Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | Surgical | 14.00 | NA | 3,246 | 13,058 | 12,749 | ||||||||||||
| 520 | BACK AND NECK PROCEDURES 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 And Neck Procedures Except Spinal Fusion | Surgical | 50.21 | NA | 9,319 | 46,845 | 46,707 | ||||||||||||
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | Surgical | 35.80 | NA | 8,691 | 33,400 | 33,192 |
DEMOGRAPHIC DETAILS OF DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 11,194 | 85.73 |
| Black | 1,135 | 8.69 |
| Hispanic | 178 | 1.36 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 2,792 | 21.38 |
| 70 to 74 | 2,755 | 21.1 |
| Less than 65 | 2,589 | 19.83 |
TOP ICD DIAGNOSIS CODES FOR DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 2,440 | 18.69 |
| 2724 | Other and unspecified hyperlipidemia | 1,762 | 13.49 |
| 53081 | Esophageal reflux | 1,315 | 10.07 |
TOP ICD PROCEDURE CODES FOR DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | 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 | 6,268 | 48.0 |
| 01NB0ZZ | Release Lumbar Nerve, Open Approach | 2,964 | 22.7 |
| 0SH00BZ | Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach | 2,248 | 17.22 |
TOP HOSPITALS ASSOCIATED WITH DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Baptist Medical Center Jacksonville | 800 PRUDENTIAL DR | Jacksonville | FL | 32207 | 117 | 0.9 |
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 111 | 0.85 |
| North Florida Regional Medical Center | 6500 W NEWBERRY RD | Gainesville | FL | 32605 | 97 | 0.74 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | 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 | 83 | 0.64 |
| DR. TIMOTHY A VANFLEET | 1301 S KOKE MILL RD | SPRINGFIELD | IL | 62711 | 57 | 0.44 |
| DR. ROY D VINGAN | 680 KINDERKAMACK RD | ORADELL | NJ | 07649 | 51 | 0.39 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | 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 | 86 | 0.66 |
| DR. TIMOTHY A VANFLEET | 1301 S KOKE MILL RD | SPRINGFIELD | IL | 62711 | 57 | 0.44 |
| DR. ROY D VINGAN | 680 KINDERKAMACK RD | ORADELL | NJ | 07649 | 54 | 0.41 |
DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR 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 And Neck Procedures Except Spinal Fusion | I10 | Essential (primary) hypertension | 5,240 | 4,708 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | M4806 | Spinal stenosis, lumbar region | 3,808 | 4,129 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | E785 | Hyperlipidemia, unspecified | 2,924 | 3,194 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | K219 | Gastro-esophageal reflux disease without esophagitis | 2,558 | 2,538 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | 4019 | Unspecified essential hypertension | NA | 2,440 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | Z87891 | Personal history of nicotine dependence | 1,972 | 2,028 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,398 | 1,831 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | 2724 | Other and unspecified hyperlipidemia | NA | 1,762 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | E119 | Type 2 diabetes mellitus without complications | 1,755 | 1,560 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | E039 | Hypothyroidism, unspecified | 1,207 | 1,324 |