DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 199: PNEUMOTHORAX WITH 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 (%)
199 PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Pneumothorax Pneumothorax Non Surgical 31.56 NA 6,045 26,300 23,127
201 PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Pneumothorax Pneumothorax Non Surgical 14.42 NA 2,194 12,012 11,274
200 PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) Pulmonology Pneumothorax Pneumothorax Non Surgical 54.02 NA 9,583 45,010 43,188

DEMOGRAPHIC DETAILS OF DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 22,948 87.25
Black 2,033 7.73
Other 332 1.26
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 5,751 21.87
70 to 74 4,401 16.73
75 to 79 4,182 15.9

TOP ICD DIAGNOSIS CODES FOR DRG 199: PNEUMOTHORAX WITH 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
4019 Unspecified essential hypertension 5,960 22.66
51289 Other pneumothorax 5,761 21.9
V1582 Personal history of tobacco use 4,066 15.46

TOP ICD PROCEDURE CODES FOR DRG 199: PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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TOP HOSPITALS ASSOCIATED WITH DRG 199: PNEUMOTHORAX WITH 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
Mission Hospital 509 BILTMORE AVE Asheville NC 28801 81 0.31
Huntsville Hospital 101 SIVLEY RD SW Huntsville AL 35801 65 0.25
Saint Francis Hospital 6161 S YALE AVE Tulsa OK 74136 62 0.24

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 199: PNEUMOTHORAX WITH 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. DEEPAK T PATEL 1739 US HIGHWAY 27 S SEBRING FL 33870 13 0.05
DR. DHRU SCOTT GIRARD 504 REDMOND RD NW ROME GA 30165 11 0.04

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 199: PNEUMOTHORAX WITH 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. KESHAUDAS PAHUJA 966B PARK ST STOUGHTON MA 02072 13 0.05
DR. MOHAN GANESH KULKARNI 900 E MICHIGAN AVE JACKSON MI 49201 13 0.05
DR. BEHROOZ SHABAHANG 250 CHERRY SE GRAND RAPIDS MI 49503 11 0.04

DRG 199: PNEUMOTHORAX WITH 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 Pneumothorax Pneumothorax 4019 Unspecified essential hypertension NA 5,960
Pulmonology Pneumothorax Pneumothorax I10 Essential (primary) hypertension 4,033 5,768
Pulmonology Pneumothorax Pneumothorax 51289 Other pneumothorax NA 5,761
Pulmonology Pneumothorax Pneumothorax Z87891 Personal history of nicotine dependence 2,796 4,742
Pulmonology Pneumothorax Pneumothorax E785 Hyperlipidemia, unspecified 2,499 4,427
Pulmonology Pneumothorax Pneumothorax V1582 Personal history of tobacco use NA 4,066
Pulmonology Pneumothorax Pneumothorax 486 Pneumonia, organism unspecified NA 4,065
Pulmonology Pneumothorax Pneumothorax 2724 Other and unspecified hyperlipidemia NA 4,056
Pulmonology Pneumothorax Pneumothorax J449 Chronic obstructive pulmonary disease, unspecified 2,286 3,719
Pulmonology Pneumothorax Pneumothorax I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 1,861 3,386