*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G544 - Lumbosacral root disorders, not elsewhere classified - as a primary diagnosis code | G544 - Lumbosacral root disorders, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.14 | |
| Readmission Rate (%) | 22.13 | |
| Unplanned Readmission Rate (%) | 9.52 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 67,236 |
| Total Hospitalizations with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 100 |
| DRG Share of Total Hospitalizations | 0.2 |
| % of Total ICD G544 - Lumbosacral root disorders, not elsewhere classified in DRG | 74.07 |
| Avg LOS at DRG | 4.93 |
| Avg LOS with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 5.11 |
| Readmission Rate at DRG | 23.47 |
| Readmission Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 20.21 |
| Unplanned Readmission Rate at DRG | 16.32 |
| Unplanned Readmission Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA |
| Total Medicare payments at DRG | $519,464,020 |
| Total Medicare payments with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $904,971 |
| Total Medicare payment per Day at DRG | $1,566 |
| Total Medicare payment per Day with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $1,771 |
| Total Medicare payment per Hospitalization at DRG | $7,726 |
| Total Medicare payment per Hospitalization with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $9,050 |
| Total Medicare Charges at DRG | $2,306,121,861 |
| Total Medicare Charges with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $2,901,895 |
| Avg Charges at DRG | $34,299 |
| Avg Charges with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $29,019 |
| Mortality Rate at DRG | 0.07 |
| Mortality Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA |
| SNF Discharge Rate at DRG | 14.97 |
| SNF Discharge Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 18.0 |
| Home Discharge Rate at DRG | 53.9 |
| Home Discharge Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 39.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 165 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD G544 - Lumbosacral root disorders, not elsewhere classified in DRG | 14.86 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 3.72 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 19.14 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 9.26 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $3,995,126 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $6,507 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $24,213 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $21,162,428 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $128,257 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 16.36 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 50.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 32 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD G544 - Lumbosacral root disorders, not elsewhere classified in DRG | 2.88 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 12.09 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $629,479 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $1,627 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $19,671 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $1,332,999 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $41,656 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | ||||
| Total Hospitalizations with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 16 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD G544 - Lumbosacral root disorders, not elsewhere classified in DRG | 1.44 | ||||
| Avg LOS at DRG | 4.67 | ||||
| Avg LOS with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 4.13 | ||||
| Readmission Rate at DRG | 23.96 | ||||
| Readmission Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 9.89 | ||||
| Unplanned Readmission Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $524,182,097 | ||||
| Total Medicare payments with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $195,592 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $2,964 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
| Total Medicare payment per Hospitalization with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $12,225 | ||||
| Total Medicare Charges at DRG | $2,765,571,309 | ||||
| Total Medicare Charges with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $1,228,307 | ||||
| Avg Charges at DRG | $64,982 | ||||
| Avg Charges with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $76,769 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 33.62 | ||||
| SNF Discharge Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 31.52 | ||||
| Home Discharge Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,393 | |||
| Total Hospitalizations with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 12 | |||
| DRG Share of Total Hospitalizations | 0.03 | |||
| % of Total ICD G544 - Lumbosacral root disorders, not elsewhere classified in DRG | 1.08 | |||
| Avg LOS at DRG | 5.68 | |||
| Avg LOS with ICD G544 - Lumbosacral root disorders, not elsewhere classified | 3.5 | |||
| Readmission Rate at DRG | 34.26 | |||
| Readmission Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | |||
| Unplanned Readmission Rate at DRG | 8.31 | |||
| Unplanned Readmission Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | |||
| Total Medicare payments at DRG | $240,918,758 | |||
| Total Medicare payments with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $239,300 | |||
| Total Medicare payment per Day at DRG | $3,724 | |||
| Total Medicare payment per Day with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $5,698 | |||
| Total Medicare payment per Hospitalization at DRG | $21,146 | |||
| Total Medicare payment per Hospitalization with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $19,942 | |||
| Total Medicare Charges at DRG | $1,225,112,830 | |||
| Total Medicare Charges with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $1,123,278 | |||
| Avg Charges at DRG | $107,532 | |||
| Avg Charges with ICD G544 - Lumbosacral root disorders, not elsewhere classified | $93,607 | |||
| Mortality Rate at DRG | 0.18 | |||
| Mortality Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | |||
| SNF Discharge Rate at DRG | 17.77 | |||
| SNF Discharge Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA | |||
| Home Discharge Rate at DRG | 38.9 | |||
| Home Discharge Rate with ICD G544 - Lumbosacral root disorders, not elsewhere classified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 26 |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER | 1325 S CLIFF AVE | SIOUX FALLS | SD | 57105 | 23 |
| AMITA HEALTH SAINT JOSEPH HOSPITAL ELGIN | 77 N AIRLITE ST | ELGIN | IL | 60123 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN C STEVENSON | 4500 W NEWBERRY RD | GAINESVILLE | FL | 32607 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN C STEVENSON | 4500 W NEWBERRY RD | GAINESVILLE | FL | 32607 | 14 |