*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G959 - Disease of spinal cord, unspecified - as a primary diagnosis code | G959 - Disease of spinal cord, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.55 | |
| Readmission Rate (%) | 28.17 | |
| 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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD G959 - Disease of spinal cord, unspecified | 797 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD G959 - Disease of spinal cord, unspecified in DRG | 36.56 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD G959 - Disease of spinal cord, unspecified | 10.81 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | 22.91 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | 10.95 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD G959 - Disease of spinal cord, unspecified | $12,662,198 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD G959 - Disease of spinal cord, unspecified | $1,470 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD G959 - Disease of spinal cord, unspecified | $15,887 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD G959 - Disease of spinal cord, unspecified | $39,145,046 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD G959 - Disease of spinal cord, unspecified | $49,115 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD G959 - Disease of spinal cord, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 16.56 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 26.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 6,227 | |
| Total Hospitalizations with ICD G959 - Disease of spinal cord, unspecified | 78 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD G959 - Disease of spinal cord, unspecified in DRG | 3.58 | |
| Avg LOS at DRG | 11.45 | |
| Avg LOS with ICD G959 - Disease of spinal cord, unspecified | 8.49 | |
| Readmission Rate at DRG | 51.82 | |
| Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | 50.68 | |
| Unplanned Readmission Rate at DRG | 10.35 | |
| Unplanned Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | NA | |
| Total Medicare payments at DRG | $241,416,949 | |
| Total Medicare payments with ICD G959 - Disease of spinal cord, unspecified | $2,692,350 | |
| Total Medicare payment per Day at DRG | $3,385 | |
| Total Medicare payment per Day with ICD G959 - Disease of spinal cord, unspecified | $4,067 | |
| Total Medicare payment per Hospitalization at DRG | $38,769 | |
| Total Medicare payment per Hospitalization with ICD G959 - Disease of spinal cord, unspecified | $34,517 | |
| Total Medicare Charges at DRG | $1,126,422,406 | |
| Total Medicare Charges with ICD G959 - Disease of spinal cord, unspecified | $12,101,839 | |
| Avg Charges at DRG | $180,893 | |
| Avg Charges with ICD G959 - Disease of spinal cord, unspecified | $155,152 | |
| Mortality Rate at DRG | 5.91 | |
| Mortality Rate with ICD G959 - Disease of spinal cord, unspecified | NA | |
| SNF Discharge Rate at DRG | 25.95 | |
| SNF Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 33.33 | |
| Home Discharge Rate at DRG | 13.46 | |
| Home Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 16.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DOTHAN | 1736 E MAIN ST | DOTHAN | AL | 36301 | 48 |
| COLISEUM MEDICAL CENTERS | C/O COLISEUM HEALTH SYSTEM | MACON | GA | 31217 | 44 |
| HEALTHSOUTH REHABILITATION OF GADSDEN | 801 GOODYEAR AVE | GADSDEN | AL | 35903 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARCUS L. SIMMONS | 4226 HARTLEY BRIDGE RD | MACON | GA | 31216 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARCUS L. SIMMONS | 4226 HARTLEY BRIDGE RD | MACON | GA | 31216 | 40 |
| Dr. VLADIMIR SLUTSKER | 801 GOODYEAR AVE | GADSDEN | AL | 35903 | 18 |
| Dr. OLUSINA M AKINDURO | 1901 MELBA DR | DOTHAN | AL | 36301 | 16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||||
| Total Hospitalizations with ICD G959 - Disease of spinal cord, unspecified | 3,352 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD G959 - Disease of spinal cord, unspecified in DRG | 13.75 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD G959 - Disease of spinal cord, unspecified | 3.07 | ||||
| Readmission Rate at DRG | 19.37 | ||||
| Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | 22.2 | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | 5.38 | ||||
| Total Medicare payments at DRG | $899,179,360 | ||||
| Total Medicare payments with ICD G959 - Disease of spinal cord, unspecified | $60,856,349 | ||||
| Total Medicare payment per Day at DRG | $5,763 | ||||
| Total Medicare payment per Day with ICD G959 - Disease of spinal cord, unspecified | $5,923 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
| Total Medicare payment per Hospitalization with ICD G959 - Disease of spinal cord, unspecified | $18,155 | ||||
| Total Medicare Charges at DRG | $4,767,802,860 | ||||
| Total Medicare Charges with ICD G959 - Disease of spinal cord, unspecified | $337,600,517 | ||||
| Avg Charges at DRG | $95,039 | ||||
| Avg Charges with ICD G959 - Disease of spinal cord, unspecified | $100,716 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD G959 - Disease of spinal cord, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.73 | ||||
| SNF Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 12.44 | ||||
| Home Discharge Rate at DRG | 60.19 | ||||
| Home Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 55.67 |
*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 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD G959 - Disease of spinal cord, unspecified | 747 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD G959 - Disease of spinal cord, unspecified in DRG | 3.06 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD G959 - Disease of spinal cord, unspecified | 4.63 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | 32.91 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | 4.74 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD G959 - Disease of spinal cord, unspecified | $20,582,111 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD G959 - Disease of spinal cord, unspecified | $5,949 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD G959 - Disease of spinal cord, unspecified | $27,553 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD G959 - Disease of spinal cord, unspecified | $109,055,365 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD G959 - Disease of spinal cord, unspecified | $145,991 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD G959 - Disease of spinal cord, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 23.96 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 29.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD G959 - Disease of spinal cord, unspecified | 519 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD G959 - Disease of spinal cord, unspecified in DRG | 2.13 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD G959 - Disease of spinal cord, unspecified | 11.54 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | 23.08 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | 12.9 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD G959 - Disease of spinal cord, unspecified | $9,965,725 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD G959 - Disease of spinal cord, unspecified | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD G959 - Disease of spinal cord, unspecified | $19,202 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD G959 - Disease of spinal cord, unspecified | $29,350,770 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD G959 - Disease of spinal cord, unspecified | $56,553 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD G959 - Disease of spinal cord, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 21.77 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 21.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,966 | ||||
| Total Hospitalizations with ICD G959 - Disease of spinal cord, unspecified | 272 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD G959 - Disease of spinal cord, unspecified in DRG | 1.12 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD G959 - Disease of spinal cord, unspecified | 15.08 | ||||
| Readmission Rate at DRG | 21.08 | ||||
| Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | 11.76 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD G959 - Disease of spinal cord, unspecified | 9.66 | ||||
| Total Medicare payments at DRG | $1,323,430,782 | ||||
| Total Medicare payments with ICD G959 - Disease of spinal cord, unspecified | $6,697,251 | ||||
| Total Medicare payment per Day at DRG | $1,530 | ||||
| Total Medicare payment per Day with ICD G959 - Disease of spinal cord, unspecified | $1,633 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,062 | ||||
| Total Medicare payment per Hospitalization with ICD G959 - Disease of spinal cord, unspecified | $24,622 | ||||
| Total Medicare Charges at DRG | $3,810,466,828 | ||||
| Total Medicare Charges with ICD G959 - Disease of spinal cord, unspecified | $18,234,336 | ||||
| Avg Charges at DRG | $57,764 | ||||
| Avg Charges with ICD G959 - Disease of spinal cord, unspecified | $67,038 | ||||
| Mortality Rate at DRG | 1.49 | ||||
| Mortality Rate with ICD G959 - Disease of spinal cord, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 19.12 | ||||
| Home Discharge Rate at DRG | 12.66 | ||||
| Home Discharge Rate with ICD G959 - Disease of spinal cord, unspecified | 15.81 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 210 |
| ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER | 350 W THOMAS RD | PHOENIX | AZ | 85013 | 201 |
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 177 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARCUS L. SIMMONS | 4226 HARTLEY BRIDGE RD | MACON | GA | 31216 | 43 |
| Dr. FRASER HENDERSON | 8401 CONNECTICUT AVENUE NW | CHEVY CHASE | MD | 20814 | 34 |
| Dr. BRIAN E HAYCOOK | ONE ORTHOPAEDIC PLACE | ST AUGUSTINE | FL | 32086 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARCUS L. SIMMONS | 4226 HARTLEY BRIDGE RD | MACON | GA | 31216 | 43 |
| Dr. FRASER HENDERSON | 8401 CONNECTICUT AVENUE NW | CHEVY CHASE | MD | 20814 | 33 |
| Dr. MATTHIAS LINKE | 222 W THOMAS RD | PHOENIX | AZ | 85013 | 33 |