DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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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

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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)

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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)

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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)

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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)

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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)

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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)

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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

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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