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 | 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 | ||||||||||||
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 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 826 | 75.64 |
Black | 161 | 14.74 |
Hispanic | 37 | 3.39 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
Greater than 84 | 227 | 20.79 |
65 to 69 | 185 | 16.94 |
Less than 65 | 185 | 16.94 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
J84116 | Cryptogenic organizing pneumonia | 33 | 3.02 |
J679 | Hypersensitivity pneumonitis due to unspecified organic dust | 24 | 2.2 |
J84114 | Acute interstitial pneumonitis | 15 | 1.37 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
B2111ZZ | Fluoroscopy of Multiple Coronary Arteries using Low Osmolar Contrast | 19 | 1.74 |
5A09357 | Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure | 15 | 1.37 |
3E0F7GC | Introduction of Other Therapeutic Substance into Respiratory Tract, Via Natural or Artificial Opening | 14 | 1.28 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
Buchanan General Hospital | 1535 SLATE CREEK RD | Grundy | VA | 24614 | 19 | 1.74 |
Jennings American Legion Hospital | 1634 ELTON RD | Jennings | LA | 70546 | NA | NA |
Mobridge Regional Hospital - CAH | 1401 10TH AVE WEST | Mobridge | SD | 57601 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. JASHUBHAI G PATEL | 1520 SLATE CREEK RD | GRUNDY | VA | 24614 | 17 | 1.56 |
DR. EDWARD CANTU | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | NA | NA |
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 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 | I10 | Essential (primary) hypertension | 2,057 | 587 | |||||||||||||||||
Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | E785 | Hyperlipidemia, unspecified | 1,173 | 376 | |||||||||||||||||
Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | K219 | Gastro-esophageal reflux disease without esophagitis | 1,015 | 339 | |||||||||||||||||
Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | J8410 | Pulmonary fibrosis, unspecified | 1,389 | 339 | |||||||||||||||||
Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | Z87891 | Personal history of nicotine dependence | 1,007 | 320 | |||||||||||||||||
Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | R0902 | Hypoxemia | 765 | 288 | |||||||||||||||||
Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | J849 | Interstitial pulmonary disease, unspecified | 1,066 | 280 | |||||||||||||||||
Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 688 | 236 | |||||||||||||||||
Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | E119 | Type 2 diabetes mellitus without complications | 777 | 195 | |||||||||||||||||
Pulmonology | Interstitial Lung Disease | Interstitial Lung Disease | E039 | Hypothyroidism, unspecified | 561 | 189 |