*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M40204 - Unspecified kyphosis, thoracic region - as a primary diagnosis code | M40204 - Unspecified kyphosis, thoracic region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.62 | |
| Readmission Rate (%) | 24.66 | |
| Unplanned Readmission Rate (%) | 8.77 | |
| 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 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS 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 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 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 | 13,267 | ||||
| Total Hospitalizations with ICD M40204 - Unspecified kyphosis, thoracic region | 214 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M40204 - Unspecified kyphosis, thoracic region in DRG | 50.12 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD M40204 - Unspecified kyphosis, thoracic region | 5.54 | ||||
| Readmission Rate at DRG | 37.98 | ||||
| Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 35.78 | ||||
| Unplanned Readmission Rate at DRG | 7.67 | ||||
| Unplanned Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 8.33 | ||||
| Total Medicare payments at DRG | $663,107,672 | ||||
| Total Medicare payments with ICD M40204 - Unspecified kyphosis, thoracic region | $10,647,885 | ||||
| Total Medicare payment per Day at DRG | $8,133 | ||||
| Total Medicare payment per Day with ICD M40204 - Unspecified kyphosis, thoracic region | $8,978 | ||||
| Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
| Total Medicare payment per Hospitalization with ICD M40204 - Unspecified kyphosis, thoracic region | $49,756 | ||||
| Total Medicare Charges at DRG | $2,896,079,147 | ||||
| Total Medicare Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $45,900,131 | ||||
| Avg Charges at DRG | $218,292 | ||||
| Avg Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $214,487 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD M40204 - Unspecified kyphosis, thoracic region | NA | ||||
| SNF Discharge Rate at DRG | 28.37 | ||||
| SNF Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 29.91 | ||||
| Home Discharge Rate at DRG | 23.93 | ||||
| Home Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 23.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 7,362 |
| Total Hospitalizations with ICD M40204 - Unspecified kyphosis, thoracic region | 11 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD M40204 - Unspecified kyphosis, thoracic region in DRG | 2.58 |
| Avg LOS at DRG | 10.04 |
| Avg LOS with ICD M40204 - Unspecified kyphosis, thoracic region | 9.91 |
| Readmission Rate at DRG | 45.05 |
| Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | NA |
| Unplanned Readmission Rate at DRG | 8.78 |
| Unplanned Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | NA |
| Total Medicare payments at DRG | $550,960,642 |
| Total Medicare payments with ICD M40204 - Unspecified kyphosis, thoracic region | $945,796 |
| Total Medicare payment per Day at DRG | $7,454 |
| Total Medicare payment per Day with ICD M40204 - Unspecified kyphosis, thoracic region | $8,677 |
| Total Medicare payment per Hospitalization at DRG | $74,838 |
| Total Medicare payment per Hospitalization with ICD M40204 - Unspecified kyphosis, thoracic region | $85,981 |
| Total Medicare Charges at DRG | $2,482,391,111 |
| Total Medicare Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $5,502,394 |
| Avg Charges at DRG | $337,190 |
| Avg Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $500,218 |
| Mortality Rate at DRG | 2.55 |
| Mortality Rate with ICD M40204 - Unspecified kyphosis, thoracic region | NA |
| SNF Discharge Rate at DRG | 31.16 |
| SNF Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | NA |
| Home Discharge Rate at DRG | 16.07 |
| Home Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M40204 - Unspecified kyphosis, thoracic region | 568 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M40204 - Unspecified kyphosis, thoracic region in DRG | 4.19 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M40204 - Unspecified kyphosis, thoracic region | 6.29 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 21.28 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 16.94 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M40204 - Unspecified kyphosis, thoracic region | $6,636,525 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M40204 - Unspecified kyphosis, thoracic region | $1,857 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M40204 - Unspecified kyphosis, thoracic region | $11,684 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $31,088,737 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $54,734 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 10.39 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 30.81 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 20.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD M40204 - Unspecified kyphosis, thoracic region | 388 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD M40204 - Unspecified kyphosis, thoracic region in DRG | 2.87 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD M40204 - Unspecified kyphosis, thoracic region | 6.23 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 23.21 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 15.47 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD M40204 - Unspecified kyphosis, thoracic region | $3,554,357 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD M40204 - Unspecified kyphosis, thoracic region | $1,470 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD M40204 - Unspecified kyphosis, thoracic region | $9,161 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $17,348,606 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $44,713 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 7.47 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 27.32 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 22.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD M40204 - Unspecified kyphosis, thoracic region | 224 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD M40204 - Unspecified kyphosis, thoracic region in DRG | 1.65 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD M40204 - Unspecified kyphosis, thoracic region | 13.04 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 12.2 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 9.76 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD M40204 - Unspecified kyphosis, thoracic region | $4,143,444 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD M40204 - Unspecified kyphosis, thoracic region | $1,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD M40204 - Unspecified kyphosis, thoracic region | $18,498 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $11,460,952 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $51,165 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M40204 - Unspecified kyphosis, thoracic region | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 25.0 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 12.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | ||||
| Total Hospitalizations with ICD M40204 - Unspecified kyphosis, thoracic region | 162 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M40204 - Unspecified kyphosis, thoracic region in DRG | 1.2 | ||||
| Avg LOS at DRG | 4.67 | ||||
| Avg LOS with ICD M40204 - Unspecified kyphosis, thoracic region | 5.51 | ||||
| Readmission Rate at DRG | 23.96 | ||||
| Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 21.29 | ||||
| Unplanned Readmission Rate at DRG | 9.89 | ||||
| Unplanned Readmission Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 12.9 | ||||
| Total Medicare payments at DRG | $524,182,097 | ||||
| Total Medicare payments with ICD M40204 - Unspecified kyphosis, thoracic region | $2,037,845 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD M40204 - Unspecified kyphosis, thoracic region | $2,285 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
| Total Medicare payment per Hospitalization with ICD M40204 - Unspecified kyphosis, thoracic region | $12,579 | ||||
| Total Medicare Charges at DRG | $2,765,571,309 | ||||
| Total Medicare Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $12,586,666 | ||||
| Avg Charges at DRG | $64,982 | ||||
| Avg Charges with ICD M40204 - Unspecified kyphosis, thoracic region | $77,695 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M40204 - Unspecified kyphosis, thoracic region | NA | ||||
| SNF Discharge Rate at DRG | 33.62 | ||||
| SNF Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 44.44 | ||||
| Home Discharge Rate at DRG | 31.52 | ||||
| Home Discharge Rate with ICD M40204 - Unspecified kyphosis, thoracic region | 18.52 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| GRANDVIEW HOSPITAL & MEDICAL CENTER | 405 W GRAND AVENUE | DAYTON | OH | 45405 | 847 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 91 |
| SWEDISH COVENANT HOSPITAL | 5145 N CALIFORNIA AVE | CHICAGO | IL | 60625 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN M REID | 425 W GRAND AVE | DAYTON | OH | 45405 | 130 |
| Dr. CONWAY CHIN | 1351 W CENTRAL PARK AVE | DAVENPORT | IA | 52804 | 21 |
| Dr. THOMAS M RUFF | 4160 LITTLE YORK RD | DAYTON | OH | 45414 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN M REID | 425 W GRAND AVE | DAYTON | OH | 45405 | 476 |
| Dr. DAVID M ZAPF | 2400 W STROOP RD | DAYTON | OH | 45439 | 54 |
| Dr. INGRID M BROWN | 2510 COMMONS BLVD | BEAVERCREEK | OH | 45431 | 45 |