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 | 93.05 | 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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
0SG00AJ | Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 18,389 | 24.77 |
01NB0ZZ | Release Lumbar Nerve, Open Approach | 18,181 | 24.49 |
0SG0071 | Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 15,071 | 20.3 |
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 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) | Back to Top |
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) | Back to Top |
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 | 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 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 |