Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | 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 | 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) | 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 | 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) | Back to Top |
Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 1,955 | 0.23 |
Christiana Care Wilmington 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) | Back to Top |
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 | 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 | 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 |