9 of the Top 10 Hip & Knee Replacement Surgeons with the best value outcomes in New York, NY, are from HSS



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By: Barsha Nandy  Jul. 10, 2020

Dexur’s analysis of Medicare claims data of Hip & Knee Replacement surgeons in New York, NY, show that 9 of the top 10 Hip & Knee Replacement surgeons with the best value outcomes are from HSS. Our prior coverage of New York City hospitals showed that HSS had the best value outcomes for Hip & Knee Replacement surgery. Our current study expands the analysis to include not only Medicare hospitalization costs, but also all other costs, including copayments & coinsurance in the index hospitalization. In addition, we go deeper into our analysis to show value outcomes by the surgeon. The background on Dexur’s methodology for determining the cost of care over a 90-day episode of care which drives value (i.e. lower the total cost, the better the value) is given here and after the surgeon ranking table.

RankSurgeonAffiliated HospitalCost of Care over a 90 Day Episode
1Dr. ALEXANDER S. MCLAWHORNHospital for Special Surgery$23,934
2Dr. ALLAN EVANS INGLISHospital for Special Surgery$24,807
3Dr. DOUGLAS EDMUND PADGETTHospital for Special Surgery$25,102
4Dr. PETER KEYES SCULCOHospital for Special Surgery$25,273
5Dr. GEOFFREY H. WESTRICHHospital for Special Surgery$25,407
6Dr. JOSE ANTONIO RODRIGUEZHospital for Special Surgery$25,410
7Dr. DANYAL H NAWABIHospital for Special Surgery$26,043
8Dr. MATTHEW STEWART HEPINSTALLLenox Hill Hospital$26,389
9Dr. RUSSELL E. WINDSORHospital for Special Surgery$26,463
10Dr. AMAR S. RANAWATHospital for Special Surgery$26,663

Measuring Value Outcomes: Methodology

Value outcomes depend on the different costs that constitute the total average cost of care namely, index hospitalization costs, post-acute care costs, rehospitalization costs, and ED costs. The start of the 90-day episode is from the date of the initial index hospitalization.

Cost of Care ComponentsDescription
Index HospitalizationCost associated with Index hospitalization
First interaction nursing home costCost incurred at the first nursing home visited post discharge from the hospital where index hospitalization happened
Other interaction nursing home costCost incurred at other nursing homes post discharge from the first interaction nursing home
First interaction home health agency costCost incurred at the first home health agency visited post-discharge from the hospital where index hospitalization happened
Other interaction home health agency costCost incurred at other home health agencies post discharge from the first interaction HHA
Rehospitalization costsCost incurred due to re-hospitalization post initial discharge
ED costCost incurred for care at any Emergency Department post discharge from the hospital where index hospitalization happened

Dexur value outcomes analyses are risk-adjusted and are done at the DRG level (DRG 470 in the case of Hip & Knee replacement) in order to adjust for complications and comorbidities. Further, this analysis was done for patients who were alive and have not had a hospice interaction.