*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4801 - Spinal stenosis, occipito-atlanto-axial region - as a primary diagnosis code | M4801 - Spinal stenosis, occipito-atlanto-axial region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.49 | |
| Readmission Rate (%) | 31.84 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 50,167 |
| Total Hospitalizations with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | 20 |
| DRG Share of Total Hospitalizations | 0.15 |
| % of Total ICD M4801 - Spinal stenosis, occipito-atlanto-axial region in DRG | 45.45 |
| Avg LOS at DRG | 3.11 |
| Avg LOS with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | 4.9 |
| Readmission Rate at DRG | 19.37 |
| Readmission Rate with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | NA |
| Unplanned Readmission Rate at DRG | 5.26 |
| Unplanned Readmission Rate with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | NA |
| Total Medicare payments at DRG | $899,179,360 |
| Total Medicare payments with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | $415,471 |
| Total Medicare payment per Day at DRG | $5,763 |
| Total Medicare payment per Day with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | $4,240 |
| Total Medicare payment per Hospitalization at DRG | $17,924 |
| Total Medicare payment per Hospitalization with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | $20,774 |
| Total Medicare Charges at DRG | $4,767,802,860 |
| Total Medicare Charges with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | $2,588,428 |
| Avg Charges at DRG | $95,039 |
| Avg Charges with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | $129,421 |
| Mortality Rate at DRG | 0.06 |
| Mortality Rate with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | NA |
| SNF Discharge Rate at DRG | 11.73 |
| SNF Discharge Rate with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | NA |
| Home Discharge Rate at DRG | 60.19 |
| Home Discharge Rate with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | NA |
*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 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||
| Total Hospitalizations with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | 43 | ||
| DRG Share of Total Hospitalizations | 0.15 | ||
| % of Total ICD M4801 - Spinal stenosis, occipito-atlanto-axial region in DRG | 18.3 | ||
| Avg LOS at DRG | 3.11 | ||
| Avg LOS with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | 6.21 | ||
| Readmission Rate at DRG | 19.37 | ||
| Readmission Rate with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | 35.71 | ||
| Unplanned Readmission Rate at DRG | 5.26 | ||
| Unplanned Readmission Rate with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | NA | ||
| Total Medicare payments at DRG | $899,179,360 | ||
| Total Medicare payments with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | $992,774 | ||
| Total Medicare payment per Day at DRG | $5,763 | ||
| Total Medicare payment per Day with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | $3,718 | ||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||
| Total Medicare payment per Hospitalization with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | $23,088 | ||
| Total Medicare Charges at DRG | $4,767,802,860 | ||
| Total Medicare Charges with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | $6,445,060 | ||
| Avg Charges at DRG | $95,039 | ||
| Avg Charges with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | $149,885 | ||
| Mortality Rate at DRG | 0.06 | ||
| Mortality Rate with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | NA | ||
| SNF Discharge Rate at DRG | 11.73 | ||
| SNF Discharge Rate with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | NA | ||
| Home Discharge Rate at DRG | 60.19 | ||
| Home Discharge Rate with ICD M4801 - Spinal stenosis, occipito-atlanto-axial region | 32.56 |