*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G9741 - Accidental puncture or laceration of dura during a procedure - as a primary diagnosis code | G9741 - Accidental puncture or laceration of dura during a procedure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.17 | |
| Readmission Rate (%) | 27.29 | |
| Unplanned Readmission Rate (%) | 8.01 | |
| 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) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,479 | |||
| Total Hospitalizations with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 149 | |||
| DRG Share of Total Hospitalizations | 0.09 | |||
| % of Total ICD G9741 - Accidental puncture or laceration of dura during a procedure in DRG | 41.85 | |||
| Avg LOS at DRG | 5.19 | |||
| Avg LOS with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 4.56 | |||
| Readmission Rate at DRG | 22.38 | |||
| Readmission Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 28.28 | |||
| Unplanned Readmission Rate at DRG | 10.67 | |||
| Unplanned Readmission Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | NA | |||
| Total Medicare payments at DRG | $387,681,524 | |||
| Total Medicare payments with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $1,855,082 | |||
| Total Medicare payment per Day at DRG | $2,535 | |||
| Total Medicare payment per Day with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $2,732 | |||
| Total Medicare payment per Hospitalization at DRG | $13,151 | |||
| Total Medicare payment per Hospitalization with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $12,450 | |||
| Total Medicare Charges at DRG | $1,973,997,424 | |||
| Total Medicare Charges with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $8,802,813 | |||
| Avg Charges at DRG | $66,963 | |||
| Avg Charges with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $59,079 | |||
| Mortality Rate at DRG | 0.3 | |||
| Mortality Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | NA | |||
| SNF Discharge Rate at DRG | 18.85 | |||
| SNF Discharge Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 10.74 | |||
| Home Discharge Rate at DRG | 43.01 | |||
| Home Discharge Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 57.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 7,433 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD G9741 - Accidental puncture or laceration of dura during a procedure in DRG | 34.63 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 4.47 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 25.01 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 5.92 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $194,584,655 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $5,862 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $26,178 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $966,580,867 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $130,039 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 23.36 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 38.1 |
*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 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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | ||||
| Total Hospitalizations with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 816 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD G9741 - Accidental puncture or laceration of dura during a procedure in DRG | 3.8 | ||||
| Avg LOS at DRG | 4.67 | ||||
| Avg LOS with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 3.45 | ||||
| Readmission Rate at DRG | 23.96 | ||||
| Readmission Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 20.2 | ||||
| Unplanned Readmission Rate at DRG | 9.89 | ||||
| Unplanned Readmission Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 6.44 | ||||
| Total Medicare payments at DRG | $524,182,097 | ||||
| Total Medicare payments with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $9,621,787 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $3,414 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
| Total Medicare payment per Hospitalization with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $11,791 | ||||
| Total Medicare Charges at DRG | $2,765,571,309 | ||||
| Total Medicare Charges with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $46,956,418 | ||||
| Avg Charges at DRG | $64,982 | ||||
| Avg Charges with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $57,545 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| SNF Discharge Rate at DRG | 33.62 | ||||
| SNF Discharge Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 18.38 | ||||
| Home Discharge Rate at DRG | 31.52 | ||||
| Home Discharge Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 50.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 026: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,393 | ||||
| Total Hospitalizations with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 251 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD G9741 - Accidental puncture or laceration of dura during a procedure in DRG | 1.17 | ||||
| Avg LOS at DRG | 5.68 | ||||
| Avg LOS with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 6.08 | ||||
| Readmission Rate at DRG | 34.26 | ||||
| Readmission Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 35.27 | ||||
| Unplanned Readmission Rate at DRG | 8.31 | ||||
| Unplanned Readmission Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 8.3 | ||||
| Total Medicare payments at DRG | $240,918,758 | ||||
| Total Medicare payments with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $5,217,588 | ||||
| Total Medicare payment per Day at DRG | $3,724 | ||||
| Total Medicare payment per Day with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $3,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,146 | ||||
| Total Medicare payment per Hospitalization with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $20,787 | ||||
| Total Medicare Charges at DRG | $1,225,112,830 | ||||
| Total Medicare Charges with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $25,325,788 | ||||
| Avg Charges at DRG | $107,532 | ||||
| Avg Charges with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $100,900 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 13.55 | ||||
| Home Discharge Rate at DRG | 38.9 | ||||
| Home Discharge Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 37.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 11,165 | ||||
| Total Hospitalizations with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 103 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD G9741 - Accidental puncture or laceration of dura during a procedure in DRG | 0.48 | ||||
| Avg LOS at DRG | 8.45 | ||||
| Avg LOS with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 10.15 | ||||
| Readmission Rate at DRG | 43.41 | ||||
| Readmission Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 63.16 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 13.68 | ||||
| Total Medicare payments at DRG | $378,975,481 | ||||
| Total Medicare payments with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $3,975,636 | ||||
| Total Medicare payment per Day at DRG | $4,018 | ||||
| Total Medicare payment per Day with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $3,804 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,943 | ||||
| Total Medicare payment per Hospitalization with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $38,598 | ||||
| Total Medicare Charges at DRG | $1,826,793,767 | ||||
| Total Medicare Charges with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $21,682,161 | ||||
| Avg Charges at DRG | $163,618 | ||||
| Avg Charges with ICD G9741 - Accidental puncture or laceration of dura during a procedure | $210,506 | ||||
| Mortality Rate at DRG | 3.84 | ||||
| Mortality Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| SNF Discharge Rate at DRG | 26.49 | ||||
| SNF Discharge Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 23.3 | ||||
| Home Discharge Rate at DRG | 23.25 | ||||
| Home Discharge Rate with ICD G9741 - Accidental puncture or laceration of dura during a procedure | 14.56 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 284 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 189 |
| TULSA SPINE & SPECIALTY HOSPITAL | 6901 S OLYMPIA AVE | TULSA | OK | 74132 | 174 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT D ORR | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 57 |
| Dr. LANCE CRAIG SMITH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 54 |
| Dr. FEDERICO P GIRARDI | 523 E 72ND ST | NEW YORK | NY | 10021 | 50 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT D ORR | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 55 |
| Dr. LANCE CRAIG SMITH | 1110 N LEE AVE | OKLAHOMA CITY | OK | 73103 | 53 |
| Dr. FEDERICO P GIRARDI | 523 E 72ND ST | NEW YORK | NY | 10021 | 50 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | G960 | Cerebrospinal fluid leak |
| 2 | G9782 | Other postprocedural complications and disorders of nervous system |
| 3 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 4 | I10 | Essential (primary) hypertension |