Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 507: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | Surgical | 63.08 | NA | 492 | 2,746 | 2,680 | ||||||||||||
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | Surgical | 36.92 | NA | 204 | 1,607 | 1,604 |
DEMOGRAPHIC DETAILS OF DRG 507: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH 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 | 2,325 | 84.67 |
| Black | 251 | 9.14 |
| Hispanic | 64 | 2.33 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 759 | 27.64 |
| 65 to 69 | 496 | 18.06 |
| 70 to 74 | 437 | 15.91 |
TOP ICD DIAGNOSIS CODES FOR DRG 507: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH 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 | 761 | 27.71 |
| 2724 | Other and unspecified hyperlipidemia | 596 | 21.7 |
| 53081 | Esophageal reflux | 440 | 16.02 |
TOP ICD PROCEDURE CODES FOR DRG 507: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH 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 |
|---|---|---|---|
| 8011 | Other Arthrotomy, Shoulder | 617 | 22.47 |
| 8012 | Other Arthrotomy, Elbow | 483 | 17.59 |
| 8183 | Other Repair Of Shoulder | 324 | 11.8 |
TOP HOSPITALS ASSOCIATED WITH DRG 507: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH 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 |
|---|---|---|---|---|---|---|
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 15 | 0.55 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 13 | 0.47 |
| Spectrum Health Butterworth Hospital | 100 MICHIGAN ST NE | Grand Rapids | MI | 49503 | 12 | 0.44 |
DRG 507: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH 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 | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 4019 | Unspecified essential hypertension | NA | 761 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 596 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | I10 | Essential (primary) hypertension | 518 | 509 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 53081 | Esophageal reflux | NA | 440 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 438 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | E785 | Hyperlipidemia, unspecified | 323 | 419 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 71101 | Pyogenic arthritis, shoulder region | NA | 418 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 216 | 329 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | V1582 | Personal history of tobacco use | NA | 312 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 42731 | Atrial fibrillation | NA | 307 |