Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | Surgical | 47.84 | NA | 2,926 | 16,110 | 15,905 | ||||||||||||
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | Surgical | 52.16 | NA | 2,776 | 17,568 | 17,506 |
DEMOGRAPHIC DETAILS OF DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH 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 | 13,370 | 82.99 |
| Black | 1,867 | 11.59 |
| Hispanic | 295 | 1.83 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 4,277 | 26.55 |
| 65 to 69 | 3,645 | 22.63 |
| 70 to 74 | 3,056 | 18.97 |
TOP ICD DIAGNOSIS CODES FOR DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH 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 | 5,345 | 33.18 |
| V4365 | Knee joint replacement | 5,274 | 32.74 |
| 2724 | Other and unspecified hyperlipidemia | 3,569 | 22.15 |
TOP ICD PROCEDURE CODES FOR DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH 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 |
|---|---|---|---|
| 0084 | Revision Of Total Knee Replacement, Tibial Insert (Liner) | 3,428 | 21.28 |
| 0083 | Revision Of Knee Replacement, Patellar Component | 1,573 | 9.76 |
| 8076 | Synovectomy, Knee | 1,487 | 9.23 |
TOP HOSPITALS ASSOCIATED WITH DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH 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 | 108 | 0.67 |
| SSM Health St. Anthony Hospital - Oklahoma City | 1000 N LEE AVE | Oklahoma City | OK | 73102 | 78 | 0.48 |
| University of Missouri Health Care | ONE HOSPITAL DRIVE | Columbia | MO | 65212 | 74 | 0.46 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH 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. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 38 | 0.24 |
| DR. PHILIP ORMOND MERRITT | 1505 WILSON TER | GLENDALE | CA | 91206 | 36 | 0.22 |
| DR. JOHN I. WALDROP | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 33 | 0.2 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH 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. PHILIP ORMOND MERRITT | 1505 WILSON TER | GLENDALE | CA | 91206 | 39 | 0.24 |
| DR. THOMAS KELLY TKACH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 38 | 0.24 |
| DR. PETER BRODIE WOOD | 615 LILLY RD NE | OLYMPIA | WA | 98506 | 33 | 0.2 |
DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH 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 Without Pdx Of Infection | 4019 | Unspecified essential hypertension | NA | 5,345 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | V4365 | Knee joint replacement | NA | 5,274 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | 2724 | Other and unspecified hyperlipidemia | NA | 3,569 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | I10 | Essential (primary) hypertension | 2,924 | 3,547 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | 53081 | Esophageal reflux | NA | 3,125 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | 2851 | Acute posthemorrhagic anemia | NA | 3,063 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | E785 | Hyperlipidemia, unspecified | 1,704 | 2,562 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 2,355 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | K219 | Gastro-esophageal reflux disease without esophagitis | 1,279 | 2,053 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | 2449 | Unspecified acquired hypothyroidism | NA | 1,889 |