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 | 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 32.90 | NA | 5,170 | 18,147 | 4,674 | ||||||||||||
| 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 | 52.30 | NA | 8,220 | 29,774 | 7,879 | ||||||||||||
| 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 | 14.80 | NA | 2,326 | 8,756 | 2,248 |
DEMOGRAPHIC DETAILS OF DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 3,889 | 75.22 |
| Black | 873 | 16.89 |
| Hispanic | 182 | 3.52 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 1,458 | 28.2 |
| Greater than 84 | 1,242 | 24.02 |
| 65 to 69 | 674 | 13.04 |
TOP ICD DIAGNOSIS CODES FOR DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 |
|---|---|---|---|
| T796XXA | Traumatic ischemia of muscle, initial encounter | 2,079 | 40.21 |
| T8743 | Infection of amputation stump, right lower extremity | 840 | 16.25 |
| T8744 | Infection of amputation stump, left lower extremity | 823 | 15.92 |
TOP ICD PROCEDURE CODES FOR DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 | 553 | 10.7 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 415 | 8.03 |
| 5A1D70Z | 290 | 5.61 | |
TOP HOSPITALS ASSOCIATED WITH DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 |
|---|---|---|---|---|---|---|
| Memorial Hermann Hospital System | 1635 NORTH LOOP W | Houston | TX | 77008 | 22 | 0.43 |
| Mercy Hospital South | 10010 KENNERLY RD | Saint Louis | MO | 63128 | 19 | 0.37 |
| Hackensack Meridian Health Ocean Medical Center | 425 JACK MARTIN BLVD | Brick | NJ | 08724 | 18 | 0.35 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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. FEDERICO DEL TORO | 300 W SAINT MARY BLVD | LAFAYETTE | LA | 70506 | NA | NA |
| DR. SALMAN S. ALY | 1201 CREEKWAY DRIVE | SUGAR LAND | TX | 77478 | NA | NA |
| DR. FAROOQUE AHMED | 1626 MEDICAL CENTER DR STE 400 | EL PASO | TX | 79902 | NA | NA |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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. FEDERICO DEL TORO | 300 W SAINT MARY BLVD | LAFAYETTE | LA | 70506 | NA | NA |
DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | T796XXA | Traumatic ischemia of muscle, initial encounter | 1,768 | 2,079 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | E785 | Hyperlipidemia, unspecified | 2,622 | 1,996 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | I10 | Essential (primary) hypertension | 2,494 | 1,619 | |||||||||||||||||
| 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 | 1,553 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | E1122 | Type 2 diabetes mellitus with diabetic chronic kidney disease | 884 | 1,421 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | N186 | End stage renal disease | 2,218 | 1,318 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | N179 | Acute kidney failure, unspecified | 1,313 | 1,197 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | Z87891 | Personal history of nicotine dependence | 1,236 | 1,035 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | Z992 | Dependence on renal dialysis | 1,700 | 1,031 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | K219 | Gastro-esophageal reflux disease without esophagitis | 1,228 | 987 |