Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 45,944 | 87.53 |
| Black | 3,478 | 6.63 |
| Hispanic | 953 | 1.82 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 19,101 | 36.39 |
| Less than 65 | 8,502 | 16.2 |
| 80 to 84 | 8,015 | 15.27 |
TOP ICD DIAGNOSIS CODES FOR DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 25,107 | 47.83 |
| 4019 | Unspecified essential hypertension | 16,761 | 31.93 |
| J690 | Pneumonitis due to inhalation of food and vomit | 14,722 | 28.05 |
TOP ICD PROCEDURE CODES FOR DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 3893 | Venous Catheterization, Not Elsewhere Classified | 891 | 1.7 |
| 3324 | Closed [Endoscopic] Biopsy Of Bronchus | 774 | 1.47 |
| 4311 | Percutaneous [Endoscopic] Gastrostomy [Peg] | 736 | 1.4 |
TOP HOSPITALS ASSOCIATED WITH DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| NorthShore University HealthSystem Evanston Hospital | 2650 RIDGE AVE | Evanston | IL | 60201 | 190 | 0.36 |
| Boca Raton Regional Hospital | 800 MEADOWS ROAD | Boca Raton | FL | 33486 | 159 | 0.3 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 124 | 0.24 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. SYED P HASAN | 514 BURKARTH RD | WARRENSBURG | MO | 64093 | 35 | 0.07 |
| DR. TITUS G SHEERS | 1 PERKINS SQ | AKRON | OH | 44308 | 26 | 0.05 |
| DR. FREDERICK D KIEHL | 1007 S POLK ST | MAYSVILLE | MO | 64469 | 23 | 0.04 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. TITUS G SHEERS | 1 PERKINS SQ | AKRON | OH | 44308 | 22 | 0.04 |
DRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 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 | 25,107 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 4019 | Unspecified essential hypertension | NA | 16,761 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | J690 | Pneumonitis due to inhalation of food and vomit | 11,861 | 14,722 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | I10 | Essential (primary) hypertension | 8,444 | 10,190 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 2724 | Other and unspecified hyperlipidemia | NA | 9,693 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 53081 | Esophageal reflux | NA | 9,324 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 78720 | Dysphagia, unspecified | NA | 7,087 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 2449 | Unspecified acquired hypothyroidism | NA | 6,755 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 6,615 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | 29420 | Dementia, unspecified, without behavioral disturbance | NA | 6,553 |