*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4805 - Spinal stenosis, thoracolumbar region - as a primary diagnosis code | M4805 - Spinal stenosis, thoracolumbar region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.61 | |
| Readmission Rate (%) | 31.55 | |
| Unplanned Readmission Rate (%) | 7.04 | |
| 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 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 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 M4805 - Spinal stenosis, thoracolumbar region | 462 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4805 - Spinal stenosis, thoracolumbar region in DRG | 32.88 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4805 - Spinal stenosis, thoracolumbar region | 4.6 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 32.52 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 6.19 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4805 - Spinal stenosis, thoracolumbar region | $13,209,048 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4805 - Spinal stenosis, thoracolumbar region | $6,216 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4805 - Spinal stenosis, thoracolumbar region | $28,591 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $66,817,260 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $144,626 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 25.54 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 29.22 |
*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) | 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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | ||||
| Total Hospitalizations with ICD M4805 - Spinal stenosis, thoracolumbar region | 67 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M4805 - Spinal stenosis, thoracolumbar region in DRG | 4.77 | ||||
| Avg LOS at DRG | 4.67 | ||||
| Avg LOS with ICD M4805 - Spinal stenosis, thoracolumbar region | 4.07 | ||||
| Readmission Rate at DRG | 23.96 | ||||
| Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 30.3 | ||||
| Unplanned Readmission Rate at DRG | 9.89 | ||||
| Unplanned Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA | ||||
| Total Medicare payments at DRG | $524,182,097 | ||||
| Total Medicare payments with ICD M4805 - Spinal stenosis, thoracolumbar region | $721,291 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD M4805 - Spinal stenosis, thoracolumbar region | $2,642 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
| Total Medicare payment per Hospitalization with ICD M4805 - Spinal stenosis, thoracolumbar region | $10,766 | ||||
| Total Medicare Charges at DRG | $2,765,571,309 | ||||
| Total Medicare Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $3,709,286 | ||||
| Avg Charges at DRG | $64,982 | ||||
| Avg Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $55,362 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA | ||||
| SNF Discharge Rate at DRG | 33.62 | ||||
| SNF Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 26.87 | ||||
| Home Discharge Rate at DRG | 31.52 | ||||
| Home Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 31.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS 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 | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 | 5,040 | ||||
| Total Hospitalizations with ICD M4805 - Spinal stenosis, thoracolumbar region | 27 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M4805 - Spinal stenosis, thoracolumbar region in DRG | 1.92 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD M4805 - Spinal stenosis, thoracolumbar region | 10.7 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 68.0 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA | ||||
| Total Medicare payments at DRG | $358,064,249 | ||||
| Total Medicare payments with ICD M4805 - Spinal stenosis, thoracolumbar region | $1,830,387 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD M4805 - Spinal stenosis, thoracolumbar region | $6,334 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD M4805 - Spinal stenosis, thoracolumbar region | $67,792 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $8,374,289 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $310,159 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar 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 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 16,044 |
| Total Hospitalizations with ICD M4805 - Spinal stenosis, thoracolumbar region | 11 |
| DRG Share of Total Hospitalizations | 0.05 |
| % of Total ICD M4805 - Spinal stenosis, thoracolumbar region in DRG | 0.78 |
| Avg LOS at DRG | 8.82 |
| Avg LOS with ICD M4805 - Spinal stenosis, thoracolumbar region | 8.82 |
| Readmission Rate at DRG | 32.29 |
| Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA |
| Unplanned Readmission Rate at DRG | 14.96 |
| Unplanned Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA |
| Total Medicare payments at DRG | $336,031,207 |
| Total Medicare payments with ICD M4805 - Spinal stenosis, thoracolumbar region | $237,813 |
| Total Medicare payment per Day at DRG | $2,375 |
| Total Medicare payment per Day with ICD M4805 - Spinal stenosis, thoracolumbar region | $2,452 |
| Total Medicare payment per Hospitalization at DRG | $20,944 |
| Total Medicare payment per Hospitalization with ICD M4805 - Spinal stenosis, thoracolumbar region | $21,619 |
| Total Medicare Charges at DRG | $1,654,393,936 |
| Total Medicare Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $1,818,727 |
| Avg Charges at DRG | $103,116 |
| Avg Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $165,339 |
| Mortality Rate at DRG | 2.56 |
| Mortality Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA |
| SNF Discharge Rate at DRG | 40.52 |
| SNF Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA |
| Home Discharge Rate at DRG | 19.02 |
| Home Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEW ENGLAND BAPTIST HOSPITAL | 125 PARKER HILL AVE | ROXBURY CROSSING | MA | 02120 | 21 |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 16 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT 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 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M4805 - Spinal stenosis, thoracolumbar region | 1,122 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4805 - Spinal stenosis, thoracolumbar region in DRG | 19.11 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4805 - Spinal stenosis, thoracolumbar region | 4.68 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 29.37 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 6.26 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4805 - Spinal stenosis, thoracolumbar region | $31,378,862 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4805 - Spinal stenosis, thoracolumbar region | $5,978 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4805 - Spinal stenosis, thoracolumbar region | $27,967 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $162,968,936 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $145,249 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 27.36 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 30.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,040 | ||||
| Total Hospitalizations with ICD M4805 - Spinal stenosis, thoracolumbar region | 172 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M4805 - Spinal stenosis, thoracolumbar region in DRG | 2.93 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD M4805 - Spinal stenosis, thoracolumbar region | 10.67 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 54.6 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 7.98 | ||||
| Total Medicare payments at DRG | $358,064,249 | ||||
| Total Medicare payments with ICD M4805 - Spinal stenosis, thoracolumbar region | $12,172,125 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD M4805 - Spinal stenosis, thoracolumbar region | $6,633 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD M4805 - Spinal stenosis, thoracolumbar region | $70,768 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $54,732,015 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $318,209 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 40.12 | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar 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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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) | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,362 | ||||
| Total Hospitalizations with ICD M4805 - Spinal stenosis, thoracolumbar region | 106 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M4805 - Spinal stenosis, thoracolumbar region in DRG | 1.81 | ||||
| Avg LOS at DRG | 10.04 | ||||
| Avg LOS with ICD M4805 - Spinal stenosis, thoracolumbar region | 11.28 | ||||
| Readmission Rate at DRG | 45.05 | ||||
| Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 45.45 | ||||
| Unplanned Readmission Rate at DRG | 8.78 | ||||
| Unplanned Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 11.11 | ||||
| Total Medicare payments at DRG | $550,960,642 | ||||
| Total Medicare payments with ICD M4805 - Spinal stenosis, thoracolumbar region | $8,979,810 | ||||
| Total Medicare payment per Day at DRG | $7,454 | ||||
| Total Medicare payment per Day with ICD M4805 - Spinal stenosis, thoracolumbar region | $7,508 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,838 | ||||
| Total Medicare payment per Hospitalization with ICD M4805 - Spinal stenosis, thoracolumbar region | $84,715 | ||||
| Total Medicare Charges at DRG | $2,482,391,111 | ||||
| Total Medicare Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $48,105,393 | ||||
| Avg Charges at DRG | $337,190 | ||||
| Avg Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $453,824 | ||||
| Mortality Rate at DRG | 2.55 | ||||
| Mortality Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA | ||||
| SNF Discharge Rate at DRG | 31.16 | ||||
| SNF Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 44.34 | ||||
| Home Discharge Rate at DRG | 16.07 | ||||
| Home Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar 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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,430 | ||||
| Total Hospitalizations with ICD M4805 - Spinal stenosis, thoracolumbar region | 76 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M4805 - Spinal stenosis, thoracolumbar region in DRG | 1.29 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD M4805 - Spinal stenosis, thoracolumbar region | 4.21 | ||||
| Readmission Rate at DRG | 12.68 | ||||
| Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 32.0 | ||||
| Unplanned Readmission Rate at DRG | 3.54 | ||||
| Unplanned Readmission Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA | ||||
| Total Medicare payments at DRG | $1,036,333,247 | ||||
| Total Medicare payments with ICD M4805 - Spinal stenosis, thoracolumbar region | $3,072,028 | ||||
| Total Medicare payment per Day at DRG | $11,506 | ||||
| Total Medicare payment per Day with ICD M4805 - Spinal stenosis, thoracolumbar region | $9,600 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,056 | ||||
| Total Medicare payment per Hospitalization with ICD M4805 - Spinal stenosis, thoracolumbar region | $40,421 | ||||
| Total Medicare Charges at DRG | $4,847,184,577 | ||||
| Total Medicare Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $17,355,510 | ||||
| Avg Charges at DRG | $159,290 | ||||
| Avg Charges with ICD M4805 - Spinal stenosis, thoracolumbar region | $228,362 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | NA | ||||
| SNF Discharge Rate at DRG | 11.74 | ||||
| SNF Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 21.05 | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD M4805 - Spinal stenosis, thoracolumbar region | 39.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 45 |
| NEW ENGLAND BAPTIST HOSPITAL | 125 PARKER HILL AVE | ROXBURY CROSSING | MA | 02120 | 43 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AKHIL J. KHANNA | 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 18 |
| Dr. HOOMAN FRANCIS FARHADI | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 14 |
| Dr. BRENT A FELIX | 1160 E 3900 S | SALT LAKE CITY | UT | 84124 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AKHIL J. KHANNA | 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 18 |
| Dr. ALEXANDER HUGHES | 535 E 70TH ST | NEW YORK | NY | 10021 | 15 |
| Dr. HOOMAN FRANCIS FARHADI | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 14 |