Jan 2013 to Dec 2017   |   Jan 2017 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 | 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
AdventHealth 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) | Back to Top |
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) | Back to Top |
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 | 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 | 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 |