DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE 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 (%)
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

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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

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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 HOSPITALS ASSOCIATED WITH DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE

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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 Medical Center 5325 FARAON ST Saint Joseph MO 64506 2,206 0.28
Via Christi Hospital 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

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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. 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

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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. RODERICK MCCOY 150 YORK ST STOUGHTON MA 02072 341 0.04

DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE 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 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