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 | NA | 22,547 | NA | 46,107 | NA | ||||||||||||
| 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 | NA | 11,079 | NA | 31,875 | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 04111 | Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | NA | NA |
| 07070 | Unspecified viral hepatitis C without hepatic coma | NA | NA |
| 185 | Malignant neoplasm of prostate | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Mercy Hospital Springfield | 1235 E CHEROKEE ST | Springfield | MO | 65804 | NA | NA |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | NA | NA |
| St. Elizabeth Medical Center North | 1 MEDICAL VILLAGE DR | Edgewood | KY | 41017 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ERIC J WOODARD | 125 PARKER HILL AVE | ROXBURY CROSSING | MA | 02120 | NA | NA |
| DR. MICHAEL J SCHLITT | 3915 TALBOT RD S | RENTON | WA | 98055 | NA | NA |
| DR. STEVEN PAUL KIEFER | 1760 NICHOLASVILLE RD | LEXINGTON | KY | 40503 | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ERIC J WOODARD | 125 PARKER HILL AVE | ROXBURY CROSSING | MA | 02120 | NA | NA |
| DR. MICHAEL J SCHLITT | 3915 TALBOT RD S | RENTON | WA | 98055 | NA | NA |
| DR. STEVEN PAUL KIEFER | 1760 NICHOLASVILLE RD | LEXINGTON | KY | 40503 | NA | NA |
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 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 | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 99678 | Other complications due to other internal orthopedic device, implant, and graft | NA | NA | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | V1051 | Personal history of malignant neoplasm of bladder | NA | NA | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 73309 | Other osteoporosis | NA | NA | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 72871 | Plantar fascial fibromatosis | NA | NA | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 72271 | Intervertebral disc disorder with myelopathy, cervical region | NA | NA | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 2800 | Iron deficiency anemia secondary to blood loss (chronic) | NA | NA | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | V1504 | Allergy to seafood | NA | NA | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 490 | Bronchitis, not specified as acute or chronic | NA | NA | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 4571 | Other lymphedema | NA | NA | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back & Neck Procedure Except Spinal Fusion | 7906 | Other abnormal blood chemistry | NA | NA |