Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 62,194 | 86.21 |
| Black | 5,987 | 8.3 |
| Asian | 1,123 | 1.56 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 23,544 | 32.64 |
| 80 to 84 | 11,977 | 16.6 |
| 75 to 79 | 10,431 | 14.46 |
TOP ICD DIAGNOSIS CODES FOR DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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 | 19,152 | 26.55 |
| 73313 | Pathologic fracture of vertebrae | 18,409 | 25.52 |
| 1985 | Secondary malignant neoplasm of bone and bone marrow | 15,748 | 21.83 |
TOP ICD PROCEDURE CODES FOR DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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 |
|---|---|---|---|
| 9229 | Other Radiotherapeutic Procedure | 3,090 | 4.28 |
| 9904 | Transfusion Of Packed Cells | 2,142 | 2.97 |
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 1,354 | 1.88 |
TOP HOSPITALS ASSOCIATED WITH DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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 |
|---|---|---|---|---|---|---|
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 446 | 0.62 |
| University of Texas MD Anderson Cancer Center | 1515 HOLCOMBE BLVD | Houston | TX | 77030 | 395 | 0.55 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 310 | 0.43 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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. VLADIMIR MILO | 10010 KENNERLY RD | SAINT LOUIS | MO | 63128 | 42 | 0.06 |
| DR. CURTIS M JONES | 13610 BARRETT OFFICE DR | MANCHESTER | MO | 63021 | 31 | 0.04 |
| DR. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 29 | 0.04 |
DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | 4019 | Unspecified essential hypertension | NA | 19,152 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | I10 | Essential (primary) hypertension | 14,411 | 18,804 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | 73313 | Pathologic fracture of vertebrae | NA | 18,409 | |||||||||||||||||
| 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 | 15,748 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | E785 | Hyperlipidemia, unspecified | 8,147 | 12,662 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | C7951 | Secondary malignant neoplasm of bone | 12,932 | 11,958 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | 2724 | Other and unspecified hyperlipidemia | NA | 11,412 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | 73300 | Osteoporosis, unspecified | NA | 11,221 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Z87891 | Personal history of nicotine dependence | 6,481 | 9,665 | |||||||||||||||||
| Orthopedics | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy | K219 | Gastro-esophageal reflux disease without esophagitis | 5,142 | 8,585 |