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 | 41.99 | NA | 8,483 | 41,539 | 7,908 | ||||||||||||
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | Non Surgical | 58.01 | NA | 11,719 | 70,071 | 11,294 |
DEMOGRAPHIC DETAILS OF DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 6,667 | 78.59 |
| Black | 1,219 | 14.37 |
| Hispanic | 212 | 2.5 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 2,226 | 26.24 |
| 65 to 69 | 1,448 | 17.07 |
| 70 to 74 | 1,438 | 16.95 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| M940 | Chondrocostal junction syndrome [Tietze] | 799 | 9.42 |
| J9589 | Other postprocedural complications and disorders of respiratory system, not elsewhere classified | 739 | 8.71 |
| T86812 | Lung transplant infection | 527 | 6.21 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 5A09357 | Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure | 573 | 6.75 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 355 | 4.18 |
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 322 | 3.8 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| UPMC Presbyterian Shadyside | 200 LOTHROP ST | Pittsburgh | PA | 15213 | 66 | 0.78 |
| University of Minnesota Medical Center | 2450 RIVERSIDE AVE | Minneapolis | MN | 55454 | 51 | 0.6 |
| Centinela Hospital Medical Center | 555 E HARDY ST | Inglewood | CA | 90301 | 49 | 0.58 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 23 | 0.27 |
| DR. JOYLIN CHAN DELUNA | 550 W 1ST ST | OSWEGO | NY | 13126 | 21 | 0.25 |
| DR. FATIMA IQBAL | 3459 5TH AVE | PITTSBURGH | PA | 15213 | 21 | 0.25 |
TOP OPERATING 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOYLIN CHAN DELUNA | 550 W 1ST ST | OSWEGO | NY | 13126 | 12 | 0.14 |
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 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 | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | E785 | Hyperlipidemia, unspecified | 4,760 | 3,282 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | I10 | Essential (primary) hypertension | 5,988 | 2,758 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | Z87891 | Personal history of nicotine dependence | 3,582 | 2,725 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | K219 | Gastro-esophageal reflux disease without esophagitis | 3,676 | 2,652 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 3,268 | 2,400 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | J9601 | Acute respiratory failure with hypoxia | 1,899 | 1,665 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | E039 | Hypothyroidism, unspecified | 2,197 | 1,606 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | Z7982 | Long term (current) use of aspirin | 1,551 | 1,499 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | J189 | Pneumonia, unspecified organism | 2,843 | 1,498 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | J449 | Chronic obstructive pulmonary disease, unspecified | 2,490 | 1,485 |