*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M4185 - Other forms of scoliosis, thoracolumbar region - as a primary diagnosis code | M4185 - Other forms of scoliosis, thoracolumbar region - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.53 | |
Readmission Rate (%) | 29.48 | |
Unplanned Readmission Rate (%) | 5.97 | |
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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 13,267 | ||||
Total Hospitalizations with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 486 | ||||
DRG Share of Total Hospitalizations | 0.04 | ||||
% of Total ICD M4185 - Other forms of scoliosis, thoracolumbar region in DRG | 40.1 | ||||
Avg LOS at DRG | 6.15 | ||||
Avg LOS with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 6.1 | ||||
Readmission Rate at DRG | 37.98 | ||||
Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 41.88 | ||||
Unplanned Readmission Rate at DRG | 7.67 | ||||
Unplanned Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 5.21 | ||||
Total Medicare payments at DRG | $663,107,672 | ||||
Total Medicare payments with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $26,990,655 | ||||
Total Medicare payment per Day at DRG | $8,133 | ||||
Total Medicare payment per Day with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $9,103 | ||||
Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
Total Medicare payment per Hospitalization with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $55,536 | ||||
Total Medicare Charges at DRG | $2,896,079,147 | ||||
Total Medicare Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $134,585,645 | ||||
Avg Charges at DRG | $218,292 | ||||
Avg Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $276,925 | ||||
Mortality Rate at DRG | 0.1 | ||||
Mortality Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | ||||
SNF Discharge Rate at DRG | 28.37 | ||||
SNF Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 29.01 | ||||
Home Discharge Rate at DRG | 23.93 | ||||
Home Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 18.52 |
*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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|
Total Hospitalizations at DRG | 195,476 | |
Total Hospitalizations with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 65 | |
DRG Share of Total Hospitalizations | 0.59 | |
% of Total ICD M4185 - Other forms of scoliosis, thoracolumbar region in DRG | 5.36 | |
Avg LOS at DRG | 4.48 | |
Avg LOS with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 7.72 | |
Readmission Rate at DRG | 20.57 | |
Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | |
Unplanned Readmission Rate at DRG | 9.88 | |
Unplanned Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | |
Total Medicare payments at DRG | $1,320,662,237 | |
Total Medicare payments with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $778,879 | |
Total Medicare payment per Day at DRG | $1,508 | |
Total Medicare payment per Day with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $1,552 | |
Total Medicare payment per Hospitalization at DRG | $6,756 | |
Total Medicare payment per Hospitalization with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $11,983 | |
Total Medicare Charges at DRG | $6,024,639,461 | |
Total Medicare Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $1,910,678 | |
Avg Charges at DRG | $30,820 | |
Avg Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $29,395 | |
Mortality Rate at DRG | 0.24 | |
Mortality Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | |
SNF Discharge Rate at DRG | 33.36 | |
SNF Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | |
Home Discharge Rate at DRG | 30.98 | |
Home Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 38.46 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
OKLAHOMA SPINE HOSPITAL | 14101 PARKWAY COMMONS DR | OKLAHOMA CITY | OK | 73134 | 38 |
UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 28 |
MERCY HOSPITAL OKLAHOMA CITY | 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 26 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ROBERT JEROME WIENECKE | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 29 |
Dr. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 24 |
Dr. FRANK F RAND | 125 PARKER HILL AVE | ROXBURY CROSSING | MA | 02120 | 15 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 27 |
Dr. ROBERT JEROME WIENECKE | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 26 |
Dr. FRANK F RAND | 125 PARKER HILL AVE | ROXBURY CROSSING | MA | 02120 | 16 |
*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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 13,267 | ||||
Total Hospitalizations with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 700 | ||||
DRG Share of Total Hospitalizations | 0.04 | ||||
% of Total ICD M4185 - Other forms of scoliosis, thoracolumbar region in DRG | 14.51 | ||||
Avg LOS at DRG | 6.15 | ||||
Avg LOS with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 6.22 | ||||
Readmission Rate at DRG | 37.98 | ||||
Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 41.59 | ||||
Unplanned Readmission Rate at DRG | 7.67 | ||||
Unplanned Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 5.51 | ||||
Total Medicare payments at DRG | $663,107,672 | ||||
Total Medicare payments with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $39,084,275 | ||||
Total Medicare payment per Day at DRG | $8,133 | ||||
Total Medicare payment per Day with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $8,977 | ||||
Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
Total Medicare payment per Hospitalization with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $55,835 | ||||
Total Medicare Charges at DRG | $2,896,079,147 | ||||
Total Medicare Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $191,024,712 | ||||
Avg Charges at DRG | $218,292 | ||||
Avg Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $272,892 | ||||
Mortality Rate at DRG | 0.1 | ||||
Mortality Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | ||||
SNF Discharge Rate at DRG | 28.37 | ||||
SNF Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 28.29 | ||||
Home Discharge Rate at DRG | 23.93 | ||||
Home Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 17.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 4,922 | ||||
Total Hospitalizations with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 182 | ||||
DRG Share of Total Hospitalizations | 0.01 | ||||
% of Total ICD M4185 - Other forms of scoliosis, thoracolumbar region in DRG | 3.77 | ||||
Avg LOS at DRG | 3.59 | ||||
Avg LOS with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 4.2 | ||||
Readmission Rate at DRG | 21.46 | ||||
Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 28.41 | ||||
Unplanned Readmission Rate at DRG | 4.66 | ||||
Unplanned Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | ||||
Total Medicare payments at DRG | $172,966,878 | ||||
Total Medicare payments with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $7,284,137 | ||||
Total Medicare payment per Day at DRG | $9,799 | ||||
Total Medicare payment per Day with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $9,522 | ||||
Total Medicare payment per Hospitalization at DRG | $35,142 | ||||
Total Medicare payment per Hospitalization with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $40,023 | ||||
Total Medicare Charges at DRG | $747,447,911 | ||||
Total Medicare Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $36,105,585 | ||||
Avg Charges at DRG | $151,859 | ||||
Avg Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $198,382 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | ||||
SNF Discharge Rate at DRG | 18.57 | ||||
SNF Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 23.08 | ||||
Home Discharge Rate at DRG | 45.04 | ||||
Home Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 32.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 188,863 | ||||
Total Hospitalizations with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 87 | ||||
DRG Share of Total Hospitalizations | 0.57 | ||||
% of Total ICD M4185 - Other forms of scoliosis, thoracolumbar region in DRG | 1.8 | ||||
Avg LOS at DRG | 11.75 | ||||
Avg LOS with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 11.16 | ||||
Readmission Rate at DRG | 12.14 | ||||
Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | ||||
Unplanned Readmission Rate at DRG | 7.97 | ||||
Unplanned Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | ||||
Total Medicare payments at DRG | $3,216,901,374 | ||||
Total Medicare payments with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $1,595,661 | ||||
Total Medicare payment per Day at DRG | $1,450 | ||||
Total Medicare payment per Day with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $1,643 | ||||
Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
Total Medicare payment per Hospitalization with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $18,341 | ||||
Total Medicare Charges at DRG | $7,709,712,645 | ||||
Total Medicare Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $4,248,779 | ||||
Avg Charges at DRG | $40,822 | ||||
Avg Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $48,837 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | ||||
SNF Discharge Rate at DRG | 19.54 | ||||
SNF Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | ||||
Home Discharge Rate at DRG | 19.47 | ||||
Home Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 18.39 |
*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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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 | 539,642 | ||||
Total Hospitalizations with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 39 | ||||
DRG Share of Total Hospitalizations | 1.64 | ||||
% of Total ICD M4185 - Other forms of scoliosis, thoracolumbar region in DRG | 0.81 | ||||
Avg LOS at DRG | 6.42 | ||||
Avg LOS with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 7.92 | ||||
Readmission Rate at DRG | 26.55 | ||||
Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | ||||
Unplanned Readmission Rate at DRG | 20.01 | ||||
Unplanned Readmission Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | ||||
Total Medicare payments at DRG | $5,267,842,463 | ||||
Total Medicare payments with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $392,661 | ||||
Total Medicare payment per Day at DRG | $1,520 | ||||
Total Medicare payment per Day with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $1,271 | ||||
Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
Total Medicare payment per Hospitalization with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $10,068 | ||||
Total Medicare Charges at DRG | $25,503,568,329 | ||||
Total Medicare Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $2,412,374 | ||||
Avg Charges at DRG | $47,260 | ||||
Avg Charges with ICD M4185 - Other forms of scoliosis, thoracolumbar region | $61,856 | ||||
Mortality Rate at DRG | 5.62 | ||||
Mortality Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | NA | ||||
SNF Discharge Rate at DRG | 19.26 | ||||
SNF Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 30.77 | ||||
Home Discharge Rate at DRG | 39.65 | ||||
Home Discharge Rate with ICD M4185 - Other forms of scoliosis, thoracolumbar region | 28.21 |
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 | 58 |
OKLAHOMA SPINE HOSPITAL | 14101 PARKWAY COMMONS DR | OKLAHOMA CITY | OK | 73134 | 41 |
THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 40 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ROBERT JEROME WIENECKE | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 36 |
Dr. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 29 |
Dr. CHRISTOPHER I. SHAFFREY | LEE ST | CHARLOTTESVILLE | VA | 22908 | 19 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 33 |
Dr. ROBERT JEROME WIENECKE | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 32 |
Dr. CHRISTOPHER I. SHAFFREY | LEE ST | CHARLOTTESVILLE | VA | 22908 | 19 |