Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
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 | 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | 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 | 875 | 0.96 |
Mayo Clinic Hospital - Saint Marys Campus | 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) | Back to Top |
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) | Back to Top |
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 | 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 | 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 |