*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M5116 - Intervertebral disc disorders with radiculopathy, lumbar region - as a primary diagnosis code | M5116 - Intervertebral disc disorders with radiculopathy, lumbar region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.15 | |
| Readmission Rate (%) | 18.97 | |
| Unplanned Readmission Rate (%) | 6.04 | |
| 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 16,530 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region in DRG | 36.87 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 3.13 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 15.5 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 4.44 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $400,468,835 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $7,732 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $24,227 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $1,970,773,062 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $119,224 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 13.53 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 54.94 |
*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) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,121 | ||||
| Total Hospitalizations with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 2,299 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region in DRG | 5.13 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 4.17 | ||||
| Readmission Rate at DRG | 25.27 | ||||
| Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 22.43 | ||||
| Unplanned Readmission Rate at DRG | 5.39 | ||||
| Unplanned Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 5.54 | ||||
| Total Medicare payments at DRG | $1,452,399,208 | ||||
| Total Medicare payments with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $104,313,887 | ||||
| Total Medicare payment per Day at DRG | $9,984 | ||||
| Total Medicare payment per Day with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $10,874 | ||||
| Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
| Total Medicare payment per Hospitalization with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $45,374 | ||||
| Total Medicare Charges at DRG | $6,527,772,651 | ||||
| Total Medicare Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $462,976,429 | ||||
| Avg Charges at DRG | $216,718 | ||||
| Avg Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $201,382 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 21.6 | ||||
| SNF Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 18.4 | ||||
| Home Discharge Rate at DRG | 38.16 | ||||
| Home Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 41.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 458: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | ||||
| Total Hospitalizations with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 549 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region in DRG | 1.22 | ||||
| Avg LOS at DRG | 4.67 | ||||
| Avg LOS with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 3.66 | ||||
| Readmission Rate at DRG | 23.96 | ||||
| Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 22.66 | ||||
| Unplanned Readmission Rate at DRG | 9.89 | ||||
| Unplanned Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 7.87 | ||||
| Total Medicare payments at DRG | $524,182,097 | ||||
| Total Medicare payments with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $6,153,350 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $3,063 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
| Total Medicare payment per Hospitalization with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $11,208 | ||||
| Total Medicare Charges at DRG | $2,765,571,309 | ||||
| Total Medicare Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $32,715,113 | ||||
| Avg Charges at DRG | $64,982 | ||||
| Avg Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $59,590 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 33.62 | ||||
| SNF Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 17.12 | ||||
| Home Discharge Rate at DRG | 31.52 | ||||
| Home Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 47.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,040 | ||||
| Total Hospitalizations with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 37 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region in DRG | 0.08 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 8.24 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 36.11 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | NA | ||||
| Total Medicare payments at DRG | $358,064,249 | ||||
| Total Medicare payments with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $2,426,138 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $7,955 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $65,571 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $9,916,891 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $268,024 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 48.65 | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | NA |
| 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 | 430 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 393 |
| KANSAS SPINE & SPECIALTY HOSPITAL | 3333 N WEBB RD | WICHITA | KS | 67226 | 368 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAYMOND W GRUNDMEYER | 3223 N WEBB RD | WICHITA | KS | 67226 | 200 |
| Dr. KENNEDY YALAMANCHILI | 774 CHRISTIANA RD | NEWARK | DE | 19713 | 150 |
| Dr. BRYAN ALAN FOX | 100 WIMBLEDON SQ | CHESAPEAKE | VA | 23320 | 130 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAYMOND W GRUNDMEYER | 3223 N WEBB RD | WICHITA | KS | 67226 | 190 |
| Dr. KENNEDY YALAMANCHILI | 774 CHRISTIANA RD | NEWARK | DE | 19713 | 146 |
| Dr. STEPHEN L RITLAND | 1150 N SAN FRANCISCO ST | FLAGSTAFF | AZ | 86001 | 127 |
*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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 37,009 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region in DRG | 32.48 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 3.16 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 16.18 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 4.37 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $897,353,409 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $7,662 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $24,247 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $4,435,105,980 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $119,839 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 0.03 | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 14.54 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 53.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,458 | ||||
| Total Hospitalizations with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 5,307 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region in DRG | 4.66 | ||||
| Avg LOS at DRG | 3.91 | ||||
| Avg LOS with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 3.8 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 21.46 | ||||
| Unplanned Readmission Rate at DRG | 6.06 | ||||
| Unplanned Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 5.98 | ||||
| Total Medicare payments at DRG | $282,780,660 | ||||
| Total Medicare payments with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $53,958,205 | ||||
| Total Medicare payment per Day at DRG | $2,732 | ||||
| Total Medicare payment per Day with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $2,675 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
| Total Medicare payment per Hospitalization with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $10,167 | ||||
| Total Medicare Charges at DRG | $1,744,158,849 | ||||
| Total Medicare Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $322,617,473 | ||||
| Avg Charges at DRG | $65,922 | ||||
| Avg Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $60,791 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 17.88 | ||||
| Home Discharge Rate at DRG | 44.06 | ||||
| Home Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 46.54 |
*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 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 1,570 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region in DRG | 1.38 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 2.54 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 9.7 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 3.5 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $19,029,432 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $4,781 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $12,121 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $101,801,936 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $64,842 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 21.91 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 30.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 458: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,922 | ||||
| Total Hospitalizations with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 742 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region in DRG | 0.65 | ||||
| Avg LOS at DRG | 3.59 | ||||
| Avg LOS with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 3.15 | ||||
| Readmission Rate at DRG | 21.46 | ||||
| Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 17.56 | ||||
| Unplanned Readmission Rate at DRG | 4.66 | ||||
| Unplanned Readmission Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 3.84 | ||||
| Total Medicare payments at DRG | $172,966,878 | ||||
| Total Medicare payments with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $24,498,600 | ||||
| Total Medicare payment per Day at DRG | $9,799 | ||||
| Total Medicare payment per Day with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $10,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,142 | ||||
| Total Medicare payment per Hospitalization with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $33,017 | ||||
| Total Medicare Charges at DRG | $747,447,911 | ||||
| Total Medicare Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $102,082,902 | ||||
| Avg Charges at DRG | $151,859 | ||||
| Avg Charges with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | $137,578 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 18.57 | ||||
| SNF Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 21.7 | ||||
| Home Discharge Rate at DRG | 45.04 | ||||
| Home Discharge Rate with ICD M5116 - Intervertebral disc disorders with radiculopathy, lumbar region | 46.63 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 1,071 |
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | 795 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 766 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 322 |
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 274 |
| Dr. RAYMOND W GRUNDMEYER | 3223 N WEBB RD | WICHITA | KS | 67226 | 265 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 323 |
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 277 |
| Dr. PAUL STANTON | 4110 BRIARGATE PKWY | COLORADO SPRINGS | CO | 80920 | 255 |