*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M4803 - Spinal stenosis, cervicothoracic region - as a primary diagnosis code | M4803 - Spinal stenosis, cervicothoracic region - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 4.92 | |
Readmission Rate (%) | 25.28 | |
Unplanned Readmission Rate (%) | 6.16 | |
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 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 63,286 | ||||
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region | 232 | ||||
DRG Share of Total Hospitalizations | 0.19 | ||||
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG | 26.67 | ||||
Avg LOS at DRG | 1.72 | ||||
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region | 1.79 | ||||
Readmission Rate at DRG | 8.56 | ||||
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 11.45 | ||||
Unplanned Readmission Rate at DRG | 3.51 | ||||
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
Total Medicare payments at DRG | $814,610,584 | ||||
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region | $3,071,966 | ||||
Total Medicare payment per Day at DRG | $7,479 | ||||
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region | $7,385 | ||||
Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region | $13,241 | ||||
Total Medicare Charges at DRG | $4,641,508,729 | ||||
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $17,477,756 | ||||
Avg Charges at DRG | $73,342 | ||||
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $75,335 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
SNF Discharge Rate at DRG | 3.8 | ||||
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
Home Discharge Rate at DRG | 81.78 | ||||
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 79.74 |
*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 519: BACK AND NECK PROCEDURES EXCEPT 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 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 | 30,121 | ||||
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region | 28 | ||||
DRG Share of Total Hospitalizations | 0.09 | ||||
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG | 3.22 | ||||
Avg LOS at DRG | 4.83 | ||||
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region | 4.11 | ||||
Readmission Rate at DRG | 25.27 | ||||
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
Unplanned Readmission Rate at DRG | 5.39 | ||||
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
Total Medicare payments at DRG | $1,452,399,208 | ||||
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region | $1,399,998 | ||||
Total Medicare payment per Day at DRG | $9,984 | ||||
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region | $12,174 | ||||
Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region | $50,000 | ||||
Total Medicare Charges at DRG | $6,527,772,651 | ||||
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $5,202,755 | ||||
Avg Charges at DRG | $216,718 | ||||
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $185,813 | ||||
Mortality Rate at DRG | 0.06 | ||||
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
SNF Discharge Rate at DRG | 21.6 | ||||
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
Home Discharge Rate at DRG | 38.16 | ||||
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 53.57 |
*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 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|
Total Hospitalizations at DRG | 30,062 | |
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region | 17 | |
DRG Share of Total Hospitalizations | 0.09 | |
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG | 1.95 | |
Avg LOS at DRG | 2.14 | |
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region | 2.18 | |
Readmission Rate at DRG | 11.6 | |
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | |
Unplanned Readmission Rate at DRG | 3.9 | |
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | |
Total Medicare payments at DRG | $199,571,619 | |
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region | $102,570 | |
Total Medicare payment per Day at DRG | $3,102 | |
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region | $2,772 | |
Total Medicare payment per Hospitalization at DRG | $6,639 | |
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region | $6,034 | |
Total Medicare Charges at DRG | $1,429,977,155 | |
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $861,638 | |
Avg Charges at DRG | $47,568 | |
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $50,685 | |
Mortality Rate at DRG | NA | |
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | |
SNF Discharge Rate at DRG | 8.82 | |
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | |
Home Discharge Rate at DRG | 68.77 | |
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 88.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 63,286 | ||||
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region | 682 | ||||
DRG Share of Total Hospitalizations | 0.19 | ||||
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG | 18.77 | ||||
Avg LOS at DRG | 1.72 | ||||
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region | 1.89 | ||||
Readmission Rate at DRG | 8.56 | ||||
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 10.06 | ||||
Unplanned Readmission Rate at DRG | 3.51 | ||||
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 2.55 | ||||
Total Medicare payments at DRG | $814,610,584 | ||||
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region | $8,916,448 | ||||
Total Medicare payment per Day at DRG | $7,479 | ||||
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region | $6,901 | ||||
Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region | $13,074 | ||||
Total Medicare Charges at DRG | $4,641,508,729 | ||||
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $55,151,014 | ||||
Avg Charges at DRG | $73,342 | ||||
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $80,867 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
SNF Discharge Rate at DRG | 3.8 | ||||
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 4.11 | ||||
Home Discharge Rate at DRG | 81.78 | ||||
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 79.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH 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 | 11,165 | ||||
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region | 116 | ||||
DRG Share of Total Hospitalizations | 0.03 | ||||
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG | 3.19 | ||||
Avg LOS at DRG | 8.45 | ||||
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region | 7.53 | ||||
Readmission Rate at DRG | 43.41 | ||||
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 46.3 | ||||
Unplanned Readmission Rate at DRG | 8.76 | ||||
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 12.04 | ||||
Total Medicare payments at DRG | $378,975,481 | ||||
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region | $3,978,688 | ||||
Total Medicare payment per Day at DRG | $4,018 | ||||
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region | $4,557 | ||||
Total Medicare payment per Hospitalization at DRG | $33,943 | ||||
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region | $34,299 | ||||
Total Medicare Charges at DRG | $1,826,793,767 | ||||
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $19,680,747 | ||||
Avg Charges at DRG | $163,618 | ||||
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $169,662 | ||||
Mortality Rate at DRG | 3.84 | ||||
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
SNF Discharge Rate at DRG | 26.49 | ||||
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 35.34 | ||||
Home Discharge Rate at DRG | 23.25 | ||||
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 15.52 |
*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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 43,598 | ||||
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region | 56 | ||||
DRG Share of Total Hospitalizations | 0.13 | ||||
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG | 1.54 | ||||
Avg LOS at DRG | 2.56 | ||||
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region | 1.75 | ||||
Readmission Rate at DRG | 13.58 | ||||
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
Unplanned Readmission Rate at DRG | 5.0 | ||||
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
Total Medicare payments at DRG | $405,277,239 | ||||
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region | $401,212 | ||||
Total Medicare payment per Day at DRG | $3,633 | ||||
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region | $4,094 | ||||
Total Medicare payment per Hospitalization at DRG | $9,296 | ||||
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region | $7,165 | ||||
Total Medicare Charges at DRG | $2,108,105,162 | ||||
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $2,608,826 | ||||
Avg Charges at DRG | $48,353 | ||||
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $46,586 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
SNF Discharge Rate at DRG | 16.27 | ||||
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
Home Discharge Rate at DRG | 57.43 | ||||
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 78.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 6,227 | ||||
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region | 29 | ||||
DRG Share of Total Hospitalizations | 0.02 | ||||
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG | 0.8 | ||||
Avg LOS at DRG | 11.45 | ||||
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region | 11.69 | ||||
Readmission Rate at DRG | 51.82 | ||||
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 60.0 | ||||
Unplanned Readmission Rate at DRG | 10.35 | ||||
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
Total Medicare payments at DRG | $241,416,949 | ||||
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region | $1,331,640 | ||||
Total Medicare payment per Day at DRG | $3,385 | ||||
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region | $3,928 | ||||
Total Medicare payment per Hospitalization at DRG | $38,769 | ||||
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region | $45,919 | ||||
Total Medicare Charges at DRG | $1,126,422,406 | ||||
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $7,601,245 | ||||
Avg Charges at DRG | $180,893 | ||||
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region | $262,112 | ||||
Mortality Rate at DRG | 5.91 | ||||
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA | ||||
SNF Discharge Rate at DRG | 25.95 | ||||
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | 41.38 | ||||
Home Discharge Rate at DRG | 13.46 | ||||
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 47 |
HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 28 |
RENOWN REGIONAL MEDICAL CENTER | 1155 MILL STREET | RENO | NV | 89502 | 24 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. GARRY M BANKS | 8232 HIGHWAY 65 NE | SPRING LAKE PARK | MN | 55432 | 15 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. GARRY M BANKS | 8232 HIGHWAY 65 NE | SPRING LAKE PARK | MN | 55432 | 15 |
No | ICD Diagnosis Code | Description |
---|---|---|
1 | M4802 | Spinal stenosis, cervical region |
2 | Z87891 | Personal history of nicotine dependence |
3 | K219 | Gastro-esophageal reflux disease without esophagitis |
4 | I10 | Essential (primary) hypertension |