Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | ||||||||||||
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 | ||||||||||||
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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 483,668 | 83.44 |
Black | 71,425 | 12.32 |
Hispanic | 8,892 | 1.53 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
Less than 65 | 133,601 | 23.05 |
70 to 74 | 102,378 | 17.66 |
65 to 69 | 99,778 | 17.21 |
TOP ICD DIAGNOSIS CODES FOR DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|
49121 | Obstructive chronic bronchitis with (acute) exacerbation | 210,816 | 36.37 |
J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 205,881 | 35.52 |
4019 | Unspecified essential hypertension | 185,579 | 32.02 |
TOP ICD PROCEDURE CODES FOR DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 15,174 | 2.62 |
9394 | Respiratory Medication Administered By Nebulizer | 8,355 | 1.44 |
9904 | Transfusion Of Packed Cells | 7,009 | 1.21 |
TOP HOSPITALS ASSOCIATED WITH DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 2,215 | 0.38 |
Community Medical Center | 99 ROUTE 37 W | Toms River | NJ | 08755 | 1,428 | 0.25 |
Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 1,333 | 0.23 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. WOJCIECH L. DULOWSKI | 1401 W LOCUST ST | STILWELL | OK | 74960 | 312 | 0.05 |
DR. DINESH VERMA | 130 INDEPENDENCE CIR | CHICO | CA | 95973 | 296 | 0.05 |
DR. GEORGE EDWARD BURNETTE | 424 JETT DR | JACKSON | KY | 41339 | 249 | 0.04 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. GREGORY J FELDMAN | 151 HAROLD FLEMING COURT | SPARTANBURG | SC | 29303 | 199 | 0.03 |
DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 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 | 49121 | Obstructive chronic bronchitis with (acute) exacerbation | NA | 210,816 | |||||||||||||||||
Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 184,207 | 205,881 | |||||||||||||||||
Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | 4019 | Unspecified essential hypertension | NA | 185,579 | |||||||||||||||||
Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | 2724 | Other and unspecified hyperlipidemia | NA | 132,877 | |||||||||||||||||
Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | V1582 | Personal history of tobacco use | NA | 116,024 | |||||||||||||||||
Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | I10 | Essential (primary) hypertension | 115,468 | 113,938 | |||||||||||||||||
Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | 4280 | Congestive heart failure, unspecified | NA | 104,324 | |||||||||||||||||
Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | 53081 | Esophageal reflux | NA | 98,466 | |||||||||||||||||
Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | 3051 | Tobacco use disorder | NA | 94,732 | |||||||||||||||||
Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | E785 | Hyperlipidemia, unspecified | 76,869 | 90,374 |