*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region - as a primary diagnosis code | M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.22 | |
| Readmission Rate (%) | 21.36 | |
| Unplanned Readmission Rate (%) | 7.87 | |
| 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 551: MEDICAL BACK PROBLEMS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 2,985 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region in DRG | 42.84 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 3.23 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 17.54 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 5.15 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $74,020,266 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $7,678 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $24,797 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $344,755,989 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $115,496 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 15.14 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 50.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH 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 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,121 | ||||
| Total Hospitalizations with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 282 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region in DRG | 4.05 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 4.8 | ||||
| Readmission Rate at DRG | 25.27 | ||||
| Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 24.0 | ||||
| Unplanned Readmission Rate at DRG | 5.39 | ||||
| Unplanned Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 5.82 | ||||
| Total Medicare payments at DRG | $1,452,399,208 | ||||
| Total Medicare payments with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $14,491,389 | ||||
| Total Medicare payment per Day at DRG | $9,984 | ||||
| Total Medicare payment per Day with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $10,695 | ||||
| Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
| Total Medicare payment per Hospitalization with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $51,388 | ||||
| Total Medicare Charges at DRG | $6,527,772,651 | ||||
| Total Medicare Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $61,943,552 | ||||
| Avg Charges at DRG | $216,718 | ||||
| Avg Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $219,658 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 21.6 | ||||
| SNF Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 25.18 | ||||
| Home Discharge Rate at DRG | 38.16 | ||||
| Home Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 33.69 |
*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 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,719 | ||||
| Total Hospitalizations with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 64 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region in DRG | 0.92 | ||||
| Avg LOS at DRG | 5.2 | ||||
| Avg LOS with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 2.92 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 26.67 | ||||
| Unplanned Readmission Rate at DRG | 7.39 | ||||
| Unplanned Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | NA | ||||
| Total Medicare payments at DRG | $197,788,916 | ||||
| Total Medicare payments with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $1,061,125 | ||||
| Total Medicare payment per Day at DRG | $3,550 | ||||
| Total Medicare payment per Day with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $5,674 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,452 | ||||
| Total Medicare payment per Hospitalization with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $16,580 | ||||
| Total Medicare Charges at DRG | $1,072,900,890 | ||||
| Total Medicare Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $4,893,599 | ||||
| Avg Charges at DRG | $100,093 | ||||
| Avg Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $76,462 | ||||
| Mortality Rate at DRG | 1.19 | ||||
| Mortality Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | NA | ||||
| Home Discharge Rate at DRG | 45.02 | ||||
| Home Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 60.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 82 |
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 76 |
| KANSAS SPINE & SPECIALTY HOSPITAL | 3333 N WEBB RD | WICHITA | KS | 67226 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL J MARCOTTE | 3400 SPRUCE STREET | PHILADELPHIA | PA | 19104 | 81 |
| Dr. B THEO MELLION | 3223 N WEBB RD | WICHITA | KS | 67226 | 58 |
| Dr. PRAKASH SAMPATH | 120 DUDLEY ST | PROVIDENCE | RI | 02905 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL J MARCOTTE | 3400 SPRUCE STREET | PHILADELPHIA | PA | 19104 | 77 |
| Dr. B THEO MELLION | 3223 N WEBB RD | WICHITA | KS | 67226 | 58 |
| Dr. PRAKASH SAMPATH | 120 DUDLEY ST | PROVIDENCE | RI | 02905 | 42 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 8,601 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region in DRG | 10.58 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 3.28 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 16.93 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 4.57 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $212,368,492 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $7,528 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $24,691 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $996,325,346 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $115,838 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 15.7 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 50.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK 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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 1,212 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region in DRG | 1.49 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 3.42 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 15.7 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 11.56 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $5,356,311 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $1,294 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $4,419 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $33,697,652 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $27,803 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 10.81 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 68.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,121 | ||||
| Total Hospitalizations with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 1,110 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region in DRG | 1.37 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 4.9 | ||||
| Readmission Rate at DRG | 25.27 | ||||
| Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 25.09 | ||||
| Unplanned Readmission Rate at DRG | 5.39 | ||||
| Unplanned Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 5.57 | ||||
| Total Medicare payments at DRG | $1,452,399,208 | ||||
| Total Medicare payments with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $55,710,491 | ||||
| Total Medicare payment per Day at DRG | $9,984 | ||||
| Total Medicare payment per Day with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $10,235 | ||||
| Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
| Total Medicare payment per Hospitalization with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $50,190 | ||||
| Total Medicare Charges at DRG | $6,527,772,651 | ||||
| Total Medicare Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $253,188,934 | ||||
| Avg Charges at DRG | $216,718 | ||||
| Avg Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $228,098 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 21.6 | ||||
| SNF Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 25.77 | ||||
| Home Discharge Rate at DRG | 38.16 | ||||
| Home Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 33.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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 | 434,264 | ||||
| Total Hospitalizations with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 954 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 4.15 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 24.53 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 16.65 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $5,332,583 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $1,347 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $5,590 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $29,980,854 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | $31,426 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 27.88 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD M47816 - Spondylosis without myelopathy or radiculopathy, lumbar region | 41.09 |
| 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 | 586 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 574 |
| MEMORIAL HOSPITAL | 1401 W LOCUST ST | STILWELL | OK | 74960 | 378 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL J MARCOTTE | 3400 SPRUCE STREET | PHILADELPHIA | PA | 19104 | 128 |
| Dr. PAUL JAMES TOLENTINO | 1723 BROADWAY | CAPE GIRARDEAU | MO | 63701 | 115 |
| Dr. B THEO MELLION | 3223 N WEBB RD | WICHITA | KS | 67226 | 105 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH L. DULOWSKI | 1401 W LOCUST ST | STILWELL | OK | 74960 | 318 |
| Dr. PAUL J MARCOTTE | 3400 SPRUCE STREET | PHILADELPHIA | PA | 19104 | 124 |
| Dr. PAUL JAMES TOLENTINO | 1723 BROADWAY | CAPE GIRARDEAU | MO | 63701 | 115 |