Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | Surgical | 21.81 | NA | 1,769 | 7,934 | 1,678 | ||||||||||||
458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | Surgical | 21.26 | NA | 1,724 | 8,644 | 1,719 | ||||||||||||
457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | Surgical | 56.94 | NA | 4,618 | 21,519 | 4,598 |
DEMOGRAPHIC DETAILS OF DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 1,507 | 85.19 |
Black | 136 | 7.69 |
Hispanic | 34 | 1.92 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
65 to 69 | 486 | 27.47 |
70 to 74 | 407 | 23.01 |
Less than 65 | 382 | 21.59 |
TOP ICD DIAGNOSIS CODES FOR DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
M4804 | Spinal stenosis, thoracic region | 221 | 12.49 |
G9529 | Other cord compression | 190 | 10.74 |
M8458XA | Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 188 | 10.63 |
TOP ICD PROCEDURE CODES FOR DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
0SG1071 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 512 | 28.94 |
0RGA071 | Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 491 | 27.76 |
0RG7071 | Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 473 | 26.74 |
TOP HOSPITALS ASSOCIATED WITH DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
UCSF Medical Center | 505 PARNASSUS AVE | San Francisco | CA | 94143 | 36 | 2.04 |
UCHealth University of Colorado Hospital | 12605 E 16TH AVE | Aurora | CO | 80045 | 23 | 1.3 |
Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 20 | 1.13 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. LAWRENCE BRETT BABAT | 3443 DICKERSON PIKE | NASHVILLE | TN | 37207 | 11 | 0.62 |
DR. GEORGE A FREY | 3277 S LINCOLN ST | ENGLEWOOD | CO | 80113 | NA | NA |
DR. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | NA | NA |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
DR. LAWRENCE BRETT BABAT | 3443 DICKERSON PIKE | NASHVILLE | TN | 37207 | 14 | 0.79 |
DR. GEORGE A FREY | 3277 S LINCOLN ST | ENGLEWOOD | CO | 80113 | NA | NA |
DR. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | NA | NA |
DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH 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 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 | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | D62 | Acute posthemorrhagic anemia | 1,644 | 921 | |||||||||||||||||
Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | I10 | Essential (primary) hypertension | 1,623 | 845 | |||||||||||||||||
Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | E785 | Hyperlipidemia, unspecified | 901 | 684 | |||||||||||||||||
Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | K219 | Gastro-esophageal reflux disease without esophagitis | 973 | 596 | |||||||||||||||||
Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | M4806 | Spinal stenosis, lumbar region | 684 | 483 | |||||||||||||||||
Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | Z87891 | Personal history of nicotine dependence | 722 | 472 | |||||||||||||||||
Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | F329 | Major depressive disorder, single episode, unspecified | 510 | 345 | |||||||||||||||||
Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 463 | 335 | |||||||||||||||||
Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | E039 | Hypothyroidism, unspecified | 484 | 318 | |||||||||||||||||
Spine | Spinal Fusion Except Cervical With Spinal Curvature / Malignancy / Infection Or Extensive Fusions | Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection Or Extensive Fusions | C7951 | Secondary malignant neoplasm of bone | 561 | 303 |