Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 26,486 | 88.7 |
| Black | 1,878 | 6.29 |
| Other | 383 | 1.28 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 9,185 | 30.76 |
| 70 to 74 | 7,343 | 24.59 |
| Less than 65 | 7,198 | 24.11 |
TOP ICD DIAGNOSIS CODES FOR DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 7,867 | 26.35 |
| 2851 | Acute posthemorrhagic anemia | 6,136 | 20.55 |
| M4316 | Spondylolisthesis, lumbar region | 5,268 | 17.64 |
TOP ICD PROCEDURE CODES FOR DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 11,952 | 40.03 |
| 8106 | Lumbar And Lumbosacral Fusion Of The Anterior Column, Anterior Technique | 10,352 | 34.67 |
| 8051 | Excision Of Intervertebral Disc | 10,305 | 34.51 |
TOP HOSPITALS ASSOCIATED WITH DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 485 | 1.62 |
| Abbott Northwestern Hospital | 800 E 28TH ST | Minneapolis | MN | 55407 | 458 | 1.53 |
| UCSF Medical Center | 505 PARNASSUS AVE | San Francisco | CA | 94143 | 426 | 1.43 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JEFFREY E DECKEY | 280 S MAIN ST | ORANGE | CA | 92868 | 213 | 0.71 |
| DR. ERIK C SPAYDE | 558 SAINT CHARLES DR | THOUSAND OAKS | CA | 91360 | 203 | 0.68 |
| DR. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 154 | 0.52 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JEFFREY E DECKEY | 280 S MAIN ST | ORANGE | CA | 92868 | 212 | 0.71 |
| DR. ERIK C SPAYDE | 558 SAINT CHARLES DR | THOUSAND OAKS | CA | 91360 | 207 | 0.69 |
| DR. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 161 | 0.54 |
DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 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 | 8,767 | 9,892 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 4019 | Unspecified essential hypertension | NA | 7,867 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | D62 | Acute posthemorrhagic anemia | 6,328 | 6,660 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | K219 | Gastro-esophageal reflux disease without esophagitis | 4,989 | 6,231 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 2851 | Acute posthemorrhagic anemia | NA | 6,136 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | E785 | Hyperlipidemia, unspecified | 4,794 | 6,133 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | M4806 | Spinal stenosis, lumbar region | 6,166 | 5,949 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | M4316 | Spondylolisthesis, lumbar region | 4,517 | 5,268 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 2724 | Other and unspecified hyperlipidemia | NA | 4,935 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 72252 | Degeneration of lumbar or lumbosacral intervertebral disc | NA | 4,863 |