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 | 95.03 | NA | 527,393 | 2,476,128 | 525,992 | ||||||||||||
| 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 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 470,763 | 89.26 |
| Black | 29,815 | 5.65 |
| Unknown | 9,677 | 1.83 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 155,591 | 29.5 |
| 70 to 74 | 133,994 | 25.41 |
| 75 to 79 | 95,675 | 18.14 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| I10 | Essential (primary) hypertension | 315,928 | 59.9 |
| E785 | Hyperlipidemia, unspecified | 202,347 | 38.37 |
| K219 | Gastro-esophageal reflux disease without esophagitis | 166,460 | 31.56 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0SRC0J9 | Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach | 149,172 | 28.28 |
| 0SRD0J9 | Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach | 139,245 | 26.4 |
| 3E0T3CZ | Introduction of Regional Anesthetic into Peripheral Nerves and Plexi, Percutaneous Approach | 28,566 | 5.42 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 4,270 | 0.81 |
| New England Baptist Hospital | 125 PARKER HILL AVE | Roxbury Crossing | MA | 02120 | 2,412 | 0.46 |
| Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | 1,472 | 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 644 | 0.12 |
| DR. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 604 | 0.11 |
| DR. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 527 | 0.1 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 826 | 0.16 |
| DR. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 614 | 0.12 |
| DR. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 525 | 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 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 | I10 | Essential (primary) hypertension | 537,302 | 315,928 | |||||||||||||||||
| Orthopedics | Hip & Knee Replacement | Major Joint Replacement Or Reattachment Of Lower Extremity | E785 | Hyperlipidemia, unspecified | 312,540 | 202,347 | |||||||||||||||||
| Orthopedics | Hip & Knee Replacement | Major Joint Replacement Or Reattachment Of Lower Extremity | K219 | Gastro-esophageal reflux disease without esophagitis | 240,499 | 166,460 | |||||||||||||||||
| Orthopedics | Hip & Knee Replacement | Major Joint Replacement Or Reattachment Of Lower Extremity | M1711 | Unilateral primary osteoarthritis, right knee | 210,757 | 151,889 | |||||||||||||||||
| Orthopedics | Hip & Knee Replacement | Major Joint Replacement Or Reattachment Of Lower Extremity | M1712 | Unilateral primary osteoarthritis, left knee | 195,317 | 141,787 | |||||||||||||||||
| Orthopedics | Hip & Knee Replacement | Major Joint Replacement Or Reattachment Of Lower Extremity | Z87891 | Personal history of nicotine dependence | 181,228 | 131,105 | |||||||||||||||||
| Orthopedics | Hip & Knee Replacement | Major Joint Replacement Or Reattachment Of Lower Extremity | Z7982 | Long term (current) use of aspirin | 108,400 | 104,265 | |||||||||||||||||
| Orthopedics | Hip & Knee Replacement | Major Joint Replacement Or Reattachment Of Lower Extremity | E039 | Hypothyroidism, unspecified | 146,251 | 96,925 | |||||||||||||||||
| Orthopedics | Hip & Knee Replacement | Major Joint Replacement Or Reattachment Of Lower Extremity | D62 | Acute posthemorrhagic anemia | 170,935 | 95,187 | |||||||||||||||||
| Orthopedics | Hip & Knee Replacement | Major Joint Replacement Or Reattachment Of Lower Extremity | M1611 | Unilateral primary osteoarthritis, right hip | 145,851 | 82,975 |