DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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CHARGE CAPTURE ANALYSIS FOR DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) 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 (%)
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
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
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

DEMOGRAPHIC DETAILS OF DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 96,919 87.83
Black 9,486 8.6
Hispanic 1,057 0.96
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 24,404 22.11
70 to 74 22,112 20.04
Less than 65 20,375 18.46

TOP ICD DIAGNOSIS CODES FOR DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC)

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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 40,209 36.44
4019 Unspecified essential hypertension 36,940 33.47
V4364 Car passenger injured in collision with van in traffic accident 29,421 26.66

TOP ICD PROCEDURE CODES FOR DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC)

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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 19,618 17.78
0080 Brain 16,203 14.68
0070 Revision Of Hip Replacement, Both Acetabular And Femoral Components 15,861 14.37

TOP HOSPITALS ASSOCIATED WITH DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC)

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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 1,232 1.12
SSM Health St. Anthony Hospital - Oklahoma City 1000 N LEE AVE Oklahoma City OK 73102 665 0.6
Houston Methodist Hospital 6565 FANNIN ST Houston TX 77030 589 0.53

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC)

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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 417 0.38
DR. TODD DALE SEKUNDIAK 601 N 30TH ST OMAHA NE 68131 365 0.33
DR. THOMAS KELLY TKACH 1110 N LEE AVE OKLAHOMA CITY OK 73103 362 0.33

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC)

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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 419 0.38
DR. TODD DALE SEKUNDIAK 601 N 30TH ST OMAHA NE 68131 392 0.36
DR. THOMAS KELLY TKACH 1110 N LEE AVE OKLAHOMA CITY OK 73103 367 0.33

DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) 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 40,209
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 4019 Unspecified essential hypertension NA 36,940
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 29,421
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement I10 Essential (primary) hypertension 18,394 27,917
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement V4365 Knee joint replacement NA 26,596
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement D62 Acute posthemorrhagic anemia 17,221 26,215
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 2724 Other and unspecified hyperlipidemia NA 24,086
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 53081 Esophageal reflux NA 21,961
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement E785 Hyperlipidemia, unspecified 11,190 18,422
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement K219 Gastro-esophageal reflux disease without esophagitis 9,762 17,152