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 | 19.29 | NA | 21,458 | 61,357 | 18,015 | ||||||||||||
| 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 | 27.05 | NA | 30,087 | 81,494 | 28,633 | ||||||||||||
| 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 | 53.66 | NA | 59,677 | 159,738 | 55,746 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 17,161 | 79.97 |
| Black | 2,927 | 13.64 |
| Hispanic | 556 | 2.59 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 4,620 | 21.53 |
| Less than 65 | 4,509 | 21.01 |
| 70 to 74 | 3,187 | 14.85 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| Z4781 | Encounter for orthopedic aftercare following surgical amputation | 3,949 | 18.4 |
| Z4789 | Encounter for other orthopedic aftercare | 2,145 | 10.0 |
| Z471 | Aftercare following joint replacement surgery | 2,116 | 9.86 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 5A1D60Z | Performance of Urinary Filtration, Multiple | 2,559 | 11.93 |
| 5A1D70Z | 1,272 | 5.93 | |
| F07Z9FZ | Gait Training/Functional Ambulation Treatment using Assistive, Adaptive, Supportive or Protective Equipment | 992 | 4.62 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Encompass Health Rehabilitation Hospital of New England | 2 REHABILITATION WAY | Woburn | MA | 01801 | 181 | 0.84 |
| Northeast Rehabilitation Hospital - Salem | 70 BUTLER STREET | Salem | NH | 03079 | 155 | 0.72 |
| Encompass Health Rehabilitation Hospital of Spring Hill | 12440 CORTEZ BLVD | Brooksville | FL | 34613 | 111 | 0.52 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JEFFREY C. WILKINS | 2376 CYPRESS CIR STE 300 | CONWAY | SC | 29526 | 102 | 0.48 |
| DR. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 93 | 0.43 |
| DR. JASON GRUNES | 250 POND ST | BRAINTREE | MA | 02184 | 73 | 0.34 |
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 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 | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | E785 | Hyperlipidemia, unspecified | 12,163 | 8,846 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | I10 | Essential (primary) hypertension | 13,642 | 8,009 | |||||||||||||||||
| 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 | 6,840 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | K219 | Gastro-esophageal reflux disease without esophagitis | 7,050 | 5,476 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | N186 | End stage renal disease | 7,662 | 5,383 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | Z992 | Dependence on renal dialysis | 7,055 | 4,874 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | D649 | Anemia, unspecified | 7,152 | 4,734 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | E039 | Hypothyroidism, unspecified | 6,689 | 4,342 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | K5900 | Constipation, unspecified | 6,141 | 4,231 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | D62 | Acute posthemorrhagic anemia | 5,423 | 4,032 |