DRG 313: CHEST PAIN - 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 313: CHEST PAIN 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 (%)
313 CHEST PAIN Cardiovascular Chest Pain Chest Pain Non Surgical 100.00 NA 57,458 347,618 326,326

DEMOGRAPHIC DETAILS OF DRG 313: CHEST PAIN

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 249,889 71.89
Black 70,059 20.15
Hispanic 11,894 3.42
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 103,472 29.77
65 to 69 57,005 16.4
Greater than 84 51,165 14.72

TOP ICD DIAGNOSIS CODES FOR DRG 313: CHEST PAIN

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
78659 Other chest pain 139,010 39.99
4019 Unspecified essential hypertension 115,500 33.23
2724 Other and unspecified hyperlipidemia 107,619 30.96

TOP ICD PROCEDURE CODES FOR DRG 313: CHEST PAIN

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
3995 Hemodialysis 11,383 3.27
8872 Diagnostic Ultrasound Of Heart 8,647 2.49
8944 Other Cardiovascular Stress Test 6,265 1.8

TOP HOSPITALS ASSOCIATED WITH DRG 313: CHEST PAIN

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 1,636 0.47
Beaumont Hospital Royal Oak 3601 W 13 MILE RD Royal Oak MI 48073 1,261 0.36
Montefiore Medical Center 111 E 210TH ST Bronx NY 10467 1,216 0.35

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 313: CHEST PAIN

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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. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 355 0.1
DR. DAVID MCCAA HEADLEY 405 MARKET ST PORT GIBSON MS 39150 149 0.04
DR. ABDUL Q MOHIUDDIN 1012 WINSTON CHURCHILL DR HOPEWELL VA 23860 146 0.04

DRG 313: CHEST PAIN 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 (%)
Cardiovascular Chest Pain Chest Pain 78659 Other chest pain NA 139,010
Cardiovascular Chest Pain Chest Pain 4019 Unspecified essential hypertension NA 115,500
Cardiovascular Chest Pain Chest Pain 2724 Other and unspecified hyperlipidemia NA 107,619
Cardiovascular Chest Pain Chest Pain R0789 Other chest pain 171,649 86,974
Cardiovascular Chest Pain Chest Pain I10 Essential (primary) hypertension 164,415 76,194
Cardiovascular Chest Pain Chest Pain E785 Hyperlipidemia, unspecified 127,151 75,240
Cardiovascular Chest Pain Chest Pain 41401 Coronary atherosclerosis of native coronary artery NA 70,685
Cardiovascular Chest Pain Chest Pain I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 91,001 64,543
Cardiovascular Chest Pain Chest Pain 78650 Chest pain, unspecified NA 63,766
Cardiovascular Chest Pain Chest Pain 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 62,082