Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | ||||||||||||
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 |
DEMOGRAPHIC DETAILS OF DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 57,733 | 82.39 |
Black | 8,021 | 11.45 |
Hispanic | 1,602 | 2.29 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
Greater than 84 | 16,513 | 23.57 |
Less than 65 | 14,738 | 21.03 |
65 to 69 | 10,364 | 14.79 |
TOP ICD DIAGNOSIS CODES FOR DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT 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 | 22,668 | 32.35 |
2724 | Other and unspecified hyperlipidemia | 15,913 | 22.71 |
53081 | Esophageal reflux | 11,140 | 15.9 |
TOP ICD PROCEDURE CODES FOR DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT 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 |
---|---|---|---|
3324 | Closed [Endoscopic] Biopsy Of Bronchus | 1,453 | 2.07 |
3491 | Thoracentesis | 1,220 | 1.74 |
8872 | Diagnostic Ultrasound Of Heart | 1,131 | 1.61 |
TOP HOSPITALS ASSOCIATED WITH DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT 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 | 334 | 0.48 |
AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 309 | 0.44 |
Duke University Hospital | 2301 ERWIN ROAD | Durham | NC | 27710 | 282 | 0.4 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT 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 | 65 | 0.09 |
DR. NOMILINNE MALLARE NERY | 5501 OLD YORK RD | PHILADELPHIA | PA | 19141 | 64 | 0.09 |
DR. FATIMA IQBAL | 3459 5TH AVE | PITTSBURGH | PA | 15213 | 61 | 0.09 |
DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT 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 | 22,668 | |||||||||||||||||
Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | 2724 | Other and unspecified hyperlipidemia | NA | 15,913 | |||||||||||||||||
Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | I10 | Essential (primary) hypertension | 15,733 | 14,200 | |||||||||||||||||
Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | 53081 | Esophageal reflux | NA | 11,140 | |||||||||||||||||
Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | E785 | Hyperlipidemia, unspecified | 10,353 | 11,090 | |||||||||||||||||
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 | 10,595 | |||||||||||||||||
Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | 79902 | Hypoxemia | NA | 10,340 | |||||||||||||||||
Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | V1582 | Personal history of tobacco use | NA | 8,955 | |||||||||||||||||
Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | 41401 | Coronary atherosclerosis of native coronary artery | NA | 8,485 | |||||||||||||||||
Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | 2449 | Unspecified acquired hypothyroidism | NA | 8,308 |