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 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

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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 93.05 NA 74,227 385,449 73,951
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

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

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 65,816 88.67
Black 4,828 6.5
Unknown 1,109 1.49
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
65 to 69 21,060 28.37
70 to 74 19,570 26.37
Less than 65 13,941 18.78

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 2017 to Dec 2017 % of DRG Volume
M4806 Spinal stenosis, lumbar region 40,043 53.95
M4316 Spondylolisthesis, lumbar region 32,861 44.27
M5116 Intervertebral disc disorders with radiculopathy, lumbar region 14,041 18.92

TOP ICD PROCEDURE CODES FOR DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)

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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 2017 to Dec 2017 % of DRG Volume
Abbott Northwestern Hospital 800 E 28TH ST Minneapolis MN 55407 447 0.6
Mercy Medical Center 301 SAINT PAUL PL Baltimore MD 21202 351 0.47
Saint Thomas Hospital for Specialty Surgery 2011 MURPHY AVENUE Nashville TN 37203 325 0.44

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 2017 to Dec 2017 % of DRG Volume
DR. BRIAN MASTERS 1950 LEE RD WINTER PARK FL 32789 127 0.17
DR. SELVON F ST. CLAIR 801 MEDICAL DR LIMA OH 45804 121 0.16
DR. JOHN C STEVENSON 4500 W NEWBERRY RD GAINESVILLE FL 32607 121 0.16

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 2017 to Dec 2017 % of DRG Volume
DR. JOHN C STEVENSON 4500 W NEWBERRY RD GAINESVILLE FL 32607 126 0.17
DR. SELVON F ST. CLAIR 801 MEDICAL DR LIMA OH 45804 123 0.17
DR. HENRY E ARYAN 1630 E HERNDON AVE FRESNO CA 93720 123 0.17

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 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 93,164 44,783
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical M4806 Spinal stenosis, lumbar region 89,050 40,043
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical M4316 Spondylolisthesis, lumbar region 62,092 32,861
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical E785 Hyperlipidemia, unspecified 50,672 27,361
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical K219 Gastro-esophageal reflux disease without esophagitis 47,778 26,695
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical Z87891 Personal history of nicotine dependence 34,195 18,849
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical M5116 Intervertebral disc disorders with radiculopathy, lumbar region 33,787 14,041
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical E119 Type 2 diabetes mellitus without complications 28,972 12,660
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical E039 Hypothyroidism, unspecified 23,290 12,604
Spine Spinal Fusion Except Cervical Spinal Fusion Except Cervical F329 Major depressive disorder, single episode, unspecified 24,696 12,487