Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 053: SPINAL DISORDERS AND INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
053 | SPINAL DISORDERS AND INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | Non Surgical | 16.69 | NA | 550 | 2,462 | 2,224 | ||||||||||||
052 | SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | Non Surgical | 83.31 | NA | 3,457 | 12,293 | 10,214 |
DEMOGRAPHIC DETAILS OF DRG 053: SPINAL DISORDERS AND INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 1,991 | 80.87 |
Black | 296 | 12.02 |
Hispanic | 49 | 1.99 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
Less than 65 | 672 | 27.29 |
65 to 69 | 428 | 17.38 |
70 to 74 | 388 | 15.76 |
TOP ICD DIAGNOSIS CODES FOR DRG 053: SPINAL DISORDERS AND INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 646 | 26.24 |
2724 | Other and unspecified hyperlipidemia | 351 | 14.26 |
25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 215 | 8.73 |
TOP ICD PROCEDURE CODES FOR DRG 053: SPINAL DISORDERS AND INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
---|---|---|---|
8893 | Magnetic Resonance Imaging Of Spinal Canal | 49 | 1.99 |
0331 | Spinal Tap | 47 | 1.91 |
8659 | Closure Of Skin And Subcutaneous Tissue Of Other Sites | 46 | 1.87 |
TOP HOSPITALS ASSOCIATED WITH DRG 053: SPINAL DISORDERS AND INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
---|---|---|---|---|---|---|
Kessler Institute for Rehabilitation | 1199 PLEASANT VALLEY WAY | West Orange | NJ | 07052 | 23 | 0.93 |
University of Maryland Upper Chesapeake Medical Center | 500 UPPER CHESAPEAKE DR | Bel Air | MD | 21014 | 21 | 0.85 |
Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 19 | 0.77 |
DRG 053: SPINAL DISORDERS AND INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | I10 | Essential (primary) hypertension | 590 | 748 | |||||||||||||||||
Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | 4019 | Unspecified essential hypertension | NA | 646 | |||||||||||||||||
Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | E785 | Hyperlipidemia, unspecified | 327 | 457 | |||||||||||||||||
Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | 2724 | Other and unspecified hyperlipidemia | NA | 351 | |||||||||||||||||
Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | G8220 | Paraplegia, unspecified | 395 | 277 | |||||||||||||||||
Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | K219 | Gastro-esophageal reflux disease without esophagitis | 178 | 273 | |||||||||||||||||
Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | Z981 | Arthrodesis status | 225 | 250 | |||||||||||||||||
Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 102 | 225 | |||||||||||||||||
Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 215 | |||||||||||||||||
Spine | Spinal Disorders & Injuries | Spinal Disorders And Injuries | F329 | Major depressive disorder, single episode, unspecified | 165 | 214 |