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

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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 27.66 NA 2,173 10,567 1,982
029 SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS Spine Spinal Procedures Spinal Procedures Surgical 48.78 NA 3,833 18,804 3,782
030 SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Spine Spinal Procedures Spinal Procedures Surgical 23.56 NA 1,851 12,479 1,838

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

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 1,710 78.69
Black 286 13.16
Hispanic 51 2.35
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Less than 65 734 33.78
65 to 69 470 21.63
70 to 74 367 16.89

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 2017 to Dec 2017 % of DRG Volume
G061 Intraspinal abscess and granuloma 389 17.9
G9529 Other cord compression 286 13.16
G9519 Other vascular myelopathies 190 8.74

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 2017 to Dec 2017 % of DRG Volume
02HV33Z Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach 550 25.31
00NW0ZZ Release Cervical Spinal Cord, Open Approach 301 13.85
00NX0ZZ Release Thoracic Spinal Cord, Open Approach 259 11.92

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 2017 to Dec 2017 % of DRG Volume
Swedish Medical Center 501 E HAMPDEN AVE Englewood CO 80113 22 1.01
UPMC Presbyterian Shadyside 200 LOTHROP ST Pittsburgh PA 15213 17 0.78
St. Joseph's Hospital and Medical Center 350 W THOMAS RD Phoenix AZ 85013 16 0.74

TOP ATTENDING 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 2017 to Dec 2017 % of DRG Volume
DR. MATTHIAS M FELDKAMP 5500 WAYZATA BLVD GOLDEN VALLEY MN 55416 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. SCOTT PAUL FALCI 3425 S CLARKSON ST ENGLEWOOD CO 80113 18 0.83
DR. SASAN YADEGAR 501 EAST HARDY STREET INGLEWOOD CA 90301 NA NA
DR. GREGORY CLINTON DOWD 3704 NORTH BLVD ALEXANDRIA LA 71301 NA NA

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 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 (%)
Spine Spinal Procedures Spinal Procedures I10 Essential (primary) hypertension 2,163 944
Spine Spinal Procedures Spinal Procedures E785 Hyperlipidemia, unspecified 1,126 735
Spine Spinal Procedures Spinal Procedures K219 Gastro-esophageal reflux disease without esophagitis 739 529
Spine Spinal Procedures Spinal Procedures Z87891 Personal history of nicotine dependence 714 463
Spine Spinal Procedures Spinal Procedures M4802 Spinal stenosis, cervical region 871 460
Spine Spinal Procedures Spinal Procedures I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 692 403
Spine Spinal Procedures Spinal Procedures G061 Intraspinal abscess and granuloma 994 389
Spine Spinal Procedures Spinal Procedures F329 Major depressive disorder, single episode, unspecified 565 336
Spine Spinal Procedures Spinal Procedures E871 Hypo-osmolality and hyponatremia 688 326
Spine Spinal Procedures Spinal Procedures E039 Hypothyroidism, unspecified 497 323