*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M40202 - Unspecified kyphosis, cervical region - as a primary diagnosis code | M40202 - Unspecified kyphosis, cervical region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.45 | |
| Readmission Rate (%) | 24.85 | |
| Unplanned Readmission Rate (%) | 8.2 | |
| 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 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||||
| Total Hospitalizations with ICD M40202 - Unspecified kyphosis, cervical region | 137 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD M40202 - Unspecified kyphosis, cervical region in DRG | 28.9 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD M40202 - Unspecified kyphosis, cervical region | 3.28 | ||||
| Readmission Rate at DRG | 19.37 | ||||
| Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | 23.48 | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | 8.33 | ||||
| Total Medicare payments at DRG | $899,179,360 | ||||
| Total Medicare payments with ICD M40202 - Unspecified kyphosis, cervical region | $2,737,958 | ||||
| Total Medicare payment per Day at DRG | $5,763 | ||||
| Total Medicare payment per Day with ICD M40202 - Unspecified kyphosis, cervical region | $6,098 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
| Total Medicare payment per Hospitalization with ICD M40202 - Unspecified kyphosis, cervical region | $19,985 | ||||
| Total Medicare Charges at DRG | $4,767,802,860 | ||||
| Total Medicare Charges with ICD M40202 - Unspecified kyphosis, cervical region | $15,639,286 | ||||
| Avg Charges at DRG | $95,039 | ||||
| Avg Charges with ICD M40202 - Unspecified kyphosis, cervical region | $114,155 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 11.73 | ||||
| SNF Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | 13.14 | ||||
| Home Discharge Rate at DRG | 60.19 | ||||
| Home Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | 53.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 458: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,430 | ||||
| Total Hospitalizations with ICD M40202 - Unspecified kyphosis, cervical region | 19 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M40202 - Unspecified kyphosis, cervical region in DRG | 4.01 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD M40202 - Unspecified kyphosis, cervical region | 4.68 | ||||
| Readmission Rate at DRG | 12.68 | ||||
| Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA | ||||
| Unplanned Readmission Rate at DRG | 3.54 | ||||
| Unplanned Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA | ||||
| Total Medicare payments at DRG | $1,036,333,247 | ||||
| Total Medicare payments with ICD M40202 - Unspecified kyphosis, cervical region | $612,117 | ||||
| Total Medicare payment per Day at DRG | $11,506 | ||||
| Total Medicare payment per Day with ICD M40202 - Unspecified kyphosis, cervical region | $6,878 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,056 | ||||
| Total Medicare payment per Hospitalization with ICD M40202 - Unspecified kyphosis, cervical region | $32,217 | ||||
| Total Medicare Charges at DRG | $4,847,184,577 | ||||
| Total Medicare Charges with ICD M40202 - Unspecified kyphosis, cervical region | $4,162,069 | ||||
| Avg Charges at DRG | $159,290 | ||||
| Avg Charges with ICD M40202 - Unspecified kyphosis, cervical region | $219,056 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 11.74 | ||||
| SNF Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JASON ADAM DREYER | 301 W POPLAR ST | WALLA WALLA | WA | 99362 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JASON ADAM DREYER | 301 W POPLAR ST | WALLA WALLA | WA | 99362 | 15 |
*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 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||||
| Total Hospitalizations with ICD M40202 - Unspecified kyphosis, cervical region | 1,531 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD M40202 - Unspecified kyphosis, cervical region in DRG | 22.05 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD M40202 - Unspecified kyphosis, cervical region | 3.25 | ||||
| Readmission Rate at DRG | 19.37 | ||||
| Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | 21.16 | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | 4.94 | ||||
| Total Medicare payments at DRG | $899,179,360 | ||||
| Total Medicare payments with ICD M40202 - Unspecified kyphosis, cervical region | $28,975,922 | ||||
| Total Medicare payment per Day at DRG | $5,763 | ||||
| Total Medicare payment per Day with ICD M40202 - Unspecified kyphosis, cervical region | $5,816 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
| Total Medicare payment per Hospitalization with ICD M40202 - Unspecified kyphosis, cervical region | $18,926 | ||||
| Total Medicare Charges at DRG | $4,767,802,860 | ||||
| Total Medicare Charges with ICD M40202 - Unspecified kyphosis, cervical region | $165,158,162 | ||||
| Avg Charges at DRG | $95,039 | ||||
| Avg Charges with ICD M40202 - Unspecified kyphosis, cervical region | $107,876 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 11.73 | ||||
| SNF Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | 13.59 | ||||
| Home Discharge Rate at DRG | 60.19 | ||||
| Home Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | 55.78 |
*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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M40202 - Unspecified kyphosis, cervical region | 204 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M40202 - Unspecified kyphosis, cervical region in DRG | 2.94 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M40202 - Unspecified kyphosis, cervical region | 5.25 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | 35.18 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | 5.53 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M40202 - Unspecified kyphosis, cervical region | $6,053,316 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M40202 - Unspecified kyphosis, cervical region | $5,652 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M40202 - Unspecified kyphosis, cervical region | $29,673 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M40202 - Unspecified kyphosis, cervical region | $33,564,413 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M40202 - Unspecified kyphosis, cervical region | $164,531 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | 21.08 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | 34.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,267 | ||||
| Total Hospitalizations with ICD M40202 - Unspecified kyphosis, cervical region | 68 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M40202 - Unspecified kyphosis, cervical region in DRG | 0.98 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD M40202 - Unspecified kyphosis, cervical region | 5.59 | ||||
| Readmission Rate at DRG | 37.98 | ||||
| Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | 33.85 | ||||
| Unplanned Readmission Rate at DRG | 7.67 | ||||
| Unplanned Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA | ||||
| Total Medicare payments at DRG | $663,107,672 | ||||
| Total Medicare payments with ICD M40202 - Unspecified kyphosis, cervical region | $3,852,291 | ||||
| Total Medicare payment per Day at DRG | $8,133 | ||||
| Total Medicare payment per Day with ICD M40202 - Unspecified kyphosis, cervical region | $10,138 | ||||
| Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
| Total Medicare payment per Hospitalization with ICD M40202 - Unspecified kyphosis, cervical region | $56,651 | ||||
| Total Medicare Charges at DRG | $2,896,079,147 | ||||
| Total Medicare Charges with ICD M40202 - Unspecified kyphosis, cervical region | $16,247,121 | ||||
| Avg Charges at DRG | $218,292 | ||||
| Avg Charges with ICD M40202 - Unspecified kyphosis, cervical region | $238,928 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 28.37 | ||||
| SNF Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | 30.88 | ||||
| Home Discharge Rate at DRG | 23.93 | ||||
| Home Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | 26.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M40202 - Unspecified kyphosis, cervical region | 46 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M40202 - Unspecified kyphosis, cervical region in DRG | 0.66 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M40202 - Unspecified kyphosis, cervical region | 7.11 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | 32.5 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M40202 - Unspecified kyphosis, cervical region | $437,471 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M40202 - Unspecified kyphosis, cervical region | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M40202 - Unspecified kyphosis, cervical region | $9,510 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M40202 - Unspecified kyphosis, cervical region | $2,446,474 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M40202 - Unspecified kyphosis, cervical region | $53,184 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | 41.3 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M40202 - Unspecified kyphosis, cervical region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 65 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 57 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JASON ADAM DREYER | 301 W POPLAR ST | WALLA WALLA | WA | 99362 | 46 |
| Dr. PAUL C MCAFEE | 7505 OSLER DR | TOWSON | MD | 21204 | 30 |
| Dr. KORNELIS POELSTRA | 155 CRYSTAL BEACH DR | DESTIN | FL | 32541 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JASON ADAM DREYER | 301 W POPLAR ST | WALLA WALLA | WA | 99362 | 45 |
| Dr. PAUL C MCAFEE | 7505 OSLER DR | TOWSON | MD | 21204 | 29 |
| Dr. KORNELIS POELSTRA | 155 CRYSTAL BEACH DR | DESTIN | FL | 32541 | 29 |