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 | 25.53 | NA | 935 | 5,871 | 876 | ||||||||||||
| 486 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | Surgical | 55.79 | NA | 2,043 | 12,812 | 2,013 | ||||||||||||
| 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 | 18.68 | NA | 684 | 4,573 | 678 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 736 | 78.72 |
| Black | 124 | 13.26 |
| Unknown | 21 | 2.25 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 229 | 24.49 |
| 65 to 69 | 198 | 21.18 |
| 70 to 74 | 169 | 18.07 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| T8453XA | Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 349 | 37.33 |
| T8454XA | Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter | 306 | 32.73 |
| M00061 | Staphylococcal arthritis, right knee | 116 | 12.41 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 499 | 53.37 |
| 0SBC0ZZ | Excision of Right Knee Joint, Open Approach | 246 | 26.31 |
| 0SBD0ZZ | Excision of Left Knee Joint, Open Approach | 207 | 22.14 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| SSM Health St. Anthony Hospital - Oklahoma City | 1000 N LEE AVE | Oklahoma City | OK | 73102 | NA | NA |
| Beaumont Hospital Royal Oak | 3601 W 13 MILE RD | Royal Oak | MI | 48073 | NA | NA |
| Geisinger Medical Center | 100 N ACADEMY AVE | Danville | PA | 17822 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JANET D CONWAY | RUBIN INSTITUTE FOR ADVANCED ORTHOPEDICS | BALTIMORE | MD | 21215 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JANET D CONWAY | RUBIN INSTITUTE FOR ADVANCED ORTHOPEDICS | BALTIMORE | MD | 21215 | NA | NA |
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 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 | Knee Procedures | Knee Procedures With Pdx Of Infection | E785 | Hyperlipidemia, unspecified | 459 | 387 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | T8453XA | Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 412 | 349 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | I10 | Essential (primary) hypertension | 531 | 315 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | T8454XA | Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter | 267 | 306 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | K219 | Gastro-esophageal reflux disease without esophagitis | 284 | 298 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 323 | 263 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | N179 | Acute kidney failure, unspecified | 246 | 247 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | Z87891 | Personal history of nicotine dependence | 187 | 219 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | E1122 | Type 2 diabetes mellitus with diabetic chronic kidney disease | 97 | 207 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | D62 | Acute posthemorrhagic anemia | 272 | 206 |