Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 196: INTERSTITIAL LUNG DISEASE 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 196 | INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | Non Surgical | 63.85 | NA | 8,068 | 39,370 | 7,157 | ||||||||||||
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | Non Surgical | 8.64 | NA | 1,092 | 7,645 | 1,054 | ||||||||||||
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | Non Surgical | 27.50 | NA | 3,475 | 21,205 | 3,355 |
DEMOGRAPHIC DETAILS OF DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 6,373 | 78.99 |
| Black | 1,042 | 12.92 |
| Hispanic | 231 | 2.86 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 1,527 | 18.93 |
| 75 to 79 | 1,422 | 17.63 |
| 70 to 74 | 1,377 | 17.07 |
TOP ICD DIAGNOSIS CODES FOR DRG 196: INTERSTITIAL LUNG DISEASE 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 |
|---|---|---|---|
| J8410 | Pulmonary fibrosis, unspecified | 2,636 | 32.67 |
| J84112 | Idiopathic pulmonary fibrosis | 2,076 | 25.73 |
| J849 | Interstitial pulmonary disease, unspecified | 1,671 | 20.71 |
TOP ICD PROCEDURE CODES FOR DRG 196: INTERSTITIAL LUNG DISEASE 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 |
|---|---|---|---|
| 5A09357 | Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure | 589 | 7.3 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 249 | 3.09 |
| 5A09457 | Assistance with Respiratory Ventilation, 24-96 Consecutive Hours, Continuous Positive Airway Pressure | 233 | 2.89 |
TOP HOSPITALS ASSOCIATED WITH DRG 196: INTERSTITIAL LUNG DISEASE 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 |
|---|---|---|---|---|---|---|
| University of Alabama Hospital | 619 19TH ST S | Birmingham | AL | 35249 | 40 | 0.5 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 38 | 0.47 |
| Valley Hospital | 223 N VAN DIEN AVE | Ridgewood | NJ | 07450 | 32 | 0.4 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 196: INTERSTITIAL LUNG DISEASE 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. CHRISTIAN GYAN ANDERSON | 502 W KING ST | KINGS MOUNTAIN | NC | 28086 | NA | NA |
| DR. VICTOR J. TEST | 2301 ERWIN RD | DURHAM | NC | 27705 | NA | NA |
| DR. GLADYS PEREZ | 2315 AARON ST | PORT CHARLOTTE | FL | 33952 | NA | NA |
DRG 196: INTERSTITIAL LUNG DISEASE 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 | Interstitial Lung Disease | Interstitial Lung Disease | J9621 | Acute and chronic respiratory failure with hypoxia | 4,993 | 3,755 | |||||||||||||||||
| Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | E785 | Hyperlipidemia, unspecified | 5,151 | 3,393 | |||||||||||||||||
| Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | Z87891 | Personal history of nicotine dependence | 5,112 | 3,201 | |||||||||||||||||
| Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | Z9981 | Dependence on supplemental oxygen | 4,666 | 3,099 | |||||||||||||||||
| Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | K219 | Gastro-esophageal reflux disease without esophagitis | 3,978 | 2,755 | |||||||||||||||||
| Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | I10 | Essential (primary) hypertension | 6,906 | 2,703 | |||||||||||||||||
| Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | J8410 | Pulmonary fibrosis, unspecified | 5,333 | 2,636 | |||||||||||||||||
| Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 3,791 | 2,436 | |||||||||||||||||
| Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | Z66 | Do not resuscitate | 2,851 | 2,188 | |||||||||||||||||
| Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | J84112 | Idiopathic pulmonary fibrosis | 3,166 | 2,076 |