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 | 41.95 | NA | 123,605 | 717,724 | 115,845 | ||||||||||||
194 | SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | Pulmonology | Simple Pneumonia And Pleurisy | Simple Pneumonia And Pleurisy | Non Surgical | 42.22 | NA | 124,396 | 800,676 | 120,222 | ||||||||||||
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 | 15.84 | NA | 46,671 | 318,219 | 45,255 |
DEMOGRAPHIC DETAILS OF DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 101,438 | 82.07 |
Black | 13,275 | 10.74 |
Hispanic | 3,207 | 2.59 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
Greater than 84 | 37,363 | 30.23 |
Less than 65 | 20,134 | 16.29 |
80 to 84 | 18,135 | 14.67 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
J189 | Pneumonia, unspecified organism | 86,506 | 69.99 |
J9601 | Acute respiratory failure with hypoxia | 41,041 | 33.2 |
Z87891 | Personal history of nicotine dependence | 35,591 | 28.79 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
5A1D60Z | Performance of Urinary Filtration, Multiple | 6,698 | 5.42 |
5A09357 | Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure | 5,664 | 4.58 |
30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 4,206 | 3.4 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 366 | 0.3 |
Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 327 | 0.26 |
Mission Hospital | 509 BILTMORE AVE | Asheville | NC | 28801 | 258 | 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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. EUGENE VICTOR HUDMAN | 6250 REGIONAL PLZ | ABILENE | TX | 79606 | 43 | 0.03 |
DR. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 41 | 0.03 |
DR. NIMESH K VESUWALA | 82 TUNNEL RD | POTTSVILLE | PA | 17901 | 37 | 0.03 |
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 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 | Simple Pneumonia And Pleurisy | Simple Pneumonia And Pleurisy | J189 | Pneumonia, unspecified organism | 162,477 | 86,506 | |||||||||||||||||
Pulmonology | Simple Pneumonia And Pleurisy | Simple Pneumonia And Pleurisy | E785 | Hyperlipidemia, unspecified | 71,710 | 48,359 | |||||||||||||||||
Pulmonology | Simple Pneumonia And Pleurisy | Simple Pneumonia And Pleurisy | J9601 | Acute respiratory failure with hypoxia | 50,647 | 41,041 | |||||||||||||||||
Pulmonology | Simple Pneumonia And Pleurisy | Simple Pneumonia And Pleurisy | I10 | Essential (primary) hypertension | 83,963 | 39,329 | |||||||||||||||||
Pulmonology | Simple Pneumonia And Pleurisy | Simple Pneumonia And Pleurisy | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 56,899 | 37,481 | |||||||||||||||||
Pulmonology | Simple Pneumonia And Pleurisy | Simple Pneumonia And Pleurisy | Z87891 | Personal history of nicotine dependence | 53,677 | 35,591 | |||||||||||||||||
Pulmonology | Simple Pneumonia And Pleurisy | Simple Pneumonia And Pleurisy | K219 | Gastro-esophageal reflux disease without esophagitis | 40,379 | 31,001 | |||||||||||||||||
Pulmonology | Simple Pneumonia And Pleurisy | Simple Pneumonia And Pleurisy | E039 | Hypothyroidism, unspecified | 34,675 | 25,440 | |||||||||||||||||
Pulmonology | Simple Pneumonia And Pleurisy | Simple Pneumonia And Pleurisy | Z66 | Do not resuscitate | 27,812 | 25,246 | |||||||||||||||||
Pulmonology | Simple Pneumonia And Pleurisy | Simple Pneumonia And Pleurisy | Z7982 | Long term (current) use of aspirin | 25,032 | 23,313 |