Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 29,202 | 87.43 |
| Black | 2,471 | 7.4 |
| Other | 438 | 1.31 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 7,655 | 22.92 |
| 70 to 74 | 7,461 | 22.34 |
| 75 to 79 | 6,294 | 18.84 |
TOP ICD DIAGNOSIS CODES FOR DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| M4806 | Spinal stenosis, lumbar region | 9,353 | 28.0 |
| 4019 | Unspecified essential hypertension | 7,877 | 23.58 |
| 2724 | Other and unspecified hyperlipidemia | 5,571 | 16.68 |
TOP ICD PROCEDURE CODES FOR DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 21,928 | 65.65 |
| 01NB0ZZ | Release Lumbar Nerve, Open Approach | 7,659 | 22.93 |
| 00NY0ZZ | Release Lumbar Spinal Cord, Open Approach | 4,968 | 14.87 |
TOP HOSPITALS ASSOCIATED WITH DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Hospital for Special Surgery | 535 E 70TH ST | New York | NY | 10021 | 387 | 1.16 |
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 271 | 0.81 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 244 | 0.73 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOHN R DICKERSON | 3223 N WEBB RD | WICHITA | KS | 67226 | 82 | 0.25 |
| DR. MARGARET A WALLENFRIEDMAN | 225 SMITH AVE N | SAINT PAUL | MN | 55102 | 57 | 0.17 |
| DR. MARY E DUNN | 225 SMITH AVE N | SAINT PAUL | MN | 55102 | 55 | 0.16 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. JOHN R DICKERSON | 3223 N WEBB RD | WICHITA | KS | 67226 | 84 | 0.25 |
| DR. MARGARET A WALLENFRIEDMAN | 225 SMITH AVE N | SAINT PAUL | MN | 55102 | 58 | 0.17 |
| DR. MARY E DUNN | 225 SMITH AVE N | SAINT PAUL | MN | 55102 | 57 | 0.17 |
DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 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 | 12,057 | 12,139 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | M4806 | Spinal stenosis, lumbar region | 8,946 | 9,353 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | E785 | Hyperlipidemia, unspecified | 6,778 | 8,004 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | 4019 | Unspecified essential hypertension | NA | 7,877 | |||||||||||||||||
| 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 | 5,006 | 6,159 | |||||||||||||||||
| 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 | 5,571 | |||||||||||||||||
| 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 | 4,305 | 5,275 | |||||||||||||||||
| 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 | 2,809 | 4,162 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | 53081 | Esophageal reflux | NA | 4,149 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | G9741 | Accidental puncture or laceration of dura during a procedure | 3,438 | 4,129 |