Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 11,015 | 85.97 |
| Black | 1,074 | 8.38 |
| Hispanic | 207 | 1.62 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 2,950 | 23.03 |
| Less than 65 | 2,856 | 22.29 |
| 70 to 74 | 2,468 | 19.26 |
TOP ICD DIAGNOSIS CODES FOR DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 5,211 | 40.67 |
| 99666 | Infection and inflammatory reaction due to internal joint prosthesis | 5,007 | 39.08 |
| V4365 | Knee joint replacement | 4,743 | 37.02 |
TOP ICD PROCEDURE CODES FOR DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0084 | Revision Of Total Knee Replacement, Tibial Insert (Liner) | 3,663 | 28.59 |
| 8076 | Synovectomy, Knee | 3,456 | 26.97 |
| 8016 | Other Arthrotomy, Knee | 3,177 | 24.8 |
TOP HOSPITALS ASSOCIATED WITH DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 67 | 0.52 |
| University of Missouri Health Care | ONE HOSPITAL DRIVE | Columbia | MO | 65212 | 59 | 0.46 |
| NYU Langone's Tisch Hospital | 550 1ST AVE | New York | NY | 10016 | 56 | 0.44 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JORGE CASAS | 12222 N CENTRAL EXPY | DALLAS | TX | 75243 | 27 | 0.21 |
| DR. ALLAADDIN MOLLABASHY | 12230 COIT RD | DALLAS | TX | 75251 | 17 | 0.13 |
| DR. D GORDON ALLAN | 1301 S KOKE MILL RD | SPRINGFIELD | IL | 62711 | 16 | 0.12 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JORGE CASAS | 12222 N CENTRAL EXPY | DALLAS | TX | 75243 | 31 | 0.24 |
| DR. ALLAADDIN MOLLABASHY | 12230 COIT RD | DALLAS | TX | 75251 | 20 | 0.16 |
| DR. BRETT R. LEVINE | 1611 W HARRISON ST | CHICAGO | IL | 60612 | 17 | 0.13 |
DRG 486: KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC) 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 | 5,211 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 99666 | Infection and inflammatory reaction due to internal joint prosthesis | NA | 5,007 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | V4365 | Knee joint replacement | NA | 4,743 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 4019 | Unspecified essential hypertension | NA | 4,569 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 2724 | Other and unspecified hyperlipidemia | NA | 3,164 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | I10 | Essential (primary) hypertension | 2,095 | 2,603 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 53081 | Esophageal reflux | NA | 2,388 | |||||||||||||||||
| 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 | 2,025 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 2851 | Acute posthemorrhagic anemia | NA | 1,999 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | E785 | Hyperlipidemia, unspecified | 1,275 | 1,860 |