Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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) | Back to Top |
| 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) | Back to Top |
| 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) | 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 | 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) | 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 | 400 | 0.69 |
| Methodist Hospital | 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) | 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 | 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 | 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 | 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 |