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 33.92 NA 6,045 26,300 5,345
201 PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Pneumothorax Pneumothorax Non Surgical 12.31 NA 2,194 12,012 2,067
200 PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) Pulmonology Pneumothorax Pneumothorax Non Surgical 53.77 NA 9,583 45,010 9,204

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

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 5,316 87.94
Black 429 7.1
Asian 78 1.29
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Greater than 84 1,379 22.81
70 to 74 988 16.34
75 to 79 986 16.31

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 2017 to Dec 2017 % of DRG Volume
J9383 Other pneumothorax 1,404 23.23
J95811 Postprocedural pneumothorax 997 16.49
S270XXA Traumatic pneumothorax, initial encounter 979 16.2

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 2017 to Dec 2017 % of DRG Volume
Barnes Jewish Hospital 1 BARNES-JEWISH HOSPITAL PLZ Saint Louis MO 63110 19 0.31
Carilion Roanoke Memorial Hospital 1906 BELLEVIEW AVE SE Roanoke VA 24014 19 0.31
St. Vincent Hospital & Health Services 2001 W 86TH ST Indianapolis IN 46260 17 0.28

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 2017 to Dec 2017 % of DRG Volume
DR. DHRU SCOTT GIRARD 504 REDMOND RD NW ROME GA 30165 NA NA
DR. DEEPAK T PATEL 1739 US HIGHWAY 27 S SEBRING FL 33870 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. BEHROOZ SHABAHANG 250 CHERRY SE GRAND RAPIDS MI 49503 NA NA
DR. KESHAUDAS PAHUJA 966B PARK ST STOUGHTON MA 02072 NA NA
DR. RONALD SEAN BATIN 6480 PENTZ RD PARADISE CA 95969 NA NA

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 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 Pneumothorax Pneumothorax I10 Essential (primary) hypertension 4,033 2,435
Pulmonology Pneumothorax Pneumothorax Z87891 Personal history of nicotine dependence 2,796 2,256
Pulmonology Pneumothorax Pneumothorax E785 Hyperlipidemia, unspecified 2,499 2,101
Pulmonology Pneumothorax Pneumothorax J449 Chronic obstructive pulmonary disease, unspecified 2,286 1,613
Pulmonology Pneumothorax Pneumothorax I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 1,861 1,534
Pulmonology Pneumothorax Pneumothorax J9601 Acute respiratory failure with hypoxia 1,602 1,512
Pulmonology Pneumothorax Pneumothorax J9383 Other pneumothorax 2,061 1,404
Pulmonology Pneumothorax Pneumothorax K219 Gastro-esophageal reflux disease without esophagitis 1,717 1,385
Pulmonology Pneumothorax Pneumothorax J189 Pneumonia, unspecified organism 2,541 1,328
Pulmonology Pneumothorax Pneumothorax Z66 Do not resuscitate 1,185 1,178