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 | 41.51 | NA | 1,334 | 12,483 | 1,326 | ||||||||||||
| 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 | 58.49 | NA | 1,880 | 17,499 | 1,866 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 1,192 | 89.36 |
| Black | 70 | 5.25 |
| Hispanic | 26 | 1.95 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 357 | 26.76 |
| 65 to 69 | 323 | 24.21 |
| 70 to 74 | 301 | 22.56 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| T8484XA | Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 293 | 21.96 |
| T8459XA | Infection and inflammatory reaction due to other internal joint prosthesis, initial encounter | 199 | 14.92 |
| T84226A | Displacement of internal fixation device of vertebrae, initial encounter | 122 | 9.15 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0QP004Z | Removal of Internal Fixation Device from Lumbar Vertebra, Open Approach | 281 | 21.06 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 143 | 10.72 |
| 0RPJ0JZ | Removal of Synthetic Substitute from Right Shoulder Joint, Open Approach | 138 | 10.34 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 22 | 1.65 |
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 11 | 0.82 |
| Baylor University Medical Center | 3500 GASTON AVE | Dallas | TX | 75246 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. P JEFFREY LEWIS | 550 ORCHARD PARK RD | WEST SENECA | NY | 14224 | NA | NA |
| DR. JOAQUIN SANCHEZ SOTELO | 200 1ST ST SW | ROCHESTER | MN | 55905 | NA | NA |
| DR. SUMANT G KRISHNAN | 9301 N CENTRAL EXPY | DALLAS | TX | 75231 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. P JEFFREY LEWIS | 550 ORCHARD PARK RD | WEST SENECA | NY | 14224 | NA | NA |
| DR. SUMANT G KRISHNAN | 9301 N CENTRAL EXPY | DALLAS | TX | 75231 | NA | NA |
| DR. JOAQUIN SANCHEZ SOTELO | 200 1ST ST SW | ROCHESTER | MN | 55905 | NA | NA |
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 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 | 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 | 726 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | K219 | Gastro-esophageal reflux disease without esophagitis | 981 | 431 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | E785 | Hyperlipidemia, unspecified | 1,003 | 384 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | T8484XA | Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 1,253 | 293 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | Z87891 | Personal history of nicotine dependence | 722 | 293 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | Z981 | Arthrodesis status | 782 | 279 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | F329 | Major depressive disorder, single episode, unspecified | 535 | 251 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | E039 | Hypothyroidism, unspecified | 433 | 229 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | Z7982 | Long term (current) use of aspirin | 276 | 208 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Except Hip And Femur | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur | T8459XA | Infection and inflammatory reaction due to other internal joint prosthesis, initial encounter | 293 | 199 |