DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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CHARGE CAPTURE ANALYSIS FOR DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH 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 (%)
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement Surgical 9.31 NA 4,159 20,682 19,635
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement Surgical 41.00 NA 19,182 91,052 90,668
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement Surgical 49.69 NA 21,867 110,353 109,638

DEMOGRAPHIC DETAILS OF DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 17,892 86.51
Black 1,911 9.24
Hispanic 285 1.38
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 4,117 19.91
75 to 79 3,426 16.57
Less than 65 3,406 16.47

TOP ICD DIAGNOSIS CODES FOR DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH 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
2851 Acute posthemorrhagic anemia 6,264 30.29
V4364 Car passenger injured in collision with van in traffic accident 6,119 29.59
4019 Unspecified essential hypertension 5,329 25.77

TOP ICD PROCEDURE CODES FOR DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH 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
9904 Transfusion Of Packed Cells 5,523 26.7
0070 Revision Of Hip Replacement, Both Acetabular And Femoral Components 3,366 16.28
30233N1 Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach 2,769 13.39

TOP HOSPITALS ASSOCIATED WITH DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH 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
Cleveland Clinic 9500 EUCLID AVE Cleveland OH 44195 117 0.57
Mayo Clinic Hospital-Rochester 1216 2ND ST SW Rochester MN 55902 106 0.51
Cedars-Sinai Medical Center 8700 BEVERLY BLVD Los Angeles CA 90048 104 0.5

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH 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. HERRICK JOVE SIEGEL 1201 11TH AVE S BIRMINGHAM AL 35205 79 0.38
DR. EDWARD J MCPHERSON 201 S ALVARADO ST LOS ANGELES CA 90057 52 0.25

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH 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. HERRICK JOVE SIEGEL 1201 11TH AVE S BIRMINGHAM AL 35205 88 0.43
DR. EDWARD J MCPHERSON 201 S ALVARADO ST LOS ANGELES CA 90057 79 0.38
DR. TODD DALE SEKUNDIAK 601 N 30TH ST OMAHA NE 68131 55 0.27

DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH 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 Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 2851 Acute posthemorrhagic anemia NA 6,264
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement V4364 Car passenger injured in collision with van in traffic accident NA 6,119
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 4019 Unspecified essential hypertension NA 5,329
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement D62 Acute posthemorrhagic anemia 2,864 4,839
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 2724 Other and unspecified hyperlipidemia NA 4,213
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement I10 Essential (primary) hypertension 2,584 4,203
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement E785 Hyperlipidemia, unspecified 2,078 3,671
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 53081 Esophageal reflux NA 3,401
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement V4365 Knee joint replacement NA 3,270
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 42731 Atrial fibrillation NA 2,942