DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) - 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 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 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 (%)
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
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
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

DEMOGRAPHIC DETAILS OF DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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Race Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
White 7,537 86.72
Black 671 7.72
Unknown 136 1.56
Age Group ( Years ) Total Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
70 to 74 2,008 23.1
65 to 69 1,952 22.46
75 to 79 1,685 19.39

TOP ICD DIAGNOSIS CODES FOR DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
M4806 Spinal stenosis, lumbar region 3,663 42.15
G9741 Accidental puncture or laceration of dura during a procedure 1,878 21.61
M5116 Intervertebral disc disorders with radiculopathy, lumbar region 1,836 21.13

TOP ICD PROCEDURE CODES FOR DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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ICD Code ICD Description Total Procedure ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
01NB0ZZ Release Lumbar Nerve, Open Approach 3,856 44.37
0SB20ZZ Excision of Lumbar Vertebral Disc, Open Approach 2,107 24.24
00NY0ZZ Release Lumbar Spinal Cord, Open Approach 1,869 21.51

TOP HOSPITALS ASSOCIATED WITH DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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Hospital Name Address City State Zip Code Total Hospital & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
Hospital for Special Surgery 535 E 70TH ST New York NY 10021 117 1.35
Cedars-Sinai Medical Center 8700 BEVERLY BLVD Los Angeles CA 90048 95 1.09
Mayo Clinic Hospital - Saint Marys Campus 1216 2ND ST SW Rochester MN 55902 56 0.64

TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
DR. DONALD LONG HILTON 4410 MEDICAL DR SAN ANTONIO TX 78229 19 0.22
DR. JAMES C FARMER 523 E 72ND ST NEW YORK NY 10021 19 0.22
DR. TERRENCE T. KIM 444 S SAN VICENTE BLVD LOS ANGELES CA 90048 19 0.22

TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)

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Physician Name Address City State Zip Code Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 % of DRG Volume
DR. TERRENCE T. KIM 444 S SAN VICENTE BLVD LOS ANGELES CA 90048 24 0.28
DR. DONALD LONG HILTON 4410 MEDICAL DR SAN ANTONIO TX 78229 21 0.24
DR. JAMES C FARMER 523 E 72ND ST NEW YORK NY 10021 20 0.23

DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 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 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 12,057 5,113
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 3,663
Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back And Neck Procedures Except Spinal Fusion E785 Hyperlipidemia, unspecified 6,778 3,577
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 2,769
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 2,421
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 1,878
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 1,842
Spine Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators Back And Neck Procedures Except Spinal Fusion M5116 Intervertebral disc disorders with radiculopathy, lumbar region 5,049 1,836
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 2,112 1,577
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 4,041 1,449