Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | Back to Top |
| 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 41,396 | 89.78 |
| Black | 2,613 | 5.67 |
| Other | 579 | 1.26 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 11,817 | 25.63 |
| 70 to 74 | 11,116 | 24.11 |
| 75 to 79 | 8,735 | 18.95 |
TOP ICD DIAGNOSIS CODES FOR DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 28,191 | 61.14 |
| 72402 | Spinal stenosis, lumbar region, without neurogenic claudication | 16,056 | 34.82 |
| 2724 | Other and unspecified hyperlipidemia | 14,491 | 31.43 |
TOP ICD PROCEDURE CODES FOR DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| 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 | 69,720 | 151.21 |
| 8051 | Excision Of Intervertebral Disc | 13,401 | 29.07 |
| 8339 | Excision Of Lesion Of Other Soft Tissue | 3,703 | 8.03 |
TOP HOSPITALS ASSOCIATED WITH DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| 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 | 421 | 0.91 |
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 255 | 0.55 |
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 238 | 0.52 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. BARRY L POLLARD | 102 S VAN BUREN | ENID | OK | 73703 | 115 | 0.25 |
| DR. ROBERT GREEN WATKINS | 4640 ADMIRALTY WAY | MARINA DEL REY | CA | 90292 | 86 | 0.19 |
| DR. WILLIAM RAY BROWN | 160 KIMEL FOREST DR | WINSTON SALEM | NC | 27103 | 84 | 0.18 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. BARRY L POLLARD | 102 S VAN BUREN | ENID | OK | 73703 | 115 | 0.25 |
| DR. ROBERT GREEN WATKINS | 4640 ADMIRALTY WAY | MARINA DEL REY | CA | 90292 | 86 | 0.19 |
| DR. WILLIAM RAY BROWN | 160 KIMEL FOREST DR | WINSTON SALEM | NC | 27103 | 85 | 0.18 |
DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | Back to Top |
| 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 | 28,191 | |||||||||||||||||
| 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 | 16,056 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 2724 | Other and unspecified hyperlipidemia | NA | 14,491 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 53081 | Esophageal reflux | NA | 12,337 | |||||||||||||||||
| 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 | 11,805 | |||||||||||||||||
| 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 | 10,006 | |||||||||||||||||
| 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 | 8,098 | |||||||||||||||||
| 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 | 8,013 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 2449 | Unspecified acquired hypothyroidism | NA | 5,892 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 41401 | Coronary atherosclerosis of native coronary artery | NA | 5,680 |