*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
ICD Code | ICD Description | Total National Projected Hospitalizations - Annualized (Present on Admission - All) | Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | Total Medicare Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
M4806 | Spinal stenosis, lumbar region | 5.51 | |||||||||||||
M48061 | Spinal stenosis, lumbar region without neurogenic claudication | 6.04 | |||||||||||||
M48062 | Spinal stenosis, lumbar region with neurogenic claudication | 4.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
ICD Code | ICD Description | 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 Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
M4806 | Spinal stenosis, lumbar region | 4.84 | 20.46 | ||||||||||||||||
M48061 | Spinal stenosis, lumbar region without neurogenic claudication | 4.99 | 21.15 | ||||||||||||||||
M48062 | Spinal stenosis, lumbar region with neurogenic claudication | 3.94 | 18.15 |
*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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 215,355 | ||||
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region | 52,042 | ||||
DRG Share of Total Hospitalizations | 0.66 | ||||
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG | 46.02 | ||||
Avg LOS at DRG | 3.28 | ||||
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region | 3.27 | ||||
Readmission Rate at DRG | 16.7 | ||||
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 16.43 | ||||
Unplanned Readmission Rate at DRG | 4.47 | ||||
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 4.51 | ||||
Total Medicare payments at DRG | $5,278,830,730 | ||||
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region | $1,262,607,632 | ||||
Total Medicare payment per Day at DRG | $7,462 | ||||
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region | $7,425 | ||||
Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region | $24,261 | ||||
Total Medicare Charges at DRG | $25,567,888,167 | ||||
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region | $5,871,142,187 | ||||
Avg Charges at DRG | $118,724 | ||||
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region | $112,815 | ||||
Mortality Rate at DRG | 0.03 | ||||
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region | 0.03 | ||||
SNF Discharge Rate at DRG | 15.71 | ||||
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 17.37 | ||||
Home Discharge Rate at DRG | 51.89 | ||||
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 50.27 |
*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 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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 42,559 | ||||
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region | 5,630 | ||||
DRG Share of Total Hospitalizations | 0.13 | ||||
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG | 4.98 | ||||
Avg LOS at DRG | 4.67 | ||||
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region | 3.47 | ||||
Readmission Rate at DRG | 23.96 | ||||
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 21.85 | ||||
Unplanned Readmission Rate at DRG | 9.89 | ||||
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 5.75 | ||||
Total Medicare payments at DRG | $524,182,097 | ||||
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region | $67,947,022 | ||||
Total Medicare payment per Day at DRG | $2,636 | ||||
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region | $3,475 | ||||
Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region | $12,069 | ||||
Total Medicare Charges at DRG | $2,765,571,309 | ||||
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region | $303,590,745 | ||||
Avg Charges at DRG | $64,982 | ||||
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region | $53,924 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 33.62 | ||||
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 20.92 | ||||
Home Discharge Rate at DRG | 31.52 | ||||
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 43.04 |
*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 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH 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 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 | 45,626 | ||||
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region | 2,137 | ||||
DRG Share of Total Hospitalizations | 0.14 | ||||
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG | 1.89 | ||||
Avg LOS at DRG | 6.58 | ||||
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region | 7.43 | ||||
Readmission Rate at DRG | 28.01 | ||||
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 28.04 | ||||
Unplanned Readmission Rate at DRG | 15.44 | ||||
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 14.87 | ||||
Total Medicare payments at DRG | $509,048,598 | ||||
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region | $25,449,741 | ||||
Total Medicare payment per Day at DRG | $1,696 | ||||
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region | $1,603 | ||||
Total Medicare payment per Hospitalization at DRG | $11,157 | ||||
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region | $11,909 | ||||
Total Medicare Charges at DRG | $2,333,825,338 | ||||
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region | $101,500,900 | ||||
Avg Charges at DRG | $51,151 | ||||
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region | $47,497 | ||||
Mortality Rate at DRG | 4.28 | ||||
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region | 1.64 | ||||
SNF Discharge Rate at DRG | 39.84 | ||||
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 36.03 | ||||
Home Discharge Rate at DRG | 18.35 | ||||
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 21.57 |
*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 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS 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 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 5,040 | ||||
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region | 178 | ||||
DRG Share of Total Hospitalizations | 0.02 | ||||
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG | 0.16 | ||||
Avg LOS at DRG | 11.53 | ||||
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region | 8.77 | ||||
Readmission Rate at DRG | 51.77 | ||||
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 46.82 | ||||
Unplanned Readmission Rate at DRG | 11.61 | ||||
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 12.14 | ||||
Total Medicare payments at DRG | $358,064,249 | ||||
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region | $12,886,449 | ||||
Total Medicare payment per Day at DRG | $6,161 | ||||
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region | $8,255 | ||||
Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region | $72,396 | ||||
Total Medicare Charges at DRG | $1,557,634,832 | ||||
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region | $51,361,853 | ||||
Avg Charges at DRG | $309,055 | ||||
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region | $288,550 | ||||
Mortality Rate at DRG | 3.35 | ||||
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 36.57 | ||||
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 37.64 | ||||
Home Discharge Rate at DRG | 9.72 | ||||
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 12.92 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 862 |
HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 730 |
SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY | 2011 MURPHY AVENUE | NASHVILLE | TN | 37203 | 501 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. CHRISTOPHER ROBERT BROWN | 40 DUKE MEDICINE CIR | DURHAM | NC | 27710 | 187 |
Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 170 |
Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 163 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. CHRISTOPHER ROBERT BROWN | 40 DUKE MEDICINE CIR | DURHAM | NC | 27710 | 187 |
Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 170 |
Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 158 |
*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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 215,355 | ||||
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region | 99,770 | ||||
DRG Share of Total Hospitalizations | 0.66 | ||||
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG | 26.61 | ||||
Avg LOS at DRG | 3.28 | ||||
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region | 3.26 | ||||
Readmission Rate at DRG | 16.7 | ||||
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 16.35 | ||||
Unplanned Readmission Rate at DRG | 4.47 | ||||
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 4.42 | ||||
Total Medicare payments at DRG | $5,278,830,730 | ||||
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region | $2,424,527,563 | ||||
Total Medicare payment per Day at DRG | $7,462 | ||||
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region | $7,443 | ||||
Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region | $24,301 | ||||
Total Medicare Charges at DRG | $25,567,888,167 | ||||
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region | $11,462,101,443 | ||||
Avg Charges at DRG | $118,724 | ||||
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region | $114,885 | ||||
Mortality Rate at DRG | 0.03 | ||||
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region | 0.03 | ||||
SNF Discharge Rate at DRG | 15.71 | ||||
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 16.61 | ||||
Home Discharge Rate at DRG | 51.89 | ||||
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 51.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 | 26,458 | ||||
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region | 9,307 | ||||
DRG Share of Total Hospitalizations | 0.08 | ||||
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG | 2.48 | ||||
Avg LOS at DRG | 3.91 | ||||
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region | 3.74 | ||||
Readmission Rate at DRG | 24.53 | ||||
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 22.68 | ||||
Unplanned Readmission Rate at DRG | 6.06 | ||||
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 5.87 | ||||
Total Medicare payments at DRG | $282,780,660 | ||||
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region | $95,246,094 | ||||
Total Medicare payment per Day at DRG | $2,732 | ||||
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region | $2,737 | ||||
Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region | $10,234 | ||||
Total Medicare Charges at DRG | $1,744,158,849 | ||||
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region | $568,046,097 | ||||
Avg Charges at DRG | $65,922 | ||||
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region | $61,034 | ||||
Mortality Rate at DRG | 0.09 | ||||
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 19.7 | ||||
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 20.04 | ||||
Home Discharge Rate at DRG | 44.06 | ||||
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 45.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS 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 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 30,121 | ||||
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region | 5,909 | ||||
DRG Share of Total Hospitalizations | 0.09 | ||||
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG | 1.58 | ||||
Avg LOS at DRG | 4.83 | ||||
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region | 5.04 | ||||
Readmission Rate at DRG | 25.27 | ||||
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 25.49 | ||||
Unplanned Readmission Rate at DRG | 5.39 | ||||
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 5.25 | ||||
Total Medicare payments at DRG | $1,452,399,208 | ||||
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region | $327,649,556 | ||||
Total Medicare payment per Day at DRG | $9,984 | ||||
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region | $10,996 | ||||
Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region | $55,449 | ||||
Total Medicare Charges at DRG | $6,527,772,651 | ||||
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region | $1,507,243,533 | ||||
Avg Charges at DRG | $216,718 | ||||
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region | $255,076 | ||||
Mortality Rate at DRG | 0.06 | ||||
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 21.6 | ||||
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 24.0 | ||||
Home Discharge Rate at DRG | 38.16 | ||||
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 34.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/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 | 474,314 | ||||
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region | 3,333 | ||||
DRG Share of Total Hospitalizations | 1.44 | ||||
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG | 0.89 | ||||
Avg LOS at DRG | 3.53 | ||||
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region | 3.98 | ||||
Readmission Rate at DRG | 18.03 | ||||
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 18.56 | ||||
Unplanned Readmission Rate at DRG | 12.55 | ||||
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region | 11.72 | ||||
Total Medicare payments at DRG | $2,312,733,090 | ||||
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region | $16,363,837 | ||||
Total Medicare payment per Day at DRG | $1,380 | ||||
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region | $1,233 | ||||
Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region | $4,910 | ||||
Total Medicare Charges at DRG | $11,559,952,314 | ||||
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region | $94,246,351 | ||||
Avg Charges at DRG | $24,372 | ||||
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region | $28,277 | ||||
Mortality Rate at DRG | 0.22 | ||||
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 25.96 | ||||
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 33.72 | ||||
Home Discharge Rate at DRG | 43.58 | ||||
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region | 32.52 |
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 | 1,888 |
ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 1,503 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,292 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 322 |
Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 239 |
Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 238 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 317 |
Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 238 |
Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 233 |