Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Surgical | 3.81 | NA | 307 | 1,897 | 1,796 | ||||||||||||
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Surgical | 96.19 | NA | 8,502 | 47,925 | 47,564 |
DEMOGRAPHIC DETAILS OF DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 1,631 | 85.98 |
| Black | 162 | 8.54 |
| Unknown | 30 | 1.58 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 571 | 30.1 |
| 70 to 74 | 443 | 23.35 |
| 75 to 79 | 318 | 16.76 |
TOP ICD DIAGNOSIS CODES FOR DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH 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 |
|---|---|---|---|
| 2851 | Acute posthemorrhagic anemia | 667 | 35.16 |
| 71536 | Osteoarthrosis, localized, not specified whether primary or secondary, lower leg | 591 | 31.15 |
| 4019 | Unspecified essential hypertension | 557 | 29.36 |
TOP ICD PROCEDURE CODES FOR DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH 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 |
|---|---|---|---|
| 8154 | Total Knee Replacement | 1,678 | 88.46 |
| 0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach | 559 | 29.47 |
| 0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach | 555 | 29.26 |
TOP HOSPITALS ASSOCIATED WITH DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH 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 |
|---|---|---|---|---|---|---|
| CHI Memorial Hospital | 2525 DESALES AVE | Chattanooga | TN | 37404 | 34 | 1.79 |
| Aria Health | 380 OXFORD VALLEY RD | Langhorne | PA | 19047 | 31 | 1.63 |
| Advocate Lutheran General Hospital | 1775 DEMPSTER STREET | Park Ridge | IL | 60068 | 21 | 1.11 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH 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. WILLIAM TIMOTHY BALLARD | 2415 MCCALLIE AVE | CHATTANOOGA | TN | 37404 | 30 | 1.58 |
| DR. ROBERT EMREY BOOTH | 601 WALNUT ST | PHILADELPHIA | PA | 19106 | 26 | 1.37 |
| DR. STEPHEN R SMITH | 301 NORTH 27TH STREET | NORFOLK | NE | 68701 | 20 | 1.05 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH 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. WILLIAM TIMOTHY BALLARD | 2415 MCCALLIE AVE | CHATTANOOGA | TN | 37404 | 31 | 1.63 |
| DR. ROBERT EMREY BOOTH | 601 WALNUT ST | PHILADELPHIA | PA | 19106 | 29 | 1.53 |
| DR. STEPHEN R SMITH | 301 NORTH 27TH STREET | NORFOLK | NE | 68701 | 20 | 1.05 |
DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH 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 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | 2851 | Acute posthemorrhagic anemia | NA | 667 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | 71536 | Osteoarthrosis, localized, not specified whether primary or secondary, lower leg | NA | 591 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | 4019 | Unspecified essential hypertension | NA | 557 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | M170 | Bilateral primary osteoarthritis of knee | 395 | 552 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | 2724 | Other and unspecified hyperlipidemia | NA | 450 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | I10 | Essential (primary) hypertension | 289 | 427 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | D62 | Acute posthemorrhagic anemia | 284 | 402 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | E785 | Hyperlipidemia, unspecified | 221 | 336 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | 53081 | Esophageal reflux | NA | 333 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | K219 | Gastro-esophageal reflux disease without esophagitis | 199 | 255 |