*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M2578 - Osteophyte, vertebrae - as a primary diagnosis code | M2578 - Osteophyte, vertebrae - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.25 | |
| Readmission Rate (%) | 19.43 | |
| Unplanned Readmission Rate (%) | 6.4 | |
| 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 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD M2578 - Osteophyte, vertebrae | 147 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M2578 - Osteophyte, vertebrae in DRG | 23.79 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M2578 - Osteophyte, vertebrae | 1.46 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M2578 - Osteophyte, vertebrae | NA | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M2578 - Osteophyte, vertebrae | NA | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M2578 - Osteophyte, vertebrae | $1,987,792 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M2578 - Osteophyte, vertebrae | $9,289 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M2578 - Osteophyte, vertebrae | $13,522 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M2578 - Osteophyte, vertebrae | $9,009,449 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M2578 - Osteophyte, vertebrae | $61,289 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M2578 - Osteophyte, vertebrae | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M2578 - Osteophyte, vertebrae | NA | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M2578 - Osteophyte, vertebrae | 84.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,626 | |||
| Total Hospitalizations with ICD M2578 - Osteophyte, vertebrae | 32 | |||
| DRG Share of Total Hospitalizations | 0.14 | |||
| % of Total ICD M2578 - Osteophyte, vertebrae in DRG | 5.18 | |||
| Avg LOS at DRG | 6.58 | |||
| Avg LOS with ICD M2578 - Osteophyte, vertebrae | 6.53 | |||
| Readmission Rate at DRG | 28.01 | |||
| Readmission Rate with ICD M2578 - Osteophyte, vertebrae | NA | |||
| Unplanned Readmission Rate at DRG | 15.44 | |||
| Unplanned Readmission Rate with ICD M2578 - Osteophyte, vertebrae | NA | |||
| Total Medicare payments at DRG | $509,048,598 | |||
| Total Medicare payments with ICD M2578 - Osteophyte, vertebrae | $418,469 | |||
| Total Medicare payment per Day at DRG | $1,696 | |||
| Total Medicare payment per Day with ICD M2578 - Osteophyte, vertebrae | $2,002 | |||
| Total Medicare payment per Hospitalization at DRG | $11,157 | |||
| Total Medicare payment per Hospitalization with ICD M2578 - Osteophyte, vertebrae | $13,077 | |||
| Total Medicare Charges at DRG | $2,333,825,338 | |||
| Total Medicare Charges with ICD M2578 - Osteophyte, vertebrae | $1,730,769 | |||
| Avg Charges at DRG | $51,151 | |||
| Avg Charges with ICD M2578 - Osteophyte, vertebrae | $54,087 | |||
| Mortality Rate at DRG | 4.28 | |||
| Mortality Rate with ICD M2578 - Osteophyte, vertebrae | NA | |||
| SNF Discharge Rate at DRG | 39.84 | |||
| SNF Discharge Rate with ICD M2578 - Osteophyte, vertebrae | 40.63 | |||
| Home Discharge Rate at DRG | 18.35 | |||
| Home Discharge Rate with ICD M2578 - Osteophyte, vertebrae | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 31 |
| BROOKWOOD BAPTIST MEDICAL CENTER | 2010 BROOKWOOD MEDICAL CTR DR | BIRMINGHAM | AL | 35209 | 12 |
| GADSDEN REGIONAL MEDICAL CENTER | 1007 GOODYEAR AVE | GADSDEN | AL | 35903 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DENNIS S OH | 2 MEDICAL CENTER DR | SPRINGFIELD | MA | 01199 | 29 |
| Dr. ROBERT DUGLAD ROBINSON | 513 BROOKWOOD BLVD | BIRMINGHAM | AL | 35209 | 13 |
| Dr. JAMES WHITE | 100 MEDICAL CENTER DR | GADSDEN | AL | 35903 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DENNIS S OH | 2 MEDICAL CENTER DR | SPRINGFIELD | MA | 01199 | 29 |
| Dr. ROBERT DUGLAD ROBINSON | 513 BROOKWOOD BLVD | BIRMINGHAM | AL | 35209 | 12 |
| Dr. JAMES WHITE | 100 MEDICAL CENTER DR | GADSDEN | AL | 35903 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD M2578 - Osteophyte, vertebrae | 5,418 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M2578 - Osteophyte, vertebrae in DRG | 21.66 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M2578 - Osteophyte, vertebrae | 1.47 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M2578 - Osteophyte, vertebrae | 6.9 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M2578 - Osteophyte, vertebrae | 3.05 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M2578 - Osteophyte, vertebrae | $66,397,534 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M2578 - Osteophyte, vertebrae | $8,331 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M2578 - Osteophyte, vertebrae | $12,255 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M2578 - Osteophyte, vertebrae | $359,900,423 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M2578 - Osteophyte, vertebrae | $66,427 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M2578 - Osteophyte, vertebrae | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M2578 - Osteophyte, vertebrae | 2.29 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M2578 - Osteophyte, vertebrae | 86.23 |
*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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,165 | ||||
| Total Hospitalizations with ICD M2578 - Osteophyte, vertebrae | 646 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M2578 - Osteophyte, vertebrae in DRG | 2.58 | ||||
| Avg LOS at DRG | 8.45 | ||||
| Avg LOS with ICD M2578 - Osteophyte, vertebrae | 6.87 | ||||
| Readmission Rate at DRG | 43.41 | ||||
| Readmission Rate with ICD M2578 - Osteophyte, vertebrae | 41.76 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD M2578 - Osteophyte, vertebrae | 6.66 | ||||
| Total Medicare payments at DRG | $378,975,481 | ||||
| Total Medicare payments with ICD M2578 - Osteophyte, vertebrae | $20,385,509 | ||||
| Total Medicare payment per Day at DRG | $4,018 | ||||
| Total Medicare payment per Day with ICD M2578 - Osteophyte, vertebrae | $4,590 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,943 | ||||
| Total Medicare payment per Hospitalization with ICD M2578 - Osteophyte, vertebrae | $31,557 | ||||
| Total Medicare Charges at DRG | $1,826,793,767 | ||||
| Total Medicare Charges with ICD M2578 - Osteophyte, vertebrae | $88,183,610 | ||||
| Avg Charges at DRG | $163,618 | ||||
| Avg Charges with ICD M2578 - Osteophyte, vertebrae | $136,507 | ||||
| Mortality Rate at DRG | 3.84 | ||||
| Mortality Rate with ICD M2578 - Osteophyte, vertebrae | 2.01 | ||||
| SNF Discharge Rate at DRG | 26.49 | ||||
| SNF Discharge Rate with ICD M2578 - Osteophyte, vertebrae | 21.52 | ||||
| Home Discharge Rate at DRG | 23.25 | ||||
| Home Discharge Rate with ICD M2578 - Osteophyte, vertebrae | 31.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,062 | ||||
| Total Hospitalizations with ICD M2578 - Osteophyte, vertebrae | 325 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M2578 - Osteophyte, vertebrae in DRG | 1.3 | ||||
| Avg LOS at DRG | 2.14 | ||||
| Avg LOS with ICD M2578 - Osteophyte, vertebrae | 2.14 | ||||
| Readmission Rate at DRG | 11.6 | ||||
| Readmission Rate with ICD M2578 - Osteophyte, vertebrae | 11.6 | ||||
| Unplanned Readmission Rate at DRG | 3.9 | ||||
| Unplanned Readmission Rate with ICD M2578 - Osteophyte, vertebrae | NA | ||||
| Total Medicare payments at DRG | $199,571,619 | ||||
| Total Medicare payments with ICD M2578 - Osteophyte, vertebrae | $2,151,731 | ||||
| Total Medicare payment per Day at DRG | $3,102 | ||||
| Total Medicare payment per Day with ICD M2578 - Osteophyte, vertebrae | $3,092 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,639 | ||||
| Total Medicare payment per Hospitalization with ICD M2578 - Osteophyte, vertebrae | $6,621 | ||||
| Total Medicare Charges at DRG | $1,429,977,155 | ||||
| Total Medicare Charges with ICD M2578 - Osteophyte, vertebrae | $15,505,398 | ||||
| Avg Charges at DRG | $47,568 | ||||
| Avg Charges with ICD M2578 - Osteophyte, vertebrae | $47,709 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M2578 - Osteophyte, vertebrae | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD M2578 - Osteophyte, vertebrae | 6.77 | ||||
| Home Discharge Rate at DRG | 68.77 | ||||
| Home Discharge Rate with ICD M2578 - Osteophyte, vertebrae | 71.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,719 | ||||
| Total Hospitalizations with ICD M2578 - Osteophyte, vertebrae | 201 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M2578 - Osteophyte, vertebrae in DRG | 0.8 | ||||
| Avg LOS at DRG | 5.2 | ||||
| Avg LOS with ICD M2578 - Osteophyte, vertebrae | 5.19 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD M2578 - Osteophyte, vertebrae | 22.84 | ||||
| Unplanned Readmission Rate at DRG | 7.39 | ||||
| Unplanned Readmission Rate with ICD M2578 - Osteophyte, vertebrae | 6.09 | ||||
| Total Medicare payments at DRG | $197,788,916 | ||||
| Total Medicare payments with ICD M2578 - Osteophyte, vertebrae | $3,825,541 | ||||
| Total Medicare payment per Day at DRG | $3,550 | ||||
| Total Medicare payment per Day with ICD M2578 - Osteophyte, vertebrae | $3,668 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,452 | ||||
| Total Medicare payment per Hospitalization with ICD M2578 - Osteophyte, vertebrae | $19,033 | ||||
| Total Medicare Charges at DRG | $1,072,900,890 | ||||
| Total Medicare Charges with ICD M2578 - Osteophyte, vertebrae | $21,321,757 | ||||
| Avg Charges at DRG | $100,093 | ||||
| Avg Charges with ICD M2578 - Osteophyte, vertebrae | $106,078 | ||||
| Mortality Rate at DRG | 1.19 | ||||
| Mortality Rate with ICD M2578 - Osteophyte, vertebrae | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD M2578 - Osteophyte, vertebrae | 15.42 | ||||
| Home Discharge Rate at DRG | 45.02 | ||||
| Home Discharge Rate with ICD M2578 - Osteophyte, vertebrae | 54.73 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OAKLAWN HOSPITAL | 200 N MADISON ST | MARSHALL | MI | 49068 | 330 |
| SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY | 2011 MURPHY AVENUE | NASHVILLE | TN | 37203 | 310 |
| KANSAS SPINE & SPECIALTY HOSPITAL | 3333 N WEBB RD | WICHITA | KS | 67226 | 253 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 329 |
| Dr. JOHN R DICKERSON | 3223 N WEBB RD | WICHITA | KS | 67226 | 171 |
| Dr. YOGISH D KAMATH | 1400 VFW PARKWAY STE 1C118A | W. ROXBURY | MA | 02132 | 152 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 327 |
| Dr. JOHN R DICKERSON | 3223 N WEBB RD | WICHITA | KS | 67226 | 169 |
| Dr. YOGISH D KAMATH | 1400 VFW PARKWAY STE 1C118A | W. ROXBURY | MA | 02132 | 158 |