Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | Non Surgical | 86.20 | NA | 16,574 | 85,394 | 83,892 | ||||||||||||
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | Non Surgical | 13.80 | NA | 2,952 | 13,666 | 13,127 |
DEMOGRAPHIC DETAILS OF DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 64,109 | 75.07 |
| Black | 16,300 | 19.09 |
| Hispanic | 1,596 | 1.87 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 20,361 | 23.84 |
| 75 to 79 | 14,055 | 16.46 |
| 70 to 74 | 13,557 | 15.88 |
TOP ICD DIAGNOSIS CODES FOR DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT 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 |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 23,931 | 28.02 |
| 2724 | Other and unspecified hyperlipidemia | 17,672 | 20.69 |
| 27401 | Acute gouty arthropathy | 12,126 | 14.2 |
TOP ICD PROCEDURE CODES FOR DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT 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 |
|---|---|---|---|
| 8191 | Arthrocentesis | 8,088 | 9.47 |
| 8192 | Injection Of Therapeutic Substance Into Joint Or Ligament | 3,192 | 3.74 |
| 9923 | Injection Of Steroid | 2,896 | 3.39 |
TOP HOSPITALS ASSOCIATED WITH DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT 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 |
|---|---|---|---|---|---|---|
| Kessler Institute for Rehabilitation | 1199 PLEASANT VALLEY WAY | West Orange | NJ | 07052 | 3,535 | 4.14 |
| Allied Rehab Hospital | 475 MORGAN HWY | Scranton | PA | 18508 | 1,030 | 1.21 |
| Marianjoy Rehabilitation Hospital | 26W171 ROOSEVELT RD | Wheaton | IL | 60187 | 704 | 0.82 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT 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. PAUL W. HORCHOS | 5 MORGAN HWY | SCRANTON | PA | 18508 | 555 | 0.65 |
| DR. THOMAS LAMMERTSE | 201 PLEASANT HILL RD | CHESTER | NJ | 07930 | 404 | 0.47 |
| DR. NORMAN A ALIGA | 26W171 ROOSEVELT RD | WHEATON | IL | 60187 | 392 | 0.46 |
DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT 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 | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | 4019 | Unspecified essential hypertension | NA | 23,931 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | I10 | Essential (primary) hypertension | 23,651 | 21,418 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | 2724 | Other and unspecified hyperlipidemia | NA | 17,672 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | E785 | Hyperlipidemia, unspecified | 15,083 | 16,544 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | 27401 | Acute gouty arthropathy | NA | 12,126 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 11,017 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | 71536 | Osteoarthrosis, localized, not specified whether primary or secondary, lower leg | NA | 10,523 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 8,206 | 10,086 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | K219 | Gastro-esophageal reflux disease without esophagitis | 8,763 | 9,636 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | 53081 | Esophageal reflux | NA | 9,602 |