Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 2,390 | 89.18 |
| Black | 100 | 3.73 |
| Hispanic | 56 | 2.09 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 565 | 21.08 |
| 70 to 74 | 528 | 19.7 |
| Greater than 84 | 466 | 17.39 |
TOP ICD DIAGNOSIS CODES FOR DRG 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| S52572A | Other intraarticular fracture of lower end of left radius, initial encounter for closed fracture | 202 | 7.54 |
| S52502A | Unspecified fracture of the lower end of left radius, initial encounter for closed fracture | 180 | 6.72 |
| S52022A | Displaced fracture of olecranon process without intraarticular extension of left ulna, initial encounter for closed fracture | 175 | 6.53 |
TOP ICD PROCEDURE CODES FOR DRG 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0PSJ04Z | Reposition Left Radius with Internal Fixation Device, Open Approach | 851 | 31.75 |
| 0PSH04Z | Reposition Right Radius with Internal Fixation Device, Open Approach | 700 | 26.12 |
| 0PSL04Z | Reposition Left Ulna with Internal Fixation Device, Open Approach | 574 | 21.42 |
TOP HOSPITALS ASSOCIATED WITH DRG 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 52 | 1.94 |
| Mount Sinai West | 1000 10TH AVE | New York | NY | 10019 | 15 | 0.56 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 12 | 0.45 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 17 | 0.63 |
| DR. MICHAEL HAUSMAN | 5 E 98TH ST | NEW YORK | NY | 10029 | NA | NA |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. MICHAEL ANTHONY HAWKS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 21 | 0.78 |
| DR. BRIAN KEITH VICKARYOUS | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 13 | 0.49 |
| DR. ROBERT J MEURET | 2501 N ORANGE AVE | ORLANDO | FL | 32804 | 13 | 0.49 |
DRG 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR 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 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 | 5,644 | 1,556 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | E785 | Hyperlipidemia, unspecified | 2,783 | 874 | |||||||||||||||||
| 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 | 1,759 | 643 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | E039 | Hypothyroidism, unspecified | 1,530 | 521 | |||||||||||||||||
| 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 | 1,198 | 480 | |||||||||||||||||
| 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 | 671 | 383 | |||||||||||||||||
| 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 | 854 | 366 | |||||||||||||||||
| 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 | 1,253 | 360 | |||||||||||||||||
| 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 | 892 | 351 | |||||||||||||||||
| Orthopedics | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures | E119 | Type 2 diabetes mellitus without complications | 1,292 | 324 |