DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) - 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) 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 (%)
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
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
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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC)

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 105,236 84.6
Black 11,051 8.88
Hispanic 2,550 2.05
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Greater than 84 38,616 31.04
80 to 84 19,710 15.84
75 to 79 18,302 14.71

TOP ICD DIAGNOSIS CODES FOR DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC)

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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 86,751 69.74
Z87891 Personal history of nicotine dependence 33,280 26.75
E860 Dehydration 20,086 16.15

TOP ICD PROCEDURE CODES FOR DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC)

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TOP HOSPITALS ASSOCIATED WITH DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Christiana Hospital 501 W 14TH ST Wilmington DE 19801 357 0.29
Florida Hospital Orlando 601 E ROLLINS ST Orlando FL 32803 327 0.26
NorthShore University HealthSystem 2650 RIDGE AVE Evanston IL 60201 313 0.25

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC)

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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. VENKATAPURAM RAMESH REDDY 42320 HIGHWAY 195 HALEYVILLE AL 35565 93 0.07
DR. JOSEPH L PRATT 121 PRATT DR CORINTH MS 38834 40 0.03
DR. HOUSAM I HADDAD 187 WOLFORD AVE LIBERTY KY 42539 36 0.03

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC)

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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. CLIFTON WALES SALMON 104 MORRIS CIR HOMER LA 71040 33 0.03

DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) 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 229,954 86,751
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy I10 Essential (primary) hypertension 129,914 53,968
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy E785 Hyperlipidemia, unspecified 85,561 46,819
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy Z87891 Personal history of nicotine dependence 64,374 33,280
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 58,114 32,868
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy K219 Gastro-esophageal reflux disease without esophagitis 54,480 31,482
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy E039 Hypothyroidism, unspecified 42,393 25,560
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy N179 Acute kidney failure, unspecified 41,480 23,495
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy Z7982 Long term (current) use of aspirin 29,915 22,742
Pulmonology Simple Pneumonia And Pleurisy Simple Pneumonia And Pleurisy E860 Dehydration 37,527 20,086