Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 30,296 | 87.54 |
| Black | 2,378 | 6.87 |
| Hispanic | 602 | 1.74 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 7,633 | 22.06 |
| 75 to 79 | 5,701 | 16.47 |
| 80 to 84 | 5,630 | 16.27 |
TOP ICD DIAGNOSIS CODES FOR DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 10,151 | 29.33 |
| 2724 | Other and unspecified hyperlipidemia | 6,719 | 19.41 |
| 73313 | Pathologic fracture of vertebrae | 5,844 | 16.89 |
TOP ICD PROCEDURE CODES FOR DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 13,928 | 40.25 |
| 8166 | Percutaneous Vertebral Augmentation | 8,026 | 23.19 |
| 0QB03ZX | Excision of Lumbar Vertebra, Percutaneous Approach, Diagnostic | 4,110 | 11.88 |
TOP HOSPITALS ASSOCIATED WITH DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 328 | 0.95 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 301 | 0.87 |
| NCH Baker Hospital Downtown | 350 7TH ST N | Naples | FL | 34102 | 222 | 0.64 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 121 | 0.35 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 122 | 0.35 |
| DR. VAN B BOGGUS | 6444 MONROE ST | SYLVANIA | OH | 43560 | 116 | 0.34 |
| DR. FRANK R HELLINGER | 1605 W FAIRBANKS AVE. | WINTER PARK | FL | 32789 | 108 | 0.31 |
DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) 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 | 4019 | Unspecified essential hypertension | NA | 10,151 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | I10 | Essential (primary) hypertension | 10,306 | 8,718 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 2724 | Other and unspecified hyperlipidemia | NA | 6,719 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | E785 | Hyperlipidemia, unspecified | 6,485 | 6,343 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 73313 | Pathologic fracture of vertebrae | NA | 5,844 | |||||||||||||||||
| 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 | 5,362 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 73300 | Osteoporosis, unspecified | NA | 4,846 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | C7951 | Secondary malignant neoplasm of bone | 5,163 | 4,637 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | Z87891 | Personal history of nicotine dependence | 4,564 | 4,629 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 53081 | Esophageal reflux | NA | 4,407 |