DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 (%)
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 94.78 886,452 527,393 2,476,128 2,463,939
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 33,964 27,571 136,237 128,058

DEMOGRAPHIC DETAILS OF DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 2,218,164 89.58
Black 145,632 5.88
Unknown 32,458 1.31
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 711,484 28.73
70 to 74 591,108 23.87
75 to 79 445,912 18.01

TOP ICD DIAGNOSIS CODES FOR DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 786,315 31.76
I10 Essential (primary) hypertension 722,930 29.2
71536 Osteoarthrosis, localized, not specified whether primary or secondary, lower leg 547,990 22.13

TOP ICD PROCEDURE CODES FOR DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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
8154 Total Knee Replacement 766,572 30.96
8151 Total Hip Replacement 393,381 15.89
0SRC0J9 Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach 334,451 13.51

TOP HOSPITALS ASSOCIATED WITH DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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
Hospital For Special Surgery 535 E 70TH ST New York NY 10021 20,022 0.81
New England Baptist Hospital 125 PARKER HILL AVE Roxbury Crossing MA 02120 10,891 0.44
Christiana Hospital 501 W 14TH ST Wilmington DE 19801 6,905 0.28

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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. EDWARD THOMAS HUMBERT 7331 COLLEGE PKWY FORT MYERS FL 33907 2,585 0.1
DR. JOHN TERRY DEARBORN 2000 MOWRY AVE FREMONT CA 94538 2,409 0.1
DR. KENNETH ANDREW MARTIN 8907 KANIS RD LITTLE ROCK AR 72205 2,289 0.09

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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. ANDREW GLEN YUN 13160 MINDANAO WAY MARINA DEL REY CA 90292 3,423 0.14
DR. EDWARD THOMAS HUMBERT 7331 COLLEGE PKWY FORT MYERS FL 33907 2,588 0.1
DR. JOHN TERRY DEARBORN 2000 MOWRY AVE FREMONT CA 94538 2,414 0.1

DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 786,315
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity I10 Essential (primary) hypertension 537,302 722,930
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity 71536 Osteoarthrosis, localized, not specified whether primary or secondary, lower leg NA 547,990
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity 2724 Other and unspecified hyperlipidemia NA 484,432
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity E785 Hyperlipidemia, unspecified 312,540 448,419
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity 53081 Esophageal reflux NA 383,009
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity K219 Gastro-esophageal reflux disease without esophagitis 240,499 364,075
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity 2851 Acute posthemorrhagic anemia NA 331,553
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity M1711 Unilateral primary osteoarthritis, right knee 210,757 299,299
Orthopedics Hip & Knee Replacement Major Joint Replacement Or Reattachment Of Lower Extremity Z87891 Personal history of nicotine dependence 181,228 279,840