Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 | 1,941 | 83.45 |
| Black | 262 | 11.26 |
| Hispanic | 48 | 2.06 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 740 | 31.81 |
| Less than 65 | 361 | 15.52 |
| 80 to 84 | 358 | 15.39 |
TOP ICD DIAGNOSIS CODES FOR DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 |
|---|---|---|---|
| T796XXA | Traumatic ischemia of muscle, initial encounter | 966 | 41.53 |
| M25462 | Effusion, left knee | 238 | 10.23 |
| M25461 | Effusion, right knee | 237 | 10.19 |
TOP ICD PROCEDURE CODES FOR DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 |
|---|---|---|---|
| 0S9C3ZZ | Drainage of Right Knee Joint, Percutaneous Approach | 59 | 2.54 |
| 0S9C3ZX | Drainage of Right Knee Joint, Percutaneous Approach, Diagnostic | 58 | 2.49 |
| 0S9D3ZZ | Drainage of Left Knee Joint, Percutaneous Approach | 57 | 2.45 |
TOP HOSPITALS ASSOCIATED WITH DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 |
|---|---|---|---|---|---|---|
| Wilkes-Barre General Hospital | 575 N RIVER ST | Wilkes Barre | PA | 18764 | NA | NA |
| Long Island Jewish Medical Center | 270-05 76 AVE | New Hyde Park | NY | 11040 | NA | NA |
| Memorial Hermann Hospital System | 1635 NORTH LOOP W | Houston | TX | 77008 | NA | NA |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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. LUCIAN P. BEDNARZ | 5 MORGAN HWY | SCRANTON | PA | 18508 | NA | NA |
DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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 | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | I10 | Essential (primary) hypertension | 3,803 | 1,416 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | T796XXA | Traumatic ischemia of muscle, initial encounter | 2,108 | 966 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | E785 | Hyperlipidemia, unspecified | 1,972 | 865 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | K219 | Gastro-esophageal reflux disease without esophagitis | 1,066 | 449 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | Z87891 | Personal history of nicotine dependence | 879 | 432 | |||||||||||||||||
| 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 | 871 | 431 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | E039 | Hypothyroidism, unspecified | 867 | 404 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | Z7982 | Long term (current) use of aspirin | 518 | 394 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | E119 | Type 2 diabetes mellitus without complications | 1,156 | 375 | |||||||||||||||||
| Orthopedics | Other Musculoskeletal System And Connective Tissue Diagnoses | Other Musculoskeletal System And Connective Tissue Diagnoses | Z9181 | History of falling | 463 | 314 |