DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) 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 (%)
187 PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) Pulmonology Pleural Effusion Pleural Effusion Non Surgical 39.23 NA 7,599 43,402 41,092
186 PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Pleural Effusion Pleural Effusion Non Surgical 51.10 NA 10,973 56,534 51,563
188 PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Pleural Effusion Pleural Effusion Non Surgical 9.68 NA 1,728 10,706 10,047

DEMOGRAPHIC DETAILS OF DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 37,769 87.02
Black 3,274 7.54
Hispanic 752 1.73
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 11,204 25.81
75 to 79 6,848 15.78
70 to 74 6,846 15.77

TOP ICD DIAGNOSIS CODES FOR DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
5119 Unspecified pleural effusion 21,821 50.28
J90 Pleural effusion, not elsewhere classified 17,061 39.31
4019 Unspecified essential hypertension 11,992 27.63

TOP ICD PROCEDURE CODES FOR DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
3491 Thoracentesis 18,445 42.5
0W993ZZ Drainage of Right Pleural Cavity, Percutaneous Approach 4,661 10.74
3404 Insertion Of Intercostal Catheter For Drainage 3,926 9.05

TOP HOSPITALS ASSOCIATED WITH DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 175 0.4
Christiana Care Wilmington Hospital 501 W 14TH ST Wilmington DE 19801 135 0.31
Memorial Sloan Kettering Cancer Center 1275 YORK AVE New York NY 10065 124 0.29

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC)

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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. FERNANDO J RIVERA DEL TORO 5352 LINTON BLVD DELRAY BEACH FL 33484 37 0.09
DR. MARK J AULT 8700 BEVERLY BLVD LOS ANGELES CA 90048 32 0.07
DR. CRAIG S SILVERMAN 800 MEADOWS RD BOCA RATON FL 33486 30 0.07

DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) 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 Pleural Effusion Pleural Effusion 5119 Unspecified pleural effusion NA 21,821
Pulmonology Pleural Effusion Pleural Effusion J90 Pleural effusion, not elsewhere classified 16,473 17,061
Pulmonology Pleural Effusion Pleural Effusion 4019 Unspecified essential hypertension NA 11,992
Pulmonology Pleural Effusion Pleural Effusion 2724 Other and unspecified hyperlipidemia NA 8,978
Pulmonology Pleural Effusion Pleural Effusion I10 Essential (primary) hypertension 8,321 8,522
Pulmonology Pleural Effusion Pleural Effusion 42731 Atrial fibrillation NA 8,342
Pulmonology Pleural Effusion Pleural Effusion E785 Hyperlipidemia, unspecified 6,035 7,109
Pulmonology Pleural Effusion Pleural Effusion V1582 Personal history of tobacco use NA 6,723
Pulmonology Pleural Effusion Pleural Effusion 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 6,137
Pulmonology Pleural Effusion Pleural Effusion Z87891 Personal history of nicotine dependence 5,117 6,111