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 6.95 NA 5,546 26,450 5,332
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical Surgical 93.05 NA 74,227 385,449 73,951

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

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 4,708 84.89
Black 536 9.66
Hispanic 77 1.39
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
70 to 74 1,355 24.43
65 to 69 1,283 23.13
75 to 79 1,073 19.35

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 2017 to Dec 2017 % of DRG Volume
M4806 Spinal stenosis, lumbar region 2,649 47.76
M4316 Spondylolisthesis, lumbar region 1,801 32.47
M5116 Intervertebral disc disorders with radiculopathy, lumbar region 750 13.52

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

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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 2017 to Dec 2017 % of DRG Volume
Cedars-Sinai Medical Center 8700 BEVERLY BLVD Los Angeles CA 90048 43 0.78
Riverside Methodist Hospital 3535 OLENTANGY RIVER RD Columbus OH 43214 34 0.61
Abbott Northwestern Hospital 800 E 28TH ST Minneapolis MN 55407 33 0.6

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 2017 to Dec 2017 % of DRG Volume
DR. JOSHUA D. BECK 555 EAST BROADWAY JACKSON WY 83001 12 0.22
DR. CURT LESLIE FREUDENBERGER 4715 WHITESBURG DR S HUNTSVILLE AL 35802 NA NA
DR. MARK LAWRENCE MOODY 7 VANDERBILT PARK DR ASHEVILLE NC 28803 NA NA

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 2017 to Dec 2017 % of DRG Volume
DR. JOSHUA D. BECK 555 EAST BROADWAY JACKSON WY 83001 12 0.22
DR. IPPEI TAKAGI 653 N TOWN CENTER DR STE 602 LAS VEGAS NV 89144 12 0.22
DR. AKHIL J. KHANNA 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 11 0.2

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 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 Spinal Fusion Except Cervical I10 Essential (primary) hypertension 5,703 2,768
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical M4806 Spinal stenosis, lumbar region 4,857 2,649
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical E785 Hyperlipidemia, unspecified 4,084 2,442
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical K219 Gastro-esophageal reflux disease without esophagitis 2,877 1,967
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical M4316 Spondylolisthesis, lumbar region 2,890 1,801
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical D62 Acute posthemorrhagic anemia 3,255 1,772
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical Z87891 Personal history of nicotine dependence 2,290 1,401
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris 1,946 1,396
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical F329 Major depressive disorder, single episode, unspecified 1,772 1,120
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical G4733 Obstructive sleep apnea (adult) (pediatric) 1,470 1,079