DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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CHARGE CAPTURE ANALYSIS FOR DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%)
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
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 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 5,931 77.58
Black 1,103 14.43
Hispanic 233 3.05
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 1,508 19.73
Less than 65 1,369 17.91
80 to 84 1,216 15.91

TOP ICD DIAGNOSIS CODES FOR DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 2,811 36.77
4019 Unspecified essential hypertension 2,636 34.48
2724 Other and unspecified hyperlipidemia 1,737 22.72

TOP ICD PROCEDURE CODES FOR DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
3324 Closed [Endoscopic] Biopsy Of Bronchus 266 3.48
8872 Diagnostic Ultrasound Of Heart 125 1.64
8741 Computerized Axial Tomography Of Thorax 113 1.48

TOP HOSPITALS ASSOCIATED WITH DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
Johns Hopkins Hospital 600 N WOLFE ST Baltimore MD 21287 41 0.54
Florida Hospital Orlando 601 E ROLLINS ST Orlando FL 32803 40 0.52
Hospital Of University Of Pennsylvania 3400 SPRUCE ST Philadelphia PA 19104 38 0.5

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. JASHUBHAI G PATEL 1520 SLATE CREEK RD GRUNDY VA 24614 33 0.43
DR. EDWARD CANTU 3400 SPRUCE ST PHILADELPHIA PA 19104 18 0.24

DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 2,811
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 4019 Unspecified essential hypertension NA 2,636
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 2724 Other and unspecified hyperlipidemia NA 1,737
Pulmonology Interstitial Lung Disease Interstitial Lung Disease I10 Essential (primary) hypertension 2,057 1,480
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 53081 Esophageal reflux NA 1,422
Pulmonology Interstitial Lung Disease Interstitial Lung Disease V1582 Personal history of tobacco use NA 1,336
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 79902 Hypoxemia NA 1,334
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 1,207
Pulmonology Interstitial Lung Disease Interstitial Lung Disease 2449 Unspecified acquired hypothyroidism NA 921
Pulmonology Interstitial Lung Disease Interstitial Lung Disease E785 Hyperlipidemia, unspecified 1,173 917