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 | 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) | Back to Top |
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) | Back to Top |
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) | 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 | 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) | Back to Top |
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) | Back to Top |
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) | Back to Top |
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 | 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 | 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 |