*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M5021 - Other cervical disc displacement, high cervical region - as a primary diagnosis code | M5021 - Other cervical disc displacement, high cervical region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.89 | |
| Readmission Rate (%) | 21.16 | |
| Unplanned Readmission Rate (%) | 4.16 | |
| 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD M5021 - Other cervical disc displacement, high cervical region | 465 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M5021 - Other cervical disc displacement, high cervical region in DRG | 50.38 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M5021 - Other cervical disc displacement, high cervical region | 1.66 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 6.32 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 2.4 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M5021 - Other cervical disc displacement, high cervical region | $5,867,495 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M5021 - Other cervical disc displacement, high cervical region | $7,591 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M5021 - Other cervical disc displacement, high cervical region | $12,618 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $31,784,842 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $68,354 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 3.01 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 85.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 30,430 | |
| Total Hospitalizations with ICD M5021 - Other cervical disc displacement, high cervical region | 15 | |
| DRG Share of Total Hospitalizations | 0.09 | |
| % of Total ICD M5021 - Other cervical disc displacement, high cervical region in DRG | 1.63 | |
| Avg LOS at DRG | 2.96 | |
| Avg LOS with ICD M5021 - Other cervical disc displacement, high cervical region | 3.27 | |
| Readmission Rate at DRG | 12.68 | |
| Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | |
| Unplanned Readmission Rate at DRG | 3.54 | |
| Unplanned Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | |
| Total Medicare payments at DRG | $1,036,333,247 | |
| Total Medicare payments with ICD M5021 - Other cervical disc displacement, high cervical region | $485,342 | |
| Total Medicare payment per Day at DRG | $11,506 | |
| Total Medicare payment per Day with ICD M5021 - Other cervical disc displacement, high cervical region | $9,905 | |
| Total Medicare payment per Hospitalization at DRG | $34,056 | |
| Total Medicare payment per Hospitalization with ICD M5021 - Other cervical disc displacement, high cervical region | $32,356 | |
| Total Medicare Charges at DRG | $4,847,184,577 | |
| Total Medicare Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $2,422,081 | |
| Avg Charges at DRG | $159,290 | |
| Avg Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $161,472 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | |
| SNF Discharge Rate at DRG | 11.74 | |
| SNF Discharge Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | |
| Home Discharge Rate at DRG | 59.56 | |
| Home Discharge Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DUKE RALEIGH HOSPITAL | 3400 WAKE FOREST RD | RALEIGH | NC | 27609 | 27 |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 16 |
| MERCY HOSPITAL OF BUFFALO | 565 ABBOTT RD | BUFFALO | NY | 14220 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL M HAGLUND | 2100 ERWIN RD | DURHAM | NC | 27710 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL M HAGLUND | 2100 ERWIN RD | DURHAM | NC | 27710 | 42 |
*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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD M5021 - Other cervical disc displacement, high cervical region | 925 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M5021 - Other cervical disc displacement, high cervical region in DRG | 23.18 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M5021 - Other cervical disc displacement, high cervical region | 1.62 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 6.57 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 3.18 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M5021 - Other cervical disc displacement, high cervical region | $11,574,367 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M5021 - Other cervical disc displacement, high cervical region | $7,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M5021 - Other cervical disc displacement, high cervical region | $12,513 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $65,428,987 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $70,734 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 3.46 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 83.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD M5021 - Other cervical disc displacement, high cervical region | 56 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD M5021 - Other cervical disc displacement, high cervical region in DRG | 1.4 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD M5021 - Other cervical disc displacement, high cervical region | 3.46 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 42.31 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD M5021 - Other cervical disc displacement, high cervical region | $355,361 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD M5021 - Other cervical disc displacement, high cervical region | $1,832 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD M5021 - Other cervical disc displacement, high cervical region | $6,346 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $2,284,092 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $40,787 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 26.79 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 25.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,227 | ||||
| Total Hospitalizations with ICD M5021 - Other cervical disc displacement, high cervical region | 39 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M5021 - Other cervical disc displacement, high cervical region in DRG | 0.98 | ||||
| Avg LOS at DRG | 11.45 | ||||
| Avg LOS with ICD M5021 - Other cervical disc displacement, high cervical region | 12.95 | ||||
| Readmission Rate at DRG | 51.82 | ||||
| Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 69.7 | ||||
| Unplanned Readmission Rate at DRG | 10.35 | ||||
| Unplanned Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | ||||
| Total Medicare payments at DRG | $241,416,949 | ||||
| Total Medicare payments with ICD M5021 - Other cervical disc displacement, high cervical region | $1,645,912 | ||||
| Total Medicare payment per Day at DRG | $3,385 | ||||
| Total Medicare payment per Day with ICD M5021 - Other cervical disc displacement, high cervical region | $3,259 | ||||
| Total Medicare payment per Hospitalization at DRG | $38,769 | ||||
| Total Medicare payment per Hospitalization with ICD M5021 - Other cervical disc displacement, high cervical region | $42,203 | ||||
| Total Medicare Charges at DRG | $1,126,422,406 | ||||
| Total Medicare Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $8,249,542 | ||||
| Avg Charges at DRG | $180,893 | ||||
| Avg Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $211,527 | ||||
| Mortality Rate at DRG | 5.91 | ||||
| Mortality Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | ||||
| SNF Discharge Rate at DRG | 25.95 | ||||
| SNF Discharge Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 28.21 | ||||
| Home Discharge Rate at DRG | 13.46 | ||||
| Home Discharge Rate with ICD M5021 - Other cervical disc displacement, high 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 885: PSYCHOSES | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M5021 - Other cervical disc displacement, high cervical region | 29 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M5021 - Other cervical disc displacement, high cervical region in DRG | 0.73 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M5021 - Other cervical disc displacement, high cervical region | 10.76 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M5021 - Other cervical disc displacement, high cervical region | $246,880 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M5021 - Other cervical disc displacement, high cervical region | $791 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M5021 - Other cervical disc displacement, high cervical region | $8,513 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $759,030 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M5021 - Other cervical disc displacement, high cervical region | $26,173 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M5021 - Other cervical disc displacement, high cervical region | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M5021 - Other cervical disc displacement, high cervical region | 75.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DUKE RALEIGH HOSPITAL | 3400 WAKE FOREST RD | RALEIGH | NC | 27609 | 33 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 25 |
| METHODIST DALLAS MEDICAL CENTER | 1441 N BECKLEY AVE | DALLAS | TX | 75203 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL M HAGLUND | 2100 ERWIN RD | DURHAM | NC | 27710 | 45 |
| Dr. BALA KRISHNA GIRI | 1411 N BECKLEY AVE | DALLAS | TX | 75203 | 17 |
| Dr. MATTHEW PALMER CUBBAGE | 11800 FM 1960 RD W | HOUSTON | TX | 77065 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL M HAGLUND | 2100 ERWIN RD | DURHAM | NC | 27710 | 45 |
| Dr. BALA KRISHNA GIRI | 1411 N BECKLEY AVE | DALLAS | TX | 75203 | 15 |
| Dr. MATTHEW PALMER CUBBAGE | 11800 FM 1960 RD W | HOUSTON | TX | 77065 | 13 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M4802 | Spinal stenosis, cervical region |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |