Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 3,965 | 86.7 |
| Black | 374 | 8.18 |
| Hispanic | 72 | 1.57 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 1,237 | 27.05 |
| 70 to 74 | 933 | 20.4 |
| Less than 65 | 881 | 19.27 |
TOP ICD DIAGNOSIS CODES FOR DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 1,782 | 38.97 |
| 71106 | Pyogenic arthritis, lower leg | 1,518 | 33.19 |
| V4365 | Knee joint replacement | 1,364 | 29.83 |
TOP ICD PROCEDURE CODES FOR DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 8016 | Other Arthrotomy, Knee | 1,253 | 27.4 |
| 8076 | Synovectomy, Knee | 1,235 | 27.01 |
| 0084 | Revision Of Total Knee Replacement, Tibial Insert (Liner) | 1,018 | 22.26 |
TOP HOSPITALS ASSOCIATED WITH DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 27 | 0.59 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 18 | 0.39 |
| Duke University Hospital | 2301 ERWIN ROAD | Durham | NC | 27710 | 18 | 0.39 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. MICHAEL P BOLOGNESI | 4101 N ROXBORO ST | DURHAM | NC | 27704 | 11 | 0.24 |
DRG 487: KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 4019 | Unspecified essential hypertension | NA | 1,782 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 71106 | Pyogenic arthritis, lower leg | NA | 1,518 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | V4365 | Knee joint replacement | NA | 1,364 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 99666 | Infection and inflammatory reaction due to internal joint prosthesis | NA | 1,349 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 2724 | Other and unspecified hyperlipidemia | NA | 1,056 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | I10 | Essential (primary) hypertension | 939 | 1,003 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | 53081 | Esophageal reflux | NA | 738 | |||||||||||||||||
| 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 | 632 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | E785 | Hyperlipidemia, unspecified | 416 | 576 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | T8453XA | Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 348 | 509 |