Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 563 | FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Non Surgical | 79.82 | NA | 27,423 | 138,888 | 26,576 | ||||||||||||
| 562 | FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Non Surgical | 20.18 | NA | 6,935 | 32,973 | 6,471 |
DEMOGRAPHIC DETAILS OF DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 24,702 | 90.08 |
| Black | 1,426 | 5.2 |
| Hispanic | 416 | 1.52 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 10,202 | 37.2 |
| 80 to 84 | 4,354 | 15.88 |
| 75 to 79 | 3,737 | 13.63 |
TOP ICD DIAGNOSIS CODES FOR DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT 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 |
|---|---|---|---|
| S42202A | Unspecified fracture of upper end of left humerus, initial encounter for closed fracture | 989 | 3.61 |
| S42292A | Other displaced fracture of upper end of left humerus, initial encounter for closed fracture | 987 | 3.6 |
| S42201A | Unspecified fracture of upper end of right humerus, initial encounter for closed fracture | 968 | 3.53 |
TOP ICD PROCEDURE CODES FOR DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT 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 |
|---|---|---|---|
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 554 | 2.02 |
| 0PSJXZZ | Reposition Left Radius, External Approach | 471 | 1.72 |
| 0QSGXZZ | Reposition Right Tibia, External Approach | 442 | 1.61 |
TOP HOSPITALS ASSOCIATED WITH DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT 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 |
|---|---|---|---|---|---|---|
| Kessler Institute for Rehabilitation | 1199 PLEASANT VALLEY WAY | West Orange | NJ | 07052 | 99 | 0.36 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 78 | 0.28 |
| North Shore University Hospital | 300 COMMUNITY DRIVE | Manhasset | NY | 11030 | 78 | 0.28 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT 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. THOMAS LAMMERTSE | 201 PLEASANT HILL RD | CHESTER | NJ | 07930 | 15 | 0.05 |
| DR. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 15 | 0.05 |
| DR. JASON GEORGEKUTTY | 201 PLEASANT HILL RD | CHESTER | NJ | 07930 | 14 | 0.05 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT 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. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 11 | 0.04 |
DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH 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 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 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | I10 | Essential (primary) hypertension | 33,205 | 14,523 | |||||||||||||||||
| Orthopedics | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | E785 | Hyperlipidemia, unspecified | 19,256 | 10,531 | |||||||||||||||||
| Orthopedics | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | E039 | Hypothyroidism, unspecified | 10,455 | 6,571 | |||||||||||||||||
| Orthopedics | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | K219 | Gastro-esophageal reflux disease without esophagitis | 10,416 | 6,470 | |||||||||||||||||
| Orthopedics | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 10,289 | 6,037 | |||||||||||||||||
| Orthopedics | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Z87891 | Personal history of nicotine dependence | 8,313 | 5,369 | |||||||||||||||||
| Orthopedics | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Z7982 | Long term (current) use of aspirin | 6,375 | 4,849 | |||||||||||||||||
| Orthopedics | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | F329 | Major depressive disorder, single episode, unspecified | 7,964 | 4,494 | |||||||||||||||||
| Orthopedics | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | J449 | Chronic obstructive pulmonary disease, unspecified | 6,868 | 4,032 | |||||||||||||||||
| Orthopedics | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | Fracture Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh | E119 | Type 2 diabetes mellitus without complications | 10,310 | 3,999 |