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 | 46.98 | NA | 3,394 | 17,670 | 3,373 | ||||||||||||
| 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 | 37.09 | NA | 2,680 | 16,396 | 2,662 | ||||||||||||
| 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 | 15.93 | NA | 1,151 | 5,520 | 1,126 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 3,082 | 90.81 |
| Black | 118 | 3.48 |
| Hispanic | 68 | 2.0 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 808 | 23.81 |
| 65 to 69 | 571 | 16.82 |
| 75 to 79 | 538 | 15.85 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| S52572A | Other intraarticular fracture of lower end of left radius, initial encounter for closed fracture | 377 | 11.11 |
| S52502A | Unspecified fracture of the lower end of left radius, initial encounter for closed fracture | 340 | 10.02 |
| S52022A | Displaced fracture of olecranon process without intraarticular extension of left ulna, initial encounter for closed fracture | 270 | 7.96 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0PSJ04Z | Reposition Left Radius with Internal Fixation Device, Open Approach | 1,132 | 33.35 |
| 0PSH04Z | Reposition Right Radius with Internal Fixation Device, Open Approach | 885 | 26.08 |
| 0PSL04Z | Reposition Left Ulna with Internal Fixation Device, Open Approach | 662 | 19.51 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 37 | 1.09 |
| Yale New Haven Hospital | 20 YORK ST | New Haven | CT | 06504 | 15 | 0.44 |
| Barnes Jewish Hospital | 1 BARNES-JEWISH HOSPITAL PLZ | Saint Louis | MO | 63110 | 11 | 0.32 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GLEEN JOHN LIM GO | 601 E ROLLINS AVE | ORLANDO | FL | 32803 | 12 | 0.35 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ROBERT J MEURET | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 16 | 0.47 |
| DR. BRIAN KEITH VICKARYOUS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | NA | NA |
| DR. MICHAEL ANTHONY HAWKS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | NA | NA |
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 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 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | I10 | Essential (primary) hypertension | 4,585 | 1,743 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | E785 | Hyperlipidemia, unspecified | 2,388 | 1,247 | |||||||||||||||||
| 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 | 916 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | E039 | Hypothyroidism, unspecified | 1,419 | 778 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Z87891 | Personal history of nicotine dependence | 1,300 | 706 | |||||||||||||||||
| 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 | 1,079 | 646 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | F329 | Major depressive disorder, single episode, unspecified | 1,075 | 612 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Z7982 | Long term (current) use of aspirin | 641 | 578 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | M810 | Age-related osteoporosis without current pathological fracture | 1,003 | 558 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | J449 | Chronic obstructive pulmonary disease, unspecified | 986 | 550 |