*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M50321 - Other cervical disc degeneration at C4-C5 level - as a primary diagnosis code | M50321 - Other cervical disc degeneration at C4-C5 level - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.74 | |
| Readmission Rate (%) | 19.17 | |
| Unplanned Readmission Rate (%) | 6.01 | |
| 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 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 M50321 - Other cervical disc degeneration at C4-C5 level | 189 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M50321 - Other cervical disc degeneration at C4-C5 level in DRG | 49.74 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 1.39 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 7.14 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $2,378,555 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $9,078 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $12,585 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $14,396,359 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $76,171 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 87.3 |
*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 M50321 - Other cervical disc degeneration at C4-C5 level | 580 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M50321 - Other cervical disc degeneration at C4-C5 level in DRG | 18.57 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 1.53 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 6.81 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 4.3 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $7,012,147 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $7,923 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $12,090 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $44,025,027 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $75,905 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 86.21 |
*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 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 50 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD M50321 - Other cervical disc degeneration at C4-C5 level in DRG | 1.6 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 9.84 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 26.53 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $725,505 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $1,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $14,510 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $2,234,309 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $44,686 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 24.0 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 30.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 34 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M50321 - Other cervical disc degeneration at C4-C5 level in DRG | 1.09 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 6.18 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $331,876 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $1,580 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $9,761 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $1,546,469 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $45,484 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD M50321 - Other cervical disc degeneration 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 27 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M50321 - Other cervical disc degeneration at C4-C5 level in DRG | 0.86 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 5.74 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $786,098 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $5,072 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $29,115 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $4,976,577 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M50321 - Other cervical disc degeneration at C4-C5 level | $184,318 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | NA | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M50321 - Other cervical disc degeneration at C4-C5 level | 55.56 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| KANSAS SPINE & SPECIALTY HOSPITAL | 3333 N WEBB RD | WICHITA | KS | 67226 | 17 |
| INSTITUTE FOR ORTHOPAEDIC SURGERY | 801 MEDICAL DR | LIMA | OH | 45804 | 16 |
| BOONE HOSPITAL CENTER | 1600 E BROADWAY | COLUMBIA | MO | 65201 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SELVON F ST. CLAIR | 801 MEDICAL DR | LIMA | OH | 45804 | 17 |
| Dr. CHRISTOPHER FRANK WAGENER | 2775 SCHOENERSVILLE RD | BETHLEHEM | PA | 18017 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SELVON F ST. CLAIR | 801 MEDICAL DR | LIMA | OH | 45804 | 16 |
| Dr. CHRISTOPHER FRANK WAGENER | 2775 SCHOENERSVILLE RD | BETHLEHEM | PA | 18017 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M4802 | Spinal stenosis, cervical region |