DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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 (%)
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses Non Surgical 32.02 NA 5,170 18,147 16,107
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses Non Surgical 52.53 NA 8,220 29,774 28,337
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses Non Surgical 15.45 NA 2,326 8,756 8,406

DEMOGRAPHIC DETAILS OF DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 12,709 70.03
Black 3,890 21.44
Hispanic 722 3.98
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 6,420 35.38
Greater than 84 3,291 18.14
65 to 69 2,495 13.75

TOP ICD DIAGNOSIS CODES FOR DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
99762 Infection (chronic) of amputation stump 4,214 23.22
T796XXA Traumatic ischemia of muscle, initial encounter 3,901 21.5
5856 End stage renal disease 3,157 17.4

TOP ICD PROCEDURE CODES FOR DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
3995 Hemodialysis 2,654 14.63
5A1D60Z Performance of Urinary Filtration, Multiple 1,413 7.79
9904 Transfusion Of Packed Cells 990 5.46

TOP HOSPITALS ASSOCIATED WITH DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 70 0.39
Triumph Hospital Of North Houston 505 GRAHAM DR Tomball TX 77375 55 0.3
Montefiore Medical Center 111 E 210TH ST Bronx NY 10467 52 0.29

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. FEDERICO DEL TORO 300 W SAINT MARY BLVD LAFAYETTE LA 70506 15 0.08
DR. SALMAN S. ALY 1201 CREEKWAY DRIVE SUGAR LAND TX 77478 14 0.08
DR. OLADAYO A SANUSI 1901 PEASE ST HARLINGEN TX 78550 13 0.07

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. FEDERICO DEL TORO 300 W SAINT MARY BLVD LAFAYETTE LA 70506 11 0.06

DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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 Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses 99762 Infection (chronic) of amputation stump NA 4,214
Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses E785 Hyperlipidemia, unspecified 2,622 4,156
Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses T796XXA Traumatic ischemia of muscle, initial encounter 1,768 3,901
Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses I10 Essential (primary) hypertension 2,494 3,573
Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 2,065 3,394
Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses 5856 End stage renal disease NA 3,157
Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses N186 End stage renal disease 2,218 2,968
Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses 40391 Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease NA 2,652
Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses 2724 Other and unspecified hyperlipidemia NA 2,501
Orthopedics Other Musculoskeletal System And Connective Tissue Diagnoses Other Musculoskeletal System And Connective Tissue Diagnoses 4439 Peripheral vascular disease, unspecified NA 2,468