By: Jeffrey Maser  Mar. 29, 2018
Dexur research shows that Dr. John C. Stevenson of North Florida Regional Medical Center in Gainesville performed 819 spine procedures between 2013-2016, the most of any Florida physician. Dr. Constantine Toumbis ranked 2nd with 771 discharges while splitting time between Seven Rivers Regional Medical Center in Crystal River and Citrus Memorial Hospital in Inverness. These were the only two physicians in the state with over 700 spine discharges over the four year period. Dr. Richard A. Hynes of Holmes Regional Medical Center in Melbourne ranked 3rd with 633 discharges, while Dr. James Paraiso of The Villages Regional Hospital, located in The Villages, ranked 4th with 529. Dr. Gary P. Colon of NCH Baker Hospital in Naples rounded out the top five with 504 discharges. No other Florida physician accounted for more than 500 discharges during the analyzed time frame.
Florida physicians were included in the rankings if they accounted for a minimum of 11 spine discharges as the operating physician between January 2013 – December 2016. DRG-460 (Spinal Fusion Except Cervical Without Major Complication or Comorbidity) is the highest volume diagnosis related group of the 19 DRGs within the spinal discipline; the 311,222 discharges for DRG-460 made up 39% of the 792,995 discharges under spine conditions during the four year timeframe. Florida Medicare enrollees accounted for 56,192 (7%) of these total national discharges.
Along with ranking highest in volume for all spine procedures, Dr. Stevenson also ranked highest in volume for DRG-460 with 461 discharges. Furthermore, Dr. Stevenson also had the fourth lowest readmission rate for his DRG-460 discharges at 7.2%. This was more than 10% lower than the national and state averages of 17.45% and 17.83%, respectively. This includes readmissions within 30 days for any reason, which may not necessarily be directly related to the initial procedure. Dr. Stevenson's 15.8% skilled nursing facility (SNF) discharge rate also fell below the respective national and state averages of 16.05% and 17.81%.