Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 | 9,905 | 89.39 |
| Black | 537 | 4.85 |
| Hispanic | 197 | 1.78 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 2,878 | 25.97 |
| 80 to 84 | 1,943 | 17.53 |
| 75 to 79 | 1,877 | 16.94 |
TOP ICD DIAGNOSIS CODES FOR DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 | 3,772 | 34.04 |
| 73300 | Osteoporosis, unspecified | 2,286 | 20.63 |
| 2724 | Other and unspecified hyperlipidemia | 2,247 | 20.28 |
TOP ICD PROCEDURE CODES FOR DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 |
|---|---|---|---|
| 7749 | Biopsy Of Bone, Other | 5,298 | 47.81 |
| 8166 | Percutaneous Vertebral Augmentation | 3,878 | 35.0 |
| 0QU03JZ | Supplement Lumbar Vertebra with Synthetic Substitute, Percutaneous Approach | 1,666 | 15.03 |
TOP HOSPITALS ASSOCIATED WITH DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 |
|---|---|---|---|---|---|---|
| NCH Baker Hospital Downtown | 350 7TH ST N | Naples | FL | 34102 | 119 | 1.07 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 101 | 0.91 |
| Mercy Health - St. Elizabeth Youngstown Hospital | 1044 BELMONT AVE | Youngstown | OH | 44504 | 94 | 0.85 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. PHILIP S YUAN | 2760 ATLANTIC AVE | LONG BEACH | CA | 90806 | 49 | 0.44 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. PHILIP S YUAN | 2760 ATLANTIC AVE | LONG BEACH | CA | 90806 | 53 | 0.48 |
| DR. FRANK R HELLINGER | 1605 W FAIRBANKS AVE. | WINTER PARK | FL | 32789 | 52 | 0.47 |
| DR. GARY PAUL COLON | 730 GOODLETTE RD N | NAPLES | FL | 34102 | 44 | 0.4 |
DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 4019 | Unspecified essential hypertension | NA | 3,772 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | I10 | Essential (primary) hypertension | 3,918 | 3,005 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 73300 | Osteoporosis, unspecified | NA | 2,286 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 2724 | Other and unspecified hyperlipidemia | NA | 2,247 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 73313 | Pathologic fracture of vertebrae | NA | 2,109 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | E785 | Hyperlipidemia, unspecified | 2,112 | 1,779 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 53081 | Esophageal reflux | NA | 1,565 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | K219 | Gastro-esophageal reflux disease without esophagitis | 1,338 | 1,222 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 2449 | Unspecified acquired hypothyroidism | NA | 1,221 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | 8054 | Closed fracture of lumbar vertebra without mention of spinal cord injury | NA | 1,202 |