Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Non Surgical | 25.36 | NA | 7,698 | 32,117 | 28,265 | ||||||||||||
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Non Surgical | 17.68 | NA | 5,015 | 22,394 | 21,421 | ||||||||||||
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Non Surgical | 56.96 | NA | 15,639 | 72,141 | 67,868 |
DEMOGRAPHIC DETAILS OF DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 26,408 | 82.22 |
| Black | 3,649 | 11.36 |
| Hispanic | 648 | 2.02 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 8,641 | 26.9 |
| 65 to 69 | 4,839 | 15.07 |
| 80 to 84 | 4,813 | 14.99 |
TOP ICD DIAGNOSIS CODES FOR DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 1985 | Secondary malignant neoplasm of bone and bone marrow | 6,694 | 20.84 |
| C7951 | Secondary malignant neoplasm of bone | 6,577 | 20.48 |
| 73313 | Pathologic fracture of vertebrae | 6,537 | 20.35 |
TOP ICD PROCEDURE CODES FOR DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 9904 | Transfusion Of Packed Cells | 2,039 | 6.35 |
| 3995 | Hemodialysis | 1,639 | 5.1 |
| 9229 | Other Radiotherapeutic Procedure | 1,308 | 4.07 |
TOP HOSPITALS ASSOCIATED WITH DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| University of Texas MD Anderson Cancer Center | 1515 HOLCOMBE BLVD | Houston | TX | 77030 | 184 | 0.57 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 150 | 0.47 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 135 | 0.42 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JAMES M LALLY | 13193 CENTRAL AVE | CHINO | CA | 91710 | 23 | 0.07 |
| DR. KETAN P AJUDIA | 1100 MARSHALL WAY | PLACERVILLE | CA | 95667 | 14 | 0.04 |
| DR. BEEJADI N MUKUNDA | 6559 WILSON MILLS RD | MAYFIELD VILLAGE | OH | 44143 | 12 | 0.04 |
DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH 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 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 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | I10 | Essential (primary) hypertension | 5,057 | 7,208 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | 1985 | Secondary malignant neoplasm of bone and bone marrow | NA | 6,694 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | C7951 | Secondary malignant neoplasm of bone | 5,877 | 6,577 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | 73313 | Pathologic fracture of vertebrae | NA | 6,537 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | 4019 | Unspecified essential hypertension | NA | 6,226 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | E785 | Hyperlipidemia, unspecified | 3,157 | 5,719 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Z66 | Do not resuscitate | 2,987 | 5,293 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Z87891 | Personal history of nicotine dependence | 2,877 | 4,680 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | 2724 | Other and unspecified hyperlipidemia | NA | 4,571 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 2,341 | 4,141 |