*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G9611 - Dural tear - as a primary diagnosis code | G9611 - Dural tear - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.75 | |
| Readmission Rate (%) | 28.59 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 29,479 | ||
| Total Hospitalizations with ICD G9611 - Dural tear | 54 | ||
| DRG Share of Total Hospitalizations | 0.09 | ||
| % of Total ICD G9611 - Dural tear in DRG | 44.26 | ||
| Avg LOS at DRG | 5.19 | ||
| Avg LOS with ICD G9611 - Dural tear | 5.44 | ||
| Readmission Rate at DRG | 22.38 | ||
| Readmission Rate with ICD G9611 - Dural tear | 33.96 | ||
| Unplanned Readmission Rate at DRG | 10.67 | ||
| Unplanned Readmission Rate with ICD G9611 - Dural tear | NA | ||
| Total Medicare payments at DRG | $387,681,524 | ||
| Total Medicare payments with ICD G9611 - Dural tear | $700,474 | ||
| Total Medicare payment per Day at DRG | $2,535 | ||
| Total Medicare payment per Day with ICD G9611 - Dural tear | $2,383 | ||
| Total Medicare payment per Hospitalization at DRG | $13,151 | ||
| Total Medicare payment per Hospitalization with ICD G9611 - Dural tear | $12,972 | ||
| Total Medicare Charges at DRG | $1,973,997,424 | ||
| Total Medicare Charges with ICD G9611 - Dural tear | $3,438,074 | ||
| Avg Charges at DRG | $66,963 | ||
| Avg Charges with ICD G9611 - Dural tear | $63,668 | ||
| Mortality Rate at DRG | 0.3 | ||
| Mortality Rate with ICD G9611 - Dural tear | NA | ||
| SNF Discharge Rate at DRG | 18.85 | ||
| SNF Discharge Rate with ICD G9611 - Dural tear | NA | ||
| Home Discharge Rate at DRG | 43.01 | ||
| Home Discharge Rate with ICD G9611 - Dural tear | 51.85 |
*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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD G9611 - Dural tear | 1,261 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD G9611 - Dural tear in DRG | 30.51 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD G9611 - Dural tear | 4.39 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD G9611 - Dural tear | 25.1 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD G9611 - Dural tear | 6.28 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD G9611 - Dural tear | $32,528,160 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD G9611 - Dural tear | $5,872 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD G9611 - Dural tear | $25,796 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD G9611 - Dural tear | $157,879,959 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD G9611 - Dural tear | $125,202 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD G9611 - Dural tear | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD G9611 - Dural tear | 23.95 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD G9611 - Dural tear | 41.79 |
*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 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,393 | ||||
| Total Hospitalizations with ICD G9611 - Dural tear | 137 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD G9611 - Dural tear in DRG | 3.31 | ||||
| Avg LOS at DRG | 5.68 | ||||
| Avg LOS with ICD G9611 - Dural tear | 5.22 | ||||
| Readmission Rate at DRG | 34.26 | ||||
| Readmission Rate with ICD G9611 - Dural tear | 25.95 | ||||
| Unplanned Readmission Rate at DRG | 8.31 | ||||
| Unplanned Readmission Rate with ICD G9611 - Dural tear | NA | ||||
| Total Medicare payments at DRG | $240,918,758 | ||||
| Total Medicare payments with ICD G9611 - Dural tear | $2,697,481 | ||||
| Total Medicare payment per Day at DRG | $3,724 | ||||
| Total Medicare payment per Day with ICD G9611 - Dural tear | $3,773 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,146 | ||||
| Total Medicare payment per Hospitalization with ICD G9611 - Dural tear | $19,690 | ||||
| Total Medicare Charges at DRG | $1,225,112,830 | ||||
| Total Medicare Charges with ICD G9611 - Dural tear | $10,290,198 | ||||
| Avg Charges at DRG | $107,532 | ||||
| Avg Charges with ICD G9611 - Dural tear | $75,111 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD G9611 - Dural tear | NA | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD G9611 - Dural tear | 10.22 | ||||
| Home Discharge Rate at DRG | 38.9 | ||||
| Home Discharge Rate with ICD G9611 - Dural tear | 52.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 026: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 61,140 | ||||
| Total Hospitalizations with ICD G9611 - Dural tear | 76 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD G9611 - Dural tear in DRG | 1.84 | ||||
| Avg LOS at DRG | 8.85 | ||||
| Avg LOS with ICD G9611 - Dural tear | 9.14 | ||||
| Readmission Rate at DRG | 42.86 | ||||
| Readmission Rate with ICD G9611 - Dural tear | 43.08 | ||||
| Unplanned Readmission Rate at DRG | 10.16 | ||||
| Unplanned Readmission Rate with ICD G9611 - Dural tear | NA | ||||
| Total Medicare payments at DRG | $1,858,013,928 | ||||
| Total Medicare payments with ICD G9611 - Dural tear | $2,561,113 | ||||
| Total Medicare payment per Day at DRG | $3,435 | ||||
| Total Medicare payment per Day with ICD G9611 - Dural tear | $3,685 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,389 | ||||
| Total Medicare payment per Hospitalization with ICD G9611 - Dural tear | $33,699 | ||||
| Total Medicare Charges at DRG | $9,494,684,408 | ||||
| Total Medicare Charges with ICD G9611 - Dural tear | $13,555,921 | ||||
| Avg Charges at DRG | $155,294 | ||||
| Avg Charges with ICD G9611 - Dural tear | $178,367 | ||||
| Mortality Rate at DRG | 7.92 | ||||
| Mortality Rate with ICD G9611 - Dural tear | NA | ||||
| SNF Discharge Rate at DRG | 19.16 | ||||
| SNF Discharge Rate with ICD G9611 - Dural tear | 23.68 | ||||
| Home Discharge Rate at DRG | 25.64 | ||||
| Home Discharge Rate with ICD G9611 - Dural tear | 19.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD G9611 - Dural tear | 36 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD G9611 - Dural tear in DRG | 0.87 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD G9611 - Dural tear | 10.06 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD G9611 - Dural tear | NA | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD G9611 - Dural tear | NA | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD G9611 - Dural tear | $565,440 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD G9611 - Dural tear | $1,562 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD G9611 - Dural tear | $15,707 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD G9611 - Dural tear | $909,875 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD G9611 - Dural tear | $25,274 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD G9611 - Dural tear | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD G9611 - Dural tear | NA | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD G9611 - Dural tear | 30.56 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 173 |
| SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY | 2011 MURPHY AVENUE | NASHVILLE | TN | 37203 | 126 |
| DUNES SURGICAL HOSPITAL | 600 N SIOUX POINT RD | DAKOTA DUNES | SD | 57049 | 73 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 36 |
| Dr. KENNY B EDWARDS | 670 LEIGH DRIVE | COLUMBUS | MS | 39705 | 25 |
| Dr. CARL R HAMPF | 2011 MURPHY AVE | NASHVILLE | TN | 37203 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 37 |
| Dr. KENNY B EDWARDS | 670 LEIGH DRIVE | COLUMBUS | MS | 39705 | 25 |
| Dr. CARL R HAMPF | 2011 MURPHY AVE | NASHVILLE | TN | 37203 | 22 |