Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 198: INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 41 | 0.54 |
AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 40 | 0.52 |
Hospital of the 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) | Back to Top |
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 | 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 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 |