DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/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

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 201: PNEUMOTHORAX 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 (%)
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
199 PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Pulmonology Pneumothorax Pneumothorax Non Surgical 33.92 NA 6,045 26,300 5,345
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 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 1,922 87.6
Black 172 7.84
Asian 24 1.09
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
65 to 69 493 22.47
70 to 74 474 21.6
75 to 79 401 18.28

TOP ICD DIAGNOSIS CODES FOR DRG 201: PNEUMOTHORAX WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
J95811 Postprocedural pneumothorax 842 38.38
J9383 Other pneumothorax 572 26.07
S270XXA Traumatic pneumothorax, initial encounter 200 9.12

TOP ICD PROCEDURE CODES FOR DRG 201: PNEUMOTHORAX 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 2017 to Dec 2017 % of DRG Volume
0W9930Z Drainage of Right Pleural Cavity with Drainage Device, Percutaneous Approach 903 41.16
0W9B30Z Drainage of Left Pleural Cavity with Drainage Device, Percutaneous Approach 710 32.36
0BBC3ZX Excision of Right Upper Lung Lobe, Percutaneous Approach, Diagnostic 159 7.25

TOP HOSPITALS ASSOCIATED WITH DRG 201: PNEUMOTHORAX 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 2017 to Dec 2017 % of DRG Volume
Northeast Georgia Medical Center 743 SPRING ST NE Gainesville GA 30501 13 0.59
University of Virginia Health System University Hospital 1215 LEE ST PFS Charlottesville VA 22908 12 0.55
Memorial Sloan Kettering Cancer Center 1275 YORK AVE New York NY 10065 11 0.5

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 201: PNEUMOTHORAX 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 2017 to Dec 2017 % of DRG Volume
DR. LEONARD JAMES WUDEL MEDICAL CENTER BLVD WINSTON SALEM NC 27157 NA NA
DR. PAUL A FEDALEN 540 S GOVERNORS AVE DOVER DE 19904 NA NA
DR. ROSE B. GANIM 2 MEDICAL CENTER DR SPRINGFIELD MA 01199 NA NA

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 201: PNEUMOTHORAX 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 2017 to Dec 2017 % of DRG Volume
DR. ANDREA SHARI WOLF 1190 FIFTH AVE., BOX 1028 NEW YORK NY 10029 NA NA
DR. MICHAEL A AMYGDALOS 640 S STATE STREET DOVER DE 19901 NA NA
DR. PAUL HENRY BLOM 5221 US ROUTE 60 E HUNTINGTON WV 25705 NA NA

DRG 201: PNEUMOTHORAX 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 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 2,788 1,160
Pulmonology Pneumothorax Pneumothorax Z87891 Personal history of nicotine dependence 2,295 874
Pulmonology Pneumothorax Pneumothorax J95811 Postprocedural pneumothorax 2,074 842
Pulmonology Pneumothorax Pneumothorax J449 Chronic obstructive pulmonary disease, unspecified 1,887 804
Pulmonology Pneumothorax Pneumothorax E785 Hyperlipidemia, unspecified 1,500 735
Pulmonology Pneumothorax Pneumothorax J9383 Other pneumothorax 4,913 572
Pulmonology Pneumothorax Pneumothorax K219 Gastro-esophageal reflux disease without esophagitis 1,092 464
Pulmonology Pneumothorax Pneumothorax I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 675 440
Pulmonology Pneumothorax Pneumothorax Z7982 Long term (current) use of aspirin 476 440
Pulmonology Pneumothorax Pneumothorax F17210 Nicotine dependence, cigarettes, uncomplicated 2,613 373