DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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CHARGE CAPTURE ANALYSIS FOR DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 (%)
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease Non Surgical 47.46 220,143 222,943 840,784 808,541
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease Non Surgical 32.72 NA 95,868 579,639 564,904
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease Non Surgical 19.83 NA 47,345 351,320 341,181

DEMOGRAPHIC DETAILS OF DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 719,348 85.56
Black 86,514 10.29
Hispanic 11,847 1.41
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 169,795 20.19
70 to 74 150,929 17.95
65 to 69 142,107 16.9

TOP ICD DIAGNOSIS CODES FOR DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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 358,127 42.59
49121 Obstructive chronic bronchitis with (acute) exacerbation 294,115 34.98
4019 Unspecified essential hypertension 207,397 24.67

TOP ICD PROCEDURE CODES FOR DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
9390 Non-Invasive Mechanical Ventilation 41,121 4.89
5A09357 Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure 27,378 3.26
3995 Hemodialysis 14,554 1.73

TOP HOSPITALS ASSOCIATED WITH DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Florida Hospital Orlando 601 E ROLLINS ST Orlando FL 32803 1,955 0.23
Christiana Hospital 501 W 14TH ST Wilmington DE 19801 1,815 0.22
Community Medical Center 99 ROUTE 37 W Toms River NJ 08755 1,736 0.21

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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. DINESH VERMA 130 INDEPENDENCE CIR CHICO CA 95973 524 0.06
DR. DEEPAK T PATEL 1739 US HIGHWAY 27 S SEBRING FL 33870 352 0.04
DR. VENKATAPURAM RAMESH REDDY 42320 HIGHWAY 195 HALEYVILLE AL 35565 335 0.04

DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease J441 Chronic obstructive pulmonary disease with (acute) exacerbation 234,867 358,127
Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease 49121 Obstructive chronic bronchitis with (acute) exacerbation NA 294,115
Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease 4019 Unspecified essential hypertension NA 207,397
Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease J440 Chronic obstructive pulmonary disease with acute lower respiratory infection 82,071 198,254
Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease I10 Essential (primary) hypertension 135,269 185,445
Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease Z87891 Personal history of nicotine dependence 98,914 173,066
Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease J189 Pneumonia, unspecified organism 94,736 169,898
Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease 486 Pneumonia, organism unspecified NA 169,787
Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease E785 Hyperlipidemia, unspecified 100,533 168,232
Pulmonology Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease 2724 Other and unspecified hyperlipidemia NA 158,298