DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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CHARGE CAPTURE ANALYSIS FOR DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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 (%)
193 SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy Non Surgical 39.08 NA 123,605 717,724 664,932
194 SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy Non Surgical 43.60 NA 124,396 800,676 771,083
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy Non Surgical 17.33 NA 46,671 318,219 307,566

DEMOGRAPHIC DETAILS OF DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 594,030 82.77
Black 77,840 10.85
Hispanic 17,298 2.41
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 195,442 27.23
Less than 65 127,541 17.77
80 to 84 106,884 14.89

TOP ICD DIAGNOSIS CODES FOR DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
486 Pneumonia, organism unspecified 355,107 49.48
J189 Pneumonia, unspecified organism 236,741 32.98
4019 Unspecified essential hypertension 163,490 22.78

TOP ICD PROCEDURE CODES FOR DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
3995 Hemodialysis 53,084 7.4
9390 Non-Invasive Mechanical Ventilation 40,743 5.68
9904 Transfusion Of Packed Cells 28,180 3.93

TOP HOSPITALS ASSOCIATED WITH DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Mission Hospital 509 BILTMORE AVE Asheville NC 28801 1,734 0.24
Florida Hospital Orlando 601 E ROLLINS ST Orlando FL 32803 1,687 0.24
Christiana Hospital 501 W 14TH ST Wilmington DE 19801 1,512 0.21

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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 194 0.03
DR. NKECHI PATRICIA UGWUH-MOSS 500 S UNIVERSITY AVE LITTLE ROCK AR 72205 190 0.03
DR. LEE T WIMBERLY 50 MEDICAL PARK DR E BIRMINGHAM AL 35235 186 0.03

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. MALLAPPA NEELAPPA 2275 S ELKS LANE YUMA AZ 85364 264 0.04
DR. ABDULKADIR HOURANI 2051 W 25TH ST YUMA AZ 85364 168 0.02

DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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 Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy 486 Pneumonia, organism unspecified NA 355,107
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy J189 Pneumonia, unspecified organism 162,477 236,741
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy 4019 Unspecified essential hypertension NA 163,490
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy 4280 Congestive heart failure, unspecified NA 160,311
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy 2724 Other and unspecified hyperlipidemia NA 149,210
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy 51881 Acute respiratory failure NA 135,113
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy 42731 Atrial fibrillation NA 119,268
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy I10 Essential (primary) hypertension 83,963 119,163
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy E785 Hyperlipidemia, unspecified 71,710 119,150
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy 49121 Obstructive chronic bronchitis with (acute) exacerbation NA 107,607