DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE

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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 (%)
459 SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical Surgical 6.42 NA 5,546 26,450 25,423
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical Surgical 93.58 NA 74,227 385,449 383,893

DEMOGRAPHIC DETAILS OF DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 22,643 85.61
Black 2,490 9.41
Other 340 1.29
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
70 to 74 6,272 23.71
65 to 69 6,112 23.11
75 to 79 5,088 19.24

TOP ICD DIAGNOSIS CODES FOR DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
M4806 Spinal stenosis, lumbar region 7,272 27.49
4019 Unspecified essential hypertension 6,829 25.82
2724 Other and unspecified hyperlipidemia 5,416 20.48

TOP ICD PROCEDURE CODES FOR DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
8162 Fusion Or Refusion Of 2-3 Vertebrae 8,649 32.7
8107 Lumbar And Lumbosacral Fusion Of The Posterior Column, Lateral Transverse Process Technique 6,994 26.44
7779 Excision Of Bone For Graft, Other 6,787 25.66

TOP HOSPITALS ASSOCIATED WITH DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Atrium Health's Carolinas Medical Center 1000 BLYTHE BLVD Charlotte NC 28203 155 0.59
Methodist Hospital 7700 FLOYD CURL DRIVE San Antonio TX 78229 136 0.51
AdventHealth Orlando 601 E ROLLINS ST Orlando FL 32803 125 0.47

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. CURT LESLIE FREUDENBERGER 4715 WHITESBURG DR S HUNTSVILLE AL 35802 44 0.17
DR. KENNY B EDWARDS 670 LEIGH DRIVE COLUMBUS MS 39705 42 0.16
DR. SCOTT E STROHMEYER 1076 RIBAUT RD BEAUFORT SC 29902 40 0.15

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
DR. CURT LESLIE FREUDENBERGER 4715 WHITESBURG DR S HUNTSVILLE AL 35802 45 0.17
DR. KENNY B EDWARDS 670 LEIGH DRIVE COLUMBUS MS 39705 43 0.16
DR. SCOTT E STROHMEYER 1076 RIBAUT RD BEAUFORT SC 29902 42 0.16

DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

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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 Spinal Fusion Except Cervical I10 Essential (primary) hypertension 5,703 7,562
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical M4806 Spinal stenosis, lumbar region 4,857 7,272
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical 4019 Unspecified essential hypertension NA 6,829
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical E785 Hyperlipidemia, unspecified 4,084 5,983
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical 2724 Other and unspecified hyperlipidemia NA 5,416
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical K219 Gastro-esophageal reflux disease without esophagitis 2,877 4,846
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical M4316 Spondylolisthesis, lumbar region 2,890 4,669
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical 2851 Acute posthemorrhagic anemia NA 4,435
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical D62 Acute posthemorrhagic anemia 3,255 4,285
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical 53081 Esophageal reflux NA 4,196