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 | 60.89 | 220,143 | 222,943 | 840,784 | 214,235 | ||||||||||||
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | Non Surgical | 26.18 | NA | 95,868 | 579,639 | 93,146 | ||||||||||||
| 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 | 12.93 | NA | 47,345 | 351,320 | 45,787 |
DEMOGRAPHIC DETAILS OF DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 192,448 | 86.32 |
| Black | 21,144 | 9.48 |
| Hispanic | 2,855 | 1.28 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 41,465 | 18.6 |
| 70 to 74 | 40,716 | 18.26 |
| 75 to 79 | 37,046 | 16.62 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 178,848 | 80.22 |
| J440 | Chronic obstructive pulmonary disease with acute lower respiratory infection | 135,954 | 60.98 |
| J189 | Pneumonia, unspecified organism | 99,435 | 44.6 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 5A09357 | Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure | 15,069 | 6.76 |
| 5A09457 | Assistance with Respiratory Ventilation, 24-96 Consecutive Hours, Continuous Positive Airway Pressure | 4,886 | 2.19 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 4,614 | 2.07 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 519 | 0.23 |
| Martin Medical Center | 200 SE HOSPITAL AVE | Stuart | FL | 34994 | 433 | 0.19 |
| South Shore Hospital | 55 FOGG ROAD | South Weymouth | MA | 02190 | 415 | 0.19 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. VENKATAPURAM RAMESH REDDY | 42320 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 159 | 0.07 |
| DR. DINESH VERMA | 130 INDEPENDENCE CIR | CHICO | CA | 95973 | 139 | 0.06 |
| DR. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 125 | 0.06 |
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 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 | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 234,867 | 178,848 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | J440 | Chronic obstructive pulmonary disease with acute lower respiratory infection | 82,071 | 135,954 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | J189 | Pneumonia, unspecified organism | 94,736 | 99,435 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | Z87891 | Personal history of nicotine dependence | 98,914 | 92,977 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | E785 | Hyperlipidemia, unspecified | 100,533 | 88,998 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | I10 | Essential (primary) hypertension | 135,269 | 83,953 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 79,623 | 72,484 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | Z9981 | Dependence on supplemental oxygen | 68,119 | 70,542 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | K219 | Gastro-esophageal reflux disease without esophagitis | 61,829 | 65,355 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | J9621 | Acute and chronic respiratory failure with hypoxia | 38,802 | 50,116 |