DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT 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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT 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 (%)
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)

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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)

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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)

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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)

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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)

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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

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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 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