*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M488X2 - Other specified spondylopathies, cervical region - as a primary diagnosis code | M488X2 - Other specified spondylopathies, cervical region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.27 | |
| Readmission Rate (%) | 25.71 | |
| Unplanned Readmission Rate (%) | 7.6 | |
| 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 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL 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 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||||
| Total Hospitalizations with ICD M488X2 - Other specified spondylopathies, cervical region | 62 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD M488X2 - Other specified spondylopathies, cervical region in DRG | 34.07 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD M488X2 - Other specified spondylopathies, cervical region | 3.84 | ||||
| Readmission Rate at DRG | 19.37 | ||||
| Readmission Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| Total Medicare payments at DRG | $899,179,360 | ||||
| Total Medicare payments with ICD M488X2 - Other specified spondylopathies, cervical region | $1,156,710 | ||||
| Total Medicare payment per Day at DRG | $5,763 | ||||
| Total Medicare payment per Day with ICD M488X2 - Other specified spondylopathies, cervical region | $4,860 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
| Total Medicare payment per Hospitalization with ICD M488X2 - Other specified spondylopathies, cervical region | $18,657 | ||||
| Total Medicare Charges at DRG | $4,767,802,860 | ||||
| Total Medicare Charges with ICD M488X2 - Other specified spondylopathies, cervical region | $6,470,605 | ||||
| Avg Charges at DRG | $95,039 | ||||
| Avg Charges with ICD M488X2 - Other specified spondylopathies, cervical region | $104,365 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 11.73 | ||||
| SNF Discharge Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| Home Discharge Rate at DRG | 60.19 | ||||
| Home Discharge Rate with ICD M488X2 - Other specified spondylopathies, cervical region | 46.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||||
| Total Hospitalizations with ICD M488X2 - Other specified spondylopathies, cervical region | 387 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD M488X2 - Other specified spondylopathies, cervical region in DRG | 21.21 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD M488X2 - Other specified spondylopathies, cervical region | 3.44 | ||||
| Readmission Rate at DRG | 19.37 | ||||
| Readmission Rate with ICD M488X2 - Other specified spondylopathies, cervical region | 20.91 | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD M488X2 - Other specified spondylopathies, cervical region | 3.75 | ||||
| Total Medicare payments at DRG | $899,179,360 | ||||
| Total Medicare payments with ICD M488X2 - Other specified spondylopathies, cervical region | $7,333,490 | ||||
| Total Medicare payment per Day at DRG | $5,763 | ||||
| Total Medicare payment per Day with ICD M488X2 - Other specified spondylopathies, cervical region | $5,501 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
| Total Medicare payment per Hospitalization with ICD M488X2 - Other specified spondylopathies, cervical region | $18,950 | ||||
| Total Medicare Charges at DRG | $4,767,802,860 | ||||
| Total Medicare Charges with ICD M488X2 - Other specified spondylopathies, cervical region | $42,500,221 | ||||
| Avg Charges at DRG | $95,039 | ||||
| Avg Charges with ICD M488X2 - Other specified spondylopathies, cervical region | $109,820 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 11.73 | ||||
| SNF Discharge Rate with ICD M488X2 - Other specified spondylopathies, cervical region | 11.89 | ||||
| Home Discharge Rate at DRG | 60.19 | ||||
| Home Discharge Rate with ICD M488X2 - Other specified spondylopathies, cervical region | 50.13 |
*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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M488X2 - Other specified spondylopathies, cervical region | 38 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M488X2 - Other specified spondylopathies, cervical region in DRG | 2.08 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M488X2 - Other specified spondylopathies, cervical region | 4.74 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M488X2 - Other specified spondylopathies, cervical region | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M488X2 - Other specified spondylopathies, cervical region | $246,213 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M488X2 - Other specified spondylopathies, cervical region | $1,368 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M488X2 - Other specified spondylopathies, cervical region | $6,479 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M488X2 - Other specified spondylopathies, cervical region | $1,902,829 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M488X2 - Other specified spondylopathies, cervical region | $50,074 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M488X2 - Other specified spondylopathies, cervical region | 34.21 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M488X2 - Other specified spondylopathies, cervical region | 36.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M488X2 - Other specified spondylopathies, cervical region | 25 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M488X2 - Other specified spondylopathies, cervical region in DRG | 1.37 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M488X2 - Other specified spondylopathies, cervical region | 9.36 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M488X2 - Other specified spondylopathies, cervical region | $366,582 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M488X2 - Other specified spondylopathies, cervical region | $1,567 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M488X2 - Other specified spondylopathies, cervical region | $14,663 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M488X2 - Other specified spondylopathies, cervical region | $2,880,434 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M488X2 - Other specified spondylopathies, cervical region | $115,217 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||||
| Total Hospitalizations with ICD M488X2 - Other specified spondylopathies, cervical region | 17 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M488X2 - Other specified spondylopathies, cervical region in DRG | 0.93 | ||||
| Avg LOS at DRG | 5.12 | ||||
| Avg LOS with ICD M488X2 - Other specified spondylopathies, cervical region | 2.94 | ||||
| Readmission Rate at DRG | 23.17 | ||||
| Readmission Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| Total Medicare payments at DRG | $123,348,417 | ||||
| Total Medicare payments with ICD M488X2 - Other specified spondylopathies, cervical region | $125,220 | ||||
| Total Medicare payment per Day at DRG | $1,658 | ||||
| Total Medicare payment per Day with ICD M488X2 - Other specified spondylopathies, cervical region | $2,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||||
| Total Medicare payment per Hospitalization with ICD M488X2 - Other specified spondylopathies, cervical region | $7,366 | ||||
| Total Medicare Charges at DRG | $565,151,481 | ||||
| Total Medicare Charges with ICD M488X2 - Other specified spondylopathies, cervical region | $712,383 | ||||
| Avg Charges at DRG | $38,906 | ||||
| Avg Charges with ICD M488X2 - Other specified spondylopathies, cervical region | $41,905 | ||||
| Mortality Rate at DRG | 0.34 | ||||
| Mortality Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 16.01 | ||||
| SNF Discharge Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA | ||||
| Home Discharge Rate at DRG | 53.61 | ||||
| Home Discharge Rate with ICD M488X2 - Other specified spondylopathies, cervical region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| JOHN D. ARCHBOLD MEMORIAL HOSPITAL | 915 GORDON AVE | THOMASVILLE | GA | 31792 | 50 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 21 |
| EMORY UNIVERSITY HOSPITAL | 1364 CLIFTON RD NE | ATLANTA | GA | 30322 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CRAIG A FREDERICKS | 704 S BROAD ST | THOMASVILLE | GA | 31792 | 32 |
| Dr. HOUMAN H KHOSROVI | 1212 GARFIELD AVE | PARKERSBURG | WV | 26101 | 18 |
| Dr. GERALD N KADIS | 704 S BROAD ST | THOMASVILLE | GA | 31792 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CRAIG A FREDERICKS | 704 S BROAD ST | THOMASVILLE | GA | 31792 | 31 |
| Dr. HOUMAN H KHOSROVI | 1212 GARFIELD AVE | PARKERSBURG | WV | 26101 | 18 |
| Dr. GERALD N KADIS | 704 S BROAD ST | THOMASVILLE | GA | 31792 | 16 |