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 | 49.06 | NA | 19,365 | 100,940 | 19,195 | ||||||||||||
| 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 | ||||||||||||
| 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 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 17,192 | 88.78 |
| Black | 1,296 | 6.69 |
| Hispanic | 259 | 1.34 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 4,464 | 23.05 |
| 65 to 69 | 3,818 | 19.72 |
| 70 to 74 | 3,431 | 17.72 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| S82851A | Displaced trimalleolar fracture of right lower leg, initial encounter for closed fracture | 1,388 | 7.17 |
| S82841A | Displaced bimalleolar fracture of right lower leg, initial encounter for closed fracture | 1,340 | 6.92 |
| S82852A | Displaced trimalleolar fracture of left lower leg, initial encounter for closed fracture | 1,092 | 5.64 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0QSG04Z | Reposition Right Tibia with Internal Fixation Device, Open Approach | 4,126 | 21.31 |
| 0QSH04Z | Reposition Left Tibia with Internal Fixation Device, Open Approach | 3,503 | 18.09 |
| 0QSJ04Z | Reposition Right Fibula with Internal Fixation Device, Open Approach | 3,195 | 16.5 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 129 | 0.67 |
| St. Vincent Hospital & Health Services | 2001 W 86TH ST | Indianapolis | IN | 46260 | 79 | 0.41 |
| Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 68 | 0.35 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JASON M SANSONE | 2501 W BELTLINE HWY | MADISON | WI | 53713 | 26 | 0.13 |
| DR. FARSHID A ZANDI | 1815 E 15TH ST | TULSA | OK | 74104 | 25 | 0.13 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. BRIAN KEITH VICKARYOUS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 41 | 0.21 |
| DR. ROBERT J MEURET | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 29 | 0.15 |
| DR. FLORIAN GEORG HUBER | 111 DAVIS ST | SALISBURY | MD | 21804 | 29 | 0.15 |
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 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 | I10 | Essential (primary) hypertension | 23,366 | 9,873 | |||||||||||||||||
| 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 | 7,563 | |||||||||||||||||
| 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 | 5,582 | |||||||||||||||||
| 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 | 4,965 | |||||||||||||||||
| 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 | 6,910 | 4,389 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | E039 | Hypothyroidism, unspecified | 6,961 | 4,246 | |||||||||||||||||
| 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 | 6,574 | 3,927 | |||||||||||||||||
| 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 | 6,005 | 3,773 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | Z7982 | Long term (current) use of aspirin | 4,186 | 3,554 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | J449 | Chronic obstructive pulmonary disease, unspecified | 4,658 | 3,063 |