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 | 15.95 | NA | 6,294 | 30,698 | 6,025 | ||||||||||||
| 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 | 49.06 | NA | 19,365 | 100,940 | 19,195 | ||||||||||||
| 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 | 34.99 | NA | 13,810 | 83,124 | 13,733 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 5,203 | 82.67 |
| Black | 689 | 10.95 |
| Hispanic | 141 | 2.24 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 1,872 | 29.74 |
| 65 to 69 | 1,105 | 17.56 |
| 70 to 74 | 1,021 | 16.22 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| S82851A | Displaced trimalleolar fracture of right lower leg, initial encounter for closed fracture | 497 | 7.9 |
| S82841A | Displaced bimalleolar fracture of right lower leg, initial encounter for closed fracture | 456 | 7.24 |
| S82852A | Displaced trimalleolar fracture of left lower leg, initial encounter for closed fracture | 357 | 5.67 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0QSG04Z | Reposition Right Tibia with Internal Fixation Device, Open Approach | 1,402 | 22.28 |
| 0QSH04Z | Reposition Left Tibia with Internal Fixation Device, Open Approach | 1,137 | 18.06 |
| 0QSJ04Z | Reposition Right Fibula with Internal Fixation Device, Open Approach | 1,086 | 17.25 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 50 | 0.79 |
| Indiana University Health | 1701 N SENATE | Indianapolis | IN | 46202 | 27 | 0.43 |
| Mission Hospital | 509 BILTMORE AVE | Asheville | NC | 28801 | 24 | 0.38 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ANDREW T HOWLETT | 820 S MCCLELLAN | SPOKANE | WA | 99204 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. MICHAEL ANTHONY HAWKS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 20 | 0.32 |
| DR. BRIAN KEITH VICKARYOUS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 15 | 0.24 |
| DR. CHRISTOPHER GARRETT BOULLION | 849 82ND PKWY | MYRTLE BEACH | SC | 29572 | 13 | 0.21 |
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 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 | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | E785 | Hyperlipidemia, unspecified | 3,667 | 2,534 | |||||||||||||||||
| 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 | 2,118 | |||||||||||||||||
| 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 | 1,754 | |||||||||||||||||
| 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 | 1,739 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | E1122 | Type 2 diabetes mellitus with diabetic chronic kidney disease | 833 | 1,509 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | D62 | Acute posthemorrhagic anemia | 2,652 | 1,505 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | E039 | Hypothyroidism, unspecified | 1,904 | 1,357 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | Z87891 | Personal history of nicotine dependence | 1,916 | 1,345 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | N186 | End stage renal disease | 1,814 | 1,315 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | F329 | Major depressive disorder, single episode, unspecified | 1,674 | 1,256 |