DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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Jan 2017 to Dec 2017   |   Jan 2013 to Dec 2017

CHARGE CAPTURE ANALYSIS FOR DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 (%)
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
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

DEMOGRAPHIC DETAILS OF DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 343,104 89.01
Black 25,550 6.63
Other 4,201 1.09
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
65 to 69 110,552 28.68
70 to 74 95,236 24.71
Less than 65 79,083 20.52

TOP ICD DIAGNOSIS CODES FOR DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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
4019 Unspecified essential hypertension 125,475 32.55
M4806 Spinal stenosis, lumbar region 100,307 26.02
M4316 Spondylolisthesis, lumbar region 75,634 19.62

TOP ICD PROCEDURE CODES FOR DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 173,102 44.91
8107 Lumbar And Lumbosacral Fusion Of The Posterior Column, Lateral Transverse Process Technique 128,263 33.28
8451 Insertion Of Interbody Spinal Fusion Device 118,533 30.75

TOP HOSPITALS ASSOCIATED WITH DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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
Abbott Northwestern Hospital 800 E 28TH ST Minneapolis MN 55407 1,990 0.52
Florida Hospital Orlando 601 E ROLLINS ST Orlando FL 32803 1,713 0.44
Christiana Hospital 501 W 14TH ST Wilmington DE 19801 1,589 0.41

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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. HENRY E ARYAN 1630 E HERNDON AVE FRESNO CA 93720 674 0.17
DR. JOHN C STEVENSON 4500 W NEWBERRY RD GAINESVILLE FL 32607 576 0.15
DR. BRIAN MASTERS 1950 LEE RD WINTER PARK FL 32789 533 0.14

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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. HENRY E ARYAN 1630 E HERNDON AVE FRESNO CA 93720 680 0.18
DR. JOHN C STEVENSON 4500 W NEWBERRY RD GAINESVILLE FL 32607 587 0.15
DR. JAMES JUDE PARAISO 1500 SE MAGNOLIA EXT OCALA FL 34471 550 0.14

DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 4019 Unspecified essential hypertension NA 125,475
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical I10 Essential (primary) hypertension 93,164 107,071
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical M4806 Spinal stenosis, lumbar region 89,050 100,307
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical M4316 Spondylolisthesis, lumbar region 62,092 75,634
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical 2724 Other and unspecified hyperlipidemia NA 71,434
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical 7384 Acquired spondylolisthesis NA 71,357
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical 53081 Esophageal reflux NA 69,345
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical 72402 Spinal stenosis, lumbar region, without neurogenic claudication NA 66,596
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical E785 Hyperlipidemia, unspecified 50,672 63,189
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical K219 Gastro-esophageal reflux disease without esophagitis 47,778 61,301