Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
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 | 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 12,391 | 88.64 |
| Black | 716 | 5.12 |
| Unknown | 211 | 1.51 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 70 to 74 | 3,035 | 21.71 |
| 65 to 69 | 2,911 | 20.82 |
| 75 to 79 | 2,615 | 18.71 |
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) | 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 | 5,284 | 37.8 |
| M5416 | Radiculopathy, lumbar region | 1,814 | 12.98 |
| M48061 | Spinal stenosis, lumbar region without neurogenic claudication | 945 | 6.76 |
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) | 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 | 7,585 | 54.26 |
| 0QU03JZ | Supplement Lumbar Vertebra with Synthetic Substitute, Percutaneous Approach | 1,724 | 12.33 |
| 0QS03ZZ | Reposition Lumbar Vertebra, Percutaneous Approach | 1,436 | 10.27 |
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) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Methodist Hospital | 7700 FLOYD CURL DRIVE | San Antonio | TX | 78229 | 81 | 0.58 |
| North Florida Regional Medical Center | 6500 W NEWBERRY RD | Gainesville | FL | 32605 | 76 | 0.54 |
| Kansas Spine & Specialty Hospital | 3333 N WEBB RD | Wichita | KS | 67226 | 75 | 0.54 |
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) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. LEONARDO R RODRIGUEZ-CRUZ | 105 S WILLOW AVE | COOKEVILLE | TN | 38501 | 31 | 0.22 |
| DR. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 28 | 0.2 |
| DR. JAMES D. TATE | 2888 EUREKA WAY | REDDING | CA | 96001 | 27 | 0.19 |
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) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. TAE MIN SHIN | 1245 WILSHIRE BLVD., SUITE 400 | LOS ANGELES | CA | 90017 | 36 | 0.26 |
| DR. LEONARDO R RODRIGUEZ-CRUZ | 105 S WILLOW AVE | COOKEVILLE | TN | 38501 | 31 | 0.22 |
| DR. DONALD LONG HILTON | 4410 MEDICAL DR | SAN ANTONIO | TX | 78229 | 29 | 0.21 |
DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 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 | 19,885 | 8,624 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | M4806 | Spinal stenosis, lumbar region | 14,025 | 5,284 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | E785 | Hyperlipidemia, unspecified | 10,897 | 5,206 | |||||||||||||||||
| 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 | 3,995 | |||||||||||||||||
| 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 | 3,449 | |||||||||||||||||
| 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 | 2,521 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | Z7982 | Long term (current) use of aspirin | 3,451 | 2,485 | |||||||||||||||||
| 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 | 2,321 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | E039 | Hypothyroidism, unspecified | 4,772 | 2,272 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Procedures | Other Musculoskeletal System And Connective Tissue O.R. Procedures | M1990 | Unspecified osteoarthritis, unspecified site | 3,502 | 1,891 |