*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M5030 - Other cervical disc degeneration, unspecified cervical region - as a primary diagnosis code | M5030 - Other cervical disc degeneration, unspecified cervical region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.24 | |
| Readmission Rate (%) | 20.14 | |
| Unplanned Readmission Rate (%) | 10.6 | |
| 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | |||
| Total Hospitalizations with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 572 | |||
| DRG Share of Total Hospitalizations | 0.59 | |||
| % of Total ICD M5030 - Other cervical disc degeneration, unspecified cervical region in DRG | 59.4 | |||
| Avg LOS at DRG | 4.48 | |||
| Avg LOS with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 3.53 | |||
| Readmission Rate at DRG | 20.57 | |||
| Readmission Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 18.7 | |||
| Unplanned Readmission Rate at DRG | 9.88 | |||
| Unplanned Readmission Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 12.04 | |||
| Total Medicare payments at DRG | $1,320,662,237 | |||
| Total Medicare payments with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $3,100,903 | |||
| Total Medicare payment per Day at DRG | $1,508 | |||
| Total Medicare payment per Day with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $1,537 | |||
| Total Medicare payment per Hospitalization at DRG | $6,756 | |||
| Total Medicare payment per Hospitalization with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $5,421 | |||
| Total Medicare Charges at DRG | $6,024,639,461 | |||
| Total Medicare Charges with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $18,222,309 | |||
| Avg Charges at DRG | $30,820 | |||
| Avg Charges with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $31,857 | |||
| Mortality Rate at DRG | 0.24 | |||
| Mortality Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | NA | |||
| SNF Discharge Rate at DRG | 33.36 | |||
| SNF Discharge Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 18.88 | |||
| Home Discharge Rate at DRG | 30.98 | |||
| Home Discharge Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 53.85 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | 19 |
| HOLMES REGIONAL MEDICAL CENTER | 1350 HICKORY ST | MELBOURNE | FL | 32901 | 11 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 3,087 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M5030 - Other cervical disc degeneration, unspecified cervical region in DRG | 4.99 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 2.52 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 8.77 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 3.59 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $35,928,814 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $4,622 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $11,639 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $182,317,604 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $59,060 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 24.1 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 30.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 1,008 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD M5030 - Other cervical disc degeneration, unspecified cervical region in DRG | 1.63 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 3.36 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 15.66 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 11.62 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $4,199,265 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $1,241 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $4,166 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $27,284,720 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $27,068 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 8.43 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 74.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 874 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M5030 - Other cervical disc degeneration, unspecified cervical region in DRG | 1.41 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 3.74 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 17.41 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 11.88 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $4,015,384 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $1,228 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $4,594 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $23,303,992 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $26,664 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 28.72 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 39.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 694 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M5030 - Other cervical disc degeneration, unspecified cervical region in DRG | 1.12 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 4.01 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 16.22 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 11.16 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $3,968,037 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $1,426 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $5,718 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $19,120,203 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | $27,551 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 17.15 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M5030 - Other cervical disc degeneration, unspecified cervical region | 53.6 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 280 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 279 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 267 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAWED M MOVANIA | 700 W LINCOLN TRAIL BLVD | RADCLIFF | KY | 40160 | 60 |
| Dr. GREGORY DALE SMITH | 2412 RING RD | ELIZABETHTOWN | KY | 42701 | 35 |
| Dr. ROY DENTON | 228 W TYLER AVE | WEST MEMPHIS | AR | 72301 | 30 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMIR ZIA | 996 WILKINSON TRCE | BOWLING GREEN | KY | 42103 | 111 |
| Dr. JAWED M MOVANIA | 700 W LINCOLN TRAIL BLVD | RADCLIFF | KY | 40160 | 60 |
| Dr. SOFRONIO SAGUCIO SORIANO | 501 S RANCHO DR | LAS VEGAS | NV | 89106 | 58 |