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 | 48.68 | NA | 2,776 | 17,568 | 2,773 | ||||||||||||
| 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 | 51.32 | NA | 2,926 | 16,110 | 2,891 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 2,391 | 86.13 |
| Black | 231 | 8.32 |
| Unknown | 46 | 1.66 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 805 | 29.0 |
| 70 to 74 | 650 | 23.41 |
| Less than 65 | 534 | 19.24 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| T84023A | Instability of internal left knee prosthesis, initial encounter | 355 | 12.79 |
| T8484XA | Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 338 | 12.18 |
| T84022A | Instability of internal right knee prosthesis, initial encounter | 315 | 11.35 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0SPD09Z | Removal of Liner from Left Knee Joint, Open Approach | 694 | 25.0 |
| 0SUW09Z | Supplement Left Knee Joint, Tibial Surface with Liner, Open Approach | 692 | 24.93 |
| 0SPC09Z | Removal of Liner from Right Knee Joint, Open Approach | 683 | 24.6 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 26 | 0.94 |
| Rush University Medical Center | 1653 W CONGRESS PKWY | Chicago | IL | 60612 | 19 | 0.68 |
| East Cooper Medical Center | 2000 HOSPITAL DRIVE | Mt Pleasant | SC | 29464 | 14 | 0.5 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ANDRE CHARLES MATTHEWS | 6345 E BAYWOOD AVE | MESA | AZ | 85206 | 14 | 0.5 |
| DR. HAROLD DEL SCHUTTE | 851 LEONARD FULGHUM BLVD | MT PLEASANT | SC | 29464 | 13 | 0.47 |
| DR. RICHARD A BERGER | 1611 W HARRISON ST | CHICAGO | IL | 60612 | 13 | 0.47 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ANDRE CHARLES MATTHEWS | 6345 E BAYWOOD AVE | MESA | AZ | 85206 | 14 | 0.5 |
| DR. RICHARD A BERGER | 1611 W HARRISON ST | CHICAGO | IL | 60612 | 13 | 0.47 |
| DR. HAROLD DEL SCHUTTE | 851 LEONARD FULGHUM BLVD | MT PLEASANT | SC | 29464 | 13 | 0.47 |
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 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 Without Pdx Of Infection | I10 | Essential (primary) hypertension | 3,408 | 1,634 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | E785 | Hyperlipidemia, unspecified | 1,831 | 929 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | K219 | Gastro-esophageal reflux disease without esophagitis | 1,466 | 860 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | Z87891 | Personal history of nicotine dependence | 969 | 598 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | Z7982 | Long term (current) use of aspirin | 556 | 517 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | E039 | Hypothyroidism, unspecified | 862 | 471 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | E119 | Type 2 diabetes mellitus without complications | 969 | 424 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | F329 | Major depressive disorder, single episode, unspecified | 688 | 397 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | Z79899 | Other long term (current) drug therapy | 471 | 394 | |||||||||||||||||
| Orthopedics | Knee Procedures | Knee Procedures Without Pdx Of Infection | E669 | Obesity, unspecified | 828 | 375 |