*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M48062 - Spinal stenosis, lumbar region with neurogenic claudication - as a primary diagnosis code | M48062 - Spinal stenosis, lumbar region with neurogenic claudication - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 3.94 | |
Readmission Rate (%) | 18.15 | |
Unplanned Readmission Rate (%) | 4.92 | |
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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 215,355 | ||||
Total Hospitalizations with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 11,125 | ||||
DRG Share of Total Hospitalizations | 0.66 | ||||
% of Total ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication in DRG | 36.02 | ||||
Avg LOS at DRG | 3.28 | ||||
Avg LOS with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 3.22 | ||||
Readmission Rate at DRG | 16.7 | ||||
Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 16.76 | ||||
Unplanned Readmission Rate at DRG | 4.47 | ||||
Unplanned Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 4.59 | ||||
Total Medicare payments at DRG | $5,278,830,730 | ||||
Total Medicare payments with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $276,473,863 | ||||
Total Medicare payment per Day at DRG | $7,462 | ||||
Total Medicare payment per Day with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $7,707 | ||||
Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
Total Medicare payment per Hospitalization with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $24,852 | ||||
Total Medicare Charges at DRG | $25,567,888,167 | ||||
Total Medicare Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $1,274,596,991 | ||||
Avg Charges at DRG | $118,724 | ||||
Avg Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $114,571 | ||||
Mortality Rate at DRG | 0.03 | ||||
Mortality Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | NA | ||||
SNF Discharge Rate at DRG | 15.71 | ||||
SNF Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 16.59 | ||||
Home Discharge Rate at DRG | 51.89 | ||||
Home Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 49.66 |
*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 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 30,062 | ||||
Total Hospitalizations with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 1,847 | ||||
DRG Share of Total Hospitalizations | 0.09 | ||||
% of Total ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication in DRG | 5.98 | ||||
Avg LOS at DRG | 2.14 | ||||
Avg LOS with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 2.05 | ||||
Readmission Rate at DRG | 11.6 | ||||
Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 12.21 | ||||
Unplanned Readmission Rate at DRG | 3.9 | ||||
Unplanned Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 4.13 | ||||
Total Medicare payments at DRG | $199,571,619 | ||||
Total Medicare payments with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $13,287,489 | ||||
Total Medicare payment per Day at DRG | $3,102 | ||||
Total Medicare payment per Day with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $3,512 | ||||
Total Medicare payment per Hospitalization at DRG | $6,639 | ||||
Total Medicare payment per Hospitalization with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $7,194 | ||||
Total Medicare Charges at DRG | $1,429,977,155 | ||||
Total Medicare Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $90,414,780 | ||||
Avg Charges at DRG | $47,568 | ||||
Avg Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $48,952 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | NA | ||||
SNF Discharge Rate at DRG | 8.82 | ||||
SNF Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 9.64 | ||||
Home Discharge Rate at DRG | 68.77 | ||||
Home Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 66.54 |
*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 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS 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 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 | 7,362 | ||||
Total Hospitalizations with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 444 | ||||
DRG Share of Total Hospitalizations | 0.02 | ||||
% of Total ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication in DRG | 1.44 | ||||
Avg LOS at DRG | 10.04 | ||||
Avg LOS with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 7.16 | ||||
Readmission Rate at DRG | 45.05 | ||||
Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 33.51 | ||||
Unplanned Readmission Rate at DRG | 8.78 | ||||
Unplanned Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 7.27 | ||||
Total Medicare payments at DRG | $550,960,642 | ||||
Total Medicare payments with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $28,882,866 | ||||
Total Medicare payment per Day at DRG | $7,454 | ||||
Total Medicare payment per Day with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $9,086 | ||||
Total Medicare payment per Hospitalization at DRG | $74,838 | ||||
Total Medicare payment per Hospitalization with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $65,052 | ||||
Total Medicare Charges at DRG | $2,482,391,111 | ||||
Total Medicare Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $111,065,355 | ||||
Avg Charges at DRG | $337,190 | ||||
Avg Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $250,147 | ||||
Mortality Rate at DRG | 2.55 | ||||
Mortality Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | NA | ||||
SNF Discharge Rate at DRG | 31.16 | ||||
SNF Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 31.98 | ||||
Home Discharge Rate at DRG | 16.07 | ||||
Home Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 18.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 11,926 | ||||
Total Hospitalizations with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 77 | ||||
DRG Share of Total Hospitalizations | 0.04 | ||||
% of Total ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication in DRG | 0.25 | ||||
Avg LOS at DRG | 2.83 | ||||
Avg LOS with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 1.79 | ||||
Readmission Rate at DRG | 11.81 | ||||
Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | NA | ||||
Unplanned Readmission Rate at DRG | 4.21 | ||||
Unplanned Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | NA | ||||
Total Medicare payments at DRG | $83,897,096 | ||||
Total Medicare payments with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $463,905 | ||||
Total Medicare payment per Day at DRG | $2,482 | ||||
Total Medicare payment per Day with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $3,362 | ||||
Total Medicare payment per Hospitalization at DRG | $7,035 | ||||
Total Medicare payment per Hospitalization with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $6,025 | ||||
Total Medicare Charges at DRG | $520,541,143 | ||||
Total Medicare Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $2,806,320 | ||||
Avg Charges at DRG | $43,648 | ||||
Avg Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $36,446 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | NA | ||||
SNF Discharge Rate at DRG | 23.87 | ||||
SNF Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | NA | ||||
Home Discharge Rate at DRG | 46.55 | ||||
Home Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 85.71 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 414 |
HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 310 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 179 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MILAN B HERCEG | 4605 SAWMILL RD | UPPER ARLINGTON | OH | 43220 | 113 |
Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 112 |
Dr. DAVID W BECK | 1010 4TH ST SW | MASON CITY | IA | 50401 | 98 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 112 |
Dr. MILAN B HERCEG | 4605 SAWMILL RD | UPPER ARLINGTON | OH | 43220 | 103 |
Dr. DAVID W BECK | 1010 4TH ST SW | MASON CITY | IA | 50401 | 96 |
*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 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) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 16,534 | ||||
DRG Share of Total Hospitalizations | 0.66 | ||||
% of Total ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication in DRG | 31.72 | ||||
Avg LOS at DRG | 3.28 | ||||
Avg LOS with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 3.18 | ||||
Readmission Rate at DRG | 16.7 | ||||
Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 16.42 | ||||
Unplanned Readmission Rate at DRG | 4.47 | ||||
Unplanned Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 4.35 | ||||
Total Medicare payments at DRG | $5,278,830,730 | ||||
Total Medicare payments with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $409,880,650 | ||||
Total Medicare payment per Day at DRG | $7,462 | ||||
Total Medicare payment per Day with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $7,794 | ||||
Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
Total Medicare payment per Hospitalization with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $24,790 | ||||
Total Medicare Charges at DRG | $25,567,888,167 | ||||
Total Medicare Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $1,913,758,577 | ||||
Avg Charges at DRG | $118,724 | ||||
Avg Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $115,747 | ||||
Mortality Rate at DRG | 0.03 | ||||
Mortality Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | NA | ||||
SNF Discharge Rate at DRG | 15.71 | ||||
SNF Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 16.11 | ||||
Home Discharge Rate at DRG | 51.89 | ||||
Home Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 50.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 30,062 | ||||
Total Hospitalizations with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 2,356 | ||||
DRG Share of Total Hospitalizations | 0.09 | ||||
% of Total ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication in DRG | 4.52 | ||||
Avg LOS at DRG | 2.14 | ||||
Avg LOS with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 2.03 | ||||
Readmission Rate at DRG | 11.6 | ||||
Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 12.07 | ||||
Unplanned Readmission Rate at DRG | 3.9 | ||||
Unplanned Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 4.04 | ||||
Total Medicare payments at DRG | $199,571,619 | ||||
Total Medicare payments with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $16,786,390 | ||||
Total Medicare payment per Day at DRG | $3,102 | ||||
Total Medicare payment per Day with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $3,506 | ||||
Total Medicare payment per Hospitalization at DRG | $6,639 | ||||
Total Medicare payment per Hospitalization with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $7,125 | ||||
Total Medicare Charges at DRG | $1,429,977,155 | ||||
Total Medicare Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $115,086,654 | ||||
Avg Charges at DRG | $47,568 | ||||
Avg Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $48,848 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | NA | ||||
SNF Discharge Rate at DRG | 8.82 | ||||
SNF Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 9.76 | ||||
Home Discharge Rate at DRG | 68.77 | ||||
Home Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 66.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
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) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 10,719 | ||||
Total Hospitalizations with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 660 | ||||
DRG Share of Total Hospitalizations | 0.03 | ||||
% of Total ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication in DRG | 1.27 | ||||
Avg LOS at DRG | 5.2 | ||||
Avg LOS with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 4.62 | ||||
Readmission Rate at DRG | 25.61 | ||||
Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 25.08 | ||||
Unplanned Readmission Rate at DRG | 7.39 | ||||
Unplanned Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 7.98 | ||||
Total Medicare payments at DRG | $197,788,916 | ||||
Total Medicare payments with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $12,299,534 | ||||
Total Medicare payment per Day at DRG | $3,550 | ||||
Total Medicare payment per Day with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $4,031 | ||||
Total Medicare payment per Hospitalization at DRG | $18,452 | ||||
Total Medicare payment per Hospitalization with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $18,636 | ||||
Total Medicare Charges at DRG | $1,072,900,890 | ||||
Total Medicare Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $65,493,568 | ||||
Avg Charges at DRG | $100,093 | ||||
Avg Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $99,233 | ||||
Mortality Rate at DRG | 1.19 | ||||
Mortality Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | NA | ||||
SNF Discharge Rate at DRG | 20.31 | ||||
SNF Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 22.12 | ||||
Home Discharge Rate at DRG | 45.02 | ||||
Home Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 43.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 4,922 | ||||
Total Hospitalizations with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 284 | ||||
DRG Share of Total Hospitalizations | 0.01 | ||||
% of Total ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication in DRG | 0.54 | ||||
Avg LOS at DRG | 3.59 | ||||
Avg LOS with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 3.11 | ||||
Readmission Rate at DRG | 21.46 | ||||
Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 17.51 | ||||
Unplanned Readmission Rate at DRG | 4.66 | ||||
Unplanned Readmission Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 5.45 | ||||
Total Medicare payments at DRG | $172,966,878 | ||||
Total Medicare payments with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $9,804,362 | ||||
Total Medicare payment per Day at DRG | $9,799 | ||||
Total Medicare payment per Day with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $11,091 | ||||
Total Medicare payment per Hospitalization at DRG | $35,142 | ||||
Total Medicare payment per Hospitalization with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $34,522 | ||||
Total Medicare Charges at DRG | $747,447,911 | ||||
Total Medicare Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $38,085,415 | ||||
Avg Charges at DRG | $151,859 | ||||
Avg Charges with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | $134,104 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | NA | ||||
SNF Discharge Rate at DRG | 18.57 | ||||
SNF Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 16.9 | ||||
Home Discharge Rate at DRG | 45.04 | ||||
Home Discharge Rate with ICD M48062 - Spinal stenosis, lumbar region with neurogenic claudication | 47.18 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 545 |
HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 434 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 269 |
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 | 158 |
Dr. MILAN B HERCEG | 4605 SAWMILL RD | UPPER ARLINGTON | OH | 43220 | 121 |
Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 113 |
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 | 157 |
Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 113 |
Dr. MILAN B HERCEG | 4605 SAWMILL RD | UPPER ARLINGTON | OH | 43220 | 110 |