DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - 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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 (%)
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
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
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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 7,418 88.92
Black 490 5.87
Unknown 155 1.86
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
65 to 69 2,736 32.8
70 to 74 2,189 26.24
Less than 65 1,692 20.28

TOP ICD DIAGNOSIS CODES FOR DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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 3,940 47.23
M4806 Spinal stenosis, lumbar region 2,781 33.34
M5116 Intervertebral disc disorders with radiculopathy, lumbar region 2,228 26.71

TOP ICD PROCEDURE CODES FOR DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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TOP HOSPITALS ASSOCIATED WITH DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Duke Raleigh Hospital 3400 WAKE FOREST RD Raleigh NC 27609 110 1.32
FirstHealth Moore Regional Hospital 155 MEMORIAL DR Pinehurst NC 28374 99 1.19
Christiana Care Wilmington Hospital 501 W 14TH ST Wilmington DE 19801 98 1.17

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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. DANIEL MARK WILLIAMS 5 FIRST VILLAGE DR PINEHURST NC 28374 90 1.08
DR. DAVID ALLEN YAM 301 W POPLAR ST WALLA WALLA WA 99362 53 0.64
DR. CHRISTOPHER ROBERT BROWN 40 DUKE MEDICINE CIR DURHAM NC 27710 48 0.58

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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. DANIEL MARK WILLIAMS 5 FIRST VILLAGE DR PINEHURST NC 28374 91 1.09
DR. DAVID ALLEN YAM 301 W POPLAR ST WALLA WALLA WA 99362 58 0.7
DR. JOSEPH M. GRAHAM 444 FOUR STATES DR. GALENA KS 66739 48 0.58

DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 9,209 5,072
Spine Combined Anterior/Posterior Spinal Fusion Combined Anterior/Posterior Spinal Fusion M4316 Spondylolisthesis, lumbar region 5,962 3,940
Spine Combined Anterior/Posterior Spinal Fusion Combined Anterior/Posterior Spinal Fusion K219 Gastro-esophageal reflux disease without esophagitis 4,798 2,946
Spine Combined Anterior/Posterior Spinal Fusion Combined Anterior/Posterior Spinal Fusion E785 Hyperlipidemia, unspecified 4,730 2,892
Spine Combined Anterior/Posterior Spinal Fusion Combined Anterior/Posterior Spinal Fusion M4806 Spinal stenosis, lumbar region 8,240 2,781
Spine Combined Anterior/Posterior Spinal Fusion Combined Anterior/Posterior Spinal Fusion M5116 Intervertebral disc disorders with radiculopathy, lumbar region 4,938 2,228
Spine Combined Anterior/Posterior Spinal Fusion Combined Anterior/Posterior Spinal Fusion Z87891 Personal history of nicotine dependence 3,170 2,103
Spine Combined Anterior/Posterior Spinal Fusion Combined Anterior/Posterior Spinal Fusion M48061 Spinal stenosis, lumbar region without neurogenic claudication NA 1,938
Spine Combined Anterior/Posterior Spinal Fusion Combined Anterior/Posterior Spinal Fusion E039 Hypothyroidism, unspecified 2,380 1,331
Spine Combined Anterior/Posterior Spinal Fusion Combined Anterior/Posterior Spinal Fusion F329 Major depressive disorder, single episode, unspecified 2,830 1,329