Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 489: KNEE PROCEDURES WITHOUT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 489: KNEE PROCEDURES WITHOUT 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 | 15,217 | 86.62 |
| Black | 1,518 | 8.64 |
| Hispanic | 229 | 1.3 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 4,688 | 26.68 |
| 70 to 74 | 3,854 | 21.94 |
| Less than 65 | 3,773 | 21.48 |
TOP ICD DIAGNOSIS CODES FOR DRG 489: KNEE PROCEDURES WITHOUT 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 |
|---|---|---|---|
| V4365 | Knee joint replacement | 7,302 | 41.56 |
| 4019 | Unspecified essential hypertension | 6,677 | 38.01 |
| 2724 | Other and unspecified hyperlipidemia | 3,577 | 20.36 |
TOP ICD PROCEDURE CODES FOR DRG 489: KNEE PROCEDURES WITHOUT 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 |
|---|---|---|---|
| 0084 | Revision Of Total Knee Replacement, Tibial Insert (Liner) | 5,214 | 29.68 |
| 0083 | Revision Of Knee Replacement, Patellar Component | 2,503 | 14.25 |
| 8076 | Synovectomy, Knee | 1,852 | 10.54 |
TOP HOSPITALS ASSOCIATED WITH DRG 489: KNEE PROCEDURES WITHOUT 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 | 150 | 0.85 |
| Sinai Hospital of Baltimore | 2401 W BELVEDERE AVE | Baltimore | MD | 21215 | 90 | 0.51 |
| East Cooper Medical Center | 2000 HOSPITAL DRIVE | Mt Pleasant | SC | 29464 | 80 | 0.46 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 489: KNEE PROCEDURES WITHOUT 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. ANDRE CHARLES MATTHEWS | 6345 E BAYWOOD AVE | MESA | AZ | 85206 | 73 | 0.42 |
| DR. HAROLD DEL SCHUTTE | 851 LEONARD FULGHUM BLVD | MT PLEASANT | SC | 29464 | 73 | 0.42 |
| DR. JOHN I. WALDROP | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 68 | 0.39 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 489: KNEE PROCEDURES WITHOUT 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. HAROLD DEL SCHUTTE | 851 LEONARD FULGHUM BLVD | MT PLEASANT | SC | 29464 | 73 | 0.42 |
| DR. ANDRE CHARLES MATTHEWS | 6345 E BAYWOOD AVE | MESA | AZ | 85206 | 73 | 0.42 |
| DR. JOHN I. WALDROP | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 68 | 0.39 |
DRG 489: KNEE PROCEDURES WITHOUT 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 Without Pdx Of Infection | V4365 | Knee joint replacement | NA | 7,302 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | 4019 | Unspecified essential hypertension | NA | 6,677 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | I10 | Essential (primary) hypertension | 3,408 | 3,704 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | 2724 | Other and unspecified hyperlipidemia | NA | 3,577 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | 53081 | Esophageal reflux | NA | 3,411 | |||||||||||||||||
| 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 | 99677 | Other complications due to internal joint prosthesis | NA | 2,048 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | E785 | Hyperlipidemia, unspecified | 1,831 | 2,044 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | K219 | Gastro-esophageal reflux disease without esophagitis | 1,466 | 1,887 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | 2449 | Unspecified acquired hypothyroidism | NA | 1,868 |