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 | 26.18 | NA | 95,868 | 579,639 | 93,146 | ||||||||||||
| 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 | ||||||||||||
| 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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 79,994 | 83.44 |
| Black | 11,681 | 12.18 |
| Hispanic | 1,389 | 1.45 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 21,280 | 22.2 |
| 70 to 74 | 17,468 | 18.22 |
| 65 to 69 | 16,615 | 17.33 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 86,659 | 90.39 |
| Z87891 | Personal history of nicotine dependence | 39,112 | 40.8 |
| Z9981 | Dependence on supplemental oxygen | 28,829 | 30.07 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 5A09357 | Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure | 2,809 | 2.93 |
| 3E0F7GC | Introduction of Other Therapeutic Substance into Respiratory Tract, Via Natural or Artificial Opening | 1,605 | 1.67 |
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 996 | 1.04 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 273 | 0.28 |
| Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 227 | 0.24 |
| Huntsville Hospital | 101 SIVLEY RD SW | Huntsville | AL | 35801 | 221 | 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DINESH VERMA | 130 INDEPENDENCE CIR | CHICO | CA | 95973 | 72 | 0.08 |
| DR. WOJCIECH L. DULOWSKI | 1401 W LOCUST ST | STILWELL | OK | 74960 | 67 | 0.07 |
| DR. GEORGE EDWARD BURNETTE | 424 JETT DR | JACKSON | KY | 41339 | 65 | 0.07 |
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 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 | 184,207 | 86,659 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | I10 | Essential (primary) hypertension | 115,468 | 40,475 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | Z87891 | Personal history of nicotine dependence | 72,730 | 39,112 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | E785 | Hyperlipidemia, unspecified | 76,869 | 38,437 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 56,015 | 29,906 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | K219 | Gastro-esophageal reflux disease without esophagitis | 51,374 | 29,804 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | Z9981 | Dependence on supplemental oxygen | 44,960 | 28,829 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | J440 | Chronic obstructive pulmonary disease with acute lower respiratory infection | 45,164 | 21,737 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | F17210 | Nicotine dependence, cigarettes, uncomplicated | 46,869 | 20,468 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | F419 | Anxiety disorder, unspecified | 37,927 | 19,504 |