Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATIOM DEVICES EXCEPT HIP 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATIOM DEVICES EXCEPT HIP AND FEMUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixatiom Devices Except Hip And Femur | Surgical | 100.00 | NA | 504 | 6,448 | 6,082 |
DEMOGRAPHIC DETAILS OF DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATIOM DEVICES EXCEPT HIP AND FEMUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,993 | 77.43 |
| Black | 1,017 | 15.77 |
| Hispanic | 171 | 2.65 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 2,533 | 39.28 |
| 65 to 69 | 1,026 | 15.91 |
| 70 to 74 | 906 | 14.05 |
TOP ICD DIAGNOSIS CODES FOR DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATIOM DEVICES EXCEPT HIP AND FEMUR WITH 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 | 1,832 | 28.41 |
| 2724 | Other and unspecified hyperlipidemia | 1,599 | 24.8 |
| 99667 | Infection and inflammatory reaction due to other internal orthopedic device, implant, and graft | 1,270 | 19.7 |
TOP ICD PROCEDURE CODES FOR DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATIOM DEVICES EXCEPT HIP AND FEMUR WITH 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 |
|---|---|---|---|
| 7769 | Local Excision Of Lesion Or Tissue Of Bone, Other | 2,105 | 32.65 |
| 3897 | Central Venous Catheter Placement With Guidance | 1,250 | 19.39 |
| 9904 | Transfusion Of Packed Cells | 1,144 | 17.74 |
TOP HOSPITALS ASSOCIATED WITH DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATIOM DEVICES EXCEPT HIP AND FEMUR WITH 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 |
|---|---|---|---|---|---|---|
| Barnes Jewish Hospital | 1 BARNES-JEWISH HOSPITAL PLZ | Saint Louis | MO | 63110 | 33 | 0.51 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 32 | 0.5 |
| Trustpoint Rehabilitation Hospital of Lubbock | 4302 PRINCETON ST | Lubbock | TX | 79415 | 31 | 0.48 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATIOM DEVICES EXCEPT HIP AND FEMUR WITH 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. | 19 | 0.29 | ||||
| DR. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 12 | 0.19 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATIOM DEVICES EXCEPT HIP AND FEMUR WITH 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. RANDALL D. WOLCOTT | 2002 OXFORD AVE | LUBBOCK | TX | 79410 | 18 | 0.28 |
| DR. SHAUN ROBERT CARPENTER | 46 LOUIS PRIMA DR | COVINGTON | LA | 70433 | 13 | 0.2 |
| DR. | 12 | 0.19 |
DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATIOM DEVICES EXCEPT HIP 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 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 | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixatiom Devices Except Hip And Femur | 4019 | Unspecified essential hypertension | NA | 1,832 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixatiom Devices Except Hip And Femur | 2724 | Other and unspecified hyperlipidemia | NA | 1,599 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixatiom Devices Except Hip And Femur | 99667 | Infection and inflammatory reaction due to other internal orthopedic device, implant, and graft | NA | 1,270 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixatiom Devices Except Hip And Femur | 53081 | Esophageal reflux | NA | 1,236 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixatiom Devices Except Hip And Femur | 70724 | Pressure ulcer, stage IV | NA | 1,210 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixatiom Devices Except Hip And Femur | 5856 | End stage renal disease | NA | 1,110 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixatiom Devices Except Hip And Femur | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 1,089 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixatiom Devices Except Hip And Femur | 70703 | Pressure ulcer, lower back | NA | 1,047 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixatiom Devices Except Hip And Femur | 4280 | Congestive heart failure, unspecified | NA | 1,020 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixatiom Devices Except Hip And Femur | 40391 | Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease | NA | 967 |