Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 41,799 | 89.23 |
| Black | 2,596 | 5.54 |
| Unknown | 671 | 1.43 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 12,285 | 26.22 |
| 70 to 74 | 11,613 | 24.79 |
| 75 to 79 | 8,840 | 18.87 |
TOP ICD DIAGNOSIS CODES FOR DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 13,818 | 29.5 |
| M4806 | Spinal stenosis, lumbar region | 12,049 | 25.72 |
| 72402 | Spinal stenosis, lumbar region, without neurogenic claudication | 8,007 | 17.09 |
TOP ICD PROCEDURE CODES FOR DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 35,377 | 75.52 |
| 01NB0ZZ | Release Lumbar Nerve, Open Approach | 8,598 | 18.35 |
| 00NY0ZZ | Release Lumbar Spinal Cord, Open Approach | 7,336 | 15.66 |
TOP HOSPITALS ASSOCIATED WITH DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 301 | 0.64 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 293 | 0.63 |
| Abbott Northwestern Hospital | 800 E 28TH ST | Minneapolis | MN | 55407 | 285 | 0.61 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DONALD LONG HILTON | 4410 MEDICAL DR | SAN ANTONIO | TX | 78229 | 100 | 0.21 |
| DR. LEONARDO R RODRIGUEZ-CRUZ | 105 S WILLOW AVE | COOKEVILLE | TN | 38501 | 88 | 0.19 |
| DR. JAMES TALMADGE TRAMMELL | 1850 HICKORY ST | ABILENE | TX | 79601 | 86 | 0.18 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DONALD LONG HILTON | 4410 MEDICAL DR | SAN ANTONIO | TX | 78229 | 101 | 0.22 |
| DR. LEONARDO R RODRIGUEZ-CRUZ | 105 S WILLOW AVE | COOKEVILLE | TN | 38501 | 88 | 0.19 |
| DR. JAMES TALMADGE TRAMMELL | 1850 HICKORY ST | ABILENE | TX | 79601 | 86 | 0.18 |
DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 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 | 16,553 | 14,308 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | 4019 | Unspecified essential hypertension | NA | 13,818 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | M4806 | Spinal stenosis, lumbar region | 13,923 | 12,049 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | E785 | Hyperlipidemia, unspecified | 8,538 | 8,200 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | 72402 | Spinal stenosis, lumbar region, without neurogenic claudication | NA | 8,007 | |||||||||||||||||
| 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 | 7,856 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | 53081 | Esophageal reflux | NA | 6,548 | |||||||||||||||||
| 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 | 6,604 | 6,478 | |||||||||||||||||
| Spine | Back And Neck Procedures, Except Spinal Fusion, Or Disc Devices/Neurostimulators | Back And Neck Procedures Except Spinal Fusion | 72210 | Displacement of lumbar intervertebral disc without myelopathy | NA | 5,823 | |||||||||||||||||
| 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 | 10,846 | 5,742 |