*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M50323 - Other cervical disc degeneration at C6-C7 level - as a primary diagnosis code | M50323 - Other cervical disc degeneration at C6-C7 level - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.78 | |
| Readmission Rate (%) | 20.8 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||
| Total Hospitalizations with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 101 | ||
| DRG Share of Total Hospitalizations | 0.19 | ||
| % of Total ICD M50323 - Other cervical disc degeneration at C6-C7 level in DRG | 54.01 | ||
| Avg LOS at DRG | 1.72 | ||
| Avg LOS with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 1.37 | ||
| Readmission Rate at DRG | 8.56 | ||
| Readmission Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||
| Unplanned Readmission Rate at DRG | 3.51 | ||
| Unplanned Readmission Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||
| Total Medicare payments at DRG | $814,610,584 | ||
| Total Medicare payments with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $1,219,918 | ||
| Total Medicare payment per Day at DRG | $7,479 | ||
| Total Medicare payment per Day with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $8,840 | ||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||
| Total Medicare payment per Hospitalization with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $12,078 | ||
| Total Medicare Charges at DRG | $4,641,508,729 | ||
| Total Medicare Charges with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $7,163,773 | ||
| Avg Charges at DRG | $73,342 | ||
| Avg Charges with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $70,928 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||
| SNF Discharge Rate at DRG | 3.8 | ||
| SNF Discharge Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||
| Home Discharge Rate at DRG | 81.78 | ||
| Home Discharge Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 84.16 |
*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 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 495 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD M50323 - Other cervical disc degeneration at C6-C7 level in DRG | 17.1 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 1.5 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 6.63 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 4.35 | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $6,116,046 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $8,232 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $12,356 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $38,552,920 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $77,885 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 86.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 45 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M50323 - Other cervical disc degeneration at C6-C7 level in DRG | 1.55 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 7.51 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 30.0 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $516,890 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $1,529 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $11,486 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $3,467,703 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $77,060 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 37.78 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 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 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 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 31 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD M50323 - Other cervical disc degeneration at C6-C7 level in DRG | 1.07 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 5.35 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $236,819 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $1,427 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $7,639 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $1,086,362 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $35,044 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 35.48 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 069: TRANSIENT ISCHEMIA | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 28 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD M50323 - Other cervical disc degeneration at C6-C7 level in DRG | 0.97 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 3.04 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $150,869 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $1,775 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $5,388 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $748,989 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD M50323 - Other cervical disc degeneration at C6-C7 level | $26,750 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | 39.29 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD M50323 - Other cervical disc degeneration at C6-C7 level | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 31 |
| CHI MEMORIAL HOSPITAL | 2525 DESALES AVE | CHATTANOOGA | TN | 37404 | 20 |
| SANTA ROSA MEMORIAL HOSPITAL | 1165 MONTGOMERY DRIVE | SANTA ROSA | CA | 95405 | 20 |
| 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 | 13 |
| 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 | 13 |
| Dr. CHRISTOPHER FRANK WAGENER | 2775 SCHOENERSVILLE RD | BETHLEHEM | PA | 18017 | 11 |
| Dr. SOFRONIO SAGUCIO SORIANO | 501 S RANCHO DR | LAS VEGAS | NV | 89106 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M4802 | Spinal stenosis, cervical region |