*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4727 - Other spondylosis with radiculopathy, lumbosacral region - as a primary diagnosis code | M4727 - Other spondylosis with radiculopathy, lumbosacral region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.17 | |
| Readmission Rate (%) | 18.87 | |
| Unplanned Readmission Rate (%) | 6.39 | |
| 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 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 1,719 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region in DRG | 52.06 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 3.11 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 15.48 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 5.0 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $42,838,555 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $8,012 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $24,921 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $210,359,844 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $122,373 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 12.27 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 56.6 |
*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 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 116 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region in DRG | 3.51 | ||||
| Avg LOS at DRG | 2.56 | ||||
| Avg LOS with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 2.11 | ||||
| Readmission Rate at DRG | 13.58 | ||||
| Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 20.18 | ||||
| Unplanned Readmission Rate at DRG | 5.0 | ||||
| Unplanned Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | NA | ||||
| Total Medicare payments at DRG | $405,277,239 | ||||
| Total Medicare payments with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $1,138,593 | ||||
| Total Medicare payment per Day at DRG | $3,633 | ||||
| Total Medicare payment per Day with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $4,647 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,296 | ||||
| Total Medicare payment per Hospitalization with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $9,815 | ||||
| Total Medicare Charges at DRG | $2,108,105,162 | ||||
| Total Medicare Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $6,000,273 | ||||
| Avg Charges at DRG | $48,353 | ||||
| Avg Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $51,726 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 16.27 | ||||
| SNF Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 9.48 | ||||
| Home Discharge Rate at DRG | 57.43 | ||||
| Home Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 61.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 7,362 | ||
| Total Hospitalizations with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 41 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region in DRG | 1.24 | ||
| Avg LOS at DRG | 10.04 | ||
| Avg LOS with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 8.0 | ||
| Readmission Rate at DRG | 45.05 | ||
| Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 37.84 | ||
| Unplanned Readmission Rate at DRG | 8.78 | ||
| Unplanned Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | NA | ||
| Total Medicare payments at DRG | $550,960,642 | ||
| Total Medicare payments with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $2,761,805 | ||
| Total Medicare payment per Day at DRG | $7,454 | ||
| Total Medicare payment per Day with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $8,420 | ||
| Total Medicare payment per Hospitalization at DRG | $74,838 | ||
| Total Medicare payment per Hospitalization with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $67,361 | ||
| Total Medicare Charges at DRG | $2,482,391,111 | ||
| Total Medicare Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $12,938,352 | ||
| Avg Charges at DRG | $337,190 | ||
| Avg Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $315,570 | ||
| Mortality Rate at DRG | 2.55 | ||
| Mortality Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | NA | ||
| SNF Discharge Rate at DRG | 31.16 | ||
| SNF Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 36.59 | ||
| Home Discharge Rate at DRG | 16.07 | ||
| Home Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT ANNE'S HOSPITAL | 795 MIDDLE ST | FALL RIVER | MA | 02721 | 53 |
| SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY | 1000 N LEE AVE | OKLAHOMA CITY | OK | 73102 | 47 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SCOTT M DE LA GARZA | 608 NW 9TH ST | OKLAHOMA CITY | OK | 73102 | 46 |
| Dr. CHARLES WILLIAM KANALY | 277 PLEASANT ST | FALL RIVER | MA | 02721 | 45 |
| Dr. JOHN R CASSIDY | 842 SUNSET LAKE BLVD | VENICE | FL | 34292 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SCOTT M DE LA GARZA | 608 NW 9TH ST | OKLAHOMA CITY | OK | 73102 | 46 |
| Dr. CHARLES WILLIAM KANALY | 277 PLEASANT ST | FALL RIVER | MA | 02721 | 44 |
| Dr. JOHN R CASSIDY | 842 SUNSET LAKE BLVD | VENICE | FL | 34292 | 36 |
*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 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 4,882 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region in DRG | 40.8 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 3.17 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 16.5 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 4.55 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $120,740,190 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $7,797 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $24,732 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $619,224,812 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $126,838 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 13.11 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 54.71 |
*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 459: SPINAL FUSION EXCEPT CERVICAL 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 364 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region in DRG | 3.04 | ||||
| Avg LOS at DRG | 2.56 | ||||
| Avg LOS with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 2.06 | ||||
| Readmission Rate at DRG | 13.58 | ||||
| Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 12.26 | ||||
| Unplanned Readmission Rate at DRG | 5.0 | ||||
| Unplanned Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 3.06 | ||||
| Total Medicare payments at DRG | $405,277,239 | ||||
| Total Medicare payments with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $3,361,811 | ||||
| Total Medicare payment per Day at DRG | $3,633 | ||||
| Total Medicare payment per Day with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $4,482 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,296 | ||||
| Total Medicare payment per Hospitalization with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $9,236 | ||||
| Total Medicare Charges at DRG | $2,108,105,162 | ||||
| Total Medicare Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $17,780,491 | ||||
| Avg Charges at DRG | $48,353 | ||||
| Avg Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $48,848 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 16.27 | ||||
| SNF Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 8.79 | ||||
| Home Discharge Rate at DRG | 57.43 | ||||
| Home Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 61.54 |
*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 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,362 | ||||
| Total Hospitalizations with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 139 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region in DRG | 1.16 | ||||
| Avg LOS at DRG | 10.04 | ||||
| Avg LOS with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 7.84 | ||||
| Readmission Rate at DRG | 45.05 | ||||
| Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 40.94 | ||||
| Unplanned Readmission Rate at DRG | 8.78 | ||||
| Unplanned Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 8.66 | ||||
| Total Medicare payments at DRG | $550,960,642 | ||||
| Total Medicare payments with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $9,324,447 | ||||
| Total Medicare payment per Day at DRG | $7,454 | ||||
| Total Medicare payment per Day with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $8,555 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,838 | ||||
| Total Medicare payment per Hospitalization with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $67,082 | ||||
| Total Medicare Charges at DRG | $2,482,391,111 | ||||
| Total Medicare Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $44,803,114 | ||||
| Avg Charges at DRG | $337,190 | ||||
| Avg Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $322,325 | ||||
| Mortality Rate at DRG | 2.55 | ||||
| Mortality Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 31.16 | ||||
| SNF Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 37.41 | ||||
| Home Discharge Rate at DRG | 16.07 | ||||
| Home Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 15.83 |
*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 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 78 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region in DRG | 0.65 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 6.46 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 20.29 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $801,139 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $1,590 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $10,271 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $4,436,842 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | $56,883 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 30.77 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M4727 - Other spondylosis with radiculopathy, lumbosacral region | 30.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OAKLAWN HOSPITAL | 200 N MADISON ST | MARSHALL | MI | 49068 | 119 |
| ISLAND HOSPITAL | 1211 24TH ST | ANACORTES | WA | 98221 | 101 |
| TULSA SPINE & SPECIALTY HOSPITAL | 6901 S OLYMPIA AVE | TULSA | OK | 74132 | 85 |
| 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 | 119 |
| Dr. DAWEI LU | 1401 S LAVENTURE RD | MOUNT VERNON | WA | 98274 | 97 |
| Dr. THOMAS M. REILLY | 821 N DIXON RD | KOKOMO | IN | 46901 | 75 |
| 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 | 119 |
| Dr. DAWEI LU | 1401 S LAVENTURE RD | MOUNT VERNON | WA | 98274 | 96 |
| Dr. THOMAS M. REILLY | 821 N DIXON RD | KOKOMO | IN | 46901 | 72 |