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 | 3.49 | NA | 307 | 1,897 | 298 | ||||||||||||
| 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 | 96.51 | NA | 8,502 | 47,925 | 8,452 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 253 | 82.41 |
| Black | 31 | 10.1 |
| Unknown | NA | NA |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 92 | 29.97 |
| 70 to 74 | 81 | 26.38 |
| 75 to 79 | 55 | 17.92 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| M21162 | Varus deformity, not elsewhere classified, left knee | NA | NA |
| M21161 | Varus deformity, not elsewhere classified, right knee | NA | NA |
| M25762 | Osteophyte, left knee | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach | 209 | 68.08 |
| 0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach | 208 | 67.75 |
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 75 | 24.43 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Aria Health | 380 OXFORD VALLEY RD | Langhorne | PA | 19047 | NA | NA |
| Glendale Adventist Medical Center | 1509 WILSON TER | Glendale | CA | 91206 | NA | NA |
| Advocate Lutheran General Hospital | 1775 DEMPSTER STREET | Park Ridge | IL | 60068 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ROBERT EMREY BOOTH | 601 WALNUT ST | PHILADELPHIA | PA | 19106 | NA | NA |
| DR. STEPHEN R SMITH | 301 NORTH 27TH STREET | NORFOLK | NE | 68701 | NA | NA |
| DR. PHILIP ORMOND MERRITT | 1505 WILSON TER | GLENDALE | CA | 91206 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ROBERT EMREY BOOTH | 601 WALNUT ST | PHILADELPHIA | PA | 19106 | NA | NA |
| DR. PHILIP ORMOND MERRITT | 1505 WILSON TER | GLENDALE | CA | 91206 | NA | NA |
| DR. STEPHEN R SMITH | 301 NORTH 27TH STREET | NORFOLK | NE | 68701 | NA | NA |
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 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 | 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 | 212 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | I10 | Essential (primary) hypertension | 289 | 152 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | D62 | Acute posthemorrhagic anemia | 284 | 149 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | E785 | Hyperlipidemia, unspecified | 221 | 134 | |||||||||||||||||
| 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 | 87 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | E669 | Obesity, unspecified | 97 | 71 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Z87891 | Personal history of nicotine dependence | 131 | 69 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 97 | 60 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | G4733 | Obstructive sleep apnea (adult) (pediatric) | 80 | 58 | |||||||||||||||||
| Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | E039 | Hypothyroidism, unspecified | 97 | 56 |