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 | 11.31 | NA | 2,168 | 9,032 | 2,061 | ||||||||||||
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | Surgical | 45.19 | NA | 8,665 | 29,860 | 8,621 | ||||||||||||
| 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 | 43.50 | NA | 8,342 | 27,919 | 8,315 |
DEMOGRAPHIC DETAILS OF DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 1,813 | 83.63 |
| Black | 197 | 9.09 |
| Unknown | 41 | 1.89 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 564 | 26.01 |
| 70 to 74 | 533 | 24.58 |
| Less than 65 | 530 | 24.45 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| M4316 | Spondylolisthesis, lumbar region | 500 | 23.06 |
| M960 | Pseudarthrosis after fusion or arthrodesis | 205 | 9.46 |
| M4186 | Other forms of scoliosis, lumbar region | 145 | 6.69 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4A11X4G | Monitoring of Peripheral Nervous Electrical Activity, Intraoperative, External Approach | 787 | 36.3 |
| 0SG1071 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 600 | 27.68 |
| 0SG3071 | Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 506 | 23.34 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 60 | 2.77 |
| UCSF Medical Center | 505 PARNASSUS AVE | San Francisco | CA | 94143 | 47 | 2.17 |
| Thomas Jefferson University Hospital | 111 S 11TH ST | Philadelphia | PA | 19107 | 31 | 1.43 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. PRATIK A PATEL | 8045 SPYGLASS HILL RD | MELBOURNE | FL | 32940 | 16 | 0.74 |
| DR. ALEXANDRE RASOULI | 444 S SAN VICENTE BLVD | LOS ANGELES | CA | 90048 | 14 | 0.65 |
| DR. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 12 | 0.55 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ALEXANDRE RASOULI | 444 S SAN VICENTE BLVD | LOS ANGELES | CA | 90048 | 15 | 0.69 |
| DR. RICHARD ALLAN HYNES | 2222 S HARBOR CITY BLVD | MELBOURNE | FL | 32901 | 14 | 0.65 |
| DR. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 12 | 0.55 |
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 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 | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | I10 | Essential (primary) hypertension | 1,997 | 1,087 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | D62 | Acute posthemorrhagic anemia | 1,292 | 1,002 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | E785 | Hyperlipidemia, unspecified | 1,287 | 859 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | K219 | Gastro-esophageal reflux disease without esophagitis | 1,075 | 781 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | M4806 | Spinal stenosis, lumbar region | 960 | 587 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | Z87891 | Personal history of nicotine dependence | 722 | 538 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | M4316 | Spondylolisthesis, lumbar region | 646 | 500 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | F329 | Major depressive disorder, single episode, unspecified | 671 | 450 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 569 | 445 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | E039 | Hypothyroidism, unspecified | 544 | 375 |