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 | 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 | ||||||||||||
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 |
DEMOGRAPHIC DETAILS OF DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 7,635 | 88.11 |
Black | 572 | 6.6 |
Unknown | 143 | 1.65 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
65 to 69 | 2,697 | 31.13 |
70 to 74 | 2,217 | 25.59 |
Less than 65 | 1,866 | 21.53 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
M4316 | Spondylolisthesis, lumbar region | 3,059 | 35.3 |
M5116 | Intervertebral disc disorders with radiculopathy, lumbar region | 1,837 | 21.2 |
M48061 | Spinal stenosis, lumbar region without neurogenic claudication | 1,712 | 19.76 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
4A11X4G | Monitoring of Peripheral Nervous Electrical Activity, Intraoperative, External Approach | 3,038 | 35.06 |
0SB20ZZ | Excision of Lumbar Vertebral Disc, Open Approach | 2,525 | 29.14 |
0SG1071 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 2,507 | 28.93 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 164 | 1.89 |
Abbott Northwestern Hospital | 800 E 28TH ST | Minneapolis | MN | 55407 | 147 | 1.7 |
UCSF Medical Center | 505 PARNASSUS AVE | San Francisco | CA | 94143 | 133 | 1.53 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. JEFFREY E DECKEY | 280 S MAIN ST | ORANGE | CA | 92868 | 49 | 0.57 |
DR. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 47 | 0.54 |
DR. DAVID ALLEN YAM | 301 W POPLAR ST | WALLA WALLA | WA | 99362 | 44 | 0.51 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. JEFFREY E DECKEY | 280 S MAIN ST | ORANGE | CA | 92868 | 49 | 0.57 |
DR. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 46 | 0.53 |
DR. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 42 | 0.48 |
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 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 | 8,767 | 5,184 | |||||||||||||||||
Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | D62 | Acute posthemorrhagic anemia | 6,328 | 3,598 | |||||||||||||||||
Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | K219 | Gastro-esophageal reflux disease without esophagitis | 4,989 | 3,430 | |||||||||||||||||
Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | E785 | Hyperlipidemia, unspecified | 4,794 | 3,353 | |||||||||||||||||
Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | M4316 | Spondylolisthesis, lumbar region | 4,517 | 3,059 | |||||||||||||||||
Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | M4806 | Spinal stenosis, lumbar region | 6,166 | 2,560 | |||||||||||||||||
Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | Z87891 | Personal history of nicotine dependence | 3,676 | 2,406 | |||||||||||||||||
Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | M5116 | Intervertebral disc disorders with radiculopathy, lumbar region | 3,574 | 1,837 | |||||||||||||||||
Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | F329 | Major depressive disorder, single episode, unspecified | 3,021 | 1,728 | |||||||||||||||||
Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | M48061 | Spinal stenosis, lumbar region without neurogenic claudication | NA | 1,712 |