Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | Surgical | 13.52 | NA | 2,168 | 9,032 | 8,594 | ||||||||||||
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | Surgical | 44.69 | NA | 8,665 | 29,860 | 29,686 | ||||||||||||
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | Surgical | 41.79 | NA | 8,342 | 27,919 | 27,824 |
DEMOGRAPHIC DETAILS OF DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 7,585 | 83.98 |
| Black | 867 | 9.6 |
| Hispanic | 158 | 1.75 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 2,408 | 26.66 |
| Less than 65 | 2,383 | 26.38 |
| 70 to 74 | 2,127 | 23.55 |
TOP ICD DIAGNOSIS CODES FOR DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 2,290 | 25.35 |
| 2851 | Acute posthemorrhagic anemia | 1,914 | 21.19 |
| 2724 | Other and unspecified hyperlipidemia | 1,627 | 18.01 |
TOP ICD PROCEDURE CODES FOR DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 8451 | Insertion Of Interbody Spinal Fusion Device | 3,694 | 40.9 |
| 8051 | Excision Of Intervertebral Disc | 2,981 | 33.0 |
| 7779 | Excision Of Bone For Graft, Other | 2,733 | 30.26 |
TOP HOSPITALS ASSOCIATED WITH DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 165 | 1.83 |
| UCSF Medical Center | 505 PARNASSUS AVE | San Francisco | CA | 94143 | 136 | 1.51 |
| Thomas Jefferson University Hospital | 111 S 11TH ST | Philadelphia | PA | 19107 | 125 | 1.38 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GLENN ROBIN BUTTERMANN | 1950 CURVE CREST BLVD W | STILLWATER | MN | 55082 | 51 | 0.56 |
| DR. DAVID LANCE GREENWALD | 100 WHETSTONE PL | ST AUGUSTINE | FL | 32086 | 39 | 0.43 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GLENN ROBIN BUTTERMANN | 1950 CURVE CREST BLVD W | STILLWATER | MN | 55082 | 58 | 0.64 |
| DR. RICHARD ALLAN HYNES | 2222 S HARBOR CITY BLVD | MELBOURNE | FL | 32901 | 54 | 0.6 |
| DR. ALEXANDRE RASOULI | 444 S SAN VICENTE BLVD | LOS ANGELES | CA | 90048 | 47 | 0.52 |
DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH 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 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 | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | I10 | Essential (primary) hypertension | 1,997 | 2,459 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 4019 | Unspecified essential hypertension | NA | 2,290 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | D62 | Acute posthemorrhagic anemia | 1,292 | 2,058 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 2851 | Acute posthemorrhagic anemia | NA | 1,914 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | E785 | Hyperlipidemia, unspecified | 1,287 | 1,823 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 2724 | Other and unspecified hyperlipidemia | NA | 1,627 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | K219 | Gastro-esophageal reflux disease without esophagitis | 1,075 | 1,588 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | M4806 | Spinal stenosis, lumbar region | 960 | 1,425 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 53081 | Esophageal reflux | NA | 1,386 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | Z87891 | Personal history of nicotine dependence | 722 | 1,129 |