DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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 (%)
028 SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Spine Spinal Procedures Spinal Procedures Surgical 25.25 NA 2,173 10,567 9,598
029 SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS Spine Spinal Procedures Spinal Procedures Surgical 44.93 NA 3,833 18,804 18,551
030 SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Spine Spinal Procedures Spinal Procedures Surgical 29.82 NA 1,851 12,479 12,427

DEMOGRAPHIC DETAILS OF DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 8,392 79.42
Black 1,384 13.1
Hispanic 235 2.22
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 3,412 32.29
65 to 69 2,104 19.91
70 to 74 1,847 17.48

TOP ICD DIAGNOSIS CODES FOR DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
4019 Unspecified essential hypertension 2,789 26.39
2724 Other and unspecified hyperlipidemia 1,964 18.59
3241 Intraspinal abscess 1,301 12.31

TOP ICD PROCEDURE CODES FOR DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
0309 Other Exploration And Decompression Of Spinal Canal 4,641 43.92
8162 Fusion Or Refusion Of 2-3 Vertebrae 1,243 11.76
02HV33Z Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach 1,133 10.72

TOP HOSPITALS ASSOCIATED WITH DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Thomas Jefferson University Hospital 111 S 11TH ST Philadelphia PA 19107 70 0.66
UW Medicine Harborview Medical Center 325 9TH AVE Seattle WA 98104 69 0.65
UPMC Presbyterian Shadyside 200 LOTHROP ST Pittsburgh PA 15213 68 0.64

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. SCOTT PAUL FALCI 3425 S CLARKSON ST ENGLEWOOD CO 80113 71 0.67
DR. BIZHAN AARABI 22 S GREENE ST BALTIMORE MD 21201 21 0.2
DR. KARL MICHAEL SCHMITT 6400 FANNIN ST HOUSTON TX 77030 19 0.18

DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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 (%)
Spine Spinal Procedures Spinal Procedures 4019 Unspecified essential hypertension NA 2,789
Spine Spinal Procedures Spinal Procedures I10 Essential (primary) hypertension 2,163 2,207
Spine Spinal Procedures Spinal Procedures 2724 Other and unspecified hyperlipidemia NA 1,964
Spine Spinal Procedures Spinal Procedures E785 Hyperlipidemia, unspecified 1,126 1,606
Spine Spinal Procedures Spinal Procedures 3241 Intraspinal abscess NA 1,301
Spine Spinal Procedures Spinal Procedures 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 1,269
Spine Spinal Procedures Spinal Procedures 53081 Esophageal reflux NA 1,187
Spine Spinal Procedures Spinal Procedures K219 Gastro-esophageal reflux disease without esophagitis 739 1,073
Spine Spinal Procedures Spinal Procedures 2761 Hyposmolality and/or hyponatremia NA 1,012
Spine Spinal Procedures Spinal Procedures 5990 Urinary tract infection, site not specified NA 970