*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture - as a primary diagnosis code | M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.09 | |
| Readmission Rate (%) | 26.71 | |
| Unplanned Readmission Rate (%) | 13.97 | |
| 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 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 6,435 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture in DRG | 33.33 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 4.24 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 25.13 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 14.54 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $43,757,323 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $1,605 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $6,800 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $198,615,351 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $30,865 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 0.33 | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 48.61 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 16.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 478: BIOPSIES OF 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 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,107 | ||||
| Total Hospitalizations with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 1,062 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture in DRG | 5.5 | ||||
| Avg LOS at DRG | 6.49 | ||||
| Avg LOS with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 5.78 | ||||
| Readmission Rate at DRG | 26.91 | ||||
| Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 29.8 | ||||
| Unplanned Readmission Rate at DRG | 14.11 | ||||
| Unplanned Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 15.39 | ||||
| Total Medicare payments at DRG | $299,258,488 | ||||
| Total Medicare payments with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $14,100,347 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $2,298 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,178 | ||||
| Total Medicare payment per Hospitalization with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $13,277 | ||||
| Total Medicare Charges at DRG | $1,625,982,661 | ||||
| Total Medicare Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $86,219,083 | ||||
| Avg Charges at DRG | $77,035 | ||||
| Avg Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $81,186 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 35.38 | ||||
| SNF Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 41.34 | ||||
| Home Discharge Rate at DRG | 25.84 | ||||
| Home Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 18.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,922 | ||||
| Total Hospitalizations with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 199 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture in DRG | 1.03 | ||||
| Avg LOS at DRG | 3.59 | ||||
| Avg LOS with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 3.75 | ||||
| Readmission Rate at DRG | 21.46 | ||||
| Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 21.76 | ||||
| Unplanned Readmission Rate at DRG | 4.66 | ||||
| Unplanned Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | NA | ||||
| Total Medicare payments at DRG | $172,966,878 | ||||
| Total Medicare payments with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $6,506,222 | ||||
| Total Medicare payment per Day at DRG | $9,799 | ||||
| Total Medicare payment per Day with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $8,721 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,142 | ||||
| Total Medicare payment per Hospitalization with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $32,695 | ||||
| Total Medicare Charges at DRG | $747,447,911 | ||||
| Total Medicare Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $22,817,012 | ||||
| Avg Charges at DRG | $151,859 | ||||
| Avg Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $114,658 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 18.57 | ||||
| SNF Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 24.62 | ||||
| Home Discharge Rate at DRG | 45.04 | ||||
| Home Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 41.71 |
*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 520: BACK AND NECK PROCEDURES EXCEPT 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,719 | ||||
| Total Hospitalizations with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 24 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture in DRG | 0.12 | ||||
| Avg LOS at DRG | 5.2 | ||||
| Avg LOS with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 8.21 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | NA | ||||
| Unplanned Readmission Rate at DRG | 7.39 | ||||
| Unplanned Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | NA | ||||
| Total Medicare payments at DRG | $197,788,916 | ||||
| Total Medicare payments with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $499,794 | ||||
| Total Medicare payment per Day at DRG | $3,550 | ||||
| Total Medicare payment per Day with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $2,537 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,452 | ||||
| Total Medicare payment per Hospitalization with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $20,825 | ||||
| Total Medicare Charges at DRG | $1,072,900,890 | ||||
| Total Medicare Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $2,352,304 | ||||
| Avg Charges at DRG | $100,093 | ||||
| Avg Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $98,013 | ||||
| Mortality Rate at DRG | 1.19 | ||||
| Mortality Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 54.17 | ||||
| Home Discharge Rate at DRG | 45.02 | ||||
| Home Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 95 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 70 |
| DEACONESS HOSPITAL | 600 MARY ST | EVANSVILLE | IN | 47710 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MICHAEL SULLIVAN | 350 W COLUMBIA ST | EVANSVILLE | IN | 47710 | 25 |
| Dr. VITTORIO M MORREALE | 50505 SCHOENHERR RD | SHELBY TWP | MI | 48315 | 21 |
| Dr. SAMER M ELFALLAL | 5452 FORT ST STE 200 | TRENTON | MI | 48183 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 15 |
| Dr. MATTHEW J GECK | 1600 W 38TH ST | AUSTIN | TX | 78731 | 12 |
| Dr. THOMAS LAMMERTSE | 201 PLEASANT HILL RD | CHESTER | NJ | 07930 | 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 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | ||||
| Total Hospitalizations with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 7,575 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture in DRG | 10.6 | ||||
| Avg LOS at DRG | 4.61 | ||||
| Avg LOS with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 4.31 | ||||
| Readmission Rate at DRG | 24.6 | ||||
| Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 25.2 | ||||
| Unplanned Readmission Rate at DRG | 15.23 | ||||
| Unplanned Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 14.54 | ||||
| Total Medicare payments at DRG | $344,528,731 | ||||
| Total Medicare payments with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $51,983,689 | ||||
| Total Medicare payment per Day at DRG | $1,583 | ||||
| Total Medicare payment per Day with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $1,592 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,299 | ||||
| Total Medicare payment per Hospitalization with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $6,863 | ||||
| Total Medicare Charges at DRG | $1,680,848,591 | ||||
| Total Medicare Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $243,544,579 | ||||
| Avg Charges at DRG | $35,612 | ||||
| Avg Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $32,151 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 0.34 | ||||
| SNF Discharge Rate at DRG | 39.23 | ||||
| SNF Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 47.74 | ||||
| Home Discharge Rate at DRG | 22.76 | ||||
| Home Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 16.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 2,201 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture in DRG | 3.08 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 4.05 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 23.91 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 12.7 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $12,234,794 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $1,373 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $5,559 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $70,405,254 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $31,988 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 48.57 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 17.99 |
*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) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,044 | ||||
| Total Hospitalizations with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 1,083 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture in DRG | 1.52 | ||||
| Avg LOS at DRG | 8.82 | ||||
| Avg LOS with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 7.8 | ||||
| Readmission Rate at DRG | 32.29 | ||||
| Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 34.02 | ||||
| Unplanned Readmission Rate at DRG | 14.96 | ||||
| Unplanned Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 18.96 | ||||
| Total Medicare payments at DRG | $336,031,207 | ||||
| Total Medicare payments with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $20,016,489 | ||||
| Total Medicare payment per Day at DRG | $2,375 | ||||
| Total Medicare payment per Day with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $2,368 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,944 | ||||
| Total Medicare payment per Hospitalization with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $18,482 | ||||
| Total Medicare Charges at DRG | $1,654,393,936 | ||||
| Total Medicare Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $96,188,534 | ||||
| Avg Charges at DRG | $103,116 | ||||
| Avg Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $88,817 | ||||
| Mortality Rate at DRG | 2.56 | ||||
| Mortality Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 2.68 | ||||
| SNF Discharge Rate at DRG | 40.52 | ||||
| SNF Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 48.29 | ||||
| Home Discharge Rate at DRG | 19.02 | ||||
| Home Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 13.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 806 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture in DRG | 1.13 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 5.83 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 21.77 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 15.65 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $5,680,977 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $1,208 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $7,048 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $35,087,656 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | $43,533 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 1.36 | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 51.86 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD M4856XA - Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 13.9 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 328 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 282 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 204 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MICHAEL SULLIVAN | 350 W COLUMBIA ST | EVANSVILLE | IN | 47710 | 35 |
| Dr. FRANK R HELLINGER | 1605 W FAIRBANKS AVE. | WINTER PARK | FL | 32789 | 30 |
| Dr. SAMER M ELFALLAL | 5452 FORT ST STE 200 | TRENTON | MI | 48183 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 27 |
| Dr. MATTHEW J GECK | 1600 W 38TH ST | AUSTIN | TX | 78731 | 22 |
| Dr. STEVEN C ANAGNOST | 6312 E 101ST ST | TULSA | OK | 74137 | 21 |