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 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

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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 4.97 NA 27,571 136,237 26,110
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 95.03 NA 527,393 2,476,128 525,992

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 2017 to Dec 2017 % of DRG Volume
White 24,331 88.25
Black 2,015 7.31
Hispanic 345 1.25
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Greater than 84 8,466 30.71
80 to 84 4,645 16.85
75 to 79 4,493 16.3

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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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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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 2017 to Dec 2017 % of DRG Volume
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 98 0.36
Mission Hospital 509 BILTMORE AVE Asheville NC 28801 84 0.3
Hospital for Special Surgery 535 E 70TH ST New York NY 10021 78 0.28

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 2017 to Dec 2017 % of DRG Volume
DR. JOHANNES CHRISTIAAN COETZEE 4010 W 65TH ST EDINA MN 55435 21 0.08

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 2017 to Dec 2017 % of DRG Volume
DR. WILLIAM TIMOTHY BALLARD 2415 MCCALLIE AVE CHATTANOOGA TN 37404 32 0.12
DR. KAMALDEEN TOYOSI ADERIBIGBE 450 LAUREL ST STE A DES MOINES IA 50314 23 0.08
DR. SCOTT FOSTER 536 S TRIMBLE RD MANSFIELD OH 44906 23 0.08

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 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 Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity E785 Hyperlipidemia, unspecified 13,889 11,693
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity I10 Essential (primary) hypertension 16,855 11,198
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity D62 Acute posthemorrhagic anemia 12,856 10,033
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity K219 Gastro-esophageal reflux disease without esophagitis 8,631 8,132
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 9,384 7,876
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity Z87891 Personal history of nicotine dependence 7,811 7,324
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity E039 Hypothyroidism, unspecified 6,749 6,060
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity Z7982 Long term (current) use of aspirin 4,670 5,491
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity N179 Acute kidney failure, unspecified 6,047 4,780
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity J449 Chronic obstructive pulmonary disease, unspecified 5,784 4,585