Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 193: SIMPLE PNEUMONIA AND PLEURISY 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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 |
AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 1,687 | 0.24 |
Christiana Care Wilmington 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) | Back to Top |
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) | Back to Top |
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 | 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 | 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 |