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 | 58.01 | NA | 11,719 | 70,071 | 11,294 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 9,400 | 80.21 |
| Black | 1,483 | 12.65 |
| Hispanic | 285 | 2.43 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 2,635 | 22.48 |
| Less than 65 | 2,443 | 20.85 |
| 65 to 69 | 1,847 | 15.76 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| M940 | Chondrocostal junction syndrome [Tietze] | 2,548 | 21.74 |
| S2232XA | Fracture of one rib, left side, initial encounter for closed fracture | 813 | 6.94 |
| S2231XA | Fracture of one rib, right side, initial encounter for closed fracture | 790 | 6.74 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 5A09357 | Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure | 174 | 1.48 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 162 | 1.38 |
| 0B21XFZ | Change Tracheostomy Device in Trachea, External Approach | 129 | 1.1 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Centinela Hospital Medical Center | 555 E HARDY ST | Inglewood | CA | 90301 | 88 | 0.75 |
| Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 60 | 0.51 |
| UPMC Presbyterian Shadyside | 200 LOTHROP ST | Pittsburgh | PA | 15213 | 55 | 0.47 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JUSTO SATARAY | 216 N LAMB BLVD | LAS VEGAS | NV | 89110 | 16 | 0.14 |
| DR. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 15 | 0.13 |
| DR. ZEPHYRENE C VILLALUZ | 1825 CIVIC CENTER DR | N LAS VEGAS | NV | 89030 | 14 | 0.12 |
TOP OPERATING 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. YOGARAJAH BALARAJAN | 700 SHADOW LN | LAS VEGAS | NV | 89106 | 22 | 0.19 |
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 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 | I10 | Essential (primary) hypertension | 15,733 | 5,596 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | E785 | Hyperlipidemia, unspecified | 10,353 | 4,812 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | K219 | Gastro-esophageal reflux disease without esophagitis | 7,284 | 3,422 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | Z87891 | Personal history of nicotine dependence | 6,583 | 3,294 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 6,141 | 3,268 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | R0902 | Hypoxemia | 6,005 | 3,115 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | M940 | Chondrocostal junction syndrome [Tietze] | 8,835 | 2,548 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | J449 | Chronic obstructive pulmonary disease, unspecified | 4,556 | 2,432 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | Z7982 | Long term (current) use of aspirin | 3,200 | 2,323 | |||||||||||||||||
| Pulmonology | Other Respiratory System Diagnoses | Other Respiratory System Diagnoses | E039 | Hypothyroidism, unspecified | 4,343 | 2,317 |