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 | 42.09 | NA | 13,885 | 57,735 | 13,775 | ||||||||||||
| 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 | 42.38 | NA | 13,979 | 50,577 | 13,940 | ||||||||||||
| 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 | 15.53 | NA | 5,122 | 22,804 | 4,909 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 12,343 | 88.89 |
| Black | 780 | 5.62 |
| Asian | 219 | 1.58 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 3,157 | 22.74 |
| 70 to 74 | 2,392 | 17.23 |
| 75 to 79 | 2,389 | 17.21 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| M4806 | Spinal stenosis, lumbar region | 3,102 | 22.34 |
| M4856XA | Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 970 | 6.99 |
| M5416 | Radiculopathy, lumbar region | 899 | 6.47 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 01NB0ZZ | Release Lumbar Nerve, Open Approach | 3,904 | 28.12 |
| 0QU03JZ | Supplement Lumbar Vertebra with Synthetic Substitute, Percutaneous Approach | 3,308 | 23.82 |
| 0QS03ZZ | Reposition Lumbar Vertebra, Percutaneous Approach | 2,637 | 18.99 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 93 | 0.67 |
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 90 | 0.65 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 74 | 0.53 |
TOP ATTENDING 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ANDREW A SAMA | 535 EAST 70 ST | NY | NY | 10021 | 18 | 0.13 |
| DR. RAYMOND W GRUNDMEYER | 3223 N WEBB RD | WICHITA | KS | 67226 | 18 | 0.13 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. SAMER M ELFALLAL | 5452 FORT ST STE 200 | TRENTON | MI | 48183 | 37 | 0.27 |
| DR. LUIS E DUARTE | 120 E BEAUREGARD AVE | SAN ANGELO | TX | 76903 | 36 | 0.26 |
| DR. MICHAEL PAUL CHAPMAN | 1500 ASSOCIATES DR | DUBUQUE | IA | 52002 | 29 | 0.21 |
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 2017 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 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 | 7,372 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | E785 | Hyperlipidemia, unspecified | 10,200 | 5,695 | |||||||||||||||||
| 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 | 4,332 | |||||||||||||||||
| 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 | 3,645 | |||||||||||||||||
| 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 | 3,387 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | M4806 | Spinal stenosis, lumbar region | 6,188 | 3,102 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | E039 | Hypothyroidism, unspecified | 4,709 | 2,921 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | Z7982 | Long term (current) use of aspirin | 3,196 | 2,577 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | J449 | Chronic obstructive pulmonary disease, unspecified | 3,404 | 2,222 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | F329 | Major depressive disorder, single episode, unspecified | 3,616 | 2,212 |