DRG 552: MEDICAL BACK PROBLEMS WITHOUT 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | |
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 (%) |
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 |
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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 |
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DEMOGRAPHIC DETAILS OF DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
Race |
Total Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
White |
277,711 |
86.64 |
Black |
26,258 |
8.19 |
Hispanic |
5,373 |
1.68 |
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Age Group ( Years ) |
Total Hospitalization Volume - Jan 2013 to Dec 2017 |
% of DRG Volume |
Greater than 84 |
98,007 |
30.58 |
80 to 84 |
53,576 |
16.72 |
75 to 79 |
47,030 |
14.67 |
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TOP ICD DIAGNOSIS CODES FOR DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ICD PROCEDURE CODES FOR DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP HOSPITALS ASSOCIATED WITH DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
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 |
321 |
0.1 |
DR. CHARLES E. COTTLE |
9643 HUEBNER RD |
SAN ANTONIO |
TX |
78240 |
237 |
0.07 |
DR. ADE L ADEDOKUN |
6116 OAKBEND TRL |
FORT WORTH |
TX |
76132 |
209 |
0.07 |
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TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
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 |
175 |
0.05 |
DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | |
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 |
99,043 |
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Orthopedics |
Medical Back Problems |
Medical Back Problems |
I10 |
Essential (primary) hypertension |
84,009 |
88,714 |
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Orthopedics |
Medical Back Problems |
Medical Back Problems |
2724 |
Other and unspecified hyperlipidemia |
NA |
62,506 |
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Orthopedics |
Medical Back Problems |
Medical Back Problems |
E785 |
Hyperlipidemia, unspecified |
48,798 |
59,642 |
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Orthopedics |
Medical Back Problems |
Medical Back Problems |
53081 |
Esophageal reflux |
NA |
38,273 |
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Orthopedics |
Medical Back Problems |
Medical Back Problems |
K219 |
Gastro-esophageal reflux disease without esophagitis |
28,390 |
37,231 |
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Orthopedics |
Medical Back Problems |
Medical Back Problems |
25000 |
Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled |
NA |
36,268 |
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Orthopedics |
Medical Back Problems |
Medical Back Problems |
I2510 |
Atherosclerotic heart disease of native coronary artery without angina pectoris |
26,112 |
35,202 |
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Orthopedics |
Medical Back Problems |
Medical Back Problems |
2449 |
Unspecified acquired hypothyroidism |
NA |
34,620 |
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Orthopedics |
Medical Back Problems |
Medical Back Problems |
8054 |
Closed fracture of lumbar vertebra without mention of spinal cord injury |
NA |
32,574 |
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