | 17,904 | 8.14 |
| Hispanic | 4,036 | 1.83 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 74,637 | 33.93 |
| Less than 65 | 35,459 | 16.12 |
| 80 to 84 | 33,828 | 15.38 |
TOP ICD DIAGNOSIS CODES FOR DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 5070 | Pneumonitis due to inhalation of food or vomitus | 94,037 | 42.74 |
| 4019 | Unspecified essential hypertension | 62,580 | 28.45 |
| J690 | Pneumonitis due to inhalation of food and vomit | 58,520 | 26.6 |
TOP ICD PROCEDURE CODES FOR DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 9904 | Transfusion Of Packed Cells | 6,729 | 3.06 |
| 3893 | Venous Catheterization, Not Elsewhere Classified | 6,517 | 2.96 |
| 3324 | Closed [Endoscopic] Biopsy Of Bronchus | 5,969 | 2.71 |
TOP HOSPITALS ASSOCIATED WITH DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | 55 FRUIT ST | Boston | MA | 02114 | 750 | 0.34 |
| Yale New Haven Hospital | 20 YORK ST | New Haven | CT | 06504 | 734 | 0.33 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 630 | 0.29 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOEL H WEINBERG | 5200 CENTRE AVE | PITTSBURGH | PA | 15232 | 123 | 0.06 |
| DR. CHARLES OZBORN | 1301 VETERANS MEMORIAL BLVD | EUPORA | MS | 39744 | 107 | 0.05 |
| DR. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 105 | 0.05 |
DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 5070 | Pneumonitis due to inhalation of food or vomitus | NA | 94,037 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 4019 | Unspecified essential hypertension | NA | 62,580 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | J690 | Pneumonitis due to inhalation of food and vomit | 38,870 | 58,520 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 2724 | Other and unspecified hyperlipidemia | NA | 42,464 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | I10 | Essential (primary) hypertension | 29,524 | 38,405 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 53081 | Esophageal reflux | NA | 38,347 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 42731 | Atrial fibrillation | NA | 33,275 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 78720 | Dysphagia, unspecified | NA | 31,043 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 4280 | Congestive heart failure, unspecified | NA | 30,448 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | V1582 | Personal history of tobacco use | NA | 28,935 |