DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS - 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 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS
3TOP ICD DIAGNOSIS CODES FOR DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS
4TOP ICD PROCEDURE CODES FOR DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS
5TOP HOSPITALS ASSOCIATED WITH DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS
8DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS 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 (%)
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
028 SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Spine Spinal Procedures Spinal Procedures Surgical 25.25 NA 2,173 10,567 9,598
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 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 15,872 84.41
Black 1,738 9.24
Hispanic 340 1.81
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 5,958 31.68
65 to 69 4,316 22.95
70 to 74 3,507 18.65

TOP ICD DIAGNOSIS CODES FOR DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS

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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 5,652 30.06
2724 Other and unspecified hyperlipidemia 3,275 17.42
53081 Esophageal reflux 2,548 13.55

TOP ICD PROCEDURE CODES FOR DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS

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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 6,062 32.24
034 Excision Or Destruction Of Lesion Of Spinal Cord Or Spinal Meninges 2,742 14.58
8162 Fusion Or Refusion Of 2-3 Vertebrae 1,477 7.85

TOP HOSPITALS ASSOCIATED WITH DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS

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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 150 0.8
Memorial Sloan Kettering Cancer Center 1275 YORK AVE New York NY 10065 142 0.76
St. Joseph's Hospital and Medical Center 350 W THOMAS RD Phoenix AZ 85013 121 0.64

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS

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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. MARK H BILSKY 1275 YORK AVE NEW YORK NY 10021 100 0.53
DR. DONALD PAUL ATKINS 4410 MEDICAL DR SAN ANTONIO TX 78229 64 0.34
DR. ASHWINI D. SHARAN 909 WALNUT ST PHILADELPHIA PA 19107 43 0.23

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS

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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. MARK H BILSKY 1275 YORK AVE NEW YORK NY 10021 102 0.54
DR. DONALD PAUL ATKINS 4410 MEDICAL DR SAN ANTONIO TX 78229 69 0.37
DR. SCOTT PAUL FALCI 3425 S CLARKSON ST ENGLEWOOD CO 80113 50 0.27

DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS 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 5,652
Spine Spinal Procedures Spinal Procedures I10 Essential (primary) hypertension 5,554 4,653
Spine Spinal Procedures Spinal Procedures 2724 Other and unspecified hyperlipidemia NA 3,275
Spine Spinal Procedures Spinal Procedures E785 Hyperlipidemia, unspecified 2,694 2,833
Spine Spinal Procedures Spinal Procedures 53081 Esophageal reflux NA 2,548
Spine Spinal Procedures Spinal Procedures K219 Gastro-esophageal reflux disease without esophagitis 2,686 2,360
Spine Spinal Procedures Spinal Procedures Z87891 Personal history of nicotine dependence 2,227 2,017
Spine Spinal Procedures Spinal Procedures 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 2,000
Spine Spinal Procedures Spinal Procedures V1582 Personal history of tobacco use NA 1,909
Spine Spinal Procedures Spinal Procedures 311 Depressive disorder, not elsewhere classified NA 1,663