Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 74,012 | 89.04 |
| Black | 5,012 | 6.03 |
| Hispanic | 1,235 | 1.49 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 20,913 | 25.16 |
| Less than 65 | 17,195 | 20.69 |
| 70 to 74 | 15,927 | 19.16 |
TOP ICD DIAGNOSIS CODES FOR DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 28,445 | 34.22 |
| 2724 | Other and unspecified hyperlipidemia | 15,773 | 18.98 |
| 53081 | Esophageal reflux | 11,321 | 13.62 |
TOP ICD PROCEDURE CODES FOR DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 31,783 | 38.24 |
| 7931 | Open Reduction Of Fracture With Internal Fixation, Humerus | 9,394 | 11.3 |
| 0QSG04Z | Reposition Right Tibia with Internal Fixation Device, Open Approach | 7,586 | 9.13 |
TOP HOSPITALS ASSOCIATED WITH DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 551 | 0.66 |
| Massachusetts General Hospital | 55 FRUIT ST | Boston | MA | 02114 | 249 | 0.3 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 219 | 0.26 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 125 | 0.15 |
| DR. MICHAEL P SWORDS | 2815 S PENNSYLVANIA AVE | LANSING | MI | 48910 | 77 | 0.09 |
| DR. NABIL A EBRAHEIM | 3000 ARLINGTON AVE | TOLEDO | OH | 43614 | 72 | 0.09 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. BRIAN KEITH VICKARYOUS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 133 | 0.16 |
| DR. MICHAEL ANTHONY HAWKS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 115 | 0.14 |
| DR. ROBERT J MEURET | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 96 | 0.12 |
DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 28,445 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | I10 | Essential (primary) hypertension | 23,838 | 18,706 | |||||||||||||||||
| 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 | 15,773 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | 53081 | Esophageal reflux | NA | 11,321 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | E785 | Hyperlipidemia, unspecified | 11,190 | 10,539 | |||||||||||||||||
| 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 | 9,418 | |||||||||||||||||
| 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 | 8,722 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | 8244 | Bimalleolar fracture, closed | NA | 8,291 | |||||||||||||||||
| Orthopedics | Lower Extremity And Humerus Procedures Except Hip,Foot,Femur | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur | 8246 | Trimalleolar fracture, closed | NA | 7,844 | |||||||||||||||||
| 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 | 7,985 | 7,836 |