DRG 471: CERVICAL SPINAL FUSION 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

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 471: CERVICAL SPINAL FUSION 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 (%)
471 CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Spine Cervical Spinal Fusion Cervical Spinal Fusion Surgical 8.04 NA 3,723 18,222 17,253
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Spine Cervical Spinal Fusion Cervical Spinal Fusion Surgical 59.66 NA 18,072 135,238 134,934
472 CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) Spine Cervical Spinal Fusion Cervical Spinal Fusion Surgical 32.30 NA 16,396 73,210 72,833

DEMOGRAPHIC DETAILS OF DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 13,830 75.9
Black 3,196 17.54
Hispanic 363 1.99
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 5,256 28.84
65 to 69 3,882 21.3
70 to 74 3,238 17.77

TOP ICD DIAGNOSIS CODES FOR DRG 471: CERVICAL SPINAL FUSION WITH 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 4,742 26.02
M4802 Spinal stenosis, cervical region 4,643 25.48
7211 Cervical spondylosis with myelopathy 4,239 23.26

TOP ICD PROCEDURE CODES FOR DRG 471: CERVICAL SPINAL FUSION WITH 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 6,123 33.6
8102 Other Cervical Fusion Of The Anterior Column, Anterior Technique 5,563 30.53
8051 Excision Of Intervertebral Disc 4,626 25.39

TOP HOSPITALS ASSOCIATED WITH DRG 471: CERVICAL SPINAL FUSION WITH 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
St. Joseph's Hospital and Medical Center 350 W THOMAS RD Phoenix AZ 85013 92 0.5
Ascension Providence Hospital - Southfield Campus 16001 W 9 MILE RD Southfield MI 48075 92 0.5
Christiana Care Wilmington Hospital 501 W 14TH ST Wilmington DE 19801 91 0.5

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 471: CERVICAL SPINAL FUSION WITH 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. FRASER HENDERSON 8401 CONNECTICUT AVENUE NW CHEVY CHASE MD 20814 34 0.19
DR. BRIAN MASTERS 1950 LEE RD WINTER PARK FL 32789 28 0.15

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 471: CERVICAL SPINAL FUSION WITH 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. SASAN YADEGAR 501 EAST HARDY STREET INGLEWOOD CA 90301 65 0.36
DR. FRASER HENDERSON 8401 CONNECTICUT AVENUE NW CHEVY CHASE MD 20814 39 0.21
DR. KENNEDY YALAMANCHILI 774 CHRISTIANA RD NEWARK DE 19713 38 0.21

DRG 471: CERVICAL SPINAL FUSION 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 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 Cervical Spinal Fusion Cervical Spinal Fusion 4019 Unspecified essential hypertension NA 4,742
Spine Cervical Spinal Fusion Cervical Spinal Fusion M4802 Spinal stenosis, cervical region 3,735 4,643
Spine Cervical Spinal Fusion Cervical Spinal Fusion I10 Essential (primary) hypertension 3,969 4,301
Spine Cervical Spinal Fusion Cervical Spinal Fusion 7211 Cervical spondylosis with myelopathy NA 4,239
Spine Cervical Spinal Fusion Cervical Spinal Fusion 2724 Other and unspecified hyperlipidemia NA 3,595
Spine Cervical Spinal Fusion Cervical Spinal Fusion E785 Hyperlipidemia, unspecified 2,516 3,382
Spine Cervical Spinal Fusion Cervical Spinal Fusion M4712 Other spondylosis with myelopathy, cervical region 2,091 2,719
Spine Cervical Spinal Fusion Cervical Spinal Fusion 53081 Esophageal reflux NA 2,592
Spine Cervical Spinal Fusion Cervical Spinal Fusion K219 Gastro-esophageal reflux disease without esophagitis 1,632 2,417
Spine Cervical Spinal Fusion Cervical Spinal Fusion 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 2,342