*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region - as a primary diagnosis code | M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.13 | |
| Readmission Rate (%) | 17.95 | |
| Unplanned Readmission Rate (%) | 5.97 | |
| 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 455: COMBINED ANTERIOR/POSTERIOR 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 4,030 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region in DRG | 40.32 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 2.98 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 12.84 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 4.22 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $96,637,974 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $8,060 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $23,980 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $479,699,740 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $119,032 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 10.74 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 61.79 |
*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 459: SPINAL FUSION EXCEPT CERVICAL 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 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 M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 510 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region in DRG | 5.1 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 4.28 | ||||
| Readmission Rate at DRG | 25.27 | ||||
| Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 21.15 | ||||
| Unplanned Readmission Rate at DRG | 5.39 | ||||
| Unplanned Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 4.31 | ||||
| Total Medicare payments at DRG | $1,452,399,208 | ||||
| Total Medicare payments with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $23,493,783 | ||||
| Total Medicare payment per Day at DRG | $9,984 | ||||
| Total Medicare payment per Day with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $10,767 | ||||
| Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
| Total Medicare payment per Hospitalization with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $46,066 | ||||
| Total Medicare Charges at DRG | $6,527,772,651 | ||||
| Total Medicare Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $114,894,421 | ||||
| Avg Charges at DRG | $216,718 | ||||
| Avg Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $225,283 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 21.6 | ||||
| SNF Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 16.47 | ||||
| Home Discharge Rate at DRG | 38.16 | ||||
| Home Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 45.29 |
*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 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | ||||
| Total Hospitalizations with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 77 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region in DRG | 0.77 | ||||
| Avg LOS at DRG | 4.67 | ||||
| Avg LOS with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 3.57 | ||||
| Readmission Rate at DRG | 23.96 | ||||
| Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 18.67 | ||||
| Unplanned Readmission Rate at DRG | 9.89 | ||||
| Unplanned Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | NA | ||||
| Total Medicare payments at DRG | $524,182,097 | ||||
| Total Medicare payments with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $907,669 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $3,301 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
| Total Medicare payment per Hospitalization with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $11,788 | ||||
| Total Medicare Charges at DRG | $2,765,571,309 | ||||
| Total Medicare Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $4,758,166 | ||||
| Avg Charges at DRG | $64,982 | ||||
| Avg Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $61,794 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 33.62 | ||||
| SNF Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | NA | ||||
| Home Discharge Rate at DRG | 31.52 | ||||
| Home Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 49.35 |
| 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 | 55 |
| ARKANSAS SURGICAL HOSPITAL | 5201 NORTHSHORE DRIVE | NORTH LITTLE ROCK | AR | 72118 | 54 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 50 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CAPLE A SPENCE | 8121 NATIONAL AVE | MIDWEST CITY | OK | 73110 | 40 |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 | 29 |
| Dr. BRAD A THOMAS | 5 SAINT VINCENT CIR STE 502 | LITTLE ROCK | AR | 72205 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CAPLE A SPENCE | 8121 NATIONAL AVE | MIDWEST CITY | OK | 73110 | 43 |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 | 29 |
| Dr. BRAD A THOMAS | 5 SAINT VINCENT CIR STE 502 | LITTLE ROCK | AR | 72205 | 29 |
*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 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) | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 10,305 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region in DRG | 36.36 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 3.08 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 14.68 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 4.29 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $251,144,443 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $7,925 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $24,371 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $1,296,003,571 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $125,765 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 13.28 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 55.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,458 | ||||
| Total Hospitalizations with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 1,058 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region in DRG | 3.73 | ||||
| Avg LOS at DRG | 3.91 | ||||
| Avg LOS with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 3.76 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 16.94 | ||||
| Unplanned Readmission Rate at DRG | 6.06 | ||||
| Unplanned Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 6.2 | ||||
| Total Medicare payments at DRG | $282,780,660 | ||||
| Total Medicare payments with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $10,668,703 | ||||
| Total Medicare payment per Day at DRG | $2,732 | ||||
| Total Medicare payment per Day with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $2,683 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
| Total Medicare payment per Hospitalization with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $10,084 | ||||
| Total Medicare Charges at DRG | $1,744,158,849 | ||||
| Total Medicare Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $64,473,246 | ||||
| Avg Charges at DRG | $65,922 | ||||
| Avg Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $60,939 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 15.5 | ||||
| Home Discharge Rate at DRG | 44.06 | ||||
| Home Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 52.08 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | ||||
| Total Hospitalizations with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 265 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region in DRG | 0.94 | ||||
| Avg LOS at DRG | 4.67 | ||||
| Avg LOS with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 3.75 | ||||
| Readmission Rate at DRG | 23.96 | ||||
| Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 21.96 | ||||
| Unplanned Readmission Rate at DRG | 9.89 | ||||
| Unplanned Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 10.98 | ||||
| Total Medicare payments at DRG | $524,182,097 | ||||
| Total Medicare payments with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $2,926,897 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $2,942 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
| Total Medicare payment per Hospitalization with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $11,045 | ||||
| Total Medicare Charges at DRG | $2,765,571,309 | ||||
| Total Medicare Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $16,322,862 | ||||
| Avg Charges at DRG | $64,982 | ||||
| Avg Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $61,596 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 33.62 | ||||
| SNF Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 23.77 | ||||
| Home Discharge Rate at DRG | 31.52 | ||||
| Home Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 43.77 |
*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 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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 154 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region in DRG | 0.54 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 7.3 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 22.63 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 17.52 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $1,800,469 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $1,602 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $11,691 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $10,463,607 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | $67,946 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 31.82 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M5117 - Intervertebral disc disorders with radiculopathy, lumbosacral region | 34.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TULSA SPINE & SPECIALTY HOSPITAL | 6901 S OLYMPIA AVE | TULSA | OK | 74132 | 176 |
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | 149 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 140 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KORNELIS POELSTRA | 155 CRYSTAL BEACH DR | DESTIN | FL | 32541 | 114 |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 | 97 |
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 97 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KORNELIS POELSTRA | 155 CRYSTAL BEACH DR | DESTIN | FL | 32541 | 117 |
| Dr. TIMOTHY EUGENE SPENCER | 14250 BEADLE LAKE RD | BATTLE CREEK | MI | 49014 | 97 |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 | 97 |