Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 538: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | Non Surgical | 34.68 | NA | 464 | 2,304 | 2,247 | ||||||||||||
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | Non Surgical | 65.32 | NA | 943 | 4,339 | 4,224 |
DEMOGRAPHIC DETAILS OF DRG 538: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 2,083 | 90.41 |
| Black | 147 | 6.38 |
| Hispanic | 24 | 1.04 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 847 | 36.76 |
| 80 to 84 | 404 | 17.53 |
| 75 to 79 | 318 | 13.8 |
TOP ICD DIAGNOSIS CODES FOR DRG 538: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 792 | 34.38 |
| 8438 | Sprains and strains of other specified sites of hip and thigh | 547 | 23.74 |
| 2724 | Other and unspecified hyperlipidemia | 455 | 19.75 |
TOP ICD PROCEDURE CODES FOR DRG 538: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 7975 | Closed Reduction Of Dislocation Of Hip | 225 | 9.77 |
| 0SS9XZZ | Reposition Right Hip Joint, External Approach | 52 | 2.26 |
| 0SSBXZZ | Reposition Left Hip Joint, External Approach | 38 | 1.65 |
TOP HOSPITALS ASSOCIATED WITH DRG 538: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | NA | NA |
| Rhode Island Hospital | 593 EDDY ST | Providence | RI | 02903 | NA | NA |
| Silver Cross Hospital | 1900 SILVER CROSS BLVD | New Lenox | IL | 60451 | NA | NA |
DRG 538: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH 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 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 | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | 4019 | Unspecified essential hypertension | NA | 792 | |||||||||||||||||
| Orthopedics | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | I10 | Essential (primary) hypertension | 569 | 634 | |||||||||||||||||
| Orthopedics | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | 8438 | Sprains and strains of other specified sites of hip and thigh | NA | 547 | |||||||||||||||||
| Orthopedics | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | 2724 | Other and unspecified hyperlipidemia | NA | 455 | |||||||||||||||||
| Orthopedics | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | 8439 | Sprains and strains of unspecified site of hip and thigh | NA | 442 | |||||||||||||||||
| Orthopedics | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | E785 | Hyperlipidemia, unspecified | 357 | 370 | |||||||||||||||||
| Orthopedics | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | 53081 | Esophageal reflux | NA | 291 | |||||||||||||||||
| Orthopedics | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 281 | |||||||||||||||||
| Orthopedics | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | 2449 | Unspecified acquired hypothyroidism | NA | 273 | |||||||||||||||||
| Orthopedics | Sprains, Strains And Dislocations Of Hip, Pelvis And Thigh | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh | V4364 | Car passenger injured in collision with van in traffic accident | NA | 233 |