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 | 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 | ||||||||||||
| 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 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 16,866 | 87.93 |
| Black | 1,420 | 7.4 |
| Unknown | 331 | 1.73 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 5,337 | 27.82 |
| 70 to 74 | 4,710 | 24.55 |
| 75 to 79 | 3,316 | 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| T8484XA | Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 2,753 | 14.35 |
| T84032A | Mechanical loosening of internal right knee prosthetic joint, initial encounter | 2,215 | 11.55 |
| T84033A | Mechanical loosening of internal left knee prosthetic joint, initial encounter | 2,003 | 10.44 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach | 3,713 | 19.36 |
| 0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach | 3,535 | 18.43 |
| 0SPC0JZ | Removal of Synthetic Substitute from Right Knee Joint, Open Approach | 3,399 | 17.72 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 186 | 0.97 |
| UAMS Medical Center | 4301 W MARKHAM ST | Little Rock | AR | 72205 | 124 | 0.65 |
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 98 | 0.51 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. PAUL K EDWARDS | 600 S MCKINLEY ST | LITTLE ROCK | AR | 72205 | 52 | 0.27 |
| DR. ROWLAND MARSHALL ROBERSON | 2500 N STATE ST | JACKSON | MS | 39216 | 51 | 0.27 |
| DR. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 48 | 0.25 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 53 | 0.28 |
| DR. PAUL K EDWARDS | 600 S MCKINLEY ST | LITTLE ROCK | AR | 72205 | 51 | 0.27 |
| DR. ROWLAND MARSHALL ROBERSON | 2500 N STATE ST | JACKSON | MS | 39216 | 51 | 0.27 |
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 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 | 17,216 | 11,801 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | E785 | Hyperlipidemia, unspecified | 9,651 | 6,758 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | K219 | Gastro-esophageal reflux disease without esophagitis | 8,478 | 6,531 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | Z87891 | Personal history of nicotine dependence | 5,758 | 4,799 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | Z7982 | Long term (current) use of aspirin | 3,565 | 3,566 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | E039 | Hypothyroidism, unspecified | 4,696 | 3,443 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | F329 | Major depressive disorder, single episode, unspecified | 4,003 | 2,988 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | T8484XA | Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 3,982 | 2,753 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | E119 | Type 2 diabetes mellitus without complications | 4,505 | 2,703 | |||||||||||||||||
| Orthopedics | Revision Of Hip Or Knee Replacement | Revision Of Hip Or Knee Replacement | E669 | Obesity, unspecified | 4,012 | 2,647 |