*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4626 - Osteomyelitis of vertebra, lumbar region - as a primary diagnosis code | M4626 - Osteomyelitis of vertebra, lumbar region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.54 | |
| Readmission Rate (%) | 37.0 | |
| Unplanned Readmission Rate (%) | 16.22 | |
| 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 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 540: OSTEOMYELITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 541: OSTEOMYELITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,679 | ||||
| Total Hospitalizations with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 2,026 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M4626 - Osteomyelitis of vertebra, lumbar region in DRG | 33.47 | ||||
| Avg LOS at DRG | 16.44 | ||||
| Avg LOS with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 15.38 | ||||
| Readmission Rate at DRG | 31.81 | ||||
| Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 35.16 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 18.85 | ||||
| Total Medicare payments at DRG | $375,327,933 | ||||
| Total Medicare payments with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $39,253,560 | ||||
| Total Medicare payment per Day at DRG | $1,222 | ||||
| Total Medicare payment per Day with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $1,260 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,094 | ||||
| Total Medicare payment per Hospitalization with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $19,375 | ||||
| Total Medicare Charges at DRG | $1,758,411,565 | ||||
| Total Medicare Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $194,937,260 | ||||
| Avg Charges at DRG | $94,138 | ||||
| Avg Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $96,218 | ||||
| Mortality Rate at DRG | 3.82 | ||||
| Mortality Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 2.81 | ||||
| SNF Discharge Rate at DRG | 36.02 | ||||
| SNF Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 37.96 | ||||
| Home Discharge Rate at DRG | 13.69 | ||||
| Home Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 14.31 |
*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) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 500: SOFT TISSUE PROCEDURES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,040 | ||||
| Total Hospitalizations with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 294 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M4626 - Osteomyelitis of vertebra, lumbar region in DRG | 4.86 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 16.15 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 50.55 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 13.19 | ||||
| Total Medicare payments at DRG | $358,064,249 | ||||
| Total Medicare payments with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $19,929,042 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $4,197 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $67,786 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $79,336,329 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $269,851 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 40.48 | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 8.5 |
*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 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,719 | ||||
| Total Hospitalizations with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 110 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M4626 - Osteomyelitis of vertebra, lumbar region in DRG | 1.82 | ||||
| Avg LOS at DRG | 5.2 | ||||
| Avg LOS with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 13.43 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 45.19 | ||||
| Unplanned Readmission Rate at DRG | 7.39 | ||||
| Unplanned Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 16.35 | ||||
| Total Medicare payments at DRG | $197,788,916 | ||||
| Total Medicare payments with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $2,381,172 | ||||
| Total Medicare payment per Day at DRG | $3,550 | ||||
| Total Medicare payment per Day with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $1,612 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,452 | ||||
| Total Medicare payment per Hospitalization with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $21,647 | ||||
| Total Medicare Charges at DRG | $1,072,900,890 | ||||
| Total Medicare Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $14,662,421 | ||||
| Avg Charges at DRG | $100,093 | ||||
| Avg Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $133,295 | ||||
| Mortality Rate at DRG | 1.19 | ||||
| Mortality Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 43.64 | ||||
| Home Discharge Rate at DRG | 45.02 | ||||
| Home Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 17.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 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 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,458 | ||||
| Total Hospitalizations with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 36 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD M4626 - Osteomyelitis of vertebra, lumbar region in DRG | 0.59 | ||||
| Avg LOS at DRG | 3.91 | ||||
| Avg LOS with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 10.67 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 45.71 | ||||
| Unplanned Readmission Rate at DRG | 6.06 | ||||
| Unplanned Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | NA | ||||
| Total Medicare payments at DRG | $282,780,660 | ||||
| Total Medicare payments with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $429,181 | ||||
| Total Medicare payment per Day at DRG | $2,732 | ||||
| Total Medicare payment per Day with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $1,118 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
| Total Medicare payment per Hospitalization with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $11,922 | ||||
| Total Medicare Charges at DRG | $1,744,158,849 | ||||
| Total Medicare Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $3,680,321 | ||||
| Avg Charges at DRG | $65,922 | ||||
| Avg Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $102,231 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 30.56 | ||||
| Home Discharge Rate at DRG | 44.06 | ||||
| Home Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 28 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 27 |
| ST. JOHN MEDICAL CENTER | 1923 S UTICA AVE | TULSA | OK | 74104 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 13 |
*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 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 540: OSTEOMYELITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 2,289 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M4626 - Osteomyelitis of vertebra, lumbar region in DRG | 9.5 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 12.05 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 38.13 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 19.46 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $34,807,415 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $1,262 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $15,206 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $245,507,320 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $107,255 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 8.82 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 38.84 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 8.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 094: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,107 | ||||
| Total Hospitalizations with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 765 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M4626 - Osteomyelitis of vertebra, lumbar region in DRG | 3.18 | ||||
| Avg LOS at DRG | 6.49 | ||||
| Avg LOS with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 8.69 | ||||
| Readmission Rate at DRG | 26.91 | ||||
| Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 31.48 | ||||
| Unplanned Readmission Rate at DRG | 14.11 | ||||
| Unplanned Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 16.43 | ||||
| Total Medicare payments at DRG | $299,258,488 | ||||
| Total Medicare payments with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $11,346,211 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $1,706 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,178 | ||||
| Total Medicare payment per Hospitalization with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $14,832 | ||||
| Total Medicare Charges at DRG | $1,625,982,661 | ||||
| Total Medicare Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $54,341,493 | ||||
| Avg Charges at DRG | $77,035 | ||||
| Avg Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $71,035 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 35.38 | ||||
| SNF Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 37.25 | ||||
| Home Discharge Rate at DRG | 25.84 | ||||
| Home Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 20.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 541: OSTEOMYELITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS 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 095: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,555 | ||||
| Total Hospitalizations with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 438 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD M4626 - Osteomyelitis of vertebra, lumbar region in DRG | 1.82 | ||||
| Avg LOS at DRG | 5.99 | ||||
| Avg LOS with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 6.88 | ||||
| Readmission Rate at DRG | 18.69 | ||||
| Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 20.86 | ||||
| Unplanned Readmission Rate at DRG | 9.2 | ||||
| Unplanned Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 13.37 | ||||
| Total Medicare payments at DRG | $27,605,328 | ||||
| Total Medicare payments with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $3,414,311 | ||||
| Total Medicare payment per Day at DRG | $1,297 | ||||
| Total Medicare payment per Day with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $1,132 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,765 | ||||
| Total Medicare payment per Hospitalization with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $7,795 | ||||
| Total Medicare Charges at DRG | $114,889,570 | ||||
| Total Medicare Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $18,163,188 | ||||
| Avg Charges at DRG | $32,318 | ||||
| Avg Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $41,468 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 17.86 | ||||
| SNF Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 23.29 | ||||
| Home Discharge Rate at DRG | 35.64 | ||||
| Home Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 30.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 295 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD M4626 - Osteomyelitis of vertebra, lumbar region in DRG | 1.22 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 16.94 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 44.85 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 21.32 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $10,827,896 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $2,166 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $36,705 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $50,478,414 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD M4626 - Osteomyelitis of vertebra, lumbar region | $171,113 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 37.97 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD M4626 - Osteomyelitis of vertebra, lumbar region | 11.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 117 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 88 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 85 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL C CELESTRE | 1514 JEFFERSON HWY | NEW ORLEANS | LA | 70121 | 15 |
| Dr. ABDULNASSER AHMED YOUSUF ALHAJERI | 202 BEVINS LN | GEORGETOWN | KY | 40324 | 13 |
| Dr. CHARLES ALAN REITMAN | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUMEET SHETTY | 2776 CLEVELAND AVE | FORT MYERS | FL | 33901 | 17 |
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 17 |
| Dr. ELIZABETH JUAREZ | 5501 S EXPRESSWAY 77 | HARLINGEN | TX | 78550 | 11 |