Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 89,909 | 89.07 |
| Black | 6,513 | 6.45 |
| Hispanic | 1,449 | 1.44 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 23,566 | 23.35 |
| 65 to 69 | 19,528 | 19.35 |
| 70 to 74 | 16,846 | 16.69 |
TOP ICD DIAGNOSIS CODES FOR DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 30,886 | 30.6 |
| 2724 | Other and unspecified hyperlipidemia | 20,721 | 20.53 |
| 2851 | Acute posthemorrhagic anemia | 15,739 | 15.59 |
TOP ICD PROCEDURE CODES FOR DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 32,521 | 32.22 |
| 7931 | Open Reduction Of Fracture With Internal Fixation, Humerus | 13,864 | 13.73 |
| 0QSG04Z | Reposition Right Tibia with Internal Fixation Device, Open Approach | 9,161 | 9.08 |
TOP HOSPITALS ASSOCIATED WITH DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 595 | 0.59 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 334 | 0.33 |
| Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 333 | 0.33 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 101 | 0.1 |
| DR. MARK R BRINKER | 7401 SOUTH MAIN ST | HOUSTON | TX | 77030 | 89 | 0.09 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. BRIAN KEITH VICKARYOUS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 149 | 0.15 |
| DR. CHINEDU C NWOSA | 450 LAUREL ST | DES MOINES | IA | 50314 | 126 | 0.12 |
| DR. MICHAEL ANTHONY HAWKS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 125 | 0.12 |
DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) 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 | 30,886 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | I10 | Essential (primary) hypertension | 23,366 | 24,010 | |||||||||||||||||
| 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 | 20,721 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | E785 | Hyperlipidemia, unspecified | 13,740 | 17,189 | |||||||||||||||||
| 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 | 15,739 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | 53081 | Esophageal reflux | NA | 14,841 | |||||||||||||||||
| 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 | 12,561 | |||||||||||||||||
| 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 | 8,891 | 12,372 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | 2449 | Unspecified acquired hypothyroidism | NA | 12,150 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | D62 | Acute posthemorrhagic anemia | 11,424 | 11,409 |