*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M50121 - Cervical disc disorder at C4-C5 level with radiculopathy - as a primary diagnosis code | M50121 - Cervical disc disorder at C4-C5 level with radiculopathy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 2.26 | |
| Readmission Rate (%) | 9.71 | |
| Unplanned Readmission Rate (%) | 4.21 | |
| 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 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 471: CERVICAL SPINAL FUSION 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 | 63,286 | ||||
| Total Hospitalizations with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 1,398 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy in DRG | 60.84 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 1.36 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 4.35 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 3.1 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $16,711,777 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $8,777 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $11,954 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $101,374,211 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $72,514 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 1.72 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 89.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 551: MEDICAL BACK PROBLEMS 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,430 | |||
| Total Hospitalizations with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 21 | |||
| DRG Share of Total Hospitalizations | 0.09 | |||
| % of Total ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy in DRG | 0.91 | |||
| Avg LOS at DRG | 2.96 | |||
| Avg LOS with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 2.38 | |||
| Readmission Rate at DRG | 12.68 | |||
| Readmission Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | |||
| Unplanned Readmission Rate at DRG | 3.54 | |||
| Unplanned Readmission Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | |||
| Total Medicare payments at DRG | $1,036,333,247 | |||
| Total Medicare payments with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $716,642 | |||
| Total Medicare payment per Day at DRG | $11,506 | |||
| Total Medicare payment per Day with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $14,333 | |||
| Total Medicare payment per Hospitalization at DRG | $34,056 | |||
| Total Medicare payment per Hospitalization with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $34,126 | |||
| Total Medicare Charges at DRG | $4,847,184,577 | |||
| Total Medicare Charges with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $3,228,793 | |||
| Avg Charges at DRG | $159,290 | |||
| Avg Charges with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $153,752 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | |||
| SNF Discharge Rate at DRG | 11.74 | |||
| SNF Discharge Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | |||
| Home Discharge Rate at DRG | 59.56 | |||
| Home Discharge Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 80.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| KANSAS SPINE & SPECIALTY HOSPITAL | 3333 N WEBB RD | WICHITA | KS | 67226 | 37 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 33 |
| ARKANSAS SURGICAL HOSPITAL | 5201 NORTHSHORE DRIVE | NORTH LITTLE ROCK | AR | 72118 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN R DICKERSON | 3223 N WEBB RD | WICHITA | KS | 67226 | 20 |
| Dr. RAYMOND W GRUNDMEYER | 3223 N WEBB RD | WICHITA | KS | 67226 | 17 |
| Dr. MUKESH MISRA | 42135 10TH ST W | LANCASTER | CA | 93534 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN R DICKERSON | 3223 N WEBB RD | WICHITA | KS | 67226 | 20 |
| Dr. RAYMOND W GRUNDMEYER | 3223 N WEBB RD | WICHITA | KS | 67226 | 17 |
| Dr. MUKESH MISRA | 42135 10TH ST W | LANCASTER | CA | 93534 | 15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 471: CERVICAL SPINAL FUSION 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 | 63,286 | ||||
| Total Hospitalizations with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 2,643 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy in DRG | 51.41 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 1.44 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 5.09 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 3.25 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $31,899,158 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $8,375 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $12,069 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $197,080,334 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $74,567 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 1.59 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 88.16 |
*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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,121 | ||||
| Total Hospitalizations with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 65 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy in DRG | 1.26 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 4.85 | ||||
| Readmission Rate at DRG | 25.27 | ||||
| Readmission Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 20.97 | ||||
| Unplanned Readmission Rate at DRG | 5.39 | ||||
| Unplanned Readmission Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | ||||
| Total Medicare payments at DRG | $1,452,399,208 | ||||
| Total Medicare payments with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $3,085,076 | ||||
| Total Medicare payment per Day at DRG | $9,984 | ||||
| Total Medicare payment per Day with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $9,794 | ||||
| Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
| Total Medicare payment per Hospitalization with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $47,463 | ||||
| Total Medicare Charges at DRG | $6,527,772,651 | ||||
| Total Medicare Charges with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $14,375,809 | ||||
| Avg Charges at DRG | $216,718 | ||||
| Avg Charges with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $221,166 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | ||||
| SNF Discharge Rate at DRG | 21.6 | ||||
| SNF Discharge Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 23.08 | ||||
| Home Discharge Rate at DRG | 38.16 | ||||
| Home Discharge Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 47.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 551: MEDICAL BACK PROBLEMS WITH 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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,626 | ||||
| Total Hospitalizations with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 31 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy in DRG | 0.6 | ||||
| Avg LOS at DRG | 6.58 | ||||
| Avg LOS with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 4.71 | ||||
| Readmission Rate at DRG | 28.01 | ||||
| Readmission Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | ||||
| Unplanned Readmission Rate at DRG | 15.44 | ||||
| Unplanned Readmission Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | ||||
| Total Medicare payments at DRG | $509,048,598 | ||||
| Total Medicare payments with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $336,960 | ||||
| Total Medicare payment per Day at DRG | $1,696 | ||||
| Total Medicare payment per Day with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $2,308 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,157 | ||||
| Total Medicare payment per Hospitalization with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $10,870 | ||||
| Total Medicare Charges at DRG | $2,333,825,338 | ||||
| Total Medicare Charges with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $1,425,548 | ||||
| Avg Charges at DRG | $51,151 | ||||
| Avg Charges with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | $45,985 | ||||
| Mortality Rate at DRG | 4.28 | ||||
| Mortality Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | ||||
| SNF Discharge Rate at DRG | 39.84 | ||||
| SNF Discharge Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | NA | ||||
| Home Discharge Rate at DRG | 18.35 | ||||
| Home Discharge Rate with ICD M50121 - Cervical disc disorder at C4-C5 level with radiculopathy | 48.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CODY REGIONAL HEALTH | 707 SHERIDAN AVE | CODY | WY | 82414 | 88 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 53 |
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GLEN JEFFREY POFFENBARGER | 720 LINDSAY LN | CODY | WY | 82414 | 88 |
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 46 |
| Dr. JOHN R DICKERSON | 3223 N WEBB RD | WICHITA | KS | 67226 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GLEN JEFFREY POFFENBARGER | 720 LINDSAY LN | CODY | WY | 82414 | 87 |
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 46 |
| Dr. JOHN R DICKERSON | 3223 N WEBB RD | WICHITA | KS | 67226 | 27 |