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 47.32 NA 18,072 135,238 18,026
472 CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) Spine Cervical Spinal Fusion Cervical Spinal Fusion Surgical 42.93 NA 16,396 73,210 16,319
471 CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) Spine Cervical Spinal Fusion Cervical Spinal Fusion Surgical 9.75 NA 3,723 18,222 3,517

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 2017 to Dec 2017 % of DRG Volume
White 15,713 86.95
Black 1,463 8.1
Unknown 233 1.29
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Less than 65 5,596 30.97
65 to 69 5,378 29.76
70 to 74 3,905 21.61

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 2017 to Dec 2017 % of DRG Volume
M4802 Spinal stenosis, cervical region 10,377 57.42
M4722 Other spondylosis with radiculopathy, cervical region 4,001 22.14
M4712 Other spondylosis with myelopathy, cervical region 3,390 18.76

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 2017 to Dec 2017 % of DRG Volume
0RB30ZZ Excision of Cervical Vertebral Disc, Open Approach 7,800 43.16
0RG20A0 Fusion of 2 or more Cervical Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach 7,358 40.71
0RT30ZZ Resection of Cervical Vertebral Disc, Open Approach 5,487 30.36

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 2017 to Dec 2017 % of DRG Volume
Saint Thomas Hospital for Specialty Surgery 2011 MURPHY AVENUE Nashville TN 37203 182 1.01
Arkansas Surgical Hospital 5201 NORTHSHORE DRIVE North Little Rock AR 72118 87 0.48
Christiana Care Wilmington Hospital 501 W 14TH ST Wilmington DE 19801 87 0.48

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 2017 to Dec 2017 % of DRG Volume
DR. YOGISH D KAMATH 1400 VFW PARKWAY STE 1C118A W. ROXBURY MA 02132 63 0.35
DR. TIMOTHY EUGENE SPENCER 14250 BEADLE LAKE RD BATTLE CREEK MI 49014 45 0.25
DR. JOSEPH M. GRAHAM 444 FOUR STATES DR. GALENA KS 66739 45 0.25

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 2017 to Dec 2017 % of DRG Volume
DR. YOGISH D KAMATH 1400 VFW PARKWAY STE 1C118A W. ROXBURY MA 02132 61 0.34
DR. JOSEPH M. GRAHAM 444 FOUR STATES DR. GALENA KS 66739 45 0.25
DR. TIMOTHY EUGENE SPENCER 14250 BEADLE LAKE RD BATTLE CREEK MI 49014 45 0.25

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 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 Cervical Spinal Fusion Cervical Spinal Fusion I10 Essential (primary) hypertension 42,053 10,410
Spine Cervical Spinal Fusion Cervical Spinal Fusion M4802 Spinal stenosis, cervical region 38,386 10,377
Spine Cervical Spinal Fusion Cervical Spinal Fusion K219 Gastro-esophageal reflux disease without esophagitis 22,240 5,968
Spine Cervical Spinal Fusion Cervical Spinal Fusion E785 Hyperlipidemia, unspecified 20,276 5,598
Spine Cervical Spinal Fusion Cervical Spinal Fusion Z87891 Personal history of nicotine dependence 15,363 4,281
Spine Cervical Spinal Fusion Cervical Spinal Fusion M4722 Other spondylosis with radiculopathy, cervical region 18,976 4,001
Spine Cervical Spinal Fusion Cervical Spinal Fusion M4712 Other spondylosis with myelopathy, cervical region 12,095 3,390
Spine Cervical Spinal Fusion Cervical Spinal Fusion E119 Type 2 diabetes mellitus without complications 13,281 3,156
Spine Cervical Spinal Fusion Cervical Spinal Fusion F329 Major depressive disorder, single episode, unspecified 11,895 3,111
Spine Cervical Spinal Fusion Cervical Spinal Fusion E039 Hypothyroidism, unspecified 9,524 2,598