Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | ||||||||||||
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 |
DEMOGRAPHIC DETAILS OF DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 42,940 | 89.6 |
Black | 2,347 | 4.9 |
Unknown | 1,061 | 2.21 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
65 to 69 | 20,723 | 43.24 |
70 to 74 | 12,904 | 26.93 |
75 to 79 | 6,630 | 13.83 |
TOP ICD DIAGNOSIS CODES FOR DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT 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 |
---|---|---|---|
M170 | Bilateral primary osteoarthritis of knee | 18,000 | 37.56 |
71536 | Osteoarthrosis, localized, not specified whether primary or secondary, lower leg | 17,674 | 36.88 |
4019 | Unspecified essential hypertension | 16,157 | 33.71 |
TOP ICD PROCEDURE CODES FOR DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT 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 | 50,172 | 104.69 |
0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach | 16,922 | 35.31 |
0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach | 16,918 | 35.3 |
TOP HOSPITALS ASSOCIATED WITH DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT 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 |
---|---|---|---|---|---|---|
Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 955 | 1.99 |
UCHealth Poudre Valley Hospital | 1024 S LEMAY AVE | Fort Collins | CO | 80524 | 695 | 1.45 |
CHI Memorial Hospital | 2525 DESALES AVE | Chattanooga | TN | 37404 | 481 | 1.0 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT 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. KIRK A KINDSFATER | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 587 | 1.22 |
DR. ROBERT EMREY BOOTH | 601 WALNUT ST | PHILADELPHIA | PA | 19106 | 385 | 0.8 |
DR. WILLIAM TIMOTHY BALLARD | 2415 MCCALLIE AVE | CHATTANOOGA | TN | 37404 | 374 | 0.78 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT 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. KIRK A KINDSFATER | 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 587 | 1.22 |
DR. ROBERT EMREY BOOTH | 601 WALNUT ST | PHILADELPHIA | PA | 19106 | 388 | 0.81 |
DR. WILLIAM TIMOTHY BALLARD | 2415 MCCALLIE AVE | CHATTANOOGA | TN | 37404 | 377 | 0.79 |
DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY 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 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 | M170 | Bilateral primary osteoarthritis of knee | 18,028 | 18,000 | |||||||||||||||||
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 | 17,674 | |||||||||||||||||
Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | 4019 | Unspecified essential hypertension | NA | 16,157 | |||||||||||||||||
Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | I10 | Essential (primary) hypertension | 11,997 | 12,146 | |||||||||||||||||
Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | 2851 | Acute posthemorrhagic anemia | NA | 10,119 | |||||||||||||||||
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 | 9,879 | |||||||||||||||||
Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | 53081 | Esophageal reflux | NA | 8,026 | |||||||||||||||||
Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | E785 | Hyperlipidemia, unspecified | 7,225 | 7,371 | |||||||||||||||||
Orthopedics | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity | D62 | Acute posthemorrhagic anemia | 7,220 | 6,091 | |||||||||||||||||
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 | 5,801 | 6,054 |