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 | 9.20 | NA | 4,159 | 20,682 | 3,971 | ||||||||||||
| 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 | 42.43 | NA | 19,182 | 91,052 | 19,139 | ||||||||||||
| 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 | 48.37 | NA | 21,867 | 110,353 | 21,773 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 3,592 | 86.37 |
| Black | 382 | 9.18 |
| Hispanic | 61 | 1.47 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 817 | 19.64 |
| 75 to 79 | 713 | 17.14 |
| 70 to 74 | 710 | 17.07 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| M9701XA | Periprosthetic fracture around internal prosthetic right hip joint, initial encounter | 478 | 11.49 |
| M9702XA | Periprosthetic fracture around internal prosthetic left hip joint, initial encounter | 477 | 11.47 |
| T8451XA | Infection and inflammatory reaction due to internal right hip prosthesis, initial encounter | 379 | 9.11 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 1,248 | 30.01 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 910 | 21.88 |
| 0SPS0JZ | Removal of Synthetic Substitute from Left Hip Joint, Femoral Surface, Open Approach | 656 | 15.77 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 28 | 0.67 |
| Baylor University Medical Center | 3500 GASTON AVE | Dallas | TX | 75246 | 27 | 0.65 |
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 24 | 0.58 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. HERRICK JOVE SIEGEL | 1201 11TH AVE S | BIRMINGHAM | AL | 35205 | 14 | 0.34 |
| DR. MICHAEL ROBERT STEFAN | 2100 W 3RD ST | LOS ANGELES | CA | 90057 | NA | NA |
| DR. DANIEL CHRISTOPHER ALLISON | 444 S SAN VICENTE BLVD | LOS ANGELES | CA | 90048 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. CYRUS ERIK ABBASCHIAN | 12230 COIT RD | DALLAS | TX | 75251 | 23 | 0.55 |
| DR. EDWARD J MCPHERSON | 201 S ALVARADO ST | LOS ANGELES | CA | 90057 | 18 | 0.43 |
| DR. HERRICK JOVE SIEGEL | 1201 11TH AVE S | BIRMINGHAM | AL | 35205 | 16 | 0.38 |
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 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 | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | D62 | Acute posthemorrhagic anemia | 2,864 | 2,144 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | I10 | Essential (primary) hypertension | 2,584 | 1,720 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | E785 | Hyperlipidemia, unspecified | 2,078 | 1,645 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | K219 | Gastro-esophageal reflux disease without esophagitis | 1,555 | 1,369 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,287 | 1,078 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | Z87891 | Personal history of nicotine dependence | 1,275 | 991 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | E039 | Hypothyroidism, unspecified | 994 | 896 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | F329 | Major depressive disorder, single episode, unspecified | 969 | 890 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | N179 | Acute kidney failure, unspecified | 939 | 795 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | Z7982 | Long term (current) use of aspirin | 701 | 755 |