DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 196: INTERSTITIAL LUNG DISEASE 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 (%)
196 INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Interstitial Lung Disease Interstitial Lung Disease Non Surgical 57.71 NA 8,068 39,370 34,526
198 INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Interstitial Lung Disease Interstitial Lung Disease Non Surgical 11.21 NA 1,092 7,645 7,356
197 INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) Pulmonology Interstitial Lung Disease Interstitial Lung Disease Non Surgical 31.08 NA 3,475 21,205 20,496

DEMOGRAPHIC DETAILS OF DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 31,484 79.97
Black 5,090 12.93
Hispanic 1,045 2.65
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 7,606 19.32
75 to 79 6,668 16.94
70 to 74 6,632 16.85

TOP ICD DIAGNOSIS CODES FOR DRG 196: INTERSTITIAL LUNG DISEASE 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
515 Postinflammatory pulmonary fibrosis 12,040 30.58
4019 Unspecified essential hypertension 9,588 24.35
4280 Congestive heart failure, unspecified 8,188 20.8

TOP ICD PROCEDURE CODES FOR DRG 196: INTERSTITIAL LUNG DISEASE 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
9390 Non-Invasive Mechanical Ventilation 2,791 7.09
3324 Closed [Endoscopic] Biopsy Of Bronchus 1,622 4.12
5A09357 Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure 1,211 3.08

TOP HOSPITALS ASSOCIATED WITH DRG 196: INTERSTITIAL LUNG DISEASE 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
Florida Hospital Orlando 601 E ROLLINS ST Orlando FL 32803 180 0.46
Duke University Hospital 2301 ERWIN ROAD Durham NC 27710 138 0.35
Yale New Haven Hospital 20 YORK ST New Haven CT 06504 135 0.34

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 196: INTERSTITIAL LUNG DISEASE 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. CHRISTIAN GYAN ANDERSON 502 W KING ST KINGS MOUNTAIN NC 28086 21 0.05
DR. JOSEPH GOVERT DUKE UNIVERSITY MEDICAL CTR DURHAM NC 27710 17 0.04
DR. CARLTON GREGORY CAUTHEN 1655 BERNARDIN AVENUE COLUMBIA SC 29204 15 0.04

DRG 196: INTERSTITIAL LUNG DISEASE 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 Interstitial Lung Disease Interstitial Lung Disease 515 Postinflammatory pulmonary fibrosis NA 12,040
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 4019 Unspecified essential hypertension NA 9,588
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 4280 Congestive heart failure, unspecified NA 8,188
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 2724 Other and unspecified hyperlipidemia NA 7,988
Pulmonology Interstitial Lung Disease Interstitial Lung Disease J9621 Acute and chronic respiratory failure with hypoxia 4,993 7,828
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 51884 Acute and chronic respiratory failure NA 7,681
Pulmonology Interstitial Lung Disease Interstitial Lung Disease E785 Hyperlipidemia, unspecified 5,151 7,639
Pulmonology Interstitial Lung Disease Interstitial Lung Disease I10 Essential (primary) hypertension 6,906 7,606
Pulmonology Interstitial Lung Disease Interstitial Lung Disease Z87891 Personal history of nicotine dependence 5,112 7,225
Pulmonology Interstitial Lung Disease Interstitial Lung Disease V1582 Personal history of tobacco use NA 6,835