Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | Surgical | 25.31 | NA | 3,476 | 15,480 | 14,579 | ||||||||||||
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | Surgical | 18.12 | NA | 2,032 | 11,081 | 10,984 | ||||||||||||
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | Surgical | 56.58 | NA | 6,865 | 34,608 | 33,953 |
DEMOGRAPHIC DETAILS OF DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 12,355 | 79.81 |
| Black | 2,066 | 13.35 |
| Hispanic | 383 | 2.47 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 3,482 | 22.49 |
| Greater than 84 | 2,897 | 18.71 |
| 65 to 69 | 2,361 | 15.25 |
TOP ICD DIAGNOSIS CODES FOR DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 | 3,083 | 19.92 |
| 2724 | Other and unspecified hyperlipidemia | 2,643 | 17.07 |
| 73313 | Pathologic fracture of vertebrae | 1,904 | 12.3 |
TOP ICD PROCEDURE CODES FOR DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 |
|---|---|---|---|
| 7749 | Biopsy Of Bone, Other | 6,000 | 38.76 |
| 8166 | Percutaneous Vertebral Augmentation | 2,428 | 15.68 |
| 0QB03ZX | Excision of Lumbar Vertebra, Percutaneous Approach, Diagnostic | 2,046 | 13.22 |
TOP HOSPITALS ASSOCIATED WITH DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 |
|---|---|---|---|---|---|---|
| NewYork Presbyterian - Weill Cornell Medical Center | 525 E 68TH ST | New York | NY | 10021 | 125 | 0.81 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 103 | 0.67 |
| Barnes Jewish Hospital | 1 BARNES-JEWISH HOSPITAL PLZ | Saint Louis | MO | 63110 | 88 | 0.57 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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. DEAN G LORICH | 535 E 70TH ST | NEW YORK | NY | 10021 | 31 | 0.2 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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. VAN B BOGGUS | 6444 MONROE ST | SYLVANIA | OH | 43560 | 44 | 0.28 |
| DR. FRANK R HELLINGER | 1605 W FAIRBANKS AVE. | WINTER PARK | FL | 32789 | 43 | 0.28 |
| DR. DEAN G LORICH | 535 E 70TH ST | NEW YORK | NY | 10021 | 39 | 0.25 |
DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | I10 | Essential (primary) hypertension | 3,034 | 3,110 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 4019 | Unspecified essential hypertension | NA | 3,083 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | E785 | Hyperlipidemia, unspecified | 2,431 | 2,934 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 2724 | Other and unspecified hyperlipidemia | NA | 2,643 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,640 | 2,113 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | Z87891 | Personal history of nicotine dependence | 1,598 | 2,087 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | C7951 | Secondary malignant neoplasm of bone | 1,530 | 1,959 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 73313 | Pathologic fracture of vertebrae | NA | 1,904 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | K219 | Gastro-esophageal reflux disease without esophagitis | 1,402 | 1,898 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 1985 | Secondary malignant neoplasm of bone and bone marrow | NA | 1,785 |