DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) - 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 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 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 (%)
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
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
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

DEMOGRAPHIC DETAILS OF DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 61,440 83.92
Black 7,943 10.85
Hispanic 959 1.31
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 22,666 30.96
65 to 69 19,841 27.1
70 to 74 14,527 19.84

TOP ICD DIAGNOSIS CODES FOR DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
M4802 Spinal stenosis, cervical region 24,564 33.55
4019 Unspecified essential hypertension 19,888 27.17
7211 Cervical spondylosis with myelopathy 17,115 23.38

TOP ICD PROCEDURE CODES FOR DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
8102 Other Cervical Fusion Of The Anterior Column, Anterior Technique 24,780 33.85
8162 Fusion Or Refusion Of 2-3 Vertebrae 24,080 32.89
8051 Excision Of Intervertebral Disc 21,718 29.67

TOP HOSPITALS ASSOCIATED WITH DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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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 360 0.49
Christiana Hospital 501 W 14TH ST Wilmington DE 19801 357 0.49
Jefferson Health 111 S 11TH ST Philadelphia PA 19107 350 0.48

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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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 146 0.2
DR. YOGISH D KAMATH 1400 VFW PARKWAY STE 1C118A W. ROXBURY MA 02132 130 0.18
DR. KORNELIS POELSTRA 155 CRYSTAL BEACH DR DESTIN FL 32541 106 0.14

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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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 147 0.2
DR. YOGISH D KAMATH 1400 VFW PARKWAY STE 1C118A W. ROXBURY MA 02132 128 0.17
DR. TECK MUN SOO 22250 PROVIDENCE DR SOUTHFIELD MI 48075 109 0.15

DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 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 M4802 Spinal stenosis, cervical region 26,490 24,564
Spine Cervical Spinal Fusion Cervical Spinal Fusion I10 Essential (primary) hypertension 26,235 22,806
Spine Cervical Spinal Fusion Cervical Spinal Fusion 4019 Unspecified essential hypertension NA 19,888
Spine Cervical Spinal Fusion Cervical Spinal Fusion 7211 Cervical spondylosis with myelopathy NA 17,115
Spine Cervical Spinal Fusion Cervical Spinal Fusion M4712 Other spondylosis with myelopathy, cervical region 16,307 14,486
Spine Cervical Spinal Fusion Cervical Spinal Fusion E785 Hyperlipidemia, unspecified 13,859 13,551
Spine Cervical Spinal Fusion Cervical Spinal Fusion K219 Gastro-esophageal reflux disease without esophagitis 12,261 12,584
Spine Cervical Spinal Fusion Cervical Spinal Fusion 2724 Other and unspecified hyperlipidemia NA 11,765
Spine Cervical Spinal Fusion Cervical Spinal Fusion 53081 Esophageal reflux NA 11,097
Spine Cervical Spinal Fusion Cervical Spinal Fusion 72271 Intervertebral disc disorder with myelopathy, cervical region NA 10,459