Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | Surgical | 17.39 | NA | 5,122 | 22,804 | 21,641 | ||||||||||||
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | Surgical | 44.03 | NA | 13,885 | 57,735 | 57,258 | ||||||||||||
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | Surgical | 38.57 | NA | 13,979 | 50,577 | 50,408 |
DEMOGRAPHIC DETAILS OF DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 19,152 | 83.99 |
| Black | 2,189 | 9.6 |
| Hispanic | 486 | 2.13 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 5,537 | 24.28 |
| Less than 65 | 3,651 | 16.01 |
| 80 to 84 | 3,642 | 15.97 |
TOP ICD DIAGNOSIS CODES FOR DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 | 4,448 | 19.51 |
| 2724 | Other and unspecified hyperlipidemia | 3,795 | 16.64 |
| 42731 | Atrial fibrillation | 2,863 | 12.55 |
TOP ICD PROCEDURE CODES FOR DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 |
|---|---|---|---|
| 8166 | Percutaneous Vertebral Augmentation | 3,635 | 15.94 |
| 0QU03JZ | Supplement Lumbar Vertebra with Synthetic Substitute, Percutaneous Approach | 2,844 | 12.47 |
| 0PU43JZ | Supplement Thoracic Vertebra with Synthetic Substitute, Percutaneous Approach | 2,359 | 10.34 |
TOP HOSPITALS ASSOCIATED WITH DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 125 | 0.55 |
| Mission Hospital | 509 BILTMORE AVE | Asheville | NC | 28801 | 101 | 0.44 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 100 | 0.44 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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. MICHAEL PAUL CHAPMAN | 1500 ASSOCIATES DR | DUBUQUE | IA | 52002 | 41 | 0.18 |
| DR. DAVID MICHAEL SULLIVAN | 350 W COLUMBIA ST | EVANSVILLE | IN | 47710 | 36 | 0.16 |
| DR. CRAIG BROWN MCCLURE | 8929 PARALLEL PKWY | KANSAS CITY | KS | 66112 | 31 | 0.14 |
DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | I10 | Essential (primary) hypertension | 4,475 | 5,364 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | E785 | Hyperlipidemia, unspecified | 3,391 | 4,921 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | 4019 | Unspecified essential hypertension | NA | 4,448 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 3,795 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 2,307 | 3,361 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 2,142 | 3,271 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | Z87891 | Personal history of nicotine dependence | 1,823 | 3,014 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | 42731 | Atrial fibrillation | NA | 2,863 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | 73300 | Osteoporosis, unspecified | NA | 2,732 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | 4280 | Congestive heart failure, unspecified | NA | 2,670 |