DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/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

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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 (%)
185 MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Major Chest Trauma Major Chest Trauma Non Surgical 17.20 NA 3,255 13,648 13,446
184 MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) Pulmonology Major Chest Trauma Major Chest Trauma Non Surgical 55.11 NA 10,482 43,738 42,922
183 MAJOR CHEST TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Major Chest Trauma Major Chest Trauma Non Surgical 27.69 NA 5,407 21,978 20,806

DEMOGRAPHIC DETAILS OF DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 12,384 90.74
Black 543 3.98
Hispanic 228 1.67
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 5,087 37.27
80 to 84 2,430 17.8
75 to 79 1,945 14.25

TOP ICD DIAGNOSIS CODES FOR DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 3,850 28.21
S2241XA Multiple fractures of ribs, right side, initial encounter for closed fracture 3,043 22.3
S2242XA Multiple fractures of ribs, left side, initial encounter for closed fracture 3,028 22.19

TOP ICD PROCEDURE CODES FOR DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
8659 Closure Of Skin And Subcutaneous Tissue Of Other Sites 211 1.55
8741 Computerized Axial Tomography Of Thorax 159 1.17
3E0234Z Introduction of Serum, Toxoid and Vaccine into Muscle, Percutaneous Approach 117 0.86

TOP HOSPITALS ASSOCIATED WITH DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
South Shore Hospital 55 FOGG ROAD South Weymouth MA 02190 98 0.72
North Shore University Hospital 300 COMMUNITY DRIVE Manhasset NY 11030 90 0.66
Rhode Island Hospital 593 EDDY ST Providence RI 02903 77 0.56

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. JOSEPH LAWRENCE PFEIFER 777 NORTH STREET PITTSFIELD MA 01201 21 0.15
DR. JOSEPH STIRPARO 1240 S CEDAR CREST BLVD ALLENTOWN PA 18103 18 0.13
DR. JOHN PLATZ NSUH-DEPT OF SURGERY MANHASSET NY 11030 17 0.12

DRG 185: MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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 Major Chest Trauma Major Chest Trauma I10 Essential (primary) hypertension 4,084 4,424
Pulmonology Major Chest Trauma Major Chest Trauma 4019 Unspecified essential hypertension NA 3,850
Pulmonology Major Chest Trauma Major Chest Trauma S2241XA Multiple fractures of ribs, right side, initial encounter for closed fracture 3,038 3,043
Pulmonology Major Chest Trauma Major Chest Trauma S2242XA Multiple fractures of ribs, left side, initial encounter for closed fracture 3,191 3,028
Pulmonology Major Chest Trauma Major Chest Trauma E785 Hyperlipidemia, unspecified 2,125 2,563
Pulmonology Major Chest Trauma Major Chest Trauma 2724 Other and unspecified hyperlipidemia NA 2,018
Pulmonology Major Chest Trauma Major Chest Trauma 80703 Closed fracture of three ribs NA 1,791
Pulmonology Major Chest Trauma Major Chest Trauma K219 Gastro-esophageal reflux disease without esophagitis 1,007 1,517
Pulmonology Major Chest Trauma Major Chest Trauma I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 1,211 1,508
Pulmonology Major Chest Trauma Major Chest Trauma Z87891 Personal history of nicotine dependence 960 1,506