*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M5000 - Cervical disc disorder with myelopathy, unspecified cervical region - as a primary diagnosis code | M5000 - Cervical disc disorder with myelopathy, unspecified cervical region - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 7.3 | |
Readmission Rate (%) | 26.22 | |
Unplanned Readmission Rate (%) | 7.94 | |
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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 195,476 | ||||
Total Hospitalizations with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 583 | ||||
DRG Share of Total Hospitalizations | 0.59 | ||||
% of Total ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region in DRG | 37.09 | ||||
Avg LOS at DRG | 4.48 | ||||
Avg LOS with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 10.07 | ||||
Readmission Rate at DRG | 20.57 | ||||
Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 20.88 | ||||
Unplanned Readmission Rate at DRG | 9.88 | ||||
Unplanned Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 9.0 | ||||
Total Medicare payments at DRG | $1,320,662,237 | ||||
Total Medicare payments with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $8,488,147 | ||||
Total Medicare payment per Day at DRG | $1,508 | ||||
Total Medicare payment per Day with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $1,446 | ||||
Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
Total Medicare payment per Hospitalization with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $14,559 | ||||
Total Medicare Charges at DRG | $6,024,639,461 | ||||
Total Medicare Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $21,380,517 | ||||
Avg Charges at DRG | $30,820 | ||||
Avg Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $36,673 | ||||
Mortality Rate at DRG | 0.24 | ||||
Mortality Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA | ||||
SNF Discharge Rate at DRG | 33.36 | ||||
SNF Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 17.5 | ||||
Home Discharge Rate at DRG | 30.98 | ||||
Home Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 27.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 26,458 | ||||
Total Hospitalizations with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 24 | ||||
DRG Share of Total Hospitalizations | 0.08 | ||||
% of Total ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region in DRG | 1.53 | ||||
Avg LOS at DRG | 3.91 | ||||
Avg LOS with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 4.17 | ||||
Readmission Rate at DRG | 24.53 | ||||
Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA | ||||
Unplanned Readmission Rate at DRG | 6.06 | ||||
Unplanned Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA | ||||
Total Medicare payments at DRG | $282,780,660 | ||||
Total Medicare payments with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $232,766 | ||||
Total Medicare payment per Day at DRG | $2,732 | ||||
Total Medicare payment per Day with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $2,328 | ||||
Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
Total Medicare payment per Hospitalization with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $9,699 | ||||
Total Medicare Charges at DRG | $1,744,158,849 | ||||
Total Medicare Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $1,595,671 | ||||
Avg Charges at DRG | $65,922 | ||||
Avg Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $66,486 | ||||
Mortality Rate at DRG | 0.09 | ||||
Mortality Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA | ||||
SNF Discharge Rate at DRG | 19.7 | ||||
SNF Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA | ||||
Home Discharge Rate at DRG | 44.06 | ||||
Home Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
MARIANJOY REHABILITATION HOSPITAL | 26W171 ROOSEVELT RD | WHEATON | IL | 60187 | 29 |
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 17 |
HEALTHSOUTH REHABILITATION INSTITUTE OF TUCSON | 2650 N WYATT DR | TUCSON | AZ | 85712 | 16 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MARIA ANNA BOIANO | 51 N ROUTE 9W | WEST HAVERSTRAW | NY | 10993 | 11 |
Dr. RAJENDRA PADHYE | 414 PAOLI PIKE | MALVERN | PA | 19355 | 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 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 50,167 | ||||
Total Hospitalizations with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 1,109 | ||||
DRG Share of Total Hospitalizations | 0.15 | ||||
% of Total ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region in DRG | 14.77 | ||||
Avg LOS at DRG | 3.11 | ||||
Avg LOS with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 3.14 | ||||
Readmission Rate at DRG | 19.37 | ||||
Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 23.33 | ||||
Unplanned Readmission Rate at DRG | 5.26 | ||||
Unplanned Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 5.28 | ||||
Total Medicare payments at DRG | $899,179,360 | ||||
Total Medicare payments with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $19,942,640 | ||||
Total Medicare payment per Day at DRG | $5,763 | ||||
Total Medicare payment per Day with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $5,727 | ||||
Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
Total Medicare payment per Hospitalization with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $17,983 | ||||
Total Medicare Charges at DRG | $4,767,802,860 | ||||
Total Medicare Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $113,505,695 | ||||
Avg Charges at DRG | $95,039 | ||||
Avg Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $102,350 | ||||
Mortality Rate at DRG | 0.06 | ||||
Mortality Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA | ||||
SNF Discharge Rate at DRG | 11.73 | ||||
SNF Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 9.83 | ||||
Home Discharge Rate at DRG | 60.19 | ||||
Home Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 58.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 471: CERVICAL 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 11,165 | ||||
Total Hospitalizations with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 202 | ||||
DRG Share of Total Hospitalizations | 0.03 | ||||
% of Total ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region in DRG | 2.69 | ||||
Avg LOS at DRG | 8.45 | ||||
Avg LOS with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 8.13 | ||||
Readmission Rate at DRG | 43.41 | ||||
Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 51.65 | ||||
Unplanned Readmission Rate at DRG | 8.76 | ||||
Unplanned Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 8.79 | ||||
Total Medicare payments at DRG | $378,975,481 | ||||
Total Medicare payments with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $7,140,182 | ||||
Total Medicare payment per Day at DRG | $4,018 | ||||
Total Medicare payment per Day with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $4,346 | ||||
Total Medicare payment per Hospitalization at DRG | $33,943 | ||||
Total Medicare payment per Hospitalization with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $35,347 | ||||
Total Medicare Charges at DRG | $1,826,793,767 | ||||
Total Medicare Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $34,995,434 | ||||
Avg Charges at DRG | $163,618 | ||||
Avg Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $173,245 | ||||
Mortality Rate at DRG | 3.84 | ||||
Mortality Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA | ||||
SNF Discharge Rate at DRG | 26.49 | ||||
SNF Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 24.26 | ||||
Home Discharge Rate at DRG | 23.25 | ||||
Home Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 20.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 359,935 | ||||
Total Hospitalizations with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 125 | ||||
DRG Share of Total Hospitalizations | 1.1 | ||||
% of Total ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region in DRG | 1.66 | ||||
Avg LOS at DRG | 12.3 | ||||
Avg LOS with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 12.25 | ||||
Readmission Rate at DRG | 16.01 | ||||
Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 23.21 | ||||
Unplanned Readmission Rate at DRG | 9.86 | ||||
Unplanned Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA | ||||
Total Medicare payments at DRG | $5,883,826,653 | ||||
Total Medicare payments with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $2,024,555 | ||||
Total Medicare payment per Day at DRG | $1,329 | ||||
Total Medicare payment per Day with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $1,322 | ||||
Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
Total Medicare payment per Hospitalization with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $16,196 | ||||
Total Medicare Charges at DRG | $15,374,824,749 | ||||
Total Medicare Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $5,924,260 | ||||
Avg Charges at DRG | $42,716 | ||||
Avg Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $47,394 | ||||
Mortality Rate at DRG | 0.3 | ||||
Mortality Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA | ||||
SNF Discharge Rate at DRG | 27.95 | ||||
SNF Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 21.6 | ||||
Home Discharge Rate at DRG | 26.85 | ||||
Home Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 24.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 10,542 | ||||
Total Hospitalizations with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 81 | ||||
DRG Share of Total Hospitalizations | 0.03 | ||||
% of Total ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region in DRG | 1.08 | ||||
Avg LOS at DRG | 15.44 | ||||
Avg LOS with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 14.6 | ||||
Readmission Rate at DRG | 22.26 | ||||
Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 22.54 | ||||
Unplanned Readmission Rate at DRG | 11.51 | ||||
Unplanned Readmission Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA | ||||
Total Medicare payments at DRG | $248,579,193 | ||||
Total Medicare payments with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $1,765,162 | ||||
Total Medicare payment per Day at DRG | $1,528 | ||||
Total Medicare payment per Day with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $1,492 | ||||
Total Medicare payment per Hospitalization at DRG | $23,580 | ||||
Total Medicare payment per Hospitalization with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $21,792 | ||||
Total Medicare Charges at DRG | $728,953,355 | ||||
Total Medicare Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $4,471,569 | ||||
Avg Charges at DRG | $69,148 | ||||
Avg Charges with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | $55,205 | ||||
Mortality Rate at DRG | 2.72 | ||||
Mortality Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | NA | ||||
SNF Discharge Rate at DRG | 23.06 | ||||
SNF Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 20.99 | ||||
Home Discharge Rate at DRG | 20.74 | ||||
Home Discharge Rate with ICD M5000 - Cervical disc disorder with myelopathy, unspecified cervical region | 22.22 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 53 |
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 47 |
THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 41 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MAX C LEE | 960 N 12TH ST | MILWAUKEE | WI | 53233 | 18 |
Dr. DAVID BRADLEY JONES | 2510 AIRPARK DR | REDDING | CA | 96001 | 16 |
Dr. ARNOLD BRADLEY VARDIMAN | 4410 MEDICAL DR | SAN ANTONIO | TX | 78229 | 12 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. RAJENDRA PADHYE | 414 PAOLI PIKE | MALVERN | PA | 19355 | 19 |
Dr. MAX C LEE | 960 N 12TH ST | MILWAUKEE | WI | 53233 | 16 |
Dr. DAVID BRADLEY JONES | 2510 AIRPARK DR | REDDING | CA | 96001 | 16 |
No | ICD Diagnosis Code | Description |
---|---|---|
1 | M4802 | Spinal stenosis, cervical region |
2 | M4712 | Other spondylosis with myelopathy, cervical region |
3 | E785 | Hyperlipidemia, unspecified |
4 | I10 | Essential (primary) hypertension |