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 | 15.27 | NA | 3,246 | 13,058 | 3,177 | ||||||||||||
| 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 | 43.84 | NA | 9,319 | 46,845 | 9,285 | ||||||||||||
| 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 | 40.89 | NA | 8,691 | 33,400 | 8,639 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 2,746 | 84.6 |
| Black | 288 | 8.87 |
| Asian | 55 | 1.69 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 683 | 21.04 |
| 65 to 69 | 674 | 20.76 |
| 70 to 74 | 668 | 20.58 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| M4316 | Spondylolisthesis, lumbar region | 387 | 11.92 |
| G9519 | Other vascular myelopathies | 286 | 8.81 |
| M961 | Postlaminectomy syndrome, not elsewhere classified | 197 | 6.07 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 01NB0ZZ | Release Lumbar Nerve, Open Approach | 1,143 | 35.21 |
| 0SH00BZ | Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach | 747 | 23.01 |
| 00NY0ZZ | Release Lumbar Spinal Cord, Open Approach | 563 | 17.34 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 33 | 1.02 |
| Sutter Medical Center Sacramento | 2825 CAPITOL AVENUE | Sacramento | CA | 95616 | 25 | 0.77 |
| Baptist Medical Center Jacksonville | 800 PRUDENTIAL DR | Jacksonville | FL | 32207 | 25 | 0.77 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. RUDOLPH J. SCHROT | 2800 L ST | SACRAMENTO | CA | 95816 | 19 | 0.59 |
| DR. JASON T HUFFMAN | 3273 CLAREMONT WAY | NAPA | CA | 94558 | 18 | 0.55 |
| DR. MARK K CHANG | 1100 JOLIET ST | DYER | IN | 46311 | 17 | 0.52 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. MARK K CHANG | 1100 JOLIET ST | DYER | IN | 46311 | 19 | 0.59 |
| DR. RUDOLPH J. SCHROT | 2800 L ST | SACRAMENTO | CA | 95816 | 19 | 0.59 |
| DR. JASON T HUFFMAN | 3273 CLAREMONT WAY | NAPA | CA | 94558 | 17 | 0.52 |
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 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 And Neck Procedures Except Spinal Fusion | I10 | Essential (primary) hypertension | 5,240 | 1,682 | |||||||||||||||||
| 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 | 1,275 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | E785 | Hyperlipidemia, unspecified | 2,924 | 1,239 | |||||||||||||||||
| 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 | 985 | |||||||||||||||||
| 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 | 789 | |||||||||||||||||
| 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 | 694 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | F329 | Major depressive disorder, single episode, unspecified | 1,445 | 531 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | E039 | Hypothyroidism, unspecified | 1,207 | 522 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | Z7982 | Long term (current) use of aspirin | 803 | 498 | |||||||||||||||||
| 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 | 496 |