Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 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) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 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) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 8,016 | 92.73 |
| Black | 309 | 3.57 |
| Unknown | 101 | 1.17 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 2,486 | 28.76 |
| 70 to 74 | 2,360 | 27.3 |
| 75 to 79 | 1,585 | 18.34 |
TOP ICD DIAGNOSIS CODES FOR DRG 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) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 2,728 | 31.56 |
| 73730 | Scoliosis [and kyphoscoliosis], idiopathic | 1,933 | 22.36 |
| 53081 | Esophageal reflux | 1,593 | 18.43 |
TOP ICD PROCEDURE CODES FOR DRG 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) | 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 | 2,655 | 30.71 |
| 7779 | Excision Of Bone For Graft, Other | 2,456 | 28.41 |
| 8162 | Fusion Or Refusion Of 2-3 Vertebrae | 2,447 | 28.31 |
TOP HOSPITALS ASSOCIATED WITH DRG 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) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| NCH Baker Hospital Downtown | 350 7TH ST N | Naples | FL | 34102 | 121 | 1.4 |
| Oklahoma Spine Hospital | 14101 PARKWAY COMMONS DR | Oklahoma City | OK | 73134 | 92 | 1.06 |
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 89 | 1.03 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 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) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GARY PAUL COLON | 730 GOODLETTE RD N | NAPLES | FL | 34102 | 104 | 1.2 |
| DR. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 96 | 1.11 |
| DR. CHRISTOPHER I. SHAFFREY | LEE ST | CHARLOTTESVILLE | VA | 22908 | 50 | 0.58 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 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) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GARY PAUL COLON | 730 GOODLETTE RD N | NAPLES | FL | 34102 | 104 | 1.2 |
| DR. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 97 | 1.12 |
| DR. CHRISTOPHER I. SHAFFREY | LEE ST | CHARLOTTESVILLE | VA | 22908 | 49 | 0.57 |
DRG 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) 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 | 2,728 | |||||||||||||||||
| 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 | 1,797 | 2,379 | |||||||||||||||||
| 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 | 1,572 | 1,966 | |||||||||||||||||
| 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 | 1,933 | |||||||||||||||||
| 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 | 1,593 | |||||||||||||||||
| 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 | 1,122 | 1,451 | |||||||||||||||||
| 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 | 1,450 | |||||||||||||||||
| 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 | 1,015 | 1,315 | |||||||||||||||||
| 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 | 72402 | Spinal stenosis, lumbar region, without neurogenic claudication | NA | 1,285 | |||||||||||||||||
| 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 | 72252 | Degeneration of lumbar or lumbosacral intervertebral disc | NA | 1,270 |