DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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CHARGE CAPTURE ANALYSIS FOR DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) GROUP BASED ON MEDICARE

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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 (%)
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
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

DEMOGRAPHIC DETAILS OF DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 51,634 89.43
Black 3,078 5.33
Asian 876 1.52
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 14,689 25.44
80 to 84 9,894 17.14
75 to 79 9,383 16.25

TOP ICD DIAGNOSIS CODES FOR DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 14,069 24.37
2724 Other and unspecified hyperlipidemia 9,414 16.31
73300 Osteoporosis, unspecified 8,345 14.45

TOP ICD PROCEDURE CODES FOR DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
8166 Percutaneous Vertebral Augmentation 10,722 18.57
01NB0ZZ Release Lumbar Nerve, Open Approach 8,963 15.52
0QU03JZ Supplement Lumbar Vertebra with Synthetic Substitute, Percutaneous Approach 7,667 13.28

TOP HOSPITALS ASSOCIATED WITH DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Florida Hospital Orlando 601 E ROLLINS ST Orlando FL 32803 400 0.69
Methodist Hospital of San Antonio 7700 FLOYD CURL DRIVE San Antonio TX 78229 278 0.48
Beaumont Hospital, Royal Oak 3601 W 13 MILE RD Royal Oak MI 48073 251 0.43

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)

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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 105 0.18
DR. DAVID MICHAEL SULLIVAN 350 W COLUMBIA ST EVANSVILLE IN 47710 97 0.17
DR. TAE MIN SHIN 1245 WILSHIRE BLVD., SUITE 400 LOS ANGELES CA 90017 94 0.16

DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) SUMMARY TABLE

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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 16,396 18,555
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures 4019 Unspecified essential hypertension NA 14,069
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures E785 Hyperlipidemia, unspecified 10,200 13,194
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures K219 Gastro-esophageal reflux disease without esophagitis 6,685 9,658
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures 2724 Other and unspecified hyperlipidemia NA 9,414
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures 73300 Osteoporosis, unspecified NA 8,345
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures Z87891 Personal history of nicotine dependence 5,839 8,193
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures M4806 Spinal stenosis, lumbar region 6,188 8,087
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 5,176 7,654
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures 73313 Pathologic fracture of vertebrae NA 7,202