*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M50122 - Cervical disc disorder at C5-C6 level with radiculopathy - as a primary diagnosis code | M50122 - Cervical disc disorder at C5-C6 level with radiculopathy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 2.06 | |
| Readmission Rate (%) | 8.48 | |
| Unplanned Readmission Rate (%) | 3.74 | |
| 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 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 1,665 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy in DRG | 62.83 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 1.23 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 4.42 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 2.76 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $19,881,420 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $9,689 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $11,941 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $104,343,885 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $62,669 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 1.2 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 91.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 551: MEDICAL BACK PROBLEMS WITH 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 45,626 | ||
| Total Hospitalizations with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 16 | ||
| DRG Share of Total Hospitalizations | 0.14 | ||
| % of Total ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy in DRG | 0.6 | ||
| Avg LOS at DRG | 6.58 | ||
| Avg LOS with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 4.69 | ||
| Readmission Rate at DRG | 28.01 | ||
| Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||
| Unplanned Readmission Rate at DRG | 15.44 | ||
| Unplanned Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||
| Total Medicare payments at DRG | $509,048,598 | ||
| Total Medicare payments with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $141,465 | ||
| Total Medicare payment per Day at DRG | $1,696 | ||
| Total Medicare payment per Day with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $1,886 | ||
| Total Medicare payment per Hospitalization at DRG | $11,157 | ||
| Total Medicare payment per Hospitalization with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $8,842 | ||
| Total Medicare Charges at DRG | $2,333,825,338 | ||
| Total Medicare Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $698,926 | ||
| Avg Charges at DRG | $51,151 | ||
| Avg Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $43,683 | ||
| Mortality Rate at DRG | 4.28 | ||
| Mortality Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||
| SNF Discharge Rate at DRG | 39.84 | ||
| SNF Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||
| Home Discharge Rate at DRG | 18.35 | ||
| Home Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ARKANSAS SURGICAL HOSPITAL | 5201 NORTHSHORE DRIVE | NORTH LITTLE ROCK | AR | 72118 | 43 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 36 |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE | 100 FRIST CT | COLUMBUS | GA | 31909 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN KENNETH BURKUS | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 21 |
| Dr. BRAD A THOMAS | 5 SAINT VINCENT CIR STE 502 | LITTLE ROCK | AR | 72205 | 21 |
| Dr. P JEFFREY LEWIS | 550 ORCHARD PARK RD | WEST SENECA | NY | 14224 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN KENNETH BURKUS | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 21 |
| Dr. BRAD A THOMAS | 5 SAINT VINCENT CIR STE 502 | LITTLE ROCK | AR | 72205 | 21 |
| Dr. P JEFFREY LEWIS | 550 ORCHARD PARK RD | WEST SENECA | NY | 14224 | 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 M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 3,273 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy in DRG | 53.81 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 1.31 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 4.57 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 2.66 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $39,205,989 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $9,122 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $11,979 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $220,316,703 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $67,313 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 1.22 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 90.28 |
*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 454: COMBINED ANTERIOR/POSTERIOR 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,458 | ||||
| Total Hospitalizations with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 63 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy in DRG | 1.04 | ||||
| Avg LOS at DRG | 3.91 | ||||
| Avg LOS with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 2.76 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||||
| Unplanned Readmission Rate at DRG | 6.06 | ||||
| Unplanned Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||||
| Total Medicare payments at DRG | $282,780,660 | ||||
| Total Medicare payments with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $734,293 | ||||
| Total Medicare payment per Day at DRG | $2,732 | ||||
| Total Medicare payment per Day with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $4,220 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
| Total Medicare payment per Hospitalization with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $11,655 | ||||
| Total Medicare Charges at DRG | $1,744,158,849 | ||||
| Total Medicare Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $4,125,881 | ||||
| Avg Charges at DRG | $65,922 | ||||
| Avg Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $65,490 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||||
| Home Discharge Rate at DRG | 44.06 | ||||
| Home Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 71.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 43,598 | ||||
| Total Hospitalizations with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 24 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy in DRG | 0.39 | ||||
| Avg LOS at DRG | 2.56 | ||||
| Avg LOS with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 1.92 | ||||
| Readmission Rate at DRG | 13.58 | ||||
| Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||||
| Unplanned Readmission Rate at DRG | 5.0 | ||||
| Unplanned Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||||
| Total Medicare payments at DRG | $405,277,239 | ||||
| Total Medicare payments with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $209,677 | ||||
| Total Medicare payment per Day at DRG | $3,633 | ||||
| Total Medicare payment per Day with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $4,558 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,296 | ||||
| Total Medicare payment per Hospitalization with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $8,737 | ||||
| Total Medicare Charges at DRG | $2,108,105,162 | ||||
| Total Medicare Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $1,113,576 | ||||
| Avg Charges at DRG | $48,353 | ||||
| Avg Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $46,399 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||||
| SNF Discharge Rate at DRG | 16.27 | ||||
| SNF Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA | ||||
| Home Discharge Rate at DRG | 57.43 | ||||
| Home Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 75.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|
| Total Hospitalizations at DRG | 243,742 |
| Total Hospitalizations with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 11 |
| DRG Share of Total Hospitalizations | 0.74 |
| % of Total ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy in DRG | 0.18 |
| Avg LOS at DRG | 2.84 |
| Avg LOS with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | 3.45 |
| Readmission Rate at DRG | 16.31 |
| Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA |
| Unplanned Readmission Rate at DRG | 11.3 |
| Unplanned Readmission Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA |
| Total Medicare payments at DRG | $1,150,233,161 |
| Total Medicare payments with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $52,565 |
| Total Medicare payment per Day at DRG | $1,663 |
| Total Medicare payment per Day with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $1,383 |
| Total Medicare payment per Hospitalization at DRG | $4,719 |
| Total Medicare payment per Hospitalization with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $4,779 |
| Total Medicare Charges at DRG | $6,931,408,244 |
| Total Medicare Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $348,227 |
| Avg Charges at DRG | $28,437 |
| Avg Charges with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | $31,657 |
| Mortality Rate at DRG | 0.31 |
| Mortality Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA |
| SNF Discharge Rate at DRG | 18.06 |
| SNF Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA |
| Home Discharge Rate at DRG | 53.49 |
| Home Discharge Rate with ICD M50122 - Cervical disc disorder at C5-C6 level with radiculopathy | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CODY REGIONAL HEALTH | 707 SHERIDAN AVE | CODY | WY | 82414 | 88 |
| ARKANSAS SURGICAL HOSPITAL | 5201 NORTHSHORE DRIVE | NORTH LITTLE ROCK | AR | 72118 | 69 |
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | 63 |
| 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 | 27 |
| Dr. BRAD A THOMAS | 5 SAINT VINCENT CIR STE 502 | LITTLE ROCK | AR | 72205 | 23 |
| 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 | 27 |
| Dr. BRAD A THOMAS | 5 SAINT VINCENT CIR STE 502 | LITTLE ROCK | AR | 72205 | 23 |