Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | Surgical | 14.29 | NA | 6,294 | 30,698 | 29,367 | ||||||||||||
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | Surgical | 47.00 | NA | 19,365 | 100,940 | 100,060 | ||||||||||||
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | Surgical | 38.71 | NA | 13,810 | 83,124 | 82,649 |
DEMOGRAPHIC DETAILS OF DRG 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 25,588 | 83.35 |
| Black | 3,244 | 10.57 |
| Hispanic | 770 | 2.51 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 9,100 | 29.64 |
| 65 to 69 | 5,205 | 16.96 |
| Greater than 84 | 4,590 | 14.95 |
TOP ICD DIAGNOSIS CODES FOR DRG 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH 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 |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 6,437 | 20.97 |
| 2724 | Other and unspecified hyperlipidemia | 6,118 | 19.93 |
| 53081 | Esophageal reflux | 4,071 | 13.26 |
TOP ICD PROCEDURE CODES FOR DRG 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH 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 |
|---|---|---|---|
| 7936 | Open Reduction Of Fracture With Internal Fixation, Tibia And Fibula | 9,803 | 31.93 |
| 9904 | Transfusion Of Packed Cells | 3,716 | 12.11 |
| 7931 | Open Reduction Of Fracture With Internal Fixation, Humerus | 3,634 | 11.84 |
TOP HOSPITALS ASSOCIATED WITH DRG 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH 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 |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 179 | 0.58 |
| Mission Hospital | 509 BILTMORE AVE | Asheville | NC | 28801 | 111 | 0.36 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 108 | 0.35 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH 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. GLEEN JOHN LIM GO | 601 E ROLLINS AVE | ORLANDO | FL | 32803 | 35 | 0.11 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH 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. MICHAEL ANTHONY HAWKS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 63 | 0.21 |
| DR. BRIAN KEITH VICKARYOUS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 43 | 0.14 |
| DR. CHRISTOPHER GARRETT BOULLION | 849 82ND PKWY | MYRTLE BEACH | SC | 29572 | 41 | 0.13 |
DRG 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR 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 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 | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | 4019 | Unspecified essential hypertension | NA | 6,437 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | 2724 | Other and unspecified hyperlipidemia | NA | 6,118 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | E785 | Hyperlipidemia, unspecified | 3,667 | 5,768 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | I10 | Essential (primary) hypertension | 4,794 | 5,410 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | 53081 | Esophageal reflux | NA | 4,071 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | 2851 | Acute posthemorrhagic anemia | NA | 4,067 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | 4280 | Congestive heart failure, unspecified | NA | 4,042 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 2,516 | 4,025 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 3,846 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | K219 | Gastro-esophageal reflux disease without esophagitis | 2,133 | 3,790 |