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M4696 - ICD 10 Diagnosis Code - Unspecified inflammatory spondylopathy, lumbar region - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to M4696 - Unspecified inflammatory spondylopathy, lumbar region

*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

Top DRGs Associated With M4696 - Unspecified inflammatory spondylopathy, lumbar region - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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

Top Hospitals Associated With M4696 - Unspecified inflammatory spondylopathy, lumbar region - as a primary diagnosis code

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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

Top DRGs Associated With M4696 - Unspecified inflammatory spondylopathy, lumbar region - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*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

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*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

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*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

Top Hospitals Associated With M4696 - Unspecified inflammatory spondylopathy, lumbar region - as a primary or secondary diagnosis code

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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

Top Operating Physicians Associated With M4696 - Unspecified inflammatory spondylopathy, lumbar region - as a primary or secondary diagnosis code

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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

Top Attending Physicians Associated With M4696 - Unspecified inflammatory spondylopathy, lumbar region - as a primary or secondary diagnosis code

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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