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 | 18.68 | NA | 684 | 4,573 | 678 | ||||||||||||
| 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 | ||||||||||||
| 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 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 599 | 87.57 |
| Black | 50 | 7.31 |
| Hispanic | 13 | 1.9 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 189 | 27.63 |
| 70 to 74 | 143 | 20.91 |
| Less than 65 | 121 | 17.69 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| T8454XA | Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter | 228 | 33.33 |
| M00061 | Staphylococcal arthritis, right knee | 70 | 10.23 |
| M00862 | Arthritis due to other bacteria, left knee | 51 | 7.46 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 358 | 52.34 |
| 0SPD09Z | Removal of Liner from Left Knee Joint, Open Approach | 157 | 22.95 |
| 0SUW09Z | Supplement Left Knee Joint, Tibial Surface with Liner, Open Approach | 156 | 22.81 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Pennsylvania Hospital | 800 SPRUCE ST | Phila | PA | 19107 | NA | NA |
| Virtua Voorhees Hospital | 100 BOWMAN DR | Voorhees | NJ | 08043 | NA | NA |
| OrthoIndy Hospital | 8400 NORTHWEST BLVD | Indianapolis | IN | 46278 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. MICHAEL P BOLOGNESI | 4101 N ROXBORO ST | DURHAM | NC | 27704 | NA | NA |
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 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 | I10 | Essential (primary) hypertension | 939 | 397 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | E785 | Hyperlipidemia, unspecified | 416 | 250 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | T8454XA | Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter | 378 | 228 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | K219 | Gastro-esophageal reflux disease without esophagitis | 310 | 201 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | T8453XA | Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter | 348 | 200 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | Z87891 | Personal history of nicotine dependence | 246 | 160 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | Z7982 | Long term (current) use of aspirin | 182 | 127 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | B9561 | Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere | 331 | 123 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 140 | 106 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures With Pdx Of Infection | E039 | Hypothyroidism, unspecified | 148 | 103 |