Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 24,804 | 88.84 |
| Black | 1,688 | 6.05 |
| Unknown | 379 | 1.36 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 9,153 | 32.78 |
| 70 to 74 | 6,773 | 24.26 |
| Less than 65 | 6,638 | 23.78 |
TOP ICD DIAGNOSIS CODES FOR DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 7,279 | 26.07 |
| M4316 | Spondylolisthesis, lumbar region | 6,753 | 24.19 |
| M4806 | Spinal stenosis, lumbar region | 6,407 | 22.95 |
TOP ICD PROCEDURE CODES FOR DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 11,184 | 40.06 |
| 8162 | Fusion Or Refusion Of 2-3 Vertebrae | 10,875 | 38.95 |
| 8106 | Lumbar And Lumbosacral Fusion Of The Anterior Column, Anterior Technique | 10,507 | 37.63 |
TOP HOSPITALS ASSOCIATED WITH DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|---|---|---|
| Duke Raleigh Hospital | 3400 WAKE FOREST RD | Raleigh | NC | 27609 | 397 | 1.42 |
| Specialists Hospital Shreveport | 1500 LINE AVE | Shreveport | LA | 71101 | 310 | 1.11 |
| Reston Hospital Center | 1850 TOWN CENTER PKWY | Reston | VA | 20190 | 306 | 1.1 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 228 | 0.82 |
| DR. CHRISTOPHER ROBERT BROWN | 40 DUKE MEDICINE CIR | DURHAM | NC | 27710 | 225 | 0.81 |
| DR. LUIS E DUARTE | 120 E BEAUREGARD AVE | SAN ANGELO | TX | 76903 | 219 | 0.78 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 229 | 0.82 |
| DR. CHRISTOPHER ROBERT BROWN | 40 DUKE MEDICINE CIR | DURHAM | NC | 27710 | 221 | 0.79 |
| DR. ERIK C SPAYDE | 558 SAINT CHARLES DR | THOUSAND OAKS | CA | 91360 | 208 | 0.75 |
DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 9,209 | 9,286 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 4019 | Unspecified essential hypertension | NA | 7,279 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | M4316 | Spondylolisthesis, lumbar region | 5,962 | 6,753 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | M4806 | Spinal stenosis, lumbar region | 8,240 | 6,407 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | K219 | Gastro-esophageal reflux disease without esophagitis | 4,798 | 5,255 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | E785 | Hyperlipidemia, unspecified | 4,730 | 5,161 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 72252 | Degeneration of lumbar or lumbosacral intervertebral disc | NA | 4,756 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 7384 | Acquired spondylolisthesis | NA | 4,213 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 53081 | Esophageal reflux | NA | 3,941 | |||||||||||||||||
| Spine | Combined Anterior/Posterior Spinal Fusion | Combined Anterior/Posterior Spinal Fusion | 2724 | Other and unspecified hyperlipidemia | NA | 3,778 |