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 | 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 | ||||||||||||
| 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 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 1,597 | 92.63 |
| Black | 50 | 2.9 |
| Unknown | 36 | 2.09 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 70 to 74 | 518 | 30.05 |
| 65 to 69 | 473 | 27.44 |
| 75 to 79 | 339 | 19.66 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| M4186 | Other forms of scoliosis, lumbar region | 517 | 29.99 |
| M4156 | Other secondary scoliosis, lumbar region | 165 | 9.57 |
| M4187 | Other forms of scoliosis, lumbosacral region | 80 | 4.64 |
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 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 | 507 | 29.41 |
| 4A11X4G | Monitoring of Peripheral Nervous Electrical Activity, Intraoperative, External Approach | 405 | 23.49 |
| 0SB20ZZ | Excision of Lumbar Vertebral Disc, Open Approach | 339 | 19.66 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| NCH Baker Hospital Downtown | 350 7TH ST N | Naples | FL | 34102 | 37 | 2.15 |
| Oklahoma Spine Hospital | 14101 PARKWAY COMMONS DR | Oklahoma City | OK | 73134 | 36 | 2.09 |
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | 33 | 1.91 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GARY PAUL COLON | 730 GOODLETTE RD N | NAPLES | FL | 34102 | 34 | 1.97 |
| DR. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 27 | 1.57 |
| DR. ROBERT JEROME WIENECKE | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 21 | 1.22 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. GARY PAUL COLON | 730 GOODLETTE RD N | NAPLES | FL | 34102 | 34 | 1.97 |
| DR. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 28 | 1.62 |
| DR. ROBERT JEROME WIENECKE | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 20 | 1.16 |
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 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 | 1,797 | 1,029 | |||||||||||||||||
| 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 | 832 | |||||||||||||||||
| 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 | 658 | |||||||||||||||||
| 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 | 604 | |||||||||||||||||
| 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 | M4186 | Other forms of scoliosis, lumbar region | 820 | 517 | |||||||||||||||||
| 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 | 782 | 432 | |||||||||||||||||
| 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 | M4316 | Spondylolisthesis, lumbar region | 743 | 415 | |||||||||||||||||
| 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 | 505 | 311 | |||||||||||||||||
| 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 | 552 | 307 | |||||||||||||||||
| 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 | M5116 | Intervertebral disc disorders with radiculopathy, lumbar region | 463 | 306 |