Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 510: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Surgical | 13.94 | NA | 1,151 | 5,520 | 5,380 | ||||||||||||
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Surgical | 41.42 | NA | 2,680 | 16,396 | 16,318 | ||||||||||||
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Surgical | 44.64 | NA | 3,394 | 17,670 | 17,553 |
DEMOGRAPHIC DETAILS OF DRG 510: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,864 | 88.12 |
| Black | 322 | 5.83 |
| Hispanic | 143 | 2.59 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 1,314 | 23.8 |
| Less than 65 | 984 | 17.83 |
| 75 to 79 | 839 | 15.2 |
TOP ICD DIAGNOSIS CODES FOR DRG 510: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES 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 | 1,302 | 23.59 |
| 2724 | Other and unspecified hyperlipidemia | 991 | 17.95 |
| 53081 | Esophageal reflux | 664 | 12.03 |
TOP ICD PROCEDURE CODES FOR DRG 510: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES 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 |
|---|---|---|---|
| 7932 | Open Reduction Of Fracture With Internal Fixation, Radius And Ulna | 2,311 | 41.87 |
| 0PSJ04Z | Reposition Left Radius with Internal Fixation Device, Open Approach | 768 | 13.91 |
| 0PSH04Z | Reposition Right Radius with Internal Fixation Device, Open Approach | 646 | 11.7 |
TOP HOSPITALS ASSOCIATED WITH DRG 510: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES 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 |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 43 | 0.78 |
| Huntsville Hospital | 101 SIVLEY RD SW | Huntsville | AL | 35801 | 20 | 0.36 |
| UW Medicine Harborview Medical Center | 325 9TH AVE | Seattle | WA | 98104 | 19 | 0.34 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 510: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES 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. MICHAEL ANTHONY HAWKS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 18 | 0.33 |
| DR. EBEN A CARROLL | MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 11 | 0.2 |
| DR. BRIAN KEITH VICKARYOUS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 11 | 0.2 |
DRG 510: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES 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 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | 4019 | Unspecified essential hypertension | NA | 1,302 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | I10 | Essential (primary) hypertension | 1,011 | 1,205 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | E785 | Hyperlipidemia, unspecified | 688 | 1,021 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 991 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 382 | 670 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 420 | 668 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | 53081 | Esophageal reflux | NA | 664 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | 81301 | Closed fracture of olecranon process of ulna | NA | 627 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | 2449 | Unspecified acquired hypothyroidism | NA | 613 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | 42731 | Atrial fibrillation | NA | 600 |