*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | Total National Projected Hospitalizations - Annualized (Present on Admission - All) | Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | Total Medicare Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| M5032 | Other cervical disc degeneration, mid-cervical region | 4.12 | |||||||||||||
| M50321 | Other cervical disc degeneration at C4-C5 level | 6.01 | |||||||||||||
| M50322 | Other cervical disc degeneration at C5-C6 level | 3.79 | |||||||||||||
| M50323 | Other cervical disc degeneration at C6-C7 level | NA | |||||||||||||
| M50320 | Other cervical disc degeneration, mid-cervical region, unspecified 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.
| ICD Code | ICD Description | 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 Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| M5032 | Other cervical disc degeneration, mid-cervical region | 4.32 | 17.99 | ||||||||||||||||
| M50322 | Other cervical disc degeneration at C5-C6 level | 4.81 | 19.19 | ||||||||||||||||
| M50321 | Other cervical disc degeneration at C4-C5 level | 4.74 | 19.17 | ||||||||||||||||
| M50323 | Other cervical disc degeneration at C6-C7 level | 4.78 | 20.8 | ||||||||||||||||
| M50320 | Other cervical disc degeneration, mid-cervical region, unspecified level | 5.49 | 20.56 |
*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 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 M5032 - Other cervical disc degeneration, mid-cervical region | 682 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M5032 - Other cervical disc degeneration, mid-cervical region in DRG | 63.56 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 1.33 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 4.56 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 3.24 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $8,480,346 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $9,319 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $12,435 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $43,686,321 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $64,056 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | NA | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 92.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY | 2011 MURPHY AVENUE | NASHVILLE | TN | 37203 | 20 |
| HOLMES REGIONAL MEDICAL CENTER | 1350 HICKORY ST | MELBOURNE | FL | 32901 | 19 |
| CHI MEMORIAL HOSPITAL | 2525 DESALES AVE | CHATTANOOGA | TN | 37404 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY B LANFORD | 2011 MURPHY AVE | NASHVILLE | TN | 37203 | 20 |
| Dr. THOMAS R HIGHLAND | 1 S KEENE ST | COLUMBIA | MO | 65201 | 12 |
| Dr. SCOTT D HODGES | 2415 MCCALLIE AVE | CHATTANOOGA | TN | 37404 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY B LANFORD | 2011 MURPHY AVE | NASHVILLE | TN | 37203 | 20 |
| Dr. THOMAS R HIGHLAND | 1 S KEENE ST | COLUMBIA | MO | 65201 | 12 |
| Dr. SCOTT D HODGES | 2415 MCCALLIE AVE | CHATTANOOGA | TN | 37404 | 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 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 1,650 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M5032 - Other cervical disc degeneration, mid-cervical region in DRG | 24.64 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 1.47 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 5.84 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 3.04 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $20,768,586 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $8,540 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $12,587 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $110,239,350 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $66,812 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 1.94 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 88.55 |
*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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 98 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD M5032 - Other cervical disc degeneration, mid-cervical region in DRG | 1.46 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 3.28 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 37.5 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $566,818 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $1,766 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $5,784 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $3,175,293 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $32,401 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 20.41 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 25.51 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 64 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M5032 - Other cervical disc degeneration, mid-cervical region in DRG | 0.96 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 7.44 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 18.64 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | NA | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $710,146 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $1,492 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $11,096 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $2,158,626 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $33,729 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 31.25 | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 34.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | 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) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 54 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD M5032 - Other cervical disc degeneration, mid-cervical region in DRG | 0.81 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 3.76 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | NA | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | NA | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $266,444 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $1,313 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $4,934 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $1,492,739 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD M5032 - Other cervical disc degeneration, mid-cervical region | $27,643 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 25.93 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD M5032 - Other cervical disc degeneration, mid-cervical region | 42.59 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOLMES REGIONAL MEDICAL CENTER | 1350 HICKORY ST | MELBOURNE | FL | 32901 | 48 |
| CHI MEMORIAL HOSPITAL | 2525 DESALES AVE | CHATTANOOGA | TN | 37404 | 33 |
| BOONE HOSPITAL CENTER | 1600 E BROADWAY | COLUMBIA | MO | 65201 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY B LANFORD | 2011 MURPHY AVE | NASHVILLE | TN | 37203 | 25 |
| Dr. THOMAS R HIGHLAND | 1 S KEENE ST | COLUMBIA | MO | 65201 | 23 |
| Dr. PAUL MARSHALL KELLER | 1341 MEDICAL PARK DR | MELBOURNE | FL | 32901 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY B LANFORD | 2011 MURPHY AVE | NASHVILLE | TN | 37203 | 25 |
| Dr. THOMAS R HIGHLAND | 1 S KEENE ST | COLUMBIA | MO | 65201 | 24 |
| Dr. PAUL MARSHALL KELLER | 1341 MEDICAL PARK DR | MELBOURNE | FL | 32901 | 20 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M4802 | Spinal stenosis, cervical region |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |