DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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

Table of Contents

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No.Quality Metric
1CHARGE CAPTURE ANALYSIS FOR DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
3TOP ICD DIAGNOSIS CODES FOR DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
4TOP ICD PROCEDURE CODES FOR DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
5TOP HOSPITALS ASSOCIATED WITH DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
8DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%)
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
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 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 117,691 87.03
Black 11,416 8.44
Hispanic 1,624 1.2
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Less than 65 45,976 34.0
65 to 69 40,700 30.1
70 to 74 26,717 19.76

TOP ICD DIAGNOSIS CODES FOR DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 46,201 34.16
M4802 Spinal stenosis, cervical region 26,069 19.28
53081 Esophageal reflux 24,759 18.31

TOP ICD PROCEDURE CODES FOR DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
8102 Other Cervical Fusion Of The Anterior Column, Anterior Technique 70,491 52.12
8162 Fusion Or Refusion Of 2-3 Vertebrae 64,434 47.64
8051 Excision Of Intervertebral Disc 63,160 46.7

TOP HOSPITALS ASSOCIATED WITH DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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
Saint Thomas Hospital for Specialty Surgery 2011 MURPHY AVENUE Nashville TN 37203 684 0.51
Huntsville Hospital 101 SIVLEY RD SW Huntsville AL 35801 615 0.45
Duke Raleigh Hospital 3400 WAKE FOREST RD Raleigh NC 27609 582 0.43

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. YOGISH D KAMATH 1400 VFW PARKWAY STE 1C118A W. ROXBURY MA 02132 367 0.27
DR. MICHAEL M HAGLUND 2100 ERWIN RD DURHAM NC 27710 304 0.22
DR. CONSTANTINE A TOUMBIS 6099 W GULF TO LAKE HWY CRYSTAL RIVER FL 34429 211 0.16

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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. YOGISH D KAMATH 1400 VFW PARKWAY STE 1C118A W. ROXBURY MA 02132 362 0.27
DR. MICHAEL M HAGLUND 2100 ERWIN RD DURHAM NC 27710 304 0.22
DR. ERIC KIMBALL OBERLANDER 10101 PARK ROWE AVE STE 200 BATON ROUGE LA 70810 193 0.14

DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 46,201
Spine Cervical Spinal Fusion Cervical Spinal Fusion I10 Essential (primary) hypertension 42,053 29,952
Spine Cervical Spinal Fusion Cervical Spinal Fusion M4802 Spinal stenosis, cervical region 38,386 26,069
Spine Cervical Spinal Fusion Cervical Spinal Fusion 53081 Esophageal reflux NA 24,759
Spine Cervical Spinal Fusion Cervical Spinal Fusion 2724 Other and unspecified hyperlipidemia NA 22,365
Spine Cervical Spinal Fusion Cervical Spinal Fusion 7210 Cervical spondylosis without myelopathy NA 21,556
Spine Cervical Spinal Fusion Cervical Spinal Fusion 7220 Displacement of cervical intervertebral disc without myelopathy NA 21,314
Spine Cervical Spinal Fusion Cervical Spinal Fusion 7211 Cervical spondylosis with myelopathy NA 20,388
Spine Cervical Spinal Fusion Cervical Spinal Fusion 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 17,178
Spine Cervical Spinal Fusion Cervical Spinal Fusion K219 Gastro-esophageal reflux disease without esophagitis 22,240 16,870