*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4316 - Spondylolisthesis, lumbar region - as a primary diagnosis code | M4316 - Spondylolisthesis, lumbar region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.89 | |
| Readmission Rate (%) | 17.67 | |
| Unplanned Readmission Rate (%) | 4.07 | |
| 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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M4316 - Spondylolisthesis, lumbar region | 38,719 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4316 - Spondylolisthesis, lumbar region in DRG | 70.04 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4316 - Spondylolisthesis, lumbar region | 3.04 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 14.4 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 3.81 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4316 - Spondylolisthesis, lumbar region | $933,772,645 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4316 - Spondylolisthesis, lumbar region | $7,931 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4316 - Spondylolisthesis, lumbar region | $24,117 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4316 - Spondylolisthesis, lumbar region | $4,422,353,919 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4316 - Spondylolisthesis, lumbar region | $114,217 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4316 - Spondylolisthesis, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 15.03 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 54.27 |
*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 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,362 | ||||
| Total Hospitalizations with ICD M4316 - Spondylolisthesis, lumbar region | 547 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M4316 - Spondylolisthesis, lumbar region in DRG | 0.99 | ||||
| Avg LOS at DRG | 10.04 | ||||
| Avg LOS with ICD M4316 - Spondylolisthesis, lumbar region | 6.45 | ||||
| Readmission Rate at DRG | 45.05 | ||||
| Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 32.28 | ||||
| Unplanned Readmission Rate at DRG | 8.78 | ||||
| Unplanned Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 7.28 | ||||
| Total Medicare payments at DRG | $550,960,642 | ||||
| Total Medicare payments with ICD M4316 - Spondylolisthesis, lumbar region | $36,591,601 | ||||
| Total Medicare payment per Day at DRG | $7,454 | ||||
| Total Medicare payment per Day with ICD M4316 - Spondylolisthesis, lumbar region | $10,366 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,838 | ||||
| Total Medicare payment per Hospitalization with ICD M4316 - Spondylolisthesis, lumbar region | $66,895 | ||||
| Total Medicare Charges at DRG | $2,482,391,111 | ||||
| Total Medicare Charges with ICD M4316 - Spondylolisthesis, lumbar region | $132,409,261 | ||||
| Avg Charges at DRG | $337,190 | ||||
| Avg Charges with ICD M4316 - Spondylolisthesis, lumbar region | $242,064 | ||||
| Mortality Rate at DRG | 2.55 | ||||
| Mortality Rate with ICD M4316 - Spondylolisthesis, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 31.16 | ||||
| SNF Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 31.08 | ||||
| Home Discharge Rate at DRG | 16.07 | ||||
| Home Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 23.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,458 | ||||
| Total Hospitalizations with ICD M4316 - Spondylolisthesis, lumbar region | 224 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD M4316 - Spondylolisthesis, lumbar region in DRG | 0.41 | ||||
| Avg LOS at DRG | 3.91 | ||||
| Avg LOS with ICD M4316 - Spondylolisthesis, lumbar region | 3.25 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 20.45 | ||||
| Unplanned Readmission Rate at DRG | 6.06 | ||||
| Unplanned Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 5.0 | ||||
| Total Medicare payments at DRG | $282,780,660 | ||||
| Total Medicare payments with ICD M4316 - Spondylolisthesis, lumbar region | $2,502,915 | ||||
| Total Medicare payment per Day at DRG | $2,732 | ||||
| Total Medicare payment per Day with ICD M4316 - Spondylolisthesis, lumbar region | $3,443 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
| Total Medicare payment per Hospitalization with ICD M4316 - Spondylolisthesis, lumbar region | $11,174 | ||||
| Total Medicare Charges at DRG | $1,744,158,849 | ||||
| Total Medicare Charges with ICD M4316 - Spondylolisthesis, lumbar region | $15,512,198 | ||||
| Avg Charges at DRG | $65,922 | ||||
| Avg Charges with ICD M4316 - Spondylolisthesis, lumbar region | $69,251 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M4316 - Spondylolisthesis, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 22.32 | ||||
| Home Discharge Rate at DRG | 44.06 | ||||
| Home Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 48.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 | 5,040 |
| Total Hospitalizations with ICD M4316 - Spondylolisthesis, lumbar region | 33 |
| DRG Share of Total Hospitalizations | 0.02 |
| % of Total ICD M4316 - Spondylolisthesis, lumbar region in DRG | 0.06 |
| Avg LOS at DRG | 11.53 |
| Avg LOS with ICD M4316 - Spondylolisthesis, lumbar region | 6.15 |
| Readmission Rate at DRG | 51.77 |
| Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 37.5 |
| Unplanned Readmission Rate at DRG | 11.61 |
| Unplanned Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | NA |
| Total Medicare payments at DRG | $358,064,249 |
| Total Medicare payments with ICD M4316 - Spondylolisthesis, lumbar region | $2,210,453 |
| Total Medicare payment per Day at DRG | $6,161 |
| Total Medicare payment per Day with ICD M4316 - Spondylolisthesis, lumbar region | $10,889 |
| Total Medicare payment per Hospitalization at DRG | $71,044 |
| Total Medicare payment per Hospitalization with ICD M4316 - Spondylolisthesis, lumbar region | $66,983 |
| Total Medicare Charges at DRG | $1,557,634,832 |
| Total Medicare Charges with ICD M4316 - Spondylolisthesis, lumbar region | $10,137,484 |
| Avg Charges at DRG | $309,055 |
| Avg Charges with ICD M4316 - Spondylolisthesis, lumbar region | $307,196 |
| Mortality Rate at DRG | 3.35 |
| Mortality Rate with ICD M4316 - Spondylolisthesis, lumbar region | NA |
| SNF Discharge Rate at DRG | 36.57 |
| SNF Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 39.39 |
| Home Discharge Rate at DRG | 9.72 |
| Home Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FIRSTHEALTH MOORE REGIONAL HOSPITAL | 155 MEMORIAL DR | PINEHURST | NC | 28374 | 341 |
| OKLAHOMA SPINE HOSPITAL | 14101 PARKWAY COMMONS DR | OKLAHOMA CITY | OK | 73134 | 284 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 278 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 235 |
| Dr. ZESHAN M HYDER | 9001 BROADWAY | MERRILLVILLE | IN | 46410 | 167 |
| Dr. JUSTIN S FIELD | 1635 E MYRTLE AVE SUITE 400 | PHOENIX | AZ | 85020 | 158 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 235 |
| Dr. ZESHAN M HYDER | 9001 BROADWAY | MERRILLVILLE | IN | 46410 | 163 |
| Dr. CONSTANTINE A TOUMBIS | 6099 W GULF TO LAKE HWY | CRYSTAL RIVER | FL | 34429 | 150 |
*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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M4316 - Spondylolisthesis, lumbar region | 92,623 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4316 - Spondylolisthesis, lumbar region in DRG | 55.5 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4316 - Spondylolisthesis, lumbar region | 3.16 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 15.53 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 4.13 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4316 - Spondylolisthesis, lumbar region | $2,255,534,825 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4316 - Spondylolisthesis, lumbar region | $7,712 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4316 - Spondylolisthesis, lumbar region | $24,352 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4316 - Spondylolisthesis, lumbar region | $10,673,651,114 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4316 - Spondylolisthesis, lumbar region | $115,238 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4316 - Spondylolisthesis, lumbar region | 0.02 | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 16.44 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 51.35 |
*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 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) | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD M4316 - Spondylolisthesis, lumbar region | 2,270 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M4316 - Spondylolisthesis, lumbar region in DRG | 1.36 | ||||
| Avg LOS at DRG | 2.56 | ||||
| Avg LOS with ICD M4316 - Spondylolisthesis, lumbar region | 2.17 | ||||
| Readmission Rate at DRG | 13.58 | ||||
| Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 12.46 | ||||
| Unplanned Readmission Rate at DRG | 5.0 | ||||
| Unplanned Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 4.17 | ||||
| Total Medicare payments at DRG | $405,277,239 | ||||
| Total Medicare payments with ICD M4316 - Spondylolisthesis, lumbar region | $20,667,588 | ||||
| Total Medicare payment per Day at DRG | $3,633 | ||||
| Total Medicare payment per Day with ICD M4316 - Spondylolisthesis, lumbar region | $4,193 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,296 | ||||
| Total Medicare payment per Hospitalization with ICD M4316 - Spondylolisthesis, lumbar region | $9,105 | ||||
| Total Medicare Charges at DRG | $2,108,105,162 | ||||
| Total Medicare Charges with ICD M4316 - Spondylolisthesis, lumbar region | $116,967,643 | ||||
| Avg Charges at DRG | $48,353 | ||||
| Avg Charges with ICD M4316 - Spondylolisthesis, lumbar region | $51,528 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4316 - Spondylolisthesis, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 16.27 | ||||
| SNF Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 12.11 | ||||
| Home Discharge Rate at DRG | 57.43 | ||||
| Home Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 63.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,719 | ||||
| Total Hospitalizations with ICD M4316 - Spondylolisthesis, lumbar region | 1,341 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M4316 - Spondylolisthesis, lumbar region in DRG | 0.8 | ||||
| Avg LOS at DRG | 5.2 | ||||
| Avg LOS with ICD M4316 - Spondylolisthesis, lumbar region | 2.7 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 14.36 | ||||
| Unplanned Readmission Rate at DRG | 7.39 | ||||
| Unplanned Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 3.42 | ||||
| Total Medicare payments at DRG | $197,788,916 | ||||
| Total Medicare payments with ICD M4316 - Spondylolisthesis, lumbar region | $22,611,295 | ||||
| Total Medicare payment per Day at DRG | $3,550 | ||||
| Total Medicare payment per Day with ICD M4316 - Spondylolisthesis, lumbar region | $6,238 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,452 | ||||
| Total Medicare payment per Hospitalization with ICD M4316 - Spondylolisthesis, lumbar region | $16,862 | ||||
| Total Medicare Charges at DRG | $1,072,900,890 | ||||
| Total Medicare Charges with ICD M4316 - Spondylolisthesis, lumbar region | $109,115,917 | ||||
| Avg Charges at DRG | $100,093 | ||||
| Avg Charges with ICD M4316 - Spondylolisthesis, lumbar region | $81,369 | ||||
| Mortality Rate at DRG | 1.19 | ||||
| Mortality Rate with ICD M4316 - Spondylolisthesis, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 12.83 | ||||
| Home Discharge Rate at DRG | 45.02 | ||||
| Home Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 58.91 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,626 | ||||
| Total Hospitalizations with ICD M4316 - Spondylolisthesis, lumbar region | 979 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M4316 - Spondylolisthesis, lumbar region in DRG | 0.59 | ||||
| Avg LOS at DRG | 6.58 | ||||
| Avg LOS with ICD M4316 - Spondylolisthesis, lumbar region | 7.56 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 26.3 | ||||
| Unplanned Readmission Rate at DRG | 15.44 | ||||
| Unplanned Readmission Rate with ICD M4316 - Spondylolisthesis, lumbar region | 13.26 | ||||
| Total Medicare payments at DRG | $509,048,598 | ||||
| Total Medicare payments with ICD M4316 - Spondylolisthesis, lumbar region | $12,073,861 | ||||
| Total Medicare payment per Day at DRG | $1,696 | ||||
| Total Medicare payment per Day with ICD M4316 - Spondylolisthesis, lumbar region | $1,631 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,157 | ||||
| Total Medicare payment per Hospitalization with ICD M4316 - Spondylolisthesis, lumbar region | $12,333 | ||||
| Total Medicare Charges at DRG | $2,333,825,338 | ||||
| Total Medicare Charges with ICD M4316 - Spondylolisthesis, lumbar region | $47,467,611 | ||||
| Avg Charges at DRG | $51,151 | ||||
| Avg Charges with ICD M4316 - Spondylolisthesis, lumbar region | $48,486 | ||||
| Mortality Rate at DRG | 4.28 | ||||
| Mortality Rate with ICD M4316 - Spondylolisthesis, lumbar region | 1.12 | ||||
| SNF Discharge Rate at DRG | 39.84 | ||||
| SNF Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 35.85 | ||||
| Home Discharge Rate at DRG | 18.35 | ||||
| Home Discharge Rate with ICD M4316 - Spondylolisthesis, lumbar region | 20.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 1,096 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 1,002 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 781 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 344 |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 268 |
| Dr. RICHARD F. FRISCH | 1106 CHUCK DAWLEY BLVD | MT PLEASANT | SC | 29464 | 232 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 342 |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 263 |
| Dr. ZESHAN M HYDER | 9001 BROADWAY | MERRILLVILLE | IN | 46410 | 220 |