Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 485 | KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | Surgical | 25.25 | NA | 935 | 5,871 | 5,515 | ||||||||||||
| 486 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | Surgical | 55.09 | NA | 2,043 | 12,812 | 12,608 | ||||||||||||
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | Surgical | 19.66 | NA | 684 | 4,573 | 4,531 |
DEMOGRAPHIC DETAILS OF DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,683 | 79.76 |
| Black | 782 | 13.32 |
| Hispanic | 127 | 2.16 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 1,478 | 25.17 |
| 65 to 69 | 1,219 | 20.76 |
| 70 to 74 | 1,024 | 17.44 |
TOP ICD DIAGNOSIS CODES FOR DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH 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 |
|---|---|---|---|
| 71106 | Pyogenic arthritis, lower leg | 2,603 | 44.34 |
| 99666 | Infection and inflammatory reaction due to internal joint prosthesis | 2,177 | 37.08 |
| V4365 | Knee joint replacement | 1,808 | 30.8 |
TOP ICD PROCEDURE CODES FOR DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH 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 |
|---|---|---|---|
| 8076 | Synovectomy, Knee | 1,762 | 30.01 |
| 8191 | Arthrocentesis | 1,712 | 29.16 |
| 0084 | Revision Of Total Knee Replacement, Tibial Insert (Liner) | 1,585 | 27.0 |
TOP HOSPITALS ASSOCIATED WITH DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH 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 |
|---|---|---|---|---|---|---|
| Beth Israel Deaconess Medical Center | 330 BROOKLINE AVE | Boston | MA | 02215 | 29 | 0.49 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 22 | 0.37 |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | 21 | 0.36 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH 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. JANET D CONWAY | RUBIN INSTITUTE FOR ADVANCED ORTHOPEDICS | BALTIMORE | MD | 21215 | 12 | 0.2 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH 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. JANET D CONWAY | RUBIN INSTITUTE FOR ADVANCED ORTHOPEDICS | BALTIMORE | MD | 21215 | 12 | 0.2 |
DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION 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 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 | Knee Procedures | Knee Procedures With Pdx Of Infection | 71106 | Pyogenic arthritis, lower leg | NA | 2,603 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 99666 | Infection and inflammatory reaction due to internal joint prosthesis | NA | 2,177 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | V4365 | Knee joint replacement | NA | 1,808 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 2724 | Other and unspecified hyperlipidemia | NA | 1,479 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 4019 | Unspecified essential hypertension | NA | 1,476 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 99591 | Sepsis | NA | 1,148 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 42731 | Atrial fibrillation | NA | 992 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 53081 | Esophageal reflux | NA | 966 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 952 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 5849 | Acute kidney failure, unspecified | NA | 915 |