Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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) | Back to Top |
| 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) | Back to Top |
| 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) | 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 | 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) | Back to Top |
| 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 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 1,713 | 0.44 |
| Christiana Care Wilmington 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) | Back to Top |
| 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) | Back to Top |
| 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 | 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 | 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 |