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 | 84.88 | NA | 16,574 | 85,394 | 16,347 | ||||||||||||
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | Non Surgical | 15.12 | NA | 2,952 | 13,666 | 2,841 |
DEMOGRAPHIC DETAILS OF DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 12,598 | 76.01 |
| Black | 3,035 | 18.31 |
| Hispanic | 295 | 1.78 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 4,190 | 25.28 |
| 75 to 79 | 2,751 | 16.6 |
| 80 to 84 | 2,634 | 15.89 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| M1711 | Unilateral primary osteoarthritis, right knee | 1,863 | 11.24 |
| M170 | Bilateral primary osteoarthritis of knee | 1,753 | 10.58 |
| M1712 | Unilateral primary osteoarthritis, left knee | 1,653 | 9.97 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 3E0U33Z | Introduction of Anti-inflammatory into Joints, Percutaneous Approach | 1,203 | 7.26 |
| 0S9C3ZX | Drainage of Right Knee Joint, Percutaneous Approach, Diagnostic | 931 | 5.62 |
| 3E0U3BZ | Introduction of Local Anesthetic into Joints, Percutaneous Approach | 816 | 4.92 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Kessler Institute for Rehabilitation | 1199 PLEASANT VALLEY WAY | West Orange | NJ | 07052 | 366 | 2.21 |
| Montefiore Medical Center | 111 E 210TH ST | Bronx | NY | 10467 | 68 | 0.41 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 65 | 0.39 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ELINOR ANAN | 1199 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 47 | 0.28 |
| DR. SHAILESH PARIKH | 300 MARKET ST | SADDLE BROOK | NJ | 07663 | 47 | 0.28 |
| DR. JOSE L VARGAS | 2525 SW 75TH AVE | MIAMI | FL | 33155 | 38 | 0.23 |
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 2017 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 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 | I10 | Essential (primary) hypertension | 23,651 | 7,968 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | E785 | Hyperlipidemia, unspecified | 15,083 | 6,855 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 8,206 | 4,111 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | M109 | Gout, unspecified | 6,761 | 4,014 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | K219 | Gastro-esophageal reflux disease without esophagitis | 8,763 | 3,881 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | Z87891 | Personal history of nicotine dependence | 6,957 | 3,606 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | E039 | Hypothyroidism, unspecified | 6,341 | 3,147 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | Z7901 | Long term (current) use of anticoagulants | 4,441 | 3,135 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | Z7982 | Long term (current) use of aspirin | 4,594 | 2,812 | |||||||||||||||||
| Orthopedics | Bone Diseases And Arthropathies | Bone Diseases And Arthropathies | I129 | Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease | 6,948 | 2,769 |