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 | 27.05 | NA | 30,087 | 81,494 | 28,633 | ||||||||||||
| 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 | ||||||||||||
| 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 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 26,535 | 88.19 |
| Black | 2,059 | 6.84 |
| Hispanic | 444 | 1.48 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 7,391 | 24.57 |
| 75 to 79 | 5,206 | 17.3 |
| 70 to 74 | 5,064 | 16.83 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| Z471 | Aftercare following joint replacement surgery | 6,213 | 20.65 |
| R269 | Unspecified abnormalities of gait and mobility | 3,955 | 13.15 |
| Z4789 | Encounter for other orthopedic aftercare | 3,945 | 13.11 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| F07Z9ZZ | Gait Training/Functional Ambulation Treatment | 1,574 | 5.23 |
| F07Z9FZ | Gait Training/Functional Ambulation Treatment using Assistive, Adaptive, Supportive or Protective Equipment | 1,351 | 4.49 |
| F08Z2ZZ | Grooming/Personal Hygiene Treatment | 1,126 | 3.74 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Encompass Health Rehabilitation Hospital of Salisbury | 220 TILGHMAN RD | Salisbury | MD | 21804 | 252 | 0.84 |
| Encompass Health Rehabilitation Hospital of Sarasota | 6400 EDGELAKE DR | Sarasota | FL | 34240 | 221 | 0.73 |
| Encompass Health Rehabilitation Hospital of Sunrise | 4399 N NOB HILL RD | Sunrise | FL | 33351 | 209 | 0.69 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 136 | 0.45 |
| DR. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 136 | 0.45 |
| DR. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 130 | 0.43 |
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 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 | I10 | Essential (primary) hypertension | 38,602 | 19,735 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | E785 | Hyperlipidemia, unspecified | 21,913 | 12,578 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | K219 | Gastro-esophageal reflux disease without esophagitis | 13,319 | 8,355 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | D649 | Anemia, unspecified | 14,594 | 7,836 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | K5900 | Constipation, unspecified | 12,240 | 6,923 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | E039 | Hypothyroidism, unspecified | 11,815 | 6,671 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | Z471 | Aftercare following joint replacement surgery | 17,773 | 6,213 | |||||||||||||||||
| 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 | 6,069 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | F329 | Major depressive disorder, single episode, unspecified | 8,355 | 5,039 | |||||||||||||||||
| Orthopedics | Aftercare, Musculoskeletal System And Connective Tissue | Aftercare, Musculoskeletal System And Connective Tissue | M1990 | Unspecified osteoarthritis, unspecified site | 8,185 | 4,584 |