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 | 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) | Back to Top |
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) | Back to Top |
ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
S72002A | Fracture of unspecified part of neck of left femur, initial encounter for closed fracture | 3,441 | 12.48 |
S72001A | Fracture of unspecified part of neck of right femur, initial encounter for closed fracture | 3,343 | 12.13 |
M1711 | Unilateral primary osteoarthritis, right knee | 3,124 | 11.33 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
30233N1 | Transfusion of Nonautologous Red Blood Cells into Peripheral Vein, Percutaneous Approach | 4,154 | 15.07 |
0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach | 3,067 | 11.12 |
0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach | 2,873 | 10.42 |
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 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) | Back to Top |
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) | Back to Top |
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 | 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 | 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 |