DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

Table of Contents

No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 (%)
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
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
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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 45,309 89.58
Black 2,403 4.75
Asian 716 1.42
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
70 to 74 9,790 19.36
65 to 69 9,720 19.22
75 to 79 8,932 17.66

TOP ICD DIAGNOSIS CODES FOR DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
M4806 Spinal stenosis, lumbar region 14,388 28.45
4019 Unspecified essential hypertension 10,247 20.26
2724 Other and unspecified hyperlipidemia 5,722 11.31

TOP ICD PROCEDURE CODES FOR DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
01NB0ZZ Release Lumbar Nerve, Open Approach 18,041 35.67
8166 Percutaneous Vertebral Augmentation 5,855 11.58
8197 Revision Of Joint Replacement Of Upper Extremity 4,367 8.63

TOP HOSPITALS ASSOCIATED WITH DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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 262 0.52
North Florida Regional Medical Center 6500 W NEWBERRY RD Gainesville FL 32605 242 0.48
Hospital For Special Surgery 535 E 70TH ST New York NY 10021 236 0.47

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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. JAMES D. TATE 2888 EUREKA WAY REDDING CA 96001 61 0.12
DR. JOHN R DICKERSON 3223 N WEBB RD WICHITA KS 67226 56 0.11
DR. PHILIP HENKIN 1007 PROFESSIONAL PARK DR BRANDON FL 33511 54 0.11

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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. TAE MIN SHIN 1245 WILSHIRE BLVD., SUITE 400 LOS ANGELES CA 90017 120 0.24
DR. KYOO SANG RO 435 ARDEN AVE GLENDALE CA 91203 82 0.16
DR. JAMES D. TATE 2888 EUREKA WAY REDDING CA 96001 61 0.12

DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 19,885 20,721
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures M4806 Spinal stenosis, lumbar region 14,025 14,388
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures E785 Hyperlipidemia, unspecified 10,897 12,023
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures 4019 Unspecified essential hypertension NA 10,247
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures K219 Gastro-esophageal reflux disease without esophagitis 8,130 9,428
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures Z87891 Personal history of nicotine dependence 6,234 7,775
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 4,432 5,939
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures E119 Type 2 diabetes mellitus without complications 5,839 5,781
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures 2724 Other and unspecified hyperlipidemia NA 5,722
Orthopedics Other Musculoskeletal System And Connective Tissue Procedures Other Musculoskeletal System And Connective Tissue O.R. Procedures E039 Hypothyroidism, unspecified 4,772 5,396