DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS - 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 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS GROUP BASED ON MEDICARE
2DEMOGRAPHIC DETAILS OF DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS
3TOP ICD DIAGNOSIS CODES FOR DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS
4TOP ICD PROCEDURE CODES FOR DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS
5TOP HOSPITALS ASSOCIATED WITH DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS
6TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS
7TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS
8DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS SUMMARY TABLE

CHARGE CAPTURE ANALYSIS FOR DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS 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 (%)
490 BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion Surgical 40.87 11,079 NA 31,875 31,525
491 BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion Surgical 59.13 22,547 NA 46,107 45,996

DEMOGRAPHIC DETAILS OF DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS

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Race Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
White 27,990 87.81
Black 2,414 7.57
Other 417 1.31
Age Group ( Years ) Total Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
70 to 74 6,821 21.4
65 to 69 6,774 21.25
75 to 79 5,894 18.49

TOP ICD DIAGNOSIS CODES FOR DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS

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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 18,482 57.98
2724 Other and unspecified hyperlipidemia 11,799 37.02
72402 Spinal stenosis, lumbar region, without neurogenic claudication 9,667 30.33

TOP ICD PROCEDURE CODES FOR DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
0309 Other Exploration And Decompression Of Spinal Canal 49,493 155.27
8051 Excision Of Intervertebral Disc 8,540 26.79
0359 Ulnar Artery, Right 5,452 17.1

TOP HOSPITALS ASSOCIATED WITH DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 % of DRG Volume
Abbott Northwestern Hospital 800 E 28TH ST Minneapolis MN 55407 207 0.65
Mayo Clinic Hospital - Saint Marys Campus 1216 2ND ST SW Rochester MN 55902 192 0.6
Hospital for Special Surgery 535 E 70TH ST New York NY 10021 183 0.57

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS

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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. CONSTANTINE A TOUMBIS 6099 W GULF TO LAKE HWY CRYSTAL RIVER FL 34429 67 0.21
DR. JOHN R DICKERSON 3223 N WEBB RD WICHITA KS 67226 57 0.18
DR. WILLIAM CHARLES WELCH 330 S 9TH ST PHILADELPHIA PA 19107 50 0.16

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS

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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. CONSTANTINE A TOUMBIS 6099 W GULF TO LAKE HWY CRYSTAL RIVER FL 34429 73 0.23
DR. JOHN LLOYD ZINKEL 21605 E 11 MILE RD ST CLAIR SHORES MI 48081 59 0.19
DR. JOHN R DICKERSON 3223 N WEBB RD WICHITA KS 67226 59 0.19

DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS 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 Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion 4019 Unspecified essential hypertension NA 18,482
Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion 2724 Other and unspecified hyperlipidemia NA 11,799
Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion 72402 Spinal stenosis, lumbar region, without neurogenic claudication NA 9,667
Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion 53081 Esophageal reflux NA 9,260
Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled NA 7,605
Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion 72210 Displacement of lumbar intervertebral disc without myelopathy NA 7,133
Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion V1582 Personal history of tobacco use NA 6,215
Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion 72403 Spinal stenosis, lumbar region, with neurogenic claudication NA 5,454
Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion 34931 Accidental puncture or laceration of dura during a procedure NA 5,306
Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back & Neck Procedure Except Spinal Fusion 2449 Unspecified acquired hypothyroidism NA 5,197