Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | ||||||||||||
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 | ||||||||||||
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 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 72,167 | 88.55 |
Black | 5,493 | 6.74 |
Hispanic | 1,175 | 1.44 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
Greater than 84 | 20,042 | 24.59 |
75 to 79 | 13,827 | 16.97 |
80 to 84 | 13,352 | 16.38 |
TOP ICD DIAGNOSIS CODES FOR DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
---|---|---|---|
Z471 | Aftercare following joint replacement surgery | 16,418 | 20.15 |
R269 | Unspecified abnormalities of gait and mobility | 9,317 | 11.43 |
Z4789 | Encounter for other orthopedic aftercare | 8,642 | 10.6 |
TOP ICD PROCEDURE CODES FOR DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
---|---|---|---|
7975 | Closed Reduction Of Dislocation Of Hip | 4,593 | 5.64 |
F07Z9ZZ | Gait Training/Functional Ambulation Treatment | 3,706 | 4.55 |
F07Z9FZ | Gait Training/Functional Ambulation Treatment using Assistive, Adaptive, Supportive or Protective Equipment | 2,881 | 3.54 |
TOP HOSPITALS ASSOCIATED WITH DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 Salisbury | 220 TILGHMAN RD | Salisbury | MD | 21804 | 528 | 0.65 |
Encompass Health Rehabilitation Hospital of Toms River | 14 HOSPITAL DR | Toms River | NJ | 08755 | 509 | 0.62 |
Encompass Health Rehabilitation Hospital of Sunrise | 4399 N NOB HILL RD | Sunrise | FL | 33351 | 506 | 0.62 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 314 | 0.39 |
DR. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 297 | 0.36 |
DR. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 293 | 0.36 |
DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 38,602 | 47,650 | |||||||||||||||||
Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | E785 | Hyperlipidemia, unspecified | 21,913 | 29,319 | |||||||||||||||||
Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | K219 | Gastro-esophageal reflux disease without esophagitis | 13,319 | 19,350 | |||||||||||||||||
Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | D649 | Anemia, unspecified | 14,594 | 19,059 | |||||||||||||||||
Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | Z471 | Aftercare following joint replacement surgery | 17,773 | 16,418 | |||||||||||||||||
Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | K5900 | Constipation, unspecified | 12,240 | 16,263 | |||||||||||||||||
Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | E039 | Hypothyroidism, unspecified | 11,815 | 15,630 | |||||||||||||||||
Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 9,388 | 14,266 | |||||||||||||||||
Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | F329 | Major depressive disorder, single episode, unspecified | 8,355 | 11,842 | |||||||||||||||||
Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | M1990 | Unspecified osteoarthritis, unspecified site | 8,185 | 10,925 |