Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | Back to Top |
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) | 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 | 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) | Back to Top |
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) | 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 | 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) | 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 | 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 | 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 | 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 |