DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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CHARGE CAPTURE ANALYSIS FOR DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 (%)
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
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 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 80,294 88.18
Black 7,123 7.82
Unknown 1,094 1.2
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 24,389 26.79
70 to 74 20,914 22.97
Less than 65 15,743 17.29

TOP ICD DIAGNOSIS CODES FOR DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 29,614 32.52
V4365 Knee joint replacement 23,376 25.67
V4364 Car passenger injured in collision with van in traffic accident 21,416 23.52

TOP ICD PROCEDURE CODES FOR DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
0080 Brain 14,216 15.61
0070 Revision Of Hip Replacement, Both Acetabular And Femoral Components 10,666 11.71
0SPC0JZ Removal of Synthetic Substitute from Right Knee Joint, Open Approach 8,752 9.61

TOP HOSPITALS ASSOCIATED WITH DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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 875 0.96
Mayo Clinic Hospital-Rochester 1216 2ND ST SW Rochester MN 55902 618 0.68
New England Baptist Hospital 125 PARKER HILL AVE Roxbury Crossing MA 02120 564 0.62

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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. CHARLES LOWRY BARNES 600 S MCKINLEY ST LITTLE ROCK AR 72205 298 0.33
DR. EDWARD J STOLARSKI 6050 CATTLERIDGE BLVD STE 201 SARASOTA FL 34232 213 0.23
DR. DAVID A. CAMARATA 5620 E BELL RD SCOTTSDALE AZ 85254 200 0.22

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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. CHARLES LOWRY BARNES 600 S MCKINLEY ST LITTLE ROCK AR 72205 298 0.33
DR. EDWARD J STOLARSKI 6050 CATTLERIDGE BLVD STE 201 SARASOTA FL 34232 228 0.25
DR. DAVID A. CAMARATA 5620 E BELL RD SCOTTSDALE AZ 85254 204 0.22

DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 4019 Unspecified essential hypertension NA 29,614
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement I10 Essential (primary) hypertension 17,216 25,373
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement V4365 Knee joint replacement NA 23,376
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 21,416
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 2724 Other and unspecified hyperlipidemia NA 16,353
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 53081 Esophageal reflux NA 15,687
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement E785 Hyperlipidemia, unspecified 9,651 14,363
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement K219 Gastro-esophageal reflux disease without esophagitis 8,478 13,749
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 99641 Mechanical loosening of prosthetic joint NA 12,652
Orthopedics Revision Of Hip Or Knee Replacement Revision Of Hip Or Knee Replacement 99647 Other mechanical complication of prosthetic joint implant NA 12,502