Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 297,816 | 84.77 |
| Black | 38,422 | 10.94 |
| Hispanic | 5,575 | 1.59 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 80,946 | 23.04 |
| 65 to 69 | 66,814 | 19.02 |
| 70 to 74 | 64,751 | 18.43 |
TOP ICD DIAGNOSIS CODES FOR DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 49121 | Obstructive chronic bronchitis with (acute) exacerbation | 147,683 | 42.04 |
| 4019 | Unspecified essential hypertension | 137,150 | 39.04 |
| J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 106,986 | 30.45 |
TOP ICD PROCEDURE CODES FOR DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 9394 | Respiratory Medication Administered By Nebulizer | 6,209 | 1.77 |
| 9390 | Non-Invasive Mechanical Ventilation | 5,886 | 1.68 |
| 9923 | Injection Of Steroid | 3,746 | 1.07 |
TOP HOSPITALS ASSOCIATED WITH DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 1,170 | 0.33 |
| Lakeland Regional Medical Center | 1324 LAKELAND HILLS BLVD | Lakeland | FL | 33805 | 660 | 0.19 |
| South Shore Hospital | 55 FOGG ROAD | South Weymouth | MA | 02190 | 653 | 0.19 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. ABDULLAH ARSHAD | 907 E REED ST | HAYTI | MO | 63851 | 573 | 0.16 |
| DR. GEORGE EDWARD BURNETTE | 424 JETT DR | JACKSON | KY | 41339 | 279 | 0.08 |
| DR. JOSE ECHEVERRIA | 37 BALL PARK RD | HARLAN | KY | 40831 | 252 | 0.07 |
DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 49121 | Obstructive chronic bronchitis with (acute) exacerbation | NA | 147,683 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | 4019 | Unspecified essential hypertension | NA | 137,150 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | J441 | Chronic obstructive pulmonary disease with (acute) exacerbation | 121,728 | 106,986 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | 2724 | Other and unspecified hyperlipidemia | NA | 80,508 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | 3051 | Tobacco use disorder | NA | 71,836 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | I10 | Essential (primary) hypertension | 78,973 | 69,422 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | V1582 | Personal history of tobacco use | NA | 68,625 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | 53081 | Esophageal reflux | NA | 58,011 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 51,258 | |||||||||||||||||
| Pulmonology | Chronic Obstructive Pulmonary Disease | Chronic Obstructive Pulmonary Disease | 49122 | Obstructive chronic bronchitis with acute bronchitis | NA | 45,534 |