Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 497 | LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | Surgical | 41.63 | NA | 1,334 | 12,483 | 12,417 | ||||||||||||
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | Surgical | 58.37 | NA | 1,880 | 17,499 | 17,301 |
DEMOGRAPHIC DETAILS OF DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP 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 | 11,072 | 88.7 |
| Black | 805 | 6.45 |
| Hispanic | 189 | 1.51 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 3,857 | 30.9 |
| 65 to 69 | 2,970 | 23.79 |
| 70 to 74 | 2,427 | 19.44 |
TOP ICD DIAGNOSIS CODES FOR DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP 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 | 4,869 | 39.01 |
| 53081 | Esophageal reflux | 2,632 | 21.08 |
| 2724 | Other and unspecified hyperlipidemia | 2,450 | 19.63 |
TOP ICD PROCEDURE CODES FOR DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP 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 |
|---|---|---|---|
| 7869 | Removal Of Implanted Devices From Bone, Other | 3,172 | 25.41 |
| 8081 | Other Local Excision Or Destruction Of Lesion Of Joint, Shoulder | 982 | 7.87 |
| 7769 | Local Excision Of Lesion Or Tissue Of Bone, Other | 735 | 5.89 |
TOP HOSPITALS ASSOCIATED WITH DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP 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 |
|---|---|---|---|---|---|---|
| Tulsa Spine & Specialty Hospital | 6901 S OLYMPIA AVE | Tulsa | OK | 74132 | 125 | 1.0 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 106 | 0.85 |
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 105 | 0.84 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP 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. ERIC W SHERBURN | 6802 S OLYMPIA AVE | TULSA | OK | 74132 | 33 | 0.26 |
| DR. ISAAC L MITCHELL | 701 MEDICAL PLAZA DR | LEESBURG | FL | 34748 | 26 | 0.21 |
| DR. P JEFFREY LEWIS | 550 ORCHARD PARK RD | WEST SENECA | NY | 14224 | 22 | 0.18 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP 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. ERIC W SHERBURN | 6802 S OLYMPIA AVE | TULSA | OK | 74132 | 33 | 0.26 |
| DR. ISAAC L MITCHELL | 701 MEDICAL PLAZA DR | LEESBURG | FL | 34748 | 27 | 0.22 |
| DR. P JEFFREY LEWIS | 550 ORCHARD PARK RD | WEST SENECA | NY | 14224 | 22 | 0.18 |
DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP 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 | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | 4019 | Unspecified essential hypertension | NA | 4,869 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | 53081 | Esophageal reflux | NA | 2,632 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | 2724 | Other and unspecified hyperlipidemia | NA | 2,450 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | 99678 | Other complications due to other internal orthopedic device, implant, and graft | NA | 1,829 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | I10 | Essential (primary) hypertension | 1,763 | 1,755 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 1,641 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | V454 | Person boarding or alighting a car injured in collision with railway train or railway vehicle | NA | 1,537 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | V1582 | Personal history of tobacco use | NA | 1,483 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | 311 | Depressive disorder, not elsewhere classified | NA | 1,463 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | 99649 | Other mechanical complication of other internal orthopedic device, implant, and graft | NA | 1,429 |