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 | 173,754 |
DEMOGRAPHIC DETAILS OF DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 159,760 | 83.72 |
| Black | 22,022 | 11.54 |
| Hispanic | 2,867 | 1.5 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 42,799 | 22.43 |
| 70 to 74 | 33,795 | 17.71 |
| 65 to 69 | 32,539 | 17.05 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 108,378 | 56.79 |
| J9621 | Acute and chronic respiratory failure with hypoxia | 85,377 | 44.74 |
| E785 | Hyperlipidemia, unspecified | 72,502 | 37.99 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 5A09357 | Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure | 31,422 | 16.47 |
| 5A09457 | Assistance with Respiratory Ventilation, 24-96 Consecutive Hours, Continuous Positive Airway Pressure | 12,631 | 6.62 |
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 5,881 | 3.08 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Peninsula Regional Medical Center | 100 E CARROLL ST | Salisbury | MD | 21801 | 615 | 0.32 |
| Ascension Via Christi St. Francis | 929 N SAINT FRANCIS ST | Wichita | KS | 67214 | 510 | 0.27 |
| Stormont Vail Hospital | 1500 SW 10TH AVE | Topeka | KS | 66604 | 492 | 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 177 | 0.09 |
| DR. RODERICK MCCOY | 150 YORK ST | STOUGHTON | MA | 02072 | 145 | 0.08 |
| DR. KENNETH WAYNE DONOVAN | 365 MONTAUK AVE | NEW LONDON | CT | 06320 | 105 | 0.06 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. RODERICK MCCOY | 150 YORK ST | STOUGHTON | MA | 02072 | 85 | 0.04 |
| DR. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 77 | 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 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 | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 122,540 | 108,378 | |||||||||||||||||
| Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | J9621 | Acute and chronic respiratory failure with hypoxia | 77,949 | 85,377 | |||||||||||||||||
| Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | E785 | Hyperlipidemia, unspecified | 82,012 | 72,502 | |||||||||||||||||
| Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | Z87891 | Personal history of nicotine dependence | 73,665 | 69,519 | |||||||||||||||||
| Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | J9601 | Acute respiratory failure with hypoxia | 83,810 | 66,199 | |||||||||||||||||
| Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | I10 | Essential (primary) hypertension | 110,840 | 63,115 | |||||||||||||||||
| Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | Z9981 | Dependence on supplemental oxygen | 59,325 | 62,790 | |||||||||||||||||
| Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 62,475 | 56,058 | |||||||||||||||||
| Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | K219 | Gastro-esophageal reflux disease without esophagitis | 51,510 | 50,982 | |||||||||||||||||
| Pulmonology | Pulmonary Edema And Respiratory Failure | Pulmonary Edema And Respiratory Failure | J9622 | Acute and chronic respiratory failure with hypercapnia | 52,083 | 47,309 |