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 | 6.85 | NA | 7,703 | 52,489 | 7,437 | ||||||||||||
| 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 | ||||||||||||
| 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 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 6,700 | 86.98 |
| Black | 506 | 6.57 |
| Hispanic | 161 | 2.09 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 2,659 | 34.52 |
| Less than 65 | 1,304 | 16.93 |
| 80 to 84 | 1,150 | 14.93 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| J690 | Pneumonitis due to inhalation of food and vomit | 5,886 | 76.41 |
| E840 | Cystic fibrosis with pulmonary manifestations | 195 | 2.53 |
| E848 | Cystic fibrosis with other manifestations | 61 | 0.79 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 187 | 2.43 |
| 3E03329 | Introduction of Other Anti-infective into Peripheral Vein, Percutaneous Approach | 98 | 1.27 |
| 0DH63UZ | Insertion of Feeding Device into Stomach, Percutaneous Approach | 88 | 1.14 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| NorthShore University HealthSystem Evanston Hospital | 2650 RIDGE AVE | Evanston | IL | 60201 | 36 | 0.47 |
| Boca Raton Regional Hospital | 800 MEADOWS ROAD | Boca Raton | FL | 33486 | 33 | 0.43 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 26 | 0.34 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. SYED P HASAN | 514 BURKARTH RD | WARRENSBURG | MO | 64093 | 11 | 0.14 |
| DR. FREDRICK S DIBRELL | 136 WHEELERTOWN AVENUE | PIKEVILLE | TN | 37367 | NA | NA |
| DR. CARTER COX | 206 S VINE ST | BASTROP | LA | 71220 | NA | NA |
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 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 | 11,861 | 5,886 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | I10 | Essential (primary) hypertension | 8,444 | 3,819 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | E785 | Hyperlipidemia, unspecified | 4,870 | 2,480 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | K219 | Gastro-esophageal reflux disease without esophagitis | 4,840 | 2,334 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | Z87891 | Personal history of nicotine dependence | 3,468 | 1,795 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | E039 | Hypothyroidism, unspecified | 3,017 | 1,582 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 3,064 | 1,573 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | Z66 | Do not resuscitate | 2,040 | 1,493 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | R1310 | Dysphagia, unspecified | 2,660 | 1,463 | |||||||||||||||||
| Pulmonology | Respiratory Infections And Inflammations | Respiratory Infections And Inflammations | F0390 | Unspecified dementia without behavioral disturbance | 2,307 | 1,409 |