Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 508: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 508: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES 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 | 1,403 | 87.31 |
| Black | 124 | 7.72 |
| Hispanic | 26 | 1.62 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 388 | 24.14 |
| 65 to 69 | 382 | 23.77 |
| 70 to 74 | 337 | 20.97 |
TOP ICD DIAGNOSIS CODES FOR DRG 508: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES 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 | 590 | 36.71 |
| 2724 | Other and unspecified hyperlipidemia | 304 | 18.92 |
| 53081 | Esophageal reflux | 278 | 17.3 |
TOP ICD PROCEDURE CODES FOR DRG 508: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES 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 |
|---|---|---|---|
| 8183 | Other Repair Of Shoulder | 472 | 29.37 |
| 8185 | Other Repair Of Elbow | 251 | 15.62 |
| 8011 | Other Arthrotomy, Shoulder | 174 | 10.83 |
TOP HOSPITALS ASSOCIATED WITH DRG 508: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES 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 |
|---|---|---|---|---|---|---|
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 21 | 1.31 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 16 | 1.0 |
| Brigham and Women's Faulkner Hospital | 1153 CENTRE ST | Boston | MA | 02130 | 11 | 0.68 |
DRG 508: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES 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 | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 4019 | Unspecified essential hypertension | NA | 590 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 304 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | I10 | Essential (primary) hypertension | 369 | 291 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 53081 | Esophageal reflux | NA | 278 | |||||||||||||||||
| 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 | 222 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | E785 | Hyperlipidemia, unspecified | 161 | 171 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 71531 | Osteoarthrosis, localized, not specified whether primary or secondary, shoulder region | NA | 156 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 2449 | Unspecified acquired hypothyroidism | NA | 155 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | V1582 | Personal history of tobacco use | NA | 151 | |||||||||||||||||
| Orthopedics | Major Shoulder Or Elbow Joint Procedures | Major Shoulder Or Elbow Joint Procedures | 7262 | Other affections of shoulder region, not elsewhere classified | NA | 145 |