*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M4804 - Spinal stenosis, thoracic region - as a primary diagnosis code | M4804 - Spinal stenosis, thoracic region - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 7.2 | |
Readmission Rate (%) | 34.93 | |
Unplanned Readmission Rate (%) | 6.88 | |
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 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 215,355 | ||||
Total Hospitalizations with ICD M4804 - Spinal stenosis, thoracic region | 1,052 | ||||
DRG Share of Total Hospitalizations | 0.66 | ||||
% of Total ICD M4804 - Spinal stenosis, thoracic region in DRG | 33.17 | ||||
Avg LOS at DRG | 3.28 | ||||
Avg LOS with ICD M4804 - Spinal stenosis, thoracic region | 4.93 | ||||
Readmission Rate at DRG | 16.7 | ||||
Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 36.33 | ||||
Unplanned Readmission Rate at DRG | 4.47 | ||||
Unplanned Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 6.52 | ||||
Total Medicare payments at DRG | $5,278,830,730 | ||||
Total Medicare payments with ICD M4804 - Spinal stenosis, thoracic region | $27,979,605 | ||||
Total Medicare payment per Day at DRG | $7,462 | ||||
Total Medicare payment per Day with ICD M4804 - Spinal stenosis, thoracic region | $5,396 | ||||
Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
Total Medicare payment per Hospitalization with ICD M4804 - Spinal stenosis, thoracic region | $26,597 | ||||
Total Medicare Charges at DRG | $25,567,888,167 | ||||
Total Medicare Charges with ICD M4804 - Spinal stenosis, thoracic region | $147,590,736 | ||||
Avg Charges at DRG | $118,724 | ||||
Avg Charges with ICD M4804 - Spinal stenosis, thoracic region | $140,295 | ||||
Mortality Rate at DRG | 0.03 | ||||
Mortality Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | ||||
SNF Discharge Rate at DRG | 15.71 | ||||
SNF Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 24.52 | ||||
Home Discharge Rate at DRG | 51.89 | ||||
Home Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 30.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS 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 | DRG 520: BACK AND NECK PROCEDURES EXCEPT 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 | 13,267 | ||||
Total Hospitalizations with ICD M4804 - Spinal stenosis, thoracic region | 133 | ||||
DRG Share of Total Hospitalizations | 0.04 | ||||
% of Total ICD M4804 - Spinal stenosis, thoracic region in DRG | 4.19 | ||||
Avg LOS at DRG | 6.15 | ||||
Avg LOS with ICD M4804 - Spinal stenosis, thoracic region | 5.69 | ||||
Readmission Rate at DRG | 37.98 | ||||
Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 43.51 | ||||
Unplanned Readmission Rate at DRG | 7.67 | ||||
Unplanned Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | ||||
Total Medicare payments at DRG | $663,107,672 | ||||
Total Medicare payments with ICD M4804 - Spinal stenosis, thoracic region | $6,610,101 | ||||
Total Medicare payment per Day at DRG | $8,133 | ||||
Total Medicare payment per Day with ICD M4804 - Spinal stenosis, thoracic region | $8,732 | ||||
Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
Total Medicare payment per Hospitalization with ICD M4804 - Spinal stenosis, thoracic region | $49,700 | ||||
Total Medicare Charges at DRG | $2,896,079,147 | ||||
Total Medicare Charges with ICD M4804 - Spinal stenosis, thoracic region | $29,742,427 | ||||
Avg Charges at DRG | $218,292 | ||||
Avg Charges with ICD M4804 - Spinal stenosis, thoracic region | $223,627 | ||||
Mortality Rate at DRG | 0.1 | ||||
Mortality Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | ||||
SNF Discharge Rate at DRG | 28.37 | ||||
SNF Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 22.56 | ||||
Home Discharge Rate at DRG | 23.93 | ||||
Home Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 18.05 |
*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 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 30,121 | ||||
Total Hospitalizations with ICD M4804 - Spinal stenosis, thoracic region | 72 | ||||
DRG Share of Total Hospitalizations | 0.09 | ||||
% of Total ICD M4804 - Spinal stenosis, thoracic region in DRG | 2.27 | ||||
Avg LOS at DRG | 4.83 | ||||
Avg LOS with ICD M4804 - Spinal stenosis, thoracic region | 5.9 | ||||
Readmission Rate at DRG | 25.27 | ||||
Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 38.81 | ||||
Unplanned Readmission Rate at DRG | 5.39 | ||||
Unplanned Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | ||||
Total Medicare payments at DRG | $1,452,399,208 | ||||
Total Medicare payments with ICD M4804 - Spinal stenosis, thoracic region | $3,697,017 | ||||
Total Medicare payment per Day at DRG | $9,984 | ||||
Total Medicare payment per Day with ICD M4804 - Spinal stenosis, thoracic region | $8,699 | ||||
Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
Total Medicare payment per Hospitalization with ICD M4804 - Spinal stenosis, thoracic region | $51,347 | ||||
Total Medicare Charges at DRG | $6,527,772,651 | ||||
Total Medicare Charges with ICD M4804 - Spinal stenosis, thoracic region | $18,173,445 | ||||
Avg Charges at DRG | $216,718 | ||||
Avg Charges with ICD M4804 - Spinal stenosis, thoracic region | $252,409 | ||||
Mortality Rate at DRG | 0.06 | ||||
Mortality Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | ||||
SNF Discharge Rate at DRG | 21.6 | ||||
SNF Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 27.78 | ||||
Home Discharge Rate at DRG | 38.16 | ||||
Home Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 20.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|
Total Hospitalizations at DRG | 50,167 | |
Total Hospitalizations with ICD M4804 - Spinal stenosis, thoracic region | 15 | |
DRG Share of Total Hospitalizations | 0.15 | |
% of Total ICD M4804 - Spinal stenosis, thoracic region in DRG | 0.47 | |
Avg LOS at DRG | 3.11 | |
Avg LOS with ICD M4804 - Spinal stenosis, thoracic region | 4.33 | |
Readmission Rate at DRG | 19.37 | |
Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | |
Unplanned Readmission Rate at DRG | 5.26 | |
Unplanned Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | |
Total Medicare payments at DRG | $899,179,360 | |
Total Medicare payments with ICD M4804 - Spinal stenosis, thoracic region | $330,579 | |
Total Medicare payment per Day at DRG | $5,763 | |
Total Medicare payment per Day with ICD M4804 - Spinal stenosis, thoracic region | $5,086 | |
Total Medicare payment per Hospitalization at DRG | $17,924 | |
Total Medicare payment per Hospitalization with ICD M4804 - Spinal stenosis, thoracic region | $22,039 | |
Total Medicare Charges at DRG | $4,767,802,860 | |
Total Medicare Charges with ICD M4804 - Spinal stenosis, thoracic region | $1,996,712 | |
Avg Charges at DRG | $95,039 | |
Avg Charges with ICD M4804 - Spinal stenosis, thoracic region | $133,114 | |
Mortality Rate at DRG | 0.06 | |
Mortality Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | |
SNF Discharge Rate at DRG | 11.73 | |
SNF Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | |
Home Discharge Rate at DRG | 60.19 | |
Home Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 26 |
THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 20 |
UNIVERSITY OF VIRGINIA HEALTH SYSTEM UNIVERSITY HOSPITAL | 1215 LEE ST PFS | CHARLOTTESVILLE | VA | 22908 | 18 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOHN MICHAEL SIMPSON | 1501 MAPLE AVE | RICHMOND | VA | 23226 | 12 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOHN MICHAEL SIMPSON | 1501 MAPLE AVE | RICHMOND | VA | 23226 | 12 |
*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 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 215,355 | ||||
Total Hospitalizations with ICD M4804 - Spinal stenosis, thoracic region | 3,177 | ||||
DRG Share of Total Hospitalizations | 0.66 | ||||
% of Total ICD M4804 - Spinal stenosis, thoracic region in DRG | 13.55 | ||||
Avg LOS at DRG | 3.28 | ||||
Avg LOS with ICD M4804 - Spinal stenosis, thoracic region | 5.11 | ||||
Readmission Rate at DRG | 16.7 | ||||
Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 34.85 | ||||
Unplanned Readmission Rate at DRG | 4.47 | ||||
Unplanned Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 6.06 | ||||
Total Medicare payments at DRG | $5,278,830,730 | ||||
Total Medicare payments with ICD M4804 - Spinal stenosis, thoracic region | $86,802,456 | ||||
Total Medicare payment per Day at DRG | $7,462 | ||||
Total Medicare payment per Day with ICD M4804 - Spinal stenosis, thoracic region | $5,348 | ||||
Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
Total Medicare payment per Hospitalization with ICD M4804 - Spinal stenosis, thoracic region | $27,322 | ||||
Total Medicare Charges at DRG | $25,567,888,167 | ||||
Total Medicare Charges with ICD M4804 - Spinal stenosis, thoracic region | $463,657,741 | ||||
Avg Charges at DRG | $118,724 | ||||
Avg Charges with ICD M4804 - Spinal stenosis, thoracic region | $145,942 | ||||
Mortality Rate at DRG | 0.03 | ||||
Mortality Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | ||||
SNF Discharge Rate at DRG | 15.71 | ||||
SNF Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 27.64 | ||||
Home Discharge Rate at DRG | 51.89 | ||||
Home Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 28.36 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 16,812 | ||||
Total Hospitalizations with ICD M4804 - Spinal stenosis, thoracic region | 653 | ||||
DRG Share of Total Hospitalizations | 0.05 | ||||
% of Total ICD M4804 - Spinal stenosis, thoracic region in DRG | 2.78 | ||||
Avg LOS at DRG | 7.66 | ||||
Avg LOS with ICD M4804 - Spinal stenosis, thoracic region | 10.0 | ||||
Readmission Rate at DRG | 36.82 | ||||
Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 53.85 | ||||
Unplanned Readmission Rate at DRG | 8.15 | ||||
Unplanned Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 10.26 | ||||
Total Medicare payments at DRG | $685,730,928 | ||||
Total Medicare payments with ICD M4804 - Spinal stenosis, thoracic region | $29,079,584 | ||||
Total Medicare payment per Day at DRG | $5,325 | ||||
Total Medicare payment per Day with ICD M4804 - Spinal stenosis, thoracic region | $4,451 | ||||
Total Medicare payment per Hospitalization at DRG | $40,788 | ||||
Total Medicare payment per Hospitalization with ICD M4804 - Spinal stenosis, thoracic region | $44,532 | ||||
Total Medicare Charges at DRG | $3,152,175,405 | ||||
Total Medicare Charges with ICD M4804 - Spinal stenosis, thoracic region | $140,930,508 | ||||
Avg Charges at DRG | $187,496 | ||||
Avg Charges with ICD M4804 - Spinal stenosis, thoracic region | $215,820 | ||||
Mortality Rate at DRG | 2.12 | ||||
Mortality Rate with ICD M4804 - Spinal stenosis, thoracic region | 1.84 | ||||
SNF Discharge Rate at DRG | 31.97 | ||||
SNF Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 36.6 | ||||
Home Discharge Rate at DRG | 20.62 | ||||
Home Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 9.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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 | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 45,626 | ||||
Total Hospitalizations with ICD M4804 - Spinal stenosis, thoracic region | 469 | ||||
DRG Share of Total Hospitalizations | 0.14 | ||||
% of Total ICD M4804 - Spinal stenosis, thoracic region in DRG | 2.0 | ||||
Avg LOS at DRG | 6.58 | ||||
Avg LOS with ICD M4804 - Spinal stenosis, thoracic region | 8.14 | ||||
Readmission Rate at DRG | 28.01 | ||||
Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 33.98 | ||||
Unplanned Readmission Rate at DRG | 15.44 | ||||
Unplanned Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 19.04 | ||||
Total Medicare payments at DRG | $509,048,598 | ||||
Total Medicare payments with ICD M4804 - Spinal stenosis, thoracic region | $6,083,509 | ||||
Total Medicare payment per Day at DRG | $1,696 | ||||
Total Medicare payment per Day with ICD M4804 - Spinal stenosis, thoracic region | $1,593 | ||||
Total Medicare payment per Hospitalization at DRG | $11,157 | ||||
Total Medicare payment per Hospitalization with ICD M4804 - Spinal stenosis, thoracic region | $12,971 | ||||
Total Medicare Charges at DRG | $2,333,825,338 | ||||
Total Medicare Charges with ICD M4804 - Spinal stenosis, thoracic region | $28,182,724 | ||||
Avg Charges at DRG | $51,151 | ||||
Avg Charges with ICD M4804 - Spinal stenosis, thoracic region | $60,091 | ||||
Mortality Rate at DRG | 4.28 | ||||
Mortality Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | ||||
SNF Discharge Rate at DRG | 39.84 | ||||
SNF Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 40.09 | ||||
Home Discharge Rate at DRG | 18.35 | ||||
Home Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 16.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 188,863 | ||||
Total Hospitalizations with ICD M4804 - Spinal stenosis, thoracic region | 318 | ||||
DRG Share of Total Hospitalizations | 0.57 | ||||
% of Total ICD M4804 - Spinal stenosis, thoracic region in DRG | 1.36 | ||||
Avg LOS at DRG | 11.75 | ||||
Avg LOS with ICD M4804 - Spinal stenosis, thoracic region | 12.83 | ||||
Readmission Rate at DRG | 12.14 | ||||
Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 15.5 | ||||
Unplanned Readmission Rate at DRG | 7.97 | ||||
Unplanned Readmission Rate with ICD M4804 - Spinal stenosis, thoracic region | 12.55 | ||||
Total Medicare payments at DRG | $3,216,901,374 | ||||
Total Medicare payments with ICD M4804 - Spinal stenosis, thoracic region | $6,343,451 | ||||
Total Medicare payment per Day at DRG | $1,450 | ||||
Total Medicare payment per Day with ICD M4804 - Spinal stenosis, thoracic region | $1,554 | ||||
Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
Total Medicare payment per Hospitalization with ICD M4804 - Spinal stenosis, thoracic region | $19,948 | ||||
Total Medicare Charges at DRG | $7,709,712,645 | ||||
Total Medicare Charges with ICD M4804 - Spinal stenosis, thoracic region | $16,435,480 | ||||
Avg Charges at DRG | $40,822 | ||||
Avg Charges with ICD M4804 - Spinal stenosis, thoracic region | $51,684 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD M4804 - Spinal stenosis, thoracic region | NA | ||||
SNF Discharge Rate at DRG | 19.54 | ||||
SNF Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 18.24 | ||||
Home Discharge Rate at DRG | 19.47 | ||||
Home Discharge Rate with ICD M4804 - Spinal stenosis, thoracic region | 23.9 |
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 | 156 |
BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 134 |
RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 125 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JENS R CHAPMAN | 325 9TH AVE | SEATTLE | WA | 98104 | 35 |
Dr. STEPHEN PAUL KALHORN | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 28 |
Dr. GARRY M BANKS | 8232 HIGHWAY 65 NE | SPRING LAKE PARK | MN | 55432 | 28 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JENS R CHAPMAN | 325 9TH AVE | SEATTLE | WA | 98104 | 37 |
Dr. STEPHEN PAUL KALHORN | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 31 |
Dr. JOHN MICHAEL SIMPSON | 1501 MAPLE AVE | RICHMOND | VA | 23226 | 27 |