Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | Non Surgical | 100.00 | NA | 190,829 | 801,151 | 721,100 |
DEMOGRAPHIC DETAILS OF DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 668,812 | 83.48 |
Black | 94,899 | 11.85 |
Hispanic | 12,613 | 1.57 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
Less than 65 | 187,537 | 23.41 |
65 to 69 | 137,648 | 17.18 |
70 to 74 | 137,613 | 17.18 |
TOP ICD DIAGNOSIS CODES FOR DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | Back to Top |
ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|
J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 230,395 | 28.76 |
51884 | Acute and chronic respiratory failure | 199,411 | 24.89 |
4019 | Unspecified essential hypertension | 175,630 | 21.92 |
TOP ICD PROCEDURE CODES FOR DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | Back to Top |
ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|
9390 | Non-Invasive Mechanical Ventilation | 109,283 | 13.64 |
5A09357 | Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure | 63,377 | 7.91 |
5A09457 | Assistance with Respiratory Ventilation, 24-96 Consecutive Hours, Continuous Positive Airway Pressure | 29,426 | 3.67 |
TOP HOSPITALS ASSOCIATED WITH DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | Back to Top |
Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
Mosaic Life Care at St. Joseph | 5325 FARAON ST | Saint Joseph | MO | 64506 | 2,206 | 0.28 |
Ascension Via Christi St. Francis | 929 N SAINT FRANCIS ST | Wichita | KS | 67214 | 2,079 | 0.26 |
Stormont Vail Hospital | 1500 SW 10TH AVE | Topeka | KS | 66604 | 2,052 | 0.26 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | Back to Top |
Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. RODERICK MCCOY | 150 YORK ST | STOUGHTON | MA | 02072 | 532 | 0.07 |
DR. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 327 | 0.04 |
DR. JOHN DAVID COWDEN | 1026 A AVE NE | CEDAR RAPIDS | IA | 52402 | 318 | 0.04 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | Back to Top |
Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. RODERICK MCCOY | 150 YORK ST | STOUGHTON | MA | 02072 | 341 | 0.04 |
DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE 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 | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 122,540 | 230,395 | |||||||||||||||||
Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | 51884 | Acute and chronic respiratory failure | NA | 199,411 | |||||||||||||||||
Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | 4019 | Unspecified essential hypertension | NA | 175,630 | |||||||||||||||||
Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | J9621 | Acute and chronic respiratory failure with hypoxia | 77,949 | 172,910 | |||||||||||||||||
Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | 51881 | Acute respiratory failure | NA | 170,985 | |||||||||||||||||
Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | 49121 | Obstructive chronic bronchitis with (acute) exacerbation | NA | 169,338 | |||||||||||||||||
Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | I10 | Essential (primary) hypertension | 110,840 | 166,341 | |||||||||||||||||
Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | E785 | Hyperlipidemia, unspecified | 82,012 | 154,678 | |||||||||||||||||
Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | 4280 | Congestive heart failure, unspecified | NA | 151,998 | |||||||||||||||||
Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | Z87891 | Personal history of nicotine dependence | 73,665 | 146,316 |