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 | 48.37 | NA | 21,867 | 110,353 | 21,773 | ||||||||||||
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 19,208 | 87.84 |
| Black | 1,818 | 8.31 |
| Unknown | 246 | 1.12 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 4,983 | 22.79 |
| 70 to 74 | 4,791 | 21.91 |
| Less than 65 | 3,722 | 17.02 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| D62 | Acute posthemorrhagic anemia | 11,943 | 54.62 |
| T8484XA | Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 1,914 | 8.75 |
| T84032A | Mechanical loosening of internal right knee prosthetic joint, initial encounter | 1,737 | 7.94 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach | 3,705 | 16.94 |
| 30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 3,486 | 15.94 |
| 0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach | 3,399 | 15.54 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 276 | 1.26 |
| SSM Health St. Anthony Hospital - Oklahoma City | 1000 N LEE AVE | Oklahoma City | OK | 73102 | 126 | 0.58 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 113 | 0.52 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. HERRICK JOVE SIEGEL | 1201 11TH AVE S | BIRMINGHAM | AL | 35205 | 89 | 0.41 |
| DR. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 59 | 0.27 |
| DR. HENRY A. FINN | 4646 N MARINE DR | CHICAGO | IL | 60640 | 51 | 0.23 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. HERRICK JOVE SIEGEL | 1201 11TH AVE S | BIRMINGHAM | AL | 35205 | 89 | 0.41 |
| DR. CYRUS ERIK ABBASCHIAN | 12230 COIT RD | DALLAS | TX | 75251 | 72 | 0.33 |
| DR. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 61 | 0.28 |
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 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 | I10 | Essential (primary) hypertension | 18,394 | 12,471 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | D62 | Acute posthemorrhagic anemia | 17,221 | 11,943 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | E785 | Hyperlipidemia, unspecified | 11,190 | 8,693 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | K219 | Gastro-esophageal reflux disease without esophagitis | 9,762 | 8,124 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | Z87891 | Personal history of nicotine dependence | 6,396 | 5,890 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | E039 | Hypothyroidism, unspecified | 5,954 | 4,620 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | Z7982 | Long term (current) use of aspirin | 3,880 | 4,372 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | F329 | Major depressive disorder, single episode, unspecified | 5,508 | 4,329 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 4,751 | 4,168 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | G4733 | Obstructive sleep apnea (adult) (pediatric) | 3,378 | 3,399 |