*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4306 - Spondylolysis, lumbar region - as a primary diagnosis code | M4306 - Spondylolysis, lumbar region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.18 | |
| Readmission Rate (%) | 20.93 | |
| Unplanned Readmission Rate (%) | 5.8 | |
| 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 M4306 - Spondylolysis, lumbar region | 396 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4306 - Spondylolysis, lumbar region in DRG | 56.9 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4306 - Spondylolysis, lumbar region | 3.16 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | 14.83 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | 3.32 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4306 - Spondylolysis, lumbar region | $9,979,016 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4306 - Spondylolysis, lumbar region | $7,964 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4306 - Spondylolysis, lumbar region | $25,200 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4306 - Spondylolysis, lumbar region | $49,168,134 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4306 - Spondylolysis, lumbar region | $124,162 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4306 - Spondylolysis, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4306 - Spondylolysis, lumbar region | 13.64 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4306 - Spondylolysis, lumbar region | 53.03 |
*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) | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION 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 | 45,626 | ||
| Total Hospitalizations with ICD M4306 - Spondylolysis, lumbar region | 21 | ||
| DRG Share of Total Hospitalizations | 0.14 | ||
| % of Total ICD M4306 - Spondylolysis, lumbar region in DRG | 3.02 | ||
| Avg LOS at DRG | 6.58 | ||
| Avg LOS with ICD M4306 - Spondylolysis, lumbar region | 8.14 | ||
| Readmission Rate at DRG | 28.01 | ||
| Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | NA | ||
| Unplanned Readmission Rate at DRG | 15.44 | ||
| Unplanned Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | NA | ||
| Total Medicare payments at DRG | $509,048,598 | ||
| Total Medicare payments with ICD M4306 - Spondylolysis, lumbar region | $249,070 | ||
| Total Medicare payment per Day at DRG | $1,696 | ||
| Total Medicare payment per Day with ICD M4306 - Spondylolysis, lumbar region | $1,457 | ||
| Total Medicare payment per Hospitalization at DRG | $11,157 | ||
| Total Medicare payment per Hospitalization with ICD M4306 - Spondylolysis, lumbar region | $11,860 | ||
| Total Medicare Charges at DRG | $2,333,825,338 | ||
| Total Medicare Charges with ICD M4306 - Spondylolysis, lumbar region | $1,021,534 | ||
| Avg Charges at DRG | $51,151 | ||
| Avg Charges with ICD M4306 - Spondylolysis, lumbar region | $48,644 | ||
| Mortality Rate at DRG | 4.28 | ||
| Mortality Rate with ICD M4306 - Spondylolysis, lumbar region | NA | ||
| SNF Discharge Rate at DRG | 39.84 | ||
| SNF Discharge Rate with ICD M4306 - Spondylolysis, lumbar region | NA | ||
| Home Discharge Rate at DRG | 18.35 | ||
| Home Discharge Rate with ICD M4306 - Spondylolysis, lumbar 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 215,355 | ||||
| Total Hospitalizations with ICD M4306 - Spondylolysis, lumbar region | 1,350 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4306 - Spondylolysis, lumbar region in DRG | 25.16 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4306 - Spondylolysis, lumbar region | 3.22 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | 16.46 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | 4.17 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4306 - Spondylolysis, lumbar region | $33,726,754 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4306 - Spondylolysis, lumbar region | $7,768 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4306 - Spondylolysis, lumbar region | $24,983 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4306 - Spondylolysis, lumbar region | $165,405,931 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4306 - Spondylolysis, lumbar region | $122,523 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4306 - Spondylolysis, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4306 - Spondylolysis, lumbar region | 13.63 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4306 - Spondylolysis, lumbar region | 51.93 |
*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 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M4306 - Spondylolysis, lumbar region | 103 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M4306 - Spondylolysis, lumbar region in DRG | 1.92 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M4306 - Spondylolysis, lumbar region | 6.32 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | 25.56 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | 17.78 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M4306 - Spondylolysis, lumbar region | $1,109,304 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M4306 - Spondylolysis, lumbar region | $1,704 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M4306 - Spondylolysis, lumbar region | $10,770 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M4306 - Spondylolysis, lumbar region | $5,633,355 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M4306 - Spondylolysis, lumbar region | $54,693 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M4306 - Spondylolysis, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M4306 - Spondylolysis, lumbar region | 32.04 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M4306 - Spondylolysis, lumbar region | 36.89 |
*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) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,626 | ||||
| Total Hospitalizations with ICD M4306 - Spondylolysis, lumbar region | 67 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M4306 - Spondylolysis, lumbar region in DRG | 1.25 | ||||
| Avg LOS at DRG | 6.58 | ||||
| Avg LOS with ICD M4306 - Spondylolysis, lumbar region | 8.12 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | 34.38 | ||||
| Unplanned Readmission Rate at DRG | 15.44 | ||||
| Unplanned Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | 20.31 | ||||
| Total Medicare payments at DRG | $509,048,598 | ||||
| Total Medicare payments with ICD M4306 - Spondylolysis, lumbar region | $866,583 | ||||
| Total Medicare payment per Day at DRG | $1,696 | ||||
| Total Medicare payment per Day with ICD M4306 - Spondylolysis, lumbar region | $1,593 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,157 | ||||
| Total Medicare payment per Hospitalization with ICD M4306 - Spondylolysis, lumbar region | $12,934 | ||||
| Total Medicare Charges at DRG | $2,333,825,338 | ||||
| Total Medicare Charges with ICD M4306 - Spondylolysis, lumbar region | $3,691,261 | ||||
| Avg Charges at DRG | $51,151 | ||||
| Avg Charges with ICD M4306 - Spondylolysis, lumbar region | $55,093 | ||||
| Mortality Rate at DRG | 4.28 | ||||
| Mortality Rate with ICD M4306 - Spondylolysis, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 39.84 | ||||
| SNF Discharge Rate with ICD M4306 - Spondylolysis, lumbar region | 34.33 | ||||
| Home Discharge Rate at DRG | 18.35 | ||||
| Home Discharge Rate with ICD M4306 - Spondylolysis, lumbar region | 16.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M4306 - Spondylolysis, lumbar region | 44 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M4306 - Spondylolysis, lumbar region in DRG | 0.82 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M4306 - Spondylolysis, lumbar region | 11.3 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | NA | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M4306 - Spondylolysis, lumbar region | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M4306 - Spondylolysis, lumbar region | $617,935 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M4306 - Spondylolysis, lumbar region | $1,243 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M4306 - Spondylolysis, lumbar region | $14,044 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M4306 - Spondylolysis, lumbar region | $1,585,610 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M4306 - Spondylolysis, lumbar region | $36,037 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M4306 - Spondylolysis, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M4306 - Spondylolysis, lumbar region | 36.36 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M4306 - Spondylolysis, lumbar region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. ROSE DOMINICAN HOSPITALS - SIENA CAMPUS | 3001 SAINT ROSE PKWY | HENDERSON | NV | 89052 | 34 |
| HAZARD ARH REGIONAL MEDICAL CENTER | 100 MEDICAL CENTER DR | HAZARD | KY | 41701 | 32 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DEREK A DUKE | 861 CORONADO CENTER DR | HENDERSON | NV | 89052 | 32 |
| Dr. RAYMOND BLAINE RAWSON | 4048 CEDAR BLUFF DRIVE | PETOSKEY | MI | 49770 | 14 |
| Dr. ALEXANDRE RASOULI | 444 S SAN VICENTE BLVD | LOS ANGELES | CA | 90048 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES J HAMMOCK | 2508 ROCKAWAY PL | LEXINGTON | KY | 40511 | 26 |
| Dr. RAYMOND BLAINE RAWSON | 4048 CEDAR BLUFF DRIVE | PETOSKEY | MI | 49770 | 14 |
| Dr. DEREK A DUKE | 861 CORONADO CENTER DR | HENDERSON | NV | 89052 | 13 |