Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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 | 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 | 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 |