DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 551: MEDICAL BACK PROBLEMS WITH 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 (%)
551 MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Orthopedics Medical Back Problems Medical Back Problems Non Surgical 18.03 NA 15,197 70,498 63,842
552 MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) Orthopedics Medical Back Problems Medical Back Problems Non Surgical 81.97 NA 64,373 320,525 308,725

DEMOGRAPHIC DETAILS OF DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 58,303 82.7
Black 8,053 11.42
Hispanic 1,415 2.01
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 22,194 31.48
80 to 84 11,327 16.07
Less than 65 10,198 14.47

TOP ICD DIAGNOSIS CODES FOR DRG 551: MEDICAL BACK PROBLEMS WITH 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
4019 Unspecified essential hypertension 15,410 21.86
2724 Other and unspecified hyperlipidemia 12,893 18.29
42731 Atrial fibrillation 9,516 13.5

TOP ICD PROCEDURE CODES FOR DRG 551: MEDICAL BACK PROBLEMS WITH 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
3995 Hemodialysis 5,317 7.54
5A1D60Z Performance of Urinary Filtration, Multiple 2,828 4.01
9904 Transfusion Of Packed Cells 1,851 2.63

TOP HOSPITALS ASSOCIATED WITH DRG 551: MEDICAL BACK PROBLEMS WITH 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
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 288 0.41
Beaumont Hospital Royal Oak 3601 W 13 MILE RD Royal Oak MI 48073 231 0.33
Christiana Care Wilmington Hospital 501 W 14TH ST Wilmington DE 19801 209 0.3

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 551: MEDICAL BACK PROBLEMS WITH 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. VASILIOS STAMBOLIS 26W171 ROOSEVELT RD WHEATON IL 60187 70 0.1
DR. RAJENDRA PADHYE 414 PAOLI PIKE MALVERN PA 19355 66 0.09
DR. MEREDITH MICHELLE ADAMS 1643 LANCASTER DR GRAPEVINE TX 76051 44 0.06

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 551: MEDICAL BACK PROBLEMS WITH 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. VASILIOS STAMBOLIS 26W171 ROOSEVELT RD WHEATON IL 60187 37 0.05

DRG 551: MEDICAL BACK PROBLEMS WITH 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 Medical Back Problems Medical Back Problems 4019 Unspecified essential hypertension NA 15,410
Orthopedics Medical Back Problems Medical Back Problems I10 Essential (primary) hypertension 10,769 14,851
Orthopedics Medical Back Problems Medical Back Problems E785 Hyperlipidemia, unspecified 8,427 13,599
Orthopedics Medical Back Problems Medical Back Problems 2724 Other and unspecified hyperlipidemia NA 12,893
Orthopedics Medical Back Problems Medical Back Problems I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 6,149 10,302
Orthopedics Medical Back Problems Medical Back Problems 42731 Atrial fibrillation NA 9,516
Orthopedics Medical Back Problems Medical Back Problems 4280 Congestive heart failure, unspecified NA 9,087
Orthopedics Medical Back Problems Medical Back Problems K219 Gastro-esophageal reflux disease without esophagitis 4,551 8,126
Orthopedics Medical Back Problems Medical Back Problems 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 7,728
Orthopedics Medical Back Problems Medical Back Problems 53081 Esophageal reflux NA 7,605