*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M40209 - Unspecified kyphosis, site unspecified - as a primary diagnosis code | M40209 - Unspecified kyphosis, site unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.32 | |
| Readmission Rate (%) | 22.49 | |
| Unplanned Readmission Rate (%) | 7.48 | |
| 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 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 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH 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 M40209 - Unspecified kyphosis, site unspecified | 57 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M40209 - Unspecified kyphosis, site unspecified in DRG | 37.01 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD M40209 - Unspecified kyphosis, site unspecified | 5.21 | ||||
| Readmission Rate at DRG | 37.98 | ||||
| Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 30.91 | ||||
| Unplanned Readmission Rate at DRG | 7.67 | ||||
| Unplanned Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | NA | ||||
| Total Medicare payments at DRG | $663,107,672 | ||||
| Total Medicare payments with ICD M40209 - Unspecified kyphosis, site unspecified | $2,648,668 | ||||
| Total Medicare payment per Day at DRG | $8,133 | ||||
| Total Medicare payment per Day with ICD M40209 - Unspecified kyphosis, site unspecified | $8,918 | ||||
| Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
| Total Medicare payment per Hospitalization with ICD M40209 - Unspecified kyphosis, site unspecified | $46,468 | ||||
| Total Medicare Charges at DRG | $2,896,079,147 | ||||
| Total Medicare Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $11,392,021 | ||||
| Avg Charges at DRG | $218,292 | ||||
| Avg Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $199,860 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD M40209 - Unspecified kyphosis, site unspecified | NA | ||||
| SNF Discharge Rate at DRG | 28.37 | ||||
| SNF Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 33.33 | ||||
| Home Discharge Rate at DRG | 23.93 | ||||
| Home Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 28.07 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 45,626 |
| Total Hospitalizations with ICD M40209 - Unspecified kyphosis, site unspecified | 11 |
| DRG Share of Total Hospitalizations | 0.14 |
| % of Total ICD M40209 - Unspecified kyphosis, site unspecified in DRG | 7.14 |
| Avg LOS at DRG | 6.58 |
| Avg LOS with ICD M40209 - Unspecified kyphosis, site unspecified | 6.36 |
| Readmission Rate at DRG | 28.01 |
| Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | NA |
| Unplanned Readmission Rate at DRG | 15.44 |
| Unplanned Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | NA |
| Total Medicare payments at DRG | $509,048,598 |
| Total Medicare payments with ICD M40209 - Unspecified kyphosis, site unspecified | $110,418 |
| Total Medicare payment per Day at DRG | $1,696 |
| Total Medicare payment per Day with ICD M40209 - Unspecified kyphosis, site unspecified | $1,577 |
| Total Medicare payment per Hospitalization at DRG | $11,157 |
| Total Medicare payment per Hospitalization with ICD M40209 - Unspecified kyphosis, site unspecified | $10,038 |
| Total Medicare Charges at DRG | $2,333,825,338 |
| Total Medicare Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $601,372 |
| Avg Charges at DRG | $51,151 |
| Avg Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $54,670 |
| Mortality Rate at DRG | 4.28 |
| Mortality Rate with ICD M40209 - Unspecified kyphosis, site unspecified | NA |
| SNF Discharge Rate at DRG | 39.84 |
| SNF Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | NA |
| Home Discharge Rate at DRG | 18.35 |
| Home Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M40209 - Unspecified kyphosis, site unspecified | 2,577 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M40209 - Unspecified kyphosis, site unspecified in DRG | 6.44 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M40209 - Unspecified kyphosis, site unspecified | 6.48 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 22.94 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 16.6 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M40209 - Unspecified kyphosis, site unspecified | $30,442,299 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M40209 - Unspecified kyphosis, site unspecified | $1,822 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M40209 - Unspecified kyphosis, site unspecified | $11,813 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $145,758,480 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $56,561 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 13.74 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 33.06 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 17.46 |
*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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M40209 - Unspecified kyphosis, site unspecified | 942 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M40209 - Unspecified kyphosis, site unspecified in DRG | 2.35 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M40209 - Unspecified kyphosis, site unspecified | 4.06 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 23.91 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 5.79 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M40209 - Unspecified kyphosis, site unspecified | $24,689,571 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M40209 - Unspecified kyphosis, site unspecified | $6,460 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M40209 - Unspecified kyphosis, site unspecified | $26,210 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $139,144,358 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $147,712 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M40209 - Unspecified kyphosis, site unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 21.97 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 39.49 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M40209 - Unspecified kyphosis, site unspecified | 648 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M40209 - Unspecified kyphosis, site unspecified in DRG | 1.62 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M40209 - Unspecified kyphosis, site unspecified | 4.69 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 20.56 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 8.79 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M40209 - Unspecified kyphosis, site unspecified | $4,580,219 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M40209 - Unspecified kyphosis, site unspecified | $1,508 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M40209 - Unspecified kyphosis, site unspecified | $7,068 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $20,966,820 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $32,356 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M40209 - Unspecified kyphosis, site unspecified | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 45.83 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 17.9 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD M40209 - Unspecified kyphosis, site unspecified | 442 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD M40209 - Unspecified kyphosis, site unspecified in DRG | 1.1 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD M40209 - Unspecified kyphosis, site unspecified | 12.42 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 10.39 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 6.52 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD M40209 - Unspecified kyphosis, site unspecified | $7,849,677 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD M40209 - Unspecified kyphosis, site unspecified | $1,430 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD M40209 - Unspecified kyphosis, site unspecified | $17,759 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $19,515,495 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD M40209 - Unspecified kyphosis, site unspecified | $44,153 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M40209 - Unspecified kyphosis, site unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 29.64 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD M40209 - Unspecified kyphosis, site unspecified | 13.12 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 186 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 157 |
| ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 130 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. P RONJON PAUL | 100 SPALDING DR | NAPERVILLE | IL | 60540 | 69 |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 30 |
| Dr. GLENN J MINSTER | 23829 LITTLE MACK AVE | SAINT CLAIR SHORES | MI | 48080 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. P RONJON PAUL | 100 SPALDING DR | NAPERVILLE | IL | 60540 | 67 |
| Dr. ABU MUHAMMAD M HAQUE | 1249 MONTAUK HWY | WEST ISLIP | NY | 11795 | 52 |
| Dr. BONITA S ALEXANDER | 800 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 35 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z981 | Arthrodesis status |
| 2 | D62 | Acute posthemorrhagic anemia |
| 3 | E039 | Hypothyroidism, unspecified |
| 4 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 5 | Z87891 | Personal history of nicotine dependence |
| 6 | M4806 | Spinal stenosis, lumbar region |