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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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

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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 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)

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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)

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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)

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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 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)

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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

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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 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