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 | 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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 | 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 | 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 |