DRG 491: BACK & NECK PROCEDURE EXCEPT 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

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

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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 (%)
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)

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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)

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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 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)

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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 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)

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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 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)

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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. 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)

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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. 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

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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 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