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 37.43 NA 7,599 43,402 7,220
186 PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Pleural Effusion Pleural Effusion Non Surgical 54.05 NA 10,973 56,534 10,055
188 PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Pleural Effusion Pleural Effusion Non Surgical 8.51 NA 1,728 10,706 1,618

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

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 6,616 87.06
Black 559 7.36
Hispanic 122 1.61
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Greater than 84 1,984 26.11
70 to 74 1,298 17.08
75 to 79 1,221 16.07

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 2017 to Dec 2017 % of DRG Volume
J90 Pleural effusion, not elsewhere classified 7,079 93.16
J948 Other specified pleural conditions 596 7.84
J942 Hemothorax 289 3.8

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 2017 to Dec 2017 % of DRG Volume
0W993ZZ Drainage of Right Pleural Cavity, Percutaneous Approach 1,911 25.15
0W9B3ZZ Drainage of Left Pleural Cavity, Percutaneous Approach 1,447 19.04
0W993ZX Drainage of Right Pleural Cavity, Percutaneous Approach, Diagnostic 981 12.91

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 2017 to Dec 2017 % of DRG Volume
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 33 0.43
Boca Raton Regional Hospital 800 MEADOWS ROAD Boca Raton FL 33486 28 0.37
Yale New Haven Hospital 20 YORK ST New Haven CT 06504 26 0.34

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 2017 to Dec 2017 % of DRG Volume
DR. FERNANDO J RIVERA DEL TORO 5352 LINTON BLVD DELRAY BEACH FL 33484 NA NA
DR. CRAIG S SILVERMAN 800 MEADOWS RD BOCA RATON FL 33486 NA NA
DR. DAVID MATTHEW BERKOWITZ 615 MICHAEL ST NE ATLANTA GA 30322 NA NA

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 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 Pleural Effusion Pleural Effusion J90 Pleural effusion, not elsewhere classified 16,473 7,079
Pulmonology Pleural Effusion Pleural Effusion I10 Essential (primary) hypertension 8,321 3,124
Pulmonology Pleural Effusion Pleural Effusion E785 Hyperlipidemia, unspecified 6,035 2,963
Pulmonology Pleural Effusion Pleural Effusion Z87891 Personal history of nicotine dependence 5,117 2,653
Pulmonology Pleural Effusion Pleural Effusion I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 4,547 2,276
Pulmonology Pleural Effusion Pleural Effusion K219 Gastro-esophageal reflux disease without esophagitis 3,310 1,838
Pulmonology Pleural Effusion Pleural Effusion E039 Hypothyroidism, unspecified 3,000 1,527
Pulmonology Pleural Effusion Pleural Effusion Z7982 Long term (current) use of aspirin 2,159 1,499
Pulmonology Pleural Effusion Pleural Effusion Z7901 Long term (current) use of anticoagulants 2,218 1,460
Pulmonology Pleural Effusion Pleural Effusion J9811 Atelectasis 3,468 1,425