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Table 5 Medicare 2011 Proximal Humerus Fracture Sample Inclusion Criteria

From: Geographic variation in the treatment of proximal humerus fracture: an update on surgery rates and treatment consensus

Inclusion Criteria N
Medicare Part B carrier (physician services), outpatient, or medpar (inpatient) claims with a proximal humerus fracture diagnosis from January 1, 2011-December 31, 2011 (ICD-9 Diagnosis codes: 812.00, 812.01, 812.02, 812.09, 812.10, 812.11, 812.12, 812.13, 812.19) (Index diagnosis) 130,959
No Part B carrier, outpatient, or medpar claims with proximal humerus fracture diagnosis in 365-days before the index diagnosis in 2011 107,838
Shoulder x-ray claim (HCPCS codes: 73000, 73010, 73020, 73030, 73050, 73060) in Part B carrier or outpatient revenue center claims within 7 days of index diagnosis (x-ray claim can occur before or after index diagnosis) 95,229
No Part B carrier, outpatient, or medpar claims with a diagnosis of clavicle or hip fracture within 7 days of index diagnosis 86,147
No Part B carrier, outpatient, or medpar claims with total joint replacement procedure in 365-days before the index diagnosis in 2011 85,841
Age 66+ at index diagnosis 84,589
Located within continental United States or Hawaii 84,399
Continuously enrolled in Medicare Parts A and B and never enrolled in HMO, from 365-days prior to index to 365-days after index diagnosis 77,075
Complete HRR data 77,053