*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M50221 - Other cervical disc displacement at C4-C5 level - as a primary diagnosis code | M50221 - Other cervical disc displacement at C4-C5 level - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.19 | |
| Readmission Rate (%) | 19.52 | |
| Unplanned Readmission Rate (%) | 4.68 | |
| 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 M50221 - Other cervical disc displacement at C4-C5 level | 312 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M50221 - Other cervical disc displacement at C4-C5 level in DRG | 58.1 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M50221 - Other cervical disc displacement at C4-C5 level | 1.33 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | 3.61 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M50221 - Other cervical disc displacement at C4-C5 level | $3,852,260 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M50221 - Other cervical disc displacement at C4-C5 level | $9,305 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M50221 - Other cervical disc displacement at C4-C5 level | $12,347 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M50221 - Other cervical disc displacement at C4-C5 level | $20,844,964 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M50221 - Other cervical disc displacement at C4-C5 level | $66,811 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | 89.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DUKE RALEIGH HOSPITAL | 3400 WAKE FOREST RD | RALEIGH | NC | 27609 | 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 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL M HAGLUND | 2100 ERWIN RD | DURHAM | NC | 27710 | 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD M50221 - Other cervical disc displacement at C4-C5 level | 668 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M50221 - Other cervical disc displacement at C4-C5 level in DRG | 31.06 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M50221 - Other cervical disc displacement at C4-C5 level | 1.46 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | 6.32 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | 3.54 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M50221 - Other cervical disc displacement at C4-C5 level | $8,356,095 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M50221 - Other cervical disc displacement at C4-C5 level | $8,544 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M50221 - Other cervical disc displacement at C4-C5 level | $12,509 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M50221 - Other cervical disc displacement at C4-C5 level | $47,948,860 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M50221 - Other cervical disc displacement at C4-C5 level | $71,780 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | 1.8 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | 86.83 |
*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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD M50221 - Other cervical disc displacement at C4-C5 level | 28 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD M50221 - Other cervical disc displacement at C4-C5 level in DRG | 1.3 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD M50221 - Other cervical disc displacement at C4-C5 level | 3.68 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD M50221 - Other cervical disc displacement at C4-C5 level | $197,393 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD M50221 - Other cervical disc displacement at C4-C5 level | $1,916 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD M50221 - Other cervical disc displacement at C4-C5 level | $7,050 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD M50221 - Other cervical disc displacement at C4-C5 level | $1,436,823 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD M50221 - Other cervical disc displacement at C4-C5 level | $51,315 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | 46.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,227 | ||||
| Total Hospitalizations with ICD M50221 - Other cervical disc displacement at C4-C5 level | 18 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M50221 - Other cervical disc displacement at C4-C5 level in DRG | 0.84 | ||||
| Avg LOS at DRG | 11.45 | ||||
| Avg LOS with ICD M50221 - Other cervical disc displacement at C4-C5 level | 11.0 | ||||
| Readmission Rate at DRG | 51.82 | ||||
| Readmission Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| Unplanned Readmission Rate at DRG | 10.35 | ||||
| Unplanned Readmission Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| Total Medicare payments at DRG | $241,416,949 | ||||
| Total Medicare payments with ICD M50221 - Other cervical disc displacement at C4-C5 level | $762,918 | ||||
| Total Medicare payment per Day at DRG | $3,385 | ||||
| Total Medicare payment per Day with ICD M50221 - Other cervical disc displacement at C4-C5 level | $3,853 | ||||
| Total Medicare payment per Hospitalization at DRG | $38,769 | ||||
| Total Medicare payment per Hospitalization with ICD M50221 - Other cervical disc displacement at C4-C5 level | $42,384 | ||||
| Total Medicare Charges at DRG | $1,126,422,406 | ||||
| Total Medicare Charges with ICD M50221 - Other cervical disc displacement at C4-C5 level | $3,736,707 | ||||
| Avg Charges at DRG | $180,893 | ||||
| Avg Charges with ICD M50221 - Other cervical disc displacement at C4-C5 level | $207,595 | ||||
| Mortality Rate at DRG | 5.91 | ||||
| Mortality Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| SNF Discharge Rate at DRG | 25.95 | ||||
| SNF Discharge Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| Home Discharge Rate at DRG | 13.46 | ||||
| Home Discharge Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT 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) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M50221 - Other cervical disc displacement at C4-C5 level | 15 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M50221 - Other cervical disc displacement at C4-C5 level in DRG | 0.7 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M50221 - Other cervical disc displacement at C4-C5 level | 3.47 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M50221 - Other cervical disc displacement at C4-C5 level | $204,352 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M50221 - Other cervical disc displacement at C4-C5 level | $3,930 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M50221 - Other cervical disc displacement at C4-C5 level | $13,623 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M50221 - Other cervical disc displacement at C4-C5 level | $1,107,591 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M50221 - Other cervical disc displacement at C4-C5 level | $73,839 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | NA | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M50221 - Other cervical disc displacement at C4-C5 level | 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 | 19 |
| NEA BAPTIST MEMORIAL HOSPITAL | 4800 E JOHNSON AVE | JONESBORO | AR | 72401 | 13 |
| COLISEUM MEDICAL CENTERS | C/O COLISEUM HEALTH SYSTEM | MACON | GA | 31217 | 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 | 19 |
| Dr. REBECCA BARRETT-TUCK | 4802E JOHNSON AVE | JONESBORO | AR | 72401 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL M HAGLUND | 2100 ERWIN RD | DURHAM | NC | 27710 | 19 |
| Dr. REBECCA BARRETT-TUCK | 4802E JOHNSON AVE | JONESBORO | AR | 72401 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M4802 | Spinal stenosis, cervical region |