DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH 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 (%)
469 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity Surgical 5.22 NA 27,571 136,237 128,058
470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity Surgical 94.78 NA 527,393 2,476,128 2,463,939

DEMOGRAPHIC DETAILS OF DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 120,589 88.51
Black 9,884 7.26
Hispanic 1,723 1.26
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Greater than 84 42,696 31.34
80 to 84 23,565 17.3
75 to 79 21,911 16.08

TOP ICD DIAGNOSIS CODES FOR DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH 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 34,365 25.22
2851 Acute posthemorrhagic anemia 31,037 22.78
2724 Other and unspecified hyperlipidemia 29,682 21.79

TOP ICD PROCEDURE CODES FOR DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH 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
8152 Partial Hip Replacement 39,256 28.81
9904 Transfusion Of Packed Cells 21,968 16.12
8154 Total Knee Replacement 18,953 13.91

TOP HOSPITALS ASSOCIATED WITH DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH 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
Florida Hospital Orlando 601 E ROLLINS ST Orlando FL 32803 430 0.32
Mission Hospital 509 BILTMORE AVE Asheville NC 28801 396 0.29
Hospital For Special Surgery 535 E 70TH ST New York NY 10021 337 0.25

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH 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. TIMOTHY J BOPP 310 N 9TH ST BISMARCK ND 58501 111 0.08
DR. JOSEPH G MARTIN 2300 53RD AVE BETTENDORF IA 52722 86 0.06
DR. JOSEPH W CARLSON 310 N 9TH ST BISMARCK ND 58501 86 0.06

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH 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. TIMOTHY J BOPP 310 N 9TH ST BISMARCK ND 58501 118 0.09
DR. WILLIAM TIMOTHY BALLARD 2415 MCCALLIE AVE CHATTANOOGA TN 37404 109 0.08
DR. RICHARD DAVID HEEKIN 2 SHIRCLIFF WAY JACKSONVILLE FL 32204 100 0.07

DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH 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 Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity 4019 Unspecified essential hypertension NA 34,365
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity 2851 Acute posthemorrhagic anemia NA 31,037
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity 2724 Other and unspecified hyperlipidemia NA 29,682
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity I10 Essential (primary) hypertension 16,855 28,177
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity E785 Hyperlipidemia, unspecified 13,889 26,163
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity D62 Acute posthemorrhagic anemia 12,856 23,347
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity 42731 Atrial fibrillation NA 20,450
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity 53081 Esophageal reflux NA 20,442
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity 8208 Closed fracture of unspecified part of neck of femur NA 20,187
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity K219 Gastro-esophageal reflux disease without esophagitis 8,631 18,050