*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4726 - Other spondylosis with radiculopathy, lumbar region - as a primary diagnosis code | M4726 - Other spondylosis with radiculopathy, lumbar region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.34 | |
| Readmission Rate (%) | 19.63 | |
| Unplanned Readmission Rate (%) | 5.85 | |
| 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 552: MEDICAL BACK PROBLEMS 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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 8,191 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4726 - Other spondylosis with radiculopathy, lumbar region in DRG | 45.18 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 3.19 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 17.01 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 4.34 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $202,060,979 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $7,728 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $24,669 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $980,817,208 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $119,743 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 13.12 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 53.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,062 | ||||
| Total Hospitalizations with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 746 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M4726 - Other spondylosis with radiculopathy, lumbar region in DRG | 4.11 | ||||
| Avg LOS at DRG | 2.14 | ||||
| Avg LOS with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 1.93 | ||||
| Readmission Rate at DRG | 11.6 | ||||
| Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 10.27 | ||||
| Unplanned Readmission Rate at DRG | 3.9 | ||||
| Unplanned Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 4.11 | ||||
| Total Medicare payments at DRG | $199,571,619 | ||||
| Total Medicare payments with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $4,912,918 | ||||
| Total Medicare payment per Day at DRG | $3,102 | ||||
| Total Medicare payment per Day with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $3,409 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,639 | ||||
| Total Medicare payment per Hospitalization with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $6,586 | ||||
| Total Medicare Charges at DRG | $1,429,977,155 | ||||
| Total Medicare Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $36,041,592 | ||||
| Avg Charges at DRG | $47,568 | ||||
| Avg Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $48,313 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 8.04 | ||||
| Home Discharge Rate at DRG | 68.77 | ||||
| Home Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 72.12 |
*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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. 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) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,719 | ||||
| Total Hospitalizations with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 208 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M4726 - Other spondylosis with radiculopathy, lumbar region in DRG | 1.15 | ||||
| Avg LOS at DRG | 5.2 | ||||
| Avg LOS with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 3.54 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 16.67 | ||||
| Unplanned Readmission Rate at DRG | 7.39 | ||||
| Unplanned Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA | ||||
| Total Medicare payments at DRG | $197,788,916 | ||||
| Total Medicare payments with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $3,516,471 | ||||
| Total Medicare payment per Day at DRG | $3,550 | ||||
| Total Medicare payment per Day with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $4,778 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,452 | ||||
| Total Medicare payment per Hospitalization with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $16,906 | ||||
| Total Medicare Charges at DRG | $1,072,900,890 | ||||
| Total Medicare Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $18,041,051 | ||||
| Avg Charges at DRG | $100,093 | ||||
| Avg Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $86,736 | ||||
| Mortality Rate at DRG | 1.19 | ||||
| Mortality Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 13.94 | ||||
| Home Discharge Rate at DRG | 45.02 | ||||
| Home Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 54.33 |
*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 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,040 | ||||
| Total Hospitalizations with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 24 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M4726 - Other spondylosis with radiculopathy, lumbar region in DRG | 0.13 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 9.71 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 50.0 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA | ||||
| Total Medicare payments at DRG | $358,064,249 | ||||
| Total Medicare payments with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $1,767,005 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $7,584 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $73,625 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $6,655,143 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $277,298 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 45.83 | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OAKLAWN HOSPITAL | 200 N MADISON ST | MARSHALL | MI | 49068 | 204 |
| ST. DOMINIC-JACKSON MEMORIAL HOSPITAL | 969 LAKELAND DR | JACKSON | MS | 39216 | 138 |
| COX MEDICAL CENTERS | 3801 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | 136 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 203 |
| Dr. YOGISH D KAMATH | 1400 VFW PARKWAY STE 1C118A | W. ROXBURY | MA | 02132 | 109 |
| Dr. THOMAS M. REILLY | 821 N DIXON RD | KOKOMO | IN | 46901 | 93 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 204 |
| Dr. YOGISH D KAMATH | 1400 VFW PARKWAY STE 1C118A | W. ROXBURY | MA | 02132 | 114 |
| Dr. THOMAS M. REILLY | 821 N DIXON RD | KOKOMO | IN | 46901 | 92 |
*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 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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 20,180 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4726 - Other spondylosis with radiculopathy, lumbar region in DRG | 35.46 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 3.22 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 17.32 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 4.26 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $493,592,463 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $7,605 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $24,459 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $2,440,757,705 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $120,949 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 13.66 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 52.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,062 | ||||
| Total Hospitalizations with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 2,090 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M4726 - Other spondylosis with radiculopathy, lumbar region in DRG | 3.67 | ||||
| Avg LOS at DRG | 2.14 | ||||
| Avg LOS with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 2.14 | ||||
| Readmission Rate at DRG | 11.6 | ||||
| Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 10.89 | ||||
| Unplanned Readmission Rate at DRG | 3.9 | ||||
| Unplanned Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 3.6 | ||||
| Total Medicare payments at DRG | $199,571,619 | ||||
| Total Medicare payments with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $13,449,275 | ||||
| Total Medicare payment per Day at DRG | $3,102 | ||||
| Total Medicare payment per Day with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $3,014 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,639 | ||||
| Total Medicare payment per Hospitalization with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $6,435 | ||||
| Total Medicare Charges at DRG | $1,429,977,155 | ||||
| Total Medicare Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $100,147,874 | ||||
| Avg Charges at DRG | $47,568 | ||||
| Avg Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $47,918 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 9.76 | ||||
| Home Discharge Rate at DRG | 68.77 | ||||
| Home Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 69.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 743 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M4726 - Other spondylosis with radiculopathy, lumbar region in DRG | 1.31 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 2.47 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 11.0 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 2.96 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $8,835,817 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $4,818 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $11,892 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $46,487,819 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $62,568 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 23.96 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 28.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH 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 | 4,922 | ||||
| Total Hospitalizations with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 333 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD M4726 - Other spondylosis with radiculopathy, lumbar region in DRG | 0.59 | ||||
| Avg LOS at DRG | 3.59 | ||||
| Avg LOS with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 3.24 | ||||
| Readmission Rate at DRG | 21.46 | ||||
| Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 18.01 | ||||
| Unplanned Readmission Rate at DRG | 4.66 | ||||
| Unplanned Readmission Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA | ||||
| Total Medicare payments at DRG | $172,966,878 | ||||
| Total Medicare payments with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $11,563,651 | ||||
| Total Medicare payment per Day at DRG | $9,799 | ||||
| Total Medicare payment per Day with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $10,727 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,142 | ||||
| Total Medicare payment per Hospitalization with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $34,726 | ||||
| Total Medicare Charges at DRG | $747,447,911 | ||||
| Total Medicare Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $46,523,469 | ||||
| Avg Charges at DRG | $151,859 | ||||
| Avg Charges with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | $139,710 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 18.57 | ||||
| SNF Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 18.62 | ||||
| Home Discharge Rate at DRG | 45.04 | ||||
| Home Discharge Rate with ICD M4726 - Other spondylosis with radiculopathy, lumbar region | 47.15 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 399 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 333 |
| HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL | 14851 YORBA ST | TUSTIN | CA | 92780 | 320 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 293 |
| Dr. YOGISH D KAMATH | 1400 VFW PARKWAY STE 1C118A | W. ROXBURY | MA | 02132 | 270 |
| Dr. THOMAS M. REILLY | 821 N DIXON RD | KOKOMO | IN | 46901 | 163 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 294 |
| Dr. YOGISH D KAMATH | 1400 VFW PARKWAY STE 1C118A | W. ROXBURY | MA | 02132 | 280 |
| Dr. ALEX V ZAND | 1010 W LA VETA AVE | ORANGE | CA | 92868 | 210 |