Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 466: REVISION OF HIP OR KNEE REPLACEMENT 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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 - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 106 | 0.51 |
University of Alabama Hospital | 619 19TH ST S | Birmingham | AL | 35249 | 104 | 0.5 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 466: REVISION OF HIP OR KNEE REPLACEMENT 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. 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) | Back to Top |
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 | 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 | 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 |