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

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 313: CHEST PAIN GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 313: CHEST PAIN
3TOP ICD DIAGNOSIS CODES FOR DRG 313: CHEST PAIN
4TOP ICD PROCEDURE CODES FOR DRG 313: CHEST PAIN
5TOP HOSPITALS ASSOCIATED WITH DRG 313: CHEST PAIN
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 313: CHEST PAIN
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 313: CHEST PAIN
8DRG 313: CHEST PAIN SUMMARY TABLE

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 53,882

DEMOGRAPHIC DETAILS OF DRG 313: CHEST PAIN

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 41,529 72.28
Black 11,042 19.22
Hispanic 2,039 3.55
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Less than 65 16,307 28.38
65 to 69 9,565 16.65
70 to 74 8,899 15.49

TOP ICD DIAGNOSIS CODES FOR DRG 313: CHEST PAIN

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
R0789 Other chest pain 36,014 62.68
R079 Chest pain, unspecified 20,113 35.0
R072 Precordial pain 1,711 2.98

TOP ICD PROCEDURE CODES FOR DRG 313: CHEST PAIN

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
5A1D00Z Performance of Urinary Filtration, Single 1,217 2.12
5A1D60Z Performance of Urinary Filtration, Multiple 1,122 1.95
4A02XM4 Measurement of Cardiac Total Activity, External Approach 1,059 1.84

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 2017 to Dec 2017 % of DRG Volume
Long Island Jewish Medical Center 270-05 76 AVE New Hyde Park NY 11040 297 0.52
Montefiore Medical Center 111 E 210TH ST Bronx NY 10467 293 0.51
Beaumont Hospital Royal Oak 3601 W 13 MILE RD Royal Oak MI 48073 269 0.47

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 2017 to Dec 2017 % of DRG Volume
DR. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 94 0.16
DR. FAISAL WASI 905 NW 5TH ST STIGLER OK 74462 42 0.07
DR. DEREK DONGWOO LEE 6901 MEDICAL PKWY WACO TX 76712 38 0.07

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 313: CHEST PAIN

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
DR. DAVID M ROGERS 5645 MAIN ST FLUSHING NY 11355 52 0.09

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 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 (%)
Cardiovascular Chest Pain Chest Pain R0789 Other chest pain 171,649 36,014
Cardiovascular Chest Pain Chest Pain E785 Hyperlipidemia, unspecified 127,151 30,912
Cardiovascular Chest Pain Chest Pain I10 Essential (primary) hypertension 164,415 27,719
Cardiovascular Chest Pain Chest Pain I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 91,001 26,707
Cardiovascular Chest Pain Chest Pain R079 Chest pain, unspecified 97,312 20,113
Cardiovascular Chest Pain Chest Pain K219 Gastro-esophageal reflux disease without esophagitis 60,218 18,300
Cardiovascular Chest Pain Chest Pain Z7982 Long term (current) use of aspirin 43,141 15,842
Cardiovascular Chest Pain Chest Pain Z87891 Personal history of nicotine dependence 46,414 14,182
Cardiovascular Chest Pain Chest Pain J449 Chronic obstructive pulmonary disease, unspecified 35,185 11,789
Cardiovascular Chest Pain Chest Pain Z955 Presence of coronary angioplasty implant and graft 33,154 11,405