Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 56.48 | NA | 4,618 | 21,519 | 21,356 | ||||||||||||
| 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 | 22.69 | NA | 1,724 | 8,644 | 8,609 | ||||||||||||
| 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 | 20.83 | NA | 1,769 | 7,934 | 7,503 |
DEMOGRAPHIC DETAILS OF DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 19,481 | 90.53 |
| Black | 1,041 | 4.84 |
| Other | 281 | 1.31 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 6,096 | 28.33 |
| 70 to 74 | 5,448 | 25.32 |
| Less than 65 | 4,042 | 18.78 |
TOP ICD DIAGNOSIS CODES FOR DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 6,296 | 29.26 |
| 2851 | Acute posthemorrhagic anemia | 5,650 | 26.26 |
| 2724 | Other and unspecified hyperlipidemia | 3,858 | 17.93 |
TOP ICD PROCEDURE CODES FOR DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 7779 | Excision Of Bone For Graft, Other | 5,961 | 27.7 |
| 8105 | Dorsal And Dorsolumbar Fusion Of The Posterior Column, Posterior Technique | 5,475 | 25.44 |
| 8451 | Insertion Of Interbody Spinal Fusion Device | 4,974 | 23.11 |
TOP HOSPITALS ASSOCIATED WITH DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| UCSF Medical Center | 505 PARNASSUS AVE | San Francisco | CA | 94143 | 449 | 2.09 |
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 275 | 1.28 |
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 218 | 1.01 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. BRIAN ANDREW O'SHAUGHNESSY | 2011 MURPHY AVE | NASHVILLE | TN | 37203 | 133 | 0.62 |
| DR. CHRISTOPHER P. AMES | 400 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 115 | 0.53 |
| DR. CHRISTOPHER I. SHAFFREY | LEE ST | CHARLOTTESVILLE | VA | 22908 | 113 | 0.53 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. BRIAN ANDREW O'SHAUGHNESSY | 2011 MURPHY AVE | NASHVILLE | TN | 37203 | 134 | 0.62 |
| DR. DANIEL R. FASSETT | 719 N WILLIAM KUMPF BLVD | PEORIA | IL | 61605 | 118 | 0.55 |
| DR. CHRISTOPHER P. AMES | 400 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 117 | 0.54 |
DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS 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 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 | 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 | 4019 | Unspecified essential hypertension | NA | 6,296 | |||||||||||||||||
| 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 | 4,785 | 6,207 | |||||||||||||||||
| 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 | 2851 | Acute posthemorrhagic anemia | NA | 5,650 | |||||||||||||||||
| 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 | 6,757 | 5,308 | |||||||||||||||||
| 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 | 2,762 | 3,916 | |||||||||||||||||
| 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 | 2,592 | 3,914 | |||||||||||||||||
| 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 | 2724 | Other and unspecified hyperlipidemia | NA | 3,858 | |||||||||||||||||
| 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 | 53081 | Esophageal reflux | NA | 3,797 | |||||||||||||||||
| 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 | 2,669 | 3,788 | |||||||||||||||||
| 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 | 73730 | Scoliosis [and kyphoscoliosis], idiopathic | NA | 3,244 |