DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) - 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 197: INTERSTITIAL LUNG DISEASE 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 (%)
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
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
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

DEMOGRAPHIC DETAILS OF DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 16,204 76.42
Black 3,564 16.81
Hispanic 561 2.65
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 4,383 20.67
Greater than 84 4,145 19.55
75 to 79 3,306 15.59

TOP ICD DIAGNOSIS CODES FOR DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC)

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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 6,946 32.76
4019 Unspecified essential hypertension 6,170 29.1
2724 Other and unspecified hyperlipidemia 4,675 22.05

TOP ICD PROCEDURE CODES FOR DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
3324 Closed [Endoscopic] Biopsy Of Bronchus 823 3.88
8872 Diagnostic Ultrasound Of Heart 472 2.23
9904 Transfusion Of Packed Cells 384 1.81

TOP HOSPITALS ASSOCIATED WITH DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC)

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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 125 0.59
Johns Hopkins Hospital 600 N WOLFE ST Baltimore MD 21287 122 0.58
Massachusetts General Hospital 55 FRUIT ST Boston MA 02114 82 0.39

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC)

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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. PATRICK W GRIFFITH 1902 JOHNSON ST JENNINGS LA 70546 24 0.11
DR. JASHUBHAI G PATEL 1520 SLATE CREEK RD GRUNDY VA 24614 14 0.07
DR. ASHWINKUMAR R PATEL 1403 MEDICAL PLAZA DR SANFORD FL 32771 12 0.06

DRG 197: INTERSTITIAL LUNG DISEASE 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 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 6,946
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 4019 Unspecified essential hypertension NA 6,170
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 2724 Other and unspecified hyperlipidemia NA 4,675
Pulmonology Interstitial Lung Disease Interstitial Lung Disease I10 Essential (primary) hypertension 4,449 3,863
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 53081 Esophageal reflux NA 3,808
Pulmonology Interstitial Lung Disease Interstitial Lung Disease V1582 Personal history of tobacco use NA 3,758
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 4280 Congestive heart failure, unspecified NA 3,539
Pulmonology Interstitial Lung Disease Interstitial Lung Disease E785 Hyperlipidemia, unspecified 3,021 3,213
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 3,117
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 79902 Hypoxemia NA 2,880