Jan 2013 to Dec 2017   |   Jan 2017 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 | 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | ||||||||||||
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 |
DEMOGRAPHIC DETAILS OF DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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 Care Wilmington 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) | Back to Top |
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) | Back to Top |
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 | 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 | 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 |