Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | Non Surgical | 20.37 | NA | 33,463 | 110,814 | 96,514 | ||||||||||||
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | Non Surgical | 79.63 | NA | 116,951 | 433,226 | 410,009 |
DEMOGRAPHIC DETAILS OF DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 87,329 | 78.81 |
| Black | 16,591 | 14.97 |
| Hispanic | 2,193 | 1.98 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 25,415 | 22.93 |
| 80 to 84 | 19,854 | 17.92 |
| 75 to 79 | 19,765 | 17.84 |
TOP ICD DIAGNOSIS CODES FOR DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH 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 | 18,617 | 16.8 |
| R1310 | Dysphagia, unspecified | 15,451 | 13.94 |
| 3310 | Alzheimer's disease | 14,067 | 12.69 |
TOP ICD PROCEDURE CODES FOR DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH 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 |
|---|---|---|---|
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 3,388 | 3.06 |
| 0HBRXZZ | Excision of Toe Nail, External Approach | 2,839 | 2.56 |
| F07Z9ZZ | Gait Training/Functional Ambulation Treatment | 2,653 | 2.39 |
TOP HOSPITALS ASSOCIATED WITH DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH 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 |
|---|---|---|---|---|---|---|
| Beth Israel Deaconess Hospital - Plymouth | 275 SANDWICH ST | Plymouth | MA | 02360 | 553 | 0.5 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 461 | 0.42 |
| St. Luke's Rehabilitation Institute | 711 S COWLEY ST | Spokane | WA | 99202 | 381 | 0.34 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ALEJANDRO Y MENDOZA | 235 NORTH PEARL STREET | BROCKTON | MA | 02301 | 273 | 0.25 |
| DR. RAJEEV GUPTA | 1621 W MORRIS BLVD STE C | MORRISTOWN | TN | 37813 | 225 | 0.2 |
| DR. RODNEY A. POLING | 1402 ROSEWOOD DRIVE | COLUMBIA | TN | 38401 | 187 | 0.17 |
DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | I10 | Essential (primary) hypertension | 27,030 | 38,059 | |||||||||||||||||
| Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | E785 | Hyperlipidemia, unspecified | 21,169 | 33,972 | |||||||||||||||||
| Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 12,771 | 21,569 | |||||||||||||||||
| Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | 4019 | Unspecified essential hypertension | NA | 18,617 | |||||||||||||||||
| Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | N390 | Urinary tract infection, site not specified | 10,795 | 16,381 | |||||||||||||||||
| Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | K219 | Gastro-esophageal reflux disease without esophagitis | 8,232 | 15,664 | |||||||||||||||||
| Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | R1310 | Dysphagia, unspecified | 10,523 | 15,451 | |||||||||||||||||
| Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | 3310 | Alzheimer's disease | NA | 14,067 | |||||||||||||||||
| Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | 2724 | Other and unspecified hyperlipidemia | NA | 13,732 | |||||||||||||||||
| Neurology | Degenerative Nervous System Disorders | Degenerative Nervous System Disorders | E039 | Hypothyroidism, unspecified | 7,841 | 13,444 |