*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M479 - Spondylosis, unspecified - as a primary diagnosis code | M479 - Spondylosis, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.58 | |
| Readmission Rate (%) | 21.49 | |
| Unplanned Readmission Rate (%) | 9.45 | |
| 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) | DRG 473: CERVICAL SPINAL FUSION 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M479 - Spondylosis, unspecified | 806 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M479 - Spondylosis, unspecified in DRG | 51.83 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M479 - Spondylosis, unspecified | 3.83 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M479 - Spondylosis, unspecified | 17.34 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M479 - Spondylosis, unspecified | 9.7 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M479 - Spondylosis, unspecified | $4,745,276 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M479 - Spondylosis, unspecified | $1,537 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M479 - Spondylosis, unspecified | $5,887 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M479 - Spondylosis, unspecified | $23,362,124 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M479 - Spondylosis, unspecified | $28,985 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M479 - Spondylosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M479 - Spondylosis, unspecified | 31.89 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M479 - Spondylosis, unspecified | 38.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | 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) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||||
| Total Hospitalizations with ICD M479 - Spondylosis, unspecified | 23 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD M479 - Spondylosis, unspecified in DRG | 1.48 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD M479 - Spondylosis, unspecified | 2.52 | ||||
| Readmission Rate at DRG | 19.37 | ||||
| Readmission Rate with ICD M479 - Spondylosis, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD M479 - Spondylosis, unspecified | NA | ||||
| Total Medicare payments at DRG | $899,179,360 | ||||
| Total Medicare payments with ICD M479 - Spondylosis, unspecified | $338,250 | ||||
| Total Medicare payment per Day at DRG | $5,763 | ||||
| Total Medicare payment per Day with ICD M479 - Spondylosis, unspecified | $5,832 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
| Total Medicare payment per Hospitalization with ICD M479 - Spondylosis, unspecified | $14,707 | ||||
| Total Medicare Charges at DRG | $4,767,802,860 | ||||
| Total Medicare Charges with ICD M479 - Spondylosis, unspecified | $2,023,684 | ||||
| Avg Charges at DRG | $95,039 | ||||
| Avg Charges with ICD M479 - Spondylosis, unspecified | $87,986 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M479 - Spondylosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.73 | ||||
| SNF Discharge Rate with ICD M479 - Spondylosis, unspecified | NA | ||||
| Home Discharge Rate at DRG | 60.19 | ||||
| Home Discharge Rate with ICD M479 - Spondylosis, unspecified | 91.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 42,559 |
| Total Hospitalizations with ICD M479 - Spondylosis, unspecified | 15 |
| DRG Share of Total Hospitalizations | 0.13 |
| % of Total ICD M479 - Spondylosis, unspecified in DRG | 0.96 |
| Avg LOS at DRG | 4.67 |
| Avg LOS with ICD M479 - Spondylosis, unspecified | 4.33 |
| Readmission Rate at DRG | 23.96 |
| Readmission Rate with ICD M479 - Spondylosis, unspecified | NA |
| Unplanned Readmission Rate at DRG | 9.89 |
| Unplanned Readmission Rate with ICD M479 - Spondylosis, unspecified | NA |
| Total Medicare payments at DRG | $524,182,097 |
| Total Medicare payments with ICD M479 - Spondylosis, unspecified | $192,513 |
| Total Medicare payment per Day at DRG | $2,636 |
| Total Medicare payment per Day with ICD M479 - Spondylosis, unspecified | $2,962 |
| Total Medicare payment per Hospitalization at DRG | $12,317 |
| Total Medicare payment per Hospitalization with ICD M479 - Spondylosis, unspecified | $12,834 |
| Total Medicare Charges at DRG | $2,765,571,309 |
| Total Medicare Charges with ICD M479 - Spondylosis, unspecified | $1,359,614 |
| Avg Charges at DRG | $64,982 |
| Avg Charges with ICD M479 - Spondylosis, unspecified | $90,641 |
| Mortality Rate at DRG | 0.11 |
| Mortality Rate with ICD M479 - Spondylosis, unspecified | NA |
| SNF Discharge Rate at DRG | 33.62 |
| SNF Discharge Rate with ICD M479 - Spondylosis, unspecified | NA |
| Home Discharge Rate at DRG | 31.52 |
| Home Discharge Rate with ICD M479 - Spondylosis, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 21 |
| SAINT THOMAS MIDTOWN HOSPITAL | 2000 CHURCH ST | NASHVILLE | TN | 37236 | 16 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID HUGHES MCCORD | 1718 CHARLOTTE AVE | NASHVILLE | TN | 37203 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID HUGHES MCCORD | 1718 CHARLOTTE AVE | NASHVILLE | TN | 37203 | 11 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M479 - Spondylosis, unspecified | 4,282 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M479 - Spondylosis, unspecified in DRG | 4.15 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M479 - Spondylosis, unspecified | 4.13 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M479 - Spondylosis, unspecified | 21.08 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M479 - Spondylosis, unspecified | 10.58 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M479 - Spondylosis, unspecified | $25,592,565 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M479 - Spondylosis, unspecified | $1,445 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M479 - Spondylosis, unspecified | $5,977 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M479 - Spondylosis, unspecified | $131,699,047 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M479 - Spondylosis, unspecified | $30,756 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M479 - Spondylosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M479 - Spondylosis, unspecified | 36.27 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M479 - Spondylosis, unspecified | 31.39 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M479 - Spondylosis, unspecified | 2,097 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M479 - Spondylosis, unspecified in DRG | 2.03 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M479 - Spondylosis, unspecified | 5.4 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M479 - Spondylosis, unspecified | 26.71 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M479 - Spondylosis, unspecified | 19.65 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M479 - Spondylosis, unspecified | $19,399,057 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M479 - Spondylosis, unspecified | $1,714 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M479 - Spondylosis, unspecified | $9,251 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M479 - Spondylosis, unspecified | $89,712,476 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M479 - Spondylosis, unspecified | $42,781 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M479 - Spondylosis, unspecified | 3.05 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M479 - Spondylosis, unspecified | 24.18 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M479 - Spondylosis, unspecified | 34.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M479 - Spondylosis, unspecified | 1,482 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M479 - Spondylosis, unspecified in DRG | 1.43 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M479 - Spondylosis, unspecified | 11.8 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M479 - Spondylosis, unspecified | 15.51 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M479 - Spondylosis, unspecified | 9.33 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M479 - Spondylosis, unspecified | $24,207,557 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M479 - Spondylosis, unspecified | $1,385 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M479 - Spondylosis, unspecified | $16,334 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M479 - Spondylosis, unspecified | $67,889,956 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M479 - Spondylosis, unspecified | $45,810 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M479 - Spondylosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M479 - Spondylosis, unspecified | 32.05 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M479 - Spondylosis, unspecified | 23.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD M479 - Spondylosis, unspecified | 1,112 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD M479 - Spondylosis, unspecified in DRG | 1.08 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD M479 - Spondylosis, unspecified | 3.64 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD M479 - Spondylosis, unspecified | 20.15 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD M479 - Spondylosis, unspecified | 13.37 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD M479 - Spondylosis, unspecified | $5,377,495 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD M479 - Spondylosis, unspecified | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD M479 - Spondylosis, unspecified | $4,836 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD M479 - Spondylosis, unspecified | $28,452,528 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD M479 - Spondylosis, unspecified | $25,587 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD M479 - Spondylosis, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD M479 - Spondylosis, unspecified | 27.97 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD M479 - Spondylosis, unspecified | 43.62 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CENTRAL DUPAGE HOSPITAL | 25 NORTH WINFIELD RD. | WINFIELD | IL | 60190 | 367 |
| CROZER CHESTER MEDICAL CENTER | ONE MEDICAL CENTER BOULEVARD | UPLAND | PA | 19013 | 348 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 335 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 215 |
| Dr. MANITH MANN | 2120 W 24TH ST | YUMA | AZ | 85364 | 95 |
| Dr. RANDAL R TRECHA | 1 S KEENE ST | COLUMBIA | MO | 65201 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 223 |
| Dr. STANLEY K MORROW | 34867 HWY 43 | HACKLEBURG | AL | 35564 | 204 |
| Dr. RAKESH R PATEL | 2005 VALLEY VIEW BLVD | ALTOONA | PA | 16602 | 183 |