DRG 188: PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS

Want to know more about Dexur's Capabilities? Get In Touch

Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

Table of Contents

Data with Symbol is only for Dexur Customers. Get in touch with us to know more.

No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 188: PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 188: PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 188: PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 188: PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 188: PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 188: PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7DRG 188: PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 188: PLEURAL EFFUSION 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 (%)
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
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
187 PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) Pulmonology Pleural Effusion Pleural Effusion Non Surgical 39.23 NA 7,599 43,402 41,092

DEMOGRAPHIC DETAILS OF DRG 188: PLEURAL EFFUSION 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 9,519 88.91
Black 638 5.96
Hispanic 163 1.52
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 3,284 30.67
80 to 84 1,769 16.52
75 to 79 1,756 16.4

TOP ICD DIAGNOSIS CODES FOR DRG 188: PLEURAL EFFUSION 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
5119 Unspecified pleural effusion 5,754 53.75
4019 Unspecified essential hypertension 3,664 34.22
2724 Other and unspecified hyperlipidemia 2,365 22.09

TOP ICD PROCEDURE CODES FOR DRG 188: PLEURAL EFFUSION 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
3491 Thoracentesis 4,216 39.38
0W993ZZ Drainage of Right Pleural Cavity, Percutaneous Approach 904 8.44
3404 Insertion Of Intercostal Catheter For Drainage 852 7.96

TOP HOSPITALS ASSOCIATED WITH DRG 188: PLEURAL EFFUSION 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
Delray Medical Center 5352 LINTON BLVD Delray Beach FL 33484 35 0.33
Lehigh Valley Hospital - Cedar Crest 1200 S CEDAR CREST BLVD Allentown PA 18103 34 0.32
Methodist Hospital 7700 FLOYD CURL DRIVE San Antonio TX 78229 32 0.3

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 188: PLEURAL EFFUSION 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. FERNANDO J RIVERA DEL TORO 5352 LINTON BLVD DELRAY BEACH FL 33484 17 0.16
DR. DAVID MARKOWITZ 5352 LINTON BLVD DELRAY BEACH FL 33484 11 0.1

DRG 188: PLEURAL EFFUSION 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 Pleural Effusion Pleural Effusion 5119 Unspecified pleural effusion NA 5,754
Pulmonology Pleural Effusion Pleural Effusion J90 Pleural effusion, not elsewhere classified 5,010 4,176
Pulmonology Pleural Effusion Pleural Effusion 4019 Unspecified essential hypertension NA 3,664
Pulmonology Pleural Effusion Pleural Effusion I10 Essential (primary) hypertension 2,707 2,508
Pulmonology Pleural Effusion Pleural Effusion 2724 Other and unspecified hyperlipidemia NA 2,365
Pulmonology Pleural Effusion Pleural Effusion 42731 Atrial fibrillation NA 2,030
Pulmonology Pleural Effusion Pleural Effusion E785 Hyperlipidemia, unspecified 1,768 1,756
Pulmonology Pleural Effusion Pleural Effusion V1582 Personal history of tobacco use NA 1,583
Pulmonology Pleural Effusion Pleural Effusion 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 1,496
Pulmonology Pleural Effusion Pleural Effusion Z87891 Personal history of nicotine dependence 1,368 1,415