DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 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

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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)

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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)

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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)

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TOP HOSPITALS ASSOCIATED WITH DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Florida Hospital 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 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)

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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)

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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

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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