Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 559: AFTERCARE, 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | Non Surgical | 20.28 | NA | 21,458 | 61,357 | 51,243 | ||||||||||||
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | Non Surgical | 26.93 | NA | 30,087 | 81,494 | 77,269 | ||||||||||||
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | Non Surgical | 52.79 | NA | 59,677 | 159,738 | 149,024 |
DEMOGRAPHIC DETAILS OF DRG 559: AFTERCARE, 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 | 49,512 | 80.69 |
| Black | 8,107 | 13.21 |
| Hispanic | 1,508 | 2.46 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 13,249 | 21.59 |
| Less than 65 | 12,807 | 20.87 |
| 75 to 79 | 9,031 | 14.72 |
TOP ICD DIAGNOSIS CODES FOR DRG 559: AFTERCARE, 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 |
|---|---|---|---|
| Z4781 | Encounter for orthopedic aftercare following surgical amputation | 8,636 | 14.08 |
| Z471 | Aftercare following joint replacement surgery | 5,633 | 9.18 |
| 4019 | Unspecified essential hypertension | 4,970 | 8.1 |
TOP ICD PROCEDURE CODES FOR DRG 559: AFTERCARE, 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 |
|---|---|---|---|
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 6,626 | 10.8 |
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 2,187 | 3.56 |
| 9904 | Transfusion Of Packed Cells | 2,140 | 3.49 |
TOP HOSPITALS ASSOCIATED WITH DRG 559: AFTERCARE, 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 |
|---|---|---|---|---|---|---|
| Northeast Rehabilitation Hospital - Salem | 70 BUTLER STREET | Salem | NH | 03079 | 389 | 0.63 |
| Encompass Health Rehabilitation Hospital of New England | 2 REHABILITATION WAY | Woburn | MA | 01801 | 324 | 0.53 |
| WACCAMAW REHAB CARE | 4070 HWY 17 BYPASS | Murells Inlet | SC | 29576 | 267 | 0.44 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 559: AFTERCARE, 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. JEFFREY C. WILKINS | 2376 CYPRESS CIR STE 300 | CONWAY | SC | 29526 | 267 | 0.44 |
| DR. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 183 | 0.3 |
| DR. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 152 | 0.25 |
DRG 559: AFTERCARE, 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 | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | I10 | Essential (primary) hypertension | 13,642 | 19,894 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | E785 | Hyperlipidemia, unspecified | 12,163 | 19,682 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 9,362 | 15,504 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | K219 | Gastro-esophageal reflux disease without esophagitis | 7,050 | 12,365 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | N186 | End stage renal disease | 7,662 | 12,196 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | D649 | Anemia, unspecified | 7,152 | 11,088 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | Z992 | Dependence on renal dialysis | 7,055 | 10,953 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | E039 | Hypothyroidism, unspecified | 6,689 | 9,987 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | K5900 | Constipation, unspecified | 6,141 | 9,646 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | J449 | Chronic obstructive pulmonary disease, unspecified | 5,576 | 9,126 |