*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M4696 - Unspecified inflammatory spondylopathy, lumbar region - as a primary diagnosis code | M4696 - Unspecified inflammatory spondylopathy, lumbar region - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 4.78 | |
Readmission Rate (%) | 20.3 | |
Unplanned Readmission Rate (%) | 11.5 | |
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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|
Total Hospitalizations at DRG | 195,476 | ||
Total Hospitalizations with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 118 | ||
DRG Share of Total Hospitalizations | 0.59 | ||
% of Total ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region in DRG | 56.73 | ||
Avg LOS at DRG | 4.48 | ||
Avg LOS with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 3.93 | ||
Readmission Rate at DRG | 20.57 | ||
Readmission Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 16.07 | ||
Unplanned Readmission Rate at DRG | 9.88 | ||
Unplanned Readmission Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 11.61 | ||
Total Medicare payments at DRG | $1,320,662,237 | ||
Total Medicare payments with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $656,071 | ||
Total Medicare payment per Day at DRG | $1,508 | ||
Total Medicare payment per Day with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $1,414 | ||
Total Medicare payment per Hospitalization at DRG | $6,756 | ||
Total Medicare payment per Hospitalization with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $5,560 | ||
Total Medicare Charges at DRG | $6,024,639,461 | ||
Total Medicare Charges with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $2,848,129 | ||
Avg Charges at DRG | $30,820 | ||
Avg Charges with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $24,137 | ||
Mortality Rate at DRG | 0.24 | ||
Mortality Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | NA | ||
SNF Discharge Rate at DRG | 33.36 | ||
SNF Discharge Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 27.97 | ||
Home Discharge Rate at DRG | 30.98 | ||
Home Discharge Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 42.37 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
LANCASTER GENERAL HOSPITAL | 555 N DUKE ST | LANCASTER | PA | 17602 | 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 215,355 | ||||
Total Hospitalizations with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 1,122 | ||||
DRG Share of Total Hospitalizations | 0.66 | ||||
% of Total ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region in DRG | 15.57 | ||||
Avg LOS at DRG | 3.28 | ||||
Avg LOS with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 3.15 | ||||
Readmission Rate at DRG | 16.7 | ||||
Readmission Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 17.13 | ||||
Unplanned Readmission Rate at DRG | 4.47 | ||||
Unplanned Readmission Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 3.98 | ||||
Total Medicare payments at DRG | $5,278,830,730 | ||||
Total Medicare payments with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $27,406,681 | ||||
Total Medicare payment per Day at DRG | $7,462 | ||||
Total Medicare payment per Day with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $7,760 | ||||
Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
Total Medicare payment per Hospitalization with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $24,427 | ||||
Total Medicare Charges at DRG | $25,567,888,167 | ||||
Total Medicare Charges with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $141,651,072 | ||||
Avg Charges at DRG | $118,724 | ||||
Avg Charges with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $126,249 | ||||
Mortality Rate at DRG | 0.03 | ||||
Mortality Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 15.71 | ||||
SNF Discharge Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 13.19 | ||||
Home Discharge Rate at DRG | 51.89 | ||||
Home Discharge Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 55.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,100,860 | ||||
Total Hospitalizations with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 157 | ||||
DRG Share of Total Hospitalizations | 3.35 | ||||
% of Total ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region in DRG | 2.18 | ||||
Avg LOS at DRG | 11.86 | ||||
Avg LOS with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 11.68 | ||||
Readmission Rate at DRG | 27.58 | ||||
Readmission Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 23.18 | ||||
Unplanned Readmission Rate at DRG | 13.34 | ||||
Unplanned Readmission Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 15.89 | ||||
Total Medicare payments at DRG | $9,312,828,663 | ||||
Total Medicare payments with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $1,595,618 | ||||
Total Medicare payment per Day at DRG | $713 | ||||
Total Medicare payment per Day with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $870 | ||||
Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
Total Medicare payment per Hospitalization with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $10,163 | ||||
Total Medicare Charges at DRG | $32,341,464,302 | ||||
Total Medicare Charges with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $4,888,059 | ||||
Avg Charges at DRG | $29,378 | ||||
Avg Charges with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $31,134 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 5.83 | ||||
SNF Discharge Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | NA | ||||
Home Discharge Rate at DRG | 79.47 | ||||
Home Discharge Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 84.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 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 | 1,013,774 | ||||
Total Hospitalizations with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 92 | ||||
DRG Share of Total Hospitalizations | 3.08 | ||||
% of Total ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region in DRG | 1.28 | ||||
Avg LOS at DRG | 5.34 | ||||
Avg LOS with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 5.66 | ||||
Readmission Rate at DRG | 28.25 | ||||
Readmission Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 30.23 | ||||
Unplanned Readmission Rate at DRG | 21.93 | ||||
Unplanned Readmission Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 27.91 | ||||
Total Medicare payments at DRG | $9,469,067,156 | ||||
Total Medicare payments with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $902,424 | ||||
Total Medicare payment per Day at DRG | $1,751 | ||||
Total Medicare payment per Day with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $1,732 | ||||
Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
Total Medicare payment per Hospitalization with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $9,809 | ||||
Total Medicare Charges at DRG | $43,343,716,813 | ||||
Total Medicare Charges with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $3,975,969 | ||||
Avg Charges at DRG | $42,755 | ||||
Avg Charges with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $43,217 | ||||
Mortality Rate at DRG | 3.72 | ||||
Mortality Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 20.84 | ||||
SNF Discharge Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 16.3 | ||||
Home Discharge Rate at DRG | 37.68 | ||||
Home Discharge Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 41.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, 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 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 535,322 | ||||
Total Hospitalizations with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 81 | ||||
DRG Share of Total Hospitalizations | 1.63 | ||||
% of Total ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region in DRG | 1.12 | ||||
Avg LOS at DRG | 4.68 | ||||
Avg LOS with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 4.8 | ||||
Readmission Rate at DRG | 23.65 | ||||
Readmission Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 16.46 | ||||
Unplanned Readmission Rate at DRG | 18.66 | ||||
Unplanned Readmission Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 15.19 | ||||
Total Medicare payments at DRG | $3,844,806,408 | ||||
Total Medicare payments with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $545,501 | ||||
Total Medicare payment per Day at DRG | $1,536 | ||||
Total Medicare payment per Day with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $1,402 | ||||
Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
Total Medicare payment per Hospitalization with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $6,735 | ||||
Total Medicare Charges at DRG | $19,258,468,078 | ||||
Total Medicare Charges with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $2,957,048 | ||||
Avg Charges at DRG | $35,975 | ||||
Avg Charges with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | $36,507 | ||||
Mortality Rate at DRG | 1.27 | ||||
Mortality Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 14.61 | ||||
SNF Discharge Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 17.28 | ||||
Home Discharge Rate at DRG | 52.12 | ||||
Home Discharge Rate with ICD M4696 - Unspecified inflammatory spondylopathy, lumbar region | 51.85 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
LANCASTER GENERAL HOSPITAL | 555 N DUKE ST | LANCASTER | PA | 17602 | 78 |
CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI | 2606 HOSPITAL BLVD | CORPUS CHRISTI | TX | 78405 | 76 |
PARKVIEW MEDICAL CENTER | 400 W 16TH ST | PUEBLO | CO | 81003 | 64 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. DAVID ALLEN YAM | 301 W POPLAR ST | WALLA WALLA | WA | 99362 | 107 |
Dr. JAMES S. FAULKNER | 48 MEDICAL PARK EAST DR. | BIRMINGHAM | AL | 35235 | 47 |
Dr. MATHEW THOMAS ALEXANDER | 1227 3RD ST | CORPUS CHRISTI | TX | 78404 | 46 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. DAVID ALLEN YAM | 301 W POPLAR ST | WALLA WALLA | WA | 99362 | 102 |
Dr. JAMES S. FAULKNER | 48 MEDICAL PARK EAST DR. | BIRMINGHAM | AL | 35235 | 48 |
Dr. RICHARD ANTHONY HART | 213 PERKINSWOOD BLVD NE | WARREN | OH | 44483 | 46 |