Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | Non Surgical | 37.22 | NA | 8,483 | 41,539 | 38,662 | ||||||||||||
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | Non Surgical | 62.78 | NA | 11,719 | 70,071 | 67,626 |
DEMOGRAPHIC DETAILS OF DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 32,970 | 79.37 |
| Black | 5,805 | 13.97 |
| Hispanic | 1,035 | 2.49 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 11,558 | 27.82 |
| 65 to 69 | 6,897 | 16.6 |
| Greater than 84 | 6,857 | 16.51 |
TOP ICD DIAGNOSIS CODES FOR DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH 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 |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 8,781 | 21.14 |
| 2724 | Other and unspecified hyperlipidemia | 7,827 | 18.84 |
| 4280 | Congestive heart failure, unspecified | 6,375 | 15.35 |
TOP ICD PROCEDURE CODES FOR DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH 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 |
|---|---|---|---|
| 3995 | Hemodialysis | 2,444 | 5.88 |
| 3324 | Closed [Endoscopic] Biopsy Of Bronchus | 2,056 | 4.95 |
| 9390 | Non-Invasive Mechanical Ventilation | 1,969 | 4.74 |
TOP HOSPITALS ASSOCIATED WITH DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH 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 |
|---|---|---|---|---|---|---|
| UPMC Presbyterian Shadyside | 200 LOTHROP ST | Pittsburgh | PA | 15213 | 309 | 0.74 |
| Duke University Hospital | 2301 ERWIN ROAD | Durham | NC | 27710 | 280 | 0.67 |
| Barnes Jewish Hospital | 1 BARNES-JEWISH HOSPITAL PLZ | Saint Louis | MO | 63110 | 221 | 0.53 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH 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. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 101 | 0.24 |
| DR. JOYLIN CHAN DELUNA | 550 W 1ST ST | OSWEGO | NY | 13126 | 85 | 0.2 |
| DR. FATIMA IQBAL | 3459 5TH AVE | PITTSBURGH | PA | 15213 | 70 | 0.17 |
DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH 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 | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | 4019 | Unspecified essential hypertension | NA | 8,781 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | 2724 | Other and unspecified hyperlipidemia | NA | 7,827 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | E785 | Hyperlipidemia, unspecified | 4,760 | 7,208 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | I10 | Essential (primary) hypertension | 5,988 | 7,147 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | 4280 | Congestive heart failure, unspecified | NA | 6,375 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | 53081 | Esophageal reflux | NA | 6,106 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | Z87891 | Personal history of nicotine dependence | 3,582 | 5,961 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 5,855 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | K219 | Gastro-esophageal reflux disease without esophagitis | 3,676 | 5,815 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | 486 | Pneumonia, organism unspecified | NA | 5,686 |