Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 16,147 | 91.38 |
| Black | 634 | 3.59 |
| Hispanic | 292 | 1.65 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 4,395 | 24.87 |
| 80 to 84 | 2,795 | 15.82 |
| 75 to 79 | 2,721 | 15.4 |
TOP ICD DIAGNOSIS CODES FOR DRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 5,410 | 30.62 |
| 2724 | Other and unspecified hyperlipidemia | 3,354 | 18.98 |
| 53081 | Esophageal reflux | 2,367 | 13.4 |
TOP ICD PROCEDURE CODES FOR DRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 7,946 | 44.97 |
| 0PSJ04Z | Reposition Left Radius with Internal Fixation Device, Open Approach | 2,566 | 14.52 |
| 0PSH04Z | Reposition Right Radius with Internal Fixation Device, Open Approach | 2,131 | 12.06 |
TOP HOSPITALS ASSOCIATED WITH DRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 176 | 1.0 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 56 | 0.32 |
| University of Maryland Medical Center | 22 S GREENE STREET | Baltimore | MD | 21201 | 47 | 0.27 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GLEEN JOHN LIM GO | 601 E ROLLINS AVE | ORLANDO | FL | 32803 | 38 | 0.22 |
| DR. HASEEB BEN KAZIM | 1000 WATERMAN WAY | TAVARES | FL | 32778 | 19 | 0.11 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 50 | 0.28 |
| DR. ROBERT J MEURET | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 47 | 0.27 |
| DR. BRIAN KEITH VICKARYOUS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 42 | 0.24 |
DRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 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 | 5,410 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | I10 | Essential (primary) hypertension | 4,585 | 4,397 | |||||||||||||||||
| 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 | 3,354 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | E785 | Hyperlipidemia, unspecified | 2,388 | 2,936 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | 53081 | Esophageal reflux | NA | 2,367 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | 2449 | Unspecified acquired hypothyroidism | NA | 2,105 | |||||||||||||||||
| 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 | 1,479 | 2,079 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | 81342 | Other closed fractures of distal end of radius (alone) | NA | 2,013 | |||||||||||||||||
| 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 | 1,986 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | 73300 | Osteoporosis, unspecified | NA | 1,974 |