*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4187 - Other forms of scoliosis, lumbosacral region - as a primary diagnosis code | M4187 - Other forms of scoliosis, lumbosacral region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.14 | |
| Readmission Rate (%) | 24.38 | |
| Unplanned Readmission Rate (%) | 6.38 | |
| 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 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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,267 | ||||
| Total Hospitalizations with ICD M4187 - Other forms of scoliosis, lumbosacral region | 165 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M4187 - Other forms of scoliosis, lumbosacral region in DRG | 33.27 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD M4187 - Other forms of scoliosis, lumbosacral region | 5.01 | ||||
| Readmission Rate at DRG | 37.98 | ||||
| Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 33.96 | ||||
| Unplanned Readmission Rate at DRG | 7.67 | ||||
| Unplanned Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | ||||
| Total Medicare payments at DRG | $663,107,672 | ||||
| Total Medicare payments with ICD M4187 - Other forms of scoliosis, lumbosacral region | $8,043,516 | ||||
| Total Medicare payment per Day at DRG | $8,133 | ||||
| Total Medicare payment per Day with ICD M4187 - Other forms of scoliosis, lumbosacral region | $9,738 | ||||
| Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
| Total Medicare payment per Hospitalization with ICD M4187 - Other forms of scoliosis, lumbosacral region | $48,749 | ||||
| Total Medicare Charges at DRG | $2,896,079,147 | ||||
| Total Medicare Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $33,047,435 | ||||
| Avg Charges at DRG | $218,292 | ||||
| Avg Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $200,287 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 28.37 | ||||
| SNF Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 22.42 | ||||
| Home Discharge Rate at DRG | 23.93 | ||||
| Home Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 34.55 |
*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) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 7,362 | |
| Total Hospitalizations with ICD M4187 - Other forms of scoliosis, lumbosacral region | 21 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD M4187 - Other forms of scoliosis, lumbosacral region in DRG | 4.23 | |
| Avg LOS at DRG | 10.04 | |
| Avg LOS with ICD M4187 - Other forms of scoliosis, lumbosacral region | 10.95 | |
| Readmission Rate at DRG | 45.05 | |
| Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 61.9 | |
| Unplanned Readmission Rate at DRG | 8.78 | |
| Unplanned Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | |
| Total Medicare payments at DRG | $550,960,642 | |
| Total Medicare payments with ICD M4187 - Other forms of scoliosis, lumbosacral region | $2,285,908 | |
| Total Medicare payment per Day at DRG | $7,454 | |
| Total Medicare payment per Day with ICD M4187 - Other forms of scoliosis, lumbosacral region | $9,939 | |
| Total Medicare payment per Hospitalization at DRG | $74,838 | |
| Total Medicare payment per Hospitalization with ICD M4187 - Other forms of scoliosis, lumbosacral region | $108,853 | |
| Total Medicare Charges at DRG | $2,482,391,111 | |
| Total Medicare Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $12,143,646 | |
| Avg Charges at DRG | $337,190 | |
| Avg Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $578,269 | |
| Mortality Rate at DRG | 2.55 | |
| Mortality Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | |
| SNF Discharge Rate at DRG | 31.16 | |
| SNF Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | |
| Home Discharge Rate at DRG | 16.07 | |
| Home Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral 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 | 33 |
| OKLAHOMA SPINE HOSPITAL | 14101 PARKWAY COMMONS DR | OKLAHOMA CITY | OK | 73134 | 32 |
| 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 | 17 |
| 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 | 17 |
*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 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 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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M4187 - Other forms of scoliosis, lumbosacral region | 603 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4187 - Other forms of scoliosis, lumbosacral region in DRG | 25.48 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4187 - Other forms of scoliosis, lumbosacral region | 3.69 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 20.51 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 6.32 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4187 - Other forms of scoliosis, lumbosacral region | $16,260,256 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4187 - Other forms of scoliosis, lumbosacral region | $7,298 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4187 - Other forms of scoliosis, lumbosacral region | $26,966 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $88,173,387 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $146,225 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 22.06 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 40.8 |
*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) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,362 | ||||
| Total Hospitalizations with ICD M4187 - Other forms of scoliosis, lumbosacral region | 87 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M4187 - Other forms of scoliosis, lumbosacral region in DRG | 3.68 | ||||
| Avg LOS at DRG | 10.04 | ||||
| Avg LOS with ICD M4187 - Other forms of scoliosis, lumbosacral region | 8.6 | ||||
| Readmission Rate at DRG | 45.05 | ||||
| Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 52.94 | ||||
| Unplanned Readmission Rate at DRG | 8.78 | ||||
| Unplanned Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | ||||
| Total Medicare payments at DRG | $550,960,642 | ||||
| Total Medicare payments with ICD M4187 - Other forms of scoliosis, lumbosacral region | $7,750,701 | ||||
| Total Medicare payment per Day at DRG | $7,454 | ||||
| Total Medicare payment per Day with ICD M4187 - Other forms of scoliosis, lumbosacral region | $10,362 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,838 | ||||
| Total Medicare payment per Hospitalization with ICD M4187 - Other forms of scoliosis, lumbosacral region | $89,089 | ||||
| Total Medicare Charges at DRG | $2,482,391,111 | ||||
| Total Medicare Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $40,027,456 | ||||
| Avg Charges at DRG | $337,190 | ||||
| Avg Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $460,086 | ||||
| Mortality Rate at DRG | 2.55 | ||||
| Mortality Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 31.16 | ||||
| SNF Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 31.03 | ||||
| Home Discharge Rate at DRG | 16.07 | ||||
| Home Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 17.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD M4187 - Other forms of scoliosis, lumbosacral region | 26 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M4187 - Other forms of scoliosis, lumbosacral region in DRG | 1.1 | ||||
| Avg LOS at DRG | 2.56 | ||||
| Avg LOS with ICD M4187 - Other forms of scoliosis, lumbosacral region | 1.92 | ||||
| Readmission Rate at DRG | 13.58 | ||||
| Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | ||||
| Unplanned Readmission Rate at DRG | 5.0 | ||||
| Unplanned Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | ||||
| Total Medicare payments at DRG | $405,277,239 | ||||
| Total Medicare payments with ICD M4187 - Other forms of scoliosis, lumbosacral region | $275,727 | ||||
| Total Medicare payment per Day at DRG | $3,633 | ||||
| Total Medicare payment per Day with ICD M4187 - Other forms of scoliosis, lumbosacral region | $5,515 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,296 | ||||
| Total Medicare payment per Hospitalization with ICD M4187 - Other forms of scoliosis, lumbosacral region | $10,605 | ||||
| Total Medicare Charges at DRG | $2,108,105,162 | ||||
| Total Medicare Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $1,557,973 | ||||
| Avg Charges at DRG | $48,353 | ||||
| Avg Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $59,922 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 16.27 | ||||
| SNF Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | ||||
| Home Discharge Rate at DRG | 57.43 | ||||
| Home Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | 69.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | |||
| Total Hospitalizations with ICD M4187 - Other forms of scoliosis, lumbosacral region | 13 | |||
| DRG Share of Total Hospitalizations | 0.37 | |||
| % of Total ICD M4187 - Other forms of scoliosis, lumbosacral region in DRG | 0.55 | |||
| Avg LOS at DRG | 12.45 | |||
| Avg LOS with ICD M4187 - Other forms of scoliosis, lumbosacral region | 10.54 | |||
| Readmission Rate at DRG | 17.61 | |||
| Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | |||
| Unplanned Readmission Rate at DRG | 12.6 | |||
| Unplanned Readmission Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | |||
| Total Medicare payments at DRG | $2,245,410,425 | |||
| Total Medicare payments with ICD M4187 - Other forms of scoliosis, lumbosacral region | $223,283 | |||
| Total Medicare payment per Day at DRG | $1,499 | |||
| Total Medicare payment per Day with ICD M4187 - Other forms of scoliosis, lumbosacral region | $1,630 | |||
| Total Medicare payment per Hospitalization at DRG | $18,657 | |||
| Total Medicare payment per Hospitalization with ICD M4187 - Other forms of scoliosis, lumbosacral region | $17,176 | |||
| Total Medicare Charges at DRG | $5,810,478,166 | |||
| Total Medicare Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $608,966 | |||
| Avg Charges at DRG | $48,279 | |||
| Avg Charges with ICD M4187 - Other forms of scoliosis, lumbosacral region | $46,844 | |||
| Mortality Rate at DRG | 0.55 | |||
| Mortality Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | |||
| SNF Discharge Rate at DRG | 14.77 | |||
| SNF Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA | |||
| Home Discharge Rate at DRG | 22.27 | |||
| Home Discharge Rate with ICD M4187 - Other forms of scoliosis, lumbosacral region | NA |
| 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 | 41 |
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 39 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN B. WOLF | 3399 TRINDLE RD | CAMP HILL | PA | 17011 | 26 |
| Dr. JOHN D. DORCHAK | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 23 |
| Dr. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN B. WOLF | 3399 TRINDLE RD | CAMP HILL | PA | 17011 | 24 |
| Dr. JOHN D. DORCHAK | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 23 |
| Dr. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 21 |