*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4807 - Spinal stenosis, lumbosacral region - as a primary diagnosis code | M4807 - Spinal stenosis, lumbosacral region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.26 | |
| Readmission Rate (%) | 19.44 | |
| Unplanned Readmission Rate (%) | 5.93 | |
| 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 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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M4807 - Spinal stenosis, lumbosacral region | 6,365 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4807 - Spinal stenosis, lumbosacral region in DRG | 49.38 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4807 - Spinal stenosis, lumbosacral region | 3.22 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 16.41 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 4.93 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4807 - Spinal stenosis, lumbosacral region | $156,223,704 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4807 - Spinal stenosis, lumbosacral region | $7,628 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4807 - Spinal stenosis, lumbosacral region | $24,544 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $764,757,879 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $120,150 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 17.06 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 50.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,121 | ||||
| Total Hospitalizations with ICD M4807 - Spinal stenosis, lumbosacral region | 579 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M4807 - Spinal stenosis, lumbosacral region in DRG | 4.49 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD M4807 - Spinal stenosis, lumbosacral region | 4.31 | ||||
| Readmission Rate at DRG | 25.27 | ||||
| Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 21.82 | ||||
| Unplanned Readmission Rate at DRG | 5.39 | ||||
| Unplanned Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 6.18 | ||||
| Total Medicare payments at DRG | $1,452,399,208 | ||||
| Total Medicare payments with ICD M4807 - Spinal stenosis, lumbosacral region | $26,125,139 | ||||
| Total Medicare payment per Day at DRG | $9,984 | ||||
| Total Medicare payment per Day with ICD M4807 - Spinal stenosis, lumbosacral region | $10,479 | ||||
| Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
| Total Medicare payment per Hospitalization with ICD M4807 - Spinal stenosis, lumbosacral region | $45,121 | ||||
| Total Medicare Charges at DRG | $6,527,772,651 | ||||
| Total Medicare Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $113,457,402 | ||||
| Avg Charges at DRG | $216,718 | ||||
| Avg Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $195,954 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 21.6 | ||||
| SNF Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 21.24 | ||||
| Home Discharge Rate at DRG | 38.16 | ||||
| Home Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 44.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 | 10,719 | ||||
| Total Hospitalizations with ICD M4807 - Spinal stenosis, lumbosacral region | 151 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M4807 - Spinal stenosis, lumbosacral region in DRG | 1.17 | ||||
| Avg LOS at DRG | 5.2 | ||||
| Avg LOS with ICD M4807 - Spinal stenosis, lumbosacral region | 4.17 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 24.67 | ||||
| Unplanned Readmission Rate at DRG | 7.39 | ||||
| Unplanned Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| Total Medicare payments at DRG | $197,788,916 | ||||
| Total Medicare payments with ICD M4807 - Spinal stenosis, lumbosacral region | $2,756,094 | ||||
| Total Medicare payment per Day at DRG | $3,550 | ||||
| Total Medicare payment per Day with ICD M4807 - Spinal stenosis, lumbosacral region | $4,382 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,452 | ||||
| Total Medicare payment per Hospitalization with ICD M4807 - Spinal stenosis, lumbosacral region | $18,252 | ||||
| Total Medicare Charges at DRG | $1,072,900,890 | ||||
| Total Medicare Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $13,326,464 | ||||
| Avg Charges at DRG | $100,093 | ||||
| Avg Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $88,255 | ||||
| Mortality Rate at DRG | 1.19 | ||||
| Mortality Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 19.21 | ||||
| Home Discharge Rate at DRG | 45.02 | ||||
| Home Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 41.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | 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 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,667 | ||||
| Total Hospitalizations with ICD M4807 - Spinal stenosis, lumbosacral region | 20 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M4807 - Spinal stenosis, lumbosacral region in DRG | 0.16 | ||||
| Avg LOS at DRG | 4.53 | ||||
| Avg LOS with ICD M4807 - Spinal stenosis, lumbosacral region | 3.1 | ||||
| Readmission Rate at DRG | 16.34 | ||||
| Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| Unplanned Readmission Rate at DRG | 7.49 | ||||
| Unplanned Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| Total Medicare payments at DRG | $68,611,253 | ||||
| Total Medicare payments with ICD M4807 - Spinal stenosis, lumbosacral region | $216,739 | ||||
| Total Medicare payment per Day at DRG | $2,670 | ||||
| Total Medicare payment per Day with ICD M4807 - Spinal stenosis, lumbosacral region | $3,496 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD M4807 - Spinal stenosis, lumbosacral region | $10,837 | ||||
| Total Medicare Charges at DRG | $385,973,252 | ||||
| Total Medicare Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $950,821 | ||||
| Avg Charges at DRG | $68,109 | ||||
| Avg Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $47,541 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 24.74 | ||||
| SNF Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| Home Discharge Rate at DRG | 37.06 | ||||
| Home Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 60.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 115 |
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | 103 |
| CHI ST. VINCENT INFIRMARY | 2 SAINT VINCENT CIR | LITTLE ROCK | AR | 72205 | 77 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 37 |
| Dr. SELVON F ST. CLAIR | 801 MEDICAL DR | LIMA | OH | 45804 | 37 |
| Dr. CHRISTOPHER K. KEPLER | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 35 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 38 |
| Dr. SELVON F ST. CLAIR | 801 MEDICAL DR | LIMA | OH | 45804 | 36 |
| Dr. CHRISTOPHER K. KEPLER | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 35 |
*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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M4807 - Spinal stenosis, lumbosacral region | 22,581 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M4807 - Spinal stenosis, lumbosacral region in DRG | 38.0 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M4807 - Spinal stenosis, lumbosacral region | 3.22 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 16.43 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 4.55 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M4807 - Spinal stenosis, lumbosacral region | $551,766,025 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M4807 - Spinal stenosis, lumbosacral region | $7,580 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M4807 - Spinal stenosis, lumbosacral region | $24,435 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $2,758,951,478 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $122,180 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 16.48 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 51.3 |
*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 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,062 | ||||
| Total Hospitalizations with ICD M4807 - Spinal stenosis, lumbosacral region | 2,067 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M4807 - Spinal stenosis, lumbosacral region in DRG | 3.48 | ||||
| Avg LOS at DRG | 2.14 | ||||
| Avg LOS with ICD M4807 - Spinal stenosis, lumbosacral region | 2.03 | ||||
| Readmission Rate at DRG | 11.6 | ||||
| Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 11.24 | ||||
| Unplanned Readmission Rate at DRG | 3.9 | ||||
| Unplanned Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 4.51 | ||||
| Total Medicare payments at DRG | $199,571,619 | ||||
| Total Medicare payments with ICD M4807 - Spinal stenosis, lumbosacral region | $14,029,975 | ||||
| Total Medicare payment per Day at DRG | $3,102 | ||||
| Total Medicare payment per Day with ICD M4807 - Spinal stenosis, lumbosacral region | $3,351 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,639 | ||||
| Total Medicare payment per Hospitalization with ICD M4807 - Spinal stenosis, lumbosacral region | $6,788 | ||||
| Total Medicare Charges at DRG | $1,429,977,155 | ||||
| Total Medicare Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $98,504,093 | ||||
| Avg Charges at DRG | $47,568 | ||||
| Avg Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $47,656 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 8.51 | ||||
| Home Discharge Rate at DRG | 68.77 | ||||
| Home Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 67.49 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,267 | ||||
| Total Hospitalizations with ICD M4807 - Spinal stenosis, lumbosacral region | 632 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M4807 - Spinal stenosis, lumbosacral region in DRG | 1.06 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD M4807 - Spinal stenosis, lumbosacral region | 5.26 | ||||
| Readmission Rate at DRG | 37.98 | ||||
| Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 33.06 | ||||
| Unplanned Readmission Rate at DRG | 7.67 | ||||
| Unplanned Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 4.52 | ||||
| Total Medicare payments at DRG | $663,107,672 | ||||
| Total Medicare payments with ICD M4807 - Spinal stenosis, lumbosacral region | $30,081,218 | ||||
| Total Medicare payment per Day at DRG | $8,133 | ||||
| Total Medicare payment per Day with ICD M4807 - Spinal stenosis, lumbosacral region | $9,044 | ||||
| Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
| Total Medicare payment per Hospitalization with ICD M4807 - Spinal stenosis, lumbosacral region | $47,597 | ||||
| Total Medicare Charges at DRG | $2,896,079,147 | ||||
| Total Medicare Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $131,807,959 | ||||
| Avg Charges at DRG | $218,292 | ||||
| Avg Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $208,557 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 28.37 | ||||
| SNF Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 28.96 | ||||
| Home Discharge Rate at DRG | 23.93 | ||||
| Home Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 25.79 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,922 | ||||
| Total Hospitalizations with ICD M4807 - Spinal stenosis, lumbosacral region | 365 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD M4807 - Spinal stenosis, lumbosacral region in DRG | 0.61 | ||||
| Avg LOS at DRG | 3.59 | ||||
| Avg LOS with ICD M4807 - Spinal stenosis, lumbosacral region | 3.44 | ||||
| Readmission Rate at DRG | 21.46 | ||||
| Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 17.37 | ||||
| Unplanned Readmission Rate at DRG | 4.66 | ||||
| Unplanned Readmission Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 5.32 | ||||
| Total Medicare payments at DRG | $172,966,878 | ||||
| Total Medicare payments with ICD M4807 - Spinal stenosis, lumbosacral region | $12,721,790 | ||||
| Total Medicare payment per Day at DRG | $9,799 | ||||
| Total Medicare payment per Day with ICD M4807 - Spinal stenosis, lumbosacral region | $10,137 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,142 | ||||
| Total Medicare payment per Hospitalization with ICD M4807 - Spinal stenosis, lumbosacral region | $34,854 | ||||
| Total Medicare Charges at DRG | $747,447,911 | ||||
| Total Medicare Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $52,377,023 | ||||
| Avg Charges at DRG | $151,859 | ||||
| Avg Charges with ICD M4807 - Spinal stenosis, lumbosacral region | $143,499 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4807 - Spinal stenosis, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 18.57 | ||||
| SNF Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 20.55 | ||||
| Home Discharge Rate at DRG | 45.04 | ||||
| Home Discharge Rate with ICD M4807 - Spinal stenosis, lumbosacral region | 42.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 680 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 583 |
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | 317 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 161 |
| Dr. ANDREW A SAMA | 535 EAST 70 ST | NY | NY | 10021 | 124 |
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 121 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 162 |
| Dr. ANDREW A SAMA | 535 EAST 70 ST | NY | NY | 10021 | 124 |
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 122 |