*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M5031 - Other cervical disc degeneration, high cervical region - as a primary diagnosis code | M5031 - Other cervical disc degeneration, high cervical region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.12 | |
| Readmission Rate (%) | 21.09 | |
| Unplanned Readmission Rate (%) | 6.49 | |
| 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD M5031 - Other cervical disc degeneration, high cervical region | 331 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M5031 - Other cervical disc degeneration, high cervical region in DRG | 42.88 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M5031 - Other cervical disc degeneration, high cervical region | 1.71 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 6.38 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 4.86 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M5031 - Other cervical disc degeneration, high cervical region | $4,172,571 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M5031 - Other cervical disc degeneration, high cervical region | $7,385 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M5031 - Other cervical disc degeneration, high cervical region | $12,606 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $23,802,229 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $71,910 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 89.12 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 30,121 |
| Total Hospitalizations with ICD M5031 - Other cervical disc degeneration, high cervical region | 14 |
| DRG Share of Total Hospitalizations | 0.09 |
| % of Total ICD M5031 - Other cervical disc degeneration, high cervical region in DRG | 1.81 |
| Avg LOS at DRG | 4.83 |
| Avg LOS with ICD M5031 - Other cervical disc degeneration, high cervical region | 6.07 |
| Readmission Rate at DRG | 25.27 |
| Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA |
| Unplanned Readmission Rate at DRG | 5.39 |
| Unplanned Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA |
| Total Medicare payments at DRG | $1,452,399,208 |
| Total Medicare payments with ICD M5031 - Other cervical disc degeneration, high cervical region | $723,405 |
| Total Medicare payment per Day at DRG | $9,984 |
| Total Medicare payment per Day with ICD M5031 - Other cervical disc degeneration, high cervical region | $8,511 |
| Total Medicare payment per Hospitalization at DRG | $48,219 |
| Total Medicare payment per Hospitalization with ICD M5031 - Other cervical disc degeneration, high cervical region | $51,672 |
| Total Medicare Charges at DRG | $6,527,772,651 |
| Total Medicare Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $2,873,803 |
| Avg Charges at DRG | $216,718 |
| Avg Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $205,272 |
| Mortality Rate at DRG | 0.06 |
| Mortality Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA |
| SNF Discharge Rate at DRG | 21.6 |
| SNF Discharge Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA |
| Home Discharge Rate at DRG | 38.16 |
| Home Discharge Rate with ICD M5031 - Other cervical disc degeneration, 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 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 M5031 - Other cervical disc degeneration, high cervical region | 904 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M5031 - Other cervical disc degeneration, high cervical region in DRG | 14.98 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M5031 - Other cervical disc degeneration, high cervical region | 1.86 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 7.3 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 3.82 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M5031 - Other cervical disc degeneration, high cervical region | $11,432,447 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M5031 - Other cervical disc degeneration, high cervical region | $6,817 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M5031 - Other cervical disc degeneration, high cervical region | $12,647 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $67,506,864 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $74,676 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 2.99 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 83.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M5031 - Other cervical disc degeneration, high cervical region | 103 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M5031 - Other cervical disc degeneration, high cervical region in DRG | 1.71 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M5031 - Other cervical disc degeneration, high cervical region | 9.55 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 17.53 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M5031 - Other cervical disc degeneration, high cervical region | $1,524,824 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M5031 - Other cervical disc degeneration, high cervical region | $1,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M5031 - Other cervical disc degeneration, high cervical region | $14,804 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $4,416,405 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $42,878 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 35.92 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 16.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD M5031 - Other cervical disc degeneration, high cervical region | 65 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M5031 - Other cervical disc degeneration, high cervical region in DRG | 1.08 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD M5031 - Other cervical disc degeneration, high cervical region | 6.06 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 28.33 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 18.33 | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD M5031 - Other cervical disc degeneration, high cervical region | $601,356 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD M5031 - Other cervical disc degeneration, high cervical region | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD M5031 - Other cervical disc degeneration, high cervical region | $9,252 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $2,371,459 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $36,484 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 32.31 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 29.23 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD M5031 - Other cervical disc degeneration, high cervical region | 52 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD M5031 - Other cervical disc degeneration, high cervical region in DRG | 0.86 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD M5031 - Other cervical disc degeneration, high cervical region | 4.29 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD M5031 - Other cervical disc degeneration, high cervical region | $457,244 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD M5031 - Other cervical disc degeneration, high cervical region | $2,050 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD M5031 - Other cervical disc degeneration, high cervical region | $8,793 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $2,177,806 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD M5031 - Other cervical disc degeneration, high cervical region | $41,881 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 34.62 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD M5031 - Other cervical disc degeneration, high cervical region | 36.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 33 |
| HOLMES REGIONAL MEDICAL CENTER | 1350 HICKORY ST | MELBOURNE | FL | 32901 | 29 |
| SANTA ROSA MEMORIAL HOSPITAL | 1165 MONTGOMERY DRIVE | SANTA ROSA | CA | 95405 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CARMINA FLORES ANGELES | 74B CENTENNIAL LOOP STE 100 | EUGENE | OR | 97401 | 15 |
| Dr. THOMAS R HIGHLAND | 1 S KEENE ST | COLUMBIA | MO | 65201 | 14 |
| Dr. KENNEDY YALAMANCHILI | 774 CHRISTIANA RD | NEWARK | DE | 19713 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS R HIGHLAND | 1 S KEENE ST | COLUMBIA | MO | 65201 | 15 |
| Dr. CARMINA FLORES ANGELES | 74B CENTENNIAL LOOP STE 100 | EUGENE | OR | 97401 | 15 |
| Dr. ELIJAH UZOMA WOGU | 620 CALIFORNIA BLVD | SAN LUIS OBISPO | CA | 93401 | 13 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M4802 | Spinal stenosis, cervical region |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |