DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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CHARGE CAPTURE ANALYSIS FOR DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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 (%)
536 FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) Orthopedics Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis Non Surgical 78.35 NA 28,802 152,773 140,583
535 FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Orthopedics Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis Non Surgical 21.65 NA 8,573 42,223 35,488

DEMOGRAPHIC DETAILS OF DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 141,410 92.56
Black 5,235 3.43
Hispanic 2,037 1.33
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 78,666 51.49
80 to 84 28,855 18.89
75 to 79 18,495 12.11

TOP ICD DIAGNOSIS CODES FOR DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 48,878 31.99
8082 Closed fracture of pubis 43,698 28.6
2724 Other and unspecified hyperlipidemia 28,569 18.7

TOP ICD PROCEDURE CODES FOR DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
9904 Transfusion Of Packed Cells 3,897 2.55
30233N1 Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach 1,722 1.13
8659 Closure Of Skin And Subcutaneous Tissue Of Other Sites 1,307 0.86

TOP HOSPITALS ASSOCIATED WITH DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Kessler Institute for Rehabilitation 1199 PLEASANT VALLEY WAY West Orange NJ 07052 1,955 1.28
Marianjoy Rehabilitation Hospital 26W171 ROOSEVELT RD Wheaton IL 60187 542 0.35
HonorHealth Rehabilitation Hospital 8850 E. PIMA CENTER PARKWAY Scottsdale AZ 85258 525 0.34

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. NORMAN A ALIGA 26W171 ROOSEVELT RD WHEATON IL 60187 319 0.21
DR. THOMAS LAMMERTSE 201 PLEASANT HILL RD CHESTER NJ 07930 224 0.15
DR. SHAILESH PARIKH 300 MARKET ST SADDLE BROOK NJ 07663 217 0.14

DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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 Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis 4019 Unspecified essential hypertension NA 48,878
Orthopedics Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis 8082 Closed fracture of pubis NA 43,698
Orthopedics Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis I10 Essential (primary) hypertension 27,803 37,858
Orthopedics Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis 2724 Other and unspecified hyperlipidemia NA 28,569
Orthopedics Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis E785 Hyperlipidemia, unspecified 16,077 23,930
Orthopedics Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis 2449 Unspecified acquired hypothyroidism NA 19,959
Orthopedics Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis 73300 Osteoporosis, unspecified NA 18,851
Orthopedics Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis 42731 Atrial fibrillation NA 18,410
Orthopedics Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis 53081 Esophageal reflux NA 17,295
Orthopedics Fractures Of Hip And Pelvis Fractures Of Hip And Pelvis E039 Hypothyroidism, unspecified 10,021 16,200