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 | 56.94 | NA | 4,618 | 21,519 | 4,598 | ||||||||||||
| 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 | ||||||||||||
| 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 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 4,170 | 90.3 |
| Black | 215 | 4.66 |
| Unknown | 75 | 1.62 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 1,268 | 27.46 |
| 70 to 74 | 1,209 | 26.18 |
| 75 to 79 | 867 | 18.77 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| M4186 | Other forms of scoliosis, lumbar region | 702 | 15.2 |
| M4316 | Spondylolisthesis, lumbar region | 640 | 13.86 |
| M960 | Pseudarthrosis after fusion or arthrodesis | 501 | 10.85 |
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 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 | 1,687 | 36.53 |
| 0RGA071 | Fusion of Thoracolumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 1,394 | 30.19 |
| 0RG7071 | Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 1,326 | 28.71 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 93 | 2.01 |
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 58 | 1.26 |
| UCSF Medical Center | 505 PARNASSUS AVE | San Francisco | CA | 94143 | 53 | 1.15 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. BRIAN ANDREW O'SHAUGHNESSY | 2011 MURPHY AVE | NASHVILLE | TN | 37203 | 29 | 0.63 |
| DR. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 28 | 0.61 |
| DR. CARLOS ANTONIO BAGLEY | 2100 ERWIN ROAD | DURHAM | NC | 27710 | 26 | 0.56 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. BRIAN ANDREW O'SHAUGHNESSY | 2011 MURPHY AVE | NASHVILLE | TN | 37203 | 29 | 0.63 |
| DR. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 27 | 0.58 |
| DR. CARLOS ANTONIO BAGLEY | 2100 ERWIN ROAD | DURHAM | NC | 27710 | 27 | 0.58 |
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 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 | I10 | Essential (primary) hypertension | 4,785 | 2,676 | |||||||||||||||||
| 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 | 2,335 | |||||||||||||||||
| 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 | K219 | Gastro-esophageal reflux disease without esophagitis | 2,592 | 1,819 | |||||||||||||||||
| 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 | 1,732 | |||||||||||||||||
| 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 | 1,556 | |||||||||||||||||
| 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 | 2,227 | 1,322 | |||||||||||||||||
| 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 | 1,619 | 963 | |||||||||||||||||
| 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 | 1,496 | 928 | |||||||||||||||||
| 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 | Z981 | Arthrodesis status | 1,538 | 847 | |||||||||||||||||
| 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 | F419 | Anxiety disorder, unspecified | 1,789 | 737 |