Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Non Surgical | 17.89 | NA | 3,447 | 17,238 | 15,981 | ||||||||||||
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Non Surgical | 82.11 | NA | 13,894 | 79,116 | 76,210 |
DEMOGRAPHIC DETAILS OF DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 12,545 | 72.78 |
| Black | 3,539 | 20.53 |
| Hispanic | 395 | 2.29 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 4,510 | 26.16 |
| Greater than 84 | 3,692 | 21.42 |
| 80 to 84 | 2,365 | 13.72 |
TOP ICD DIAGNOSIS CODES FOR DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH 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 |
|---|---|---|---|
| 2724 | Other and unspecified hyperlipidemia | 3,429 | 19.89 |
| 4019 | Unspecified essential hypertension | 3,070 | 17.81 |
| 5856 | End stage renal disease | 2,892 | 16.78 |
TOP ICD PROCEDURE CODES FOR DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH 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 |
|---|---|---|---|
| 3995 | Hemodialysis | 2,237 | 12.98 |
| 9904 | Transfusion Of Packed Cells | 1,563 | 9.07 |
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 906 | 5.26 |
TOP HOSPITALS ASSOCIATED WITH DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH 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 |
|---|---|---|---|---|---|---|
| Encompass Health Rehabilitation Hospital of Montgomery | 4465 NARROW LANE RD | Montgomery | AL | 36116 | 181 | 1.05 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 126 | 0.73 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 110 | 0.64 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH 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. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 181 | 1.05 |
| DR. IVAN FIGUEROA | 14902 PRESTON RD | DALLAS | TX | 75254 | 60 | 0.35 |
| DR. CLAY W. SINGLETON | 245 CHESAPEAKE AVE | NEWPORT NEWS | VA | 23607 | 47 | 0.27 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH 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. JOSEPH EARL BROOKS | 315 BUSINESS LOOP 70 W | COLUMBIA | MO | 65203 | 30 | 0.17 |
DRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH 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 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | 2724 | Other and unspecified hyperlipidemia | NA | 3,429 | |||||||||||||||||
| Orthopedics | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | E785 | Hyperlipidemia, unspecified | 1,785 | 3,137 | |||||||||||||||||
| Orthopedics | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | 4019 | Unspecified essential hypertension | NA | 3,070 | |||||||||||||||||
| Orthopedics | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | 5856 | End stage renal disease | NA | 2,892 | |||||||||||||||||
| Orthopedics | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | 42731 | Atrial fibrillation | NA | 2,830 | |||||||||||||||||
| Orthopedics | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | 72992 | Nontraumatic hematoma of soft tissue | NA | 2,750 | |||||||||||||||||
| Orthopedics | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | I10 | Essential (primary) hypertension | 1,891 | 2,691 | |||||||||||||||||
| Orthopedics | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | 4280 | Congestive heart failure, unspecified | NA | 2,630 | |||||||||||||||||
| Orthopedics | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,487 | 2,567 | |||||||||||||||||
| Orthopedics | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | Signs And Symptoms Of Musculoskeletal System And Connective Tissue | 40391 | Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease | NA | 2,448 |