DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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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

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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 (%)
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)

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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)

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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)

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TOP HOSPITALS ASSOCIATED WITH DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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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)

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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)

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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

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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 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