*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4313 - Spondylolisthesis, cervicothoracic region - as a primary diagnosis code | M4313 - Spondylolisthesis, cervicothoracic region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.3 | |
| Readmission Rate (%) | 21.7 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | 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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD M4313 - Spondylolisthesis, cervicothoracic region | 77 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M4313 - Spondylolisthesis, cervicothoracic region in DRG | 27.7 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M4313 - Spondylolisthesis, cervicothoracic region | 1.86 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M4313 - Spondylolisthesis, cervicothoracic region | $986,976 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M4313 - Spondylolisthesis, cervicothoracic region | $6,902 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M4313 - Spondylolisthesis, cervicothoracic region | $12,818 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M4313 - Spondylolisthesis, cervicothoracic region | $5,792,196 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M4313 - Spondylolisthesis, cervicothoracic region | $75,223 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | 84.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||||
| Total Hospitalizations with ICD M4313 - Spondylolisthesis, cervicothoracic region | 388 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD M4313 - Spondylolisthesis, cervicothoracic region in DRG | 20.24 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD M4313 - Spondylolisthesis, cervicothoracic region | 3.2 | ||||
| Readmission Rate at DRG | 19.37 | ||||
| Readmission Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | 21.78 | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | 5.77 | ||||
| Total Medicare payments at DRG | $899,179,360 | ||||
| Total Medicare payments with ICD M4313 - Spondylolisthesis, cervicothoracic region | $7,491,963 | ||||
| Total Medicare payment per Day at DRG | $5,763 | ||||
| Total Medicare payment per Day with ICD M4313 - Spondylolisthesis, cervicothoracic region | $6,027 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
| Total Medicare payment per Hospitalization with ICD M4313 - Spondylolisthesis, cervicothoracic region | $19,309 | ||||
| Total Medicare Charges at DRG | $4,767,802,860 | ||||
| Total Medicare Charges with ICD M4313 - Spondylolisthesis, cervicothoracic region | $44,582,842 | ||||
| Avg Charges at DRG | $95,039 | ||||
| Avg Charges with ICD M4313 - Spondylolisthesis, cervicothoracic region | $114,904 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| SNF Discharge Rate at DRG | 11.73 | ||||
| SNF Discharge Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | 12.37 | ||||
| Home Discharge Rate at DRG | 60.19 | ||||
| Home Discharge Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | 55.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,430 | ||||
| Total Hospitalizations with ICD M4313 - Spondylolisthesis, cervicothoracic region | 63 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M4313 - Spondylolisthesis, cervicothoracic region in DRG | 3.29 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD M4313 - Spondylolisthesis, cervicothoracic region | 3.33 | ||||
| Readmission Rate at DRG | 12.68 | ||||
| Readmission Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | 19.67 | ||||
| Unplanned Readmission Rate at DRG | 3.54 | ||||
| Unplanned Readmission Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| Total Medicare payments at DRG | $1,036,333,247 | ||||
| Total Medicare payments with ICD M4313 - Spondylolisthesis, cervicothoracic region | $2,244,966 | ||||
| Total Medicare payment per Day at DRG | $11,506 | ||||
| Total Medicare payment per Day with ICD M4313 - Spondylolisthesis, cervicothoracic region | $10,690 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,056 | ||||
| Total Medicare payment per Hospitalization with ICD M4313 - Spondylolisthesis, cervicothoracic region | $35,634 | ||||
| Total Medicare Charges at DRG | $4,847,184,577 | ||||
| Total Medicare Charges with ICD M4313 - Spondylolisthesis, cervicothoracic region | $10,778,194 | ||||
| Avg Charges at DRG | $159,290 | ||||
| Avg Charges with ICD M4313 - Spondylolisthesis, cervicothoracic region | $171,082 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| SNF Discharge Rate at DRG | 11.74 | ||||
| SNF Discharge Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | 49.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | 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 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,458 | ||||
| Total Hospitalizations with ICD M4313 - Spondylolisthesis, cervicothoracic region | 16 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD M4313 - Spondylolisthesis, cervicothoracic region in DRG | 0.83 | ||||
| Avg LOS at DRG | 3.91 | ||||
| Avg LOS with ICD M4313 - Spondylolisthesis, cervicothoracic region | 3.06 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| Unplanned Readmission Rate at DRG | 6.06 | ||||
| Unplanned Readmission Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| Total Medicare payments at DRG | $282,780,660 | ||||
| Total Medicare payments with ICD M4313 - Spondylolisthesis, cervicothoracic region | $190,672 | ||||
| Total Medicare payment per Day at DRG | $2,732 | ||||
| Total Medicare payment per Day with ICD M4313 - Spondylolisthesis, cervicothoracic region | $3,891 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
| Total Medicare payment per Hospitalization with ICD M4313 - Spondylolisthesis, cervicothoracic region | $11,917 | ||||
| Total Medicare Charges at DRG | $1,744,158,849 | ||||
| Total Medicare Charges with ICD M4313 - Spondylolisthesis, cervicothoracic region | $1,378,869 | ||||
| Avg Charges at DRG | $65,922 | ||||
| Avg Charges with ICD M4313 - Spondylolisthesis, cervicothoracic region | $86,179 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA | ||||
| Home Discharge Rate at DRG | 44.06 | ||||
| Home Discharge Rate with ICD M4313 - Spondylolisthesis, cervicothoracic region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 28 |
| RENOWN REGIONAL MEDICAL CENTER | 1155 MILL STREET | RENO | NV | 89502 | 23 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LALI HS SEKHON | 75 PRINGLE WAY | RENO | NV | 89502 | 12 |
| Dr. GARRY M BANKS | 8232 HIGHWAY 65 NE | SPRING LAKE PARK | MN | 55432 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LALI HS SEKHON | 75 PRINGLE WAY | RENO | NV | 89502 | 11 |
| Dr. GARRY M BANKS | 8232 HIGHWAY 65 NE | SPRING LAKE PARK | MN | 55432 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M4803 | Spinal stenosis, cervicothoracic region |
| 2 | M4802 | Spinal stenosis, cervical region |
| 3 | Z981 | Arthrodesis status |
| 4 | Z87891 | Personal history of nicotine dependence |
| 5 | I10 | Essential (primary) hypertension |