*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M5136 - Other intervertebral disc degeneration, lumbar region - as a primary diagnosis code | M5136 - Other intervertebral disc degeneration, lumbar region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.02 | |
| Readmission Rate (%) | 20.29 | |
| Unplanned Readmission Rate (%) | 6.97 | |
| 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 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 6,483 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M5136 - Other intervertebral disc degeneration, lumbar region in DRG | 43.91 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 3.03 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 14.96 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 4.08 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $155,799,460 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $7,935 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $24,032 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $778,993,739 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $120,159 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 12.8 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 56.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,812 | ||||
| Total Hospitalizations with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 392 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD M5136 - Other intervertebral disc degeneration, lumbar region in DRG | 2.66 | ||||
| Avg LOS at DRG | 7.66 | ||||
| Avg LOS with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 6.78 | ||||
| Readmission Rate at DRG | 36.82 | ||||
| Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 31.03 | ||||
| Unplanned Readmission Rate at DRG | 8.15 | ||||
| Unplanned Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 8.75 | ||||
| Total Medicare payments at DRG | $685,730,928 | ||||
| Total Medicare payments with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $15,388,591 | ||||
| Total Medicare payment per Day at DRG | $5,325 | ||||
| Total Medicare payment per Day with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $5,794 | ||||
| Total Medicare payment per Hospitalization at DRG | $40,788 | ||||
| Total Medicare payment per Hospitalization with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $39,257 | ||||
| Total Medicare Charges at DRG | $3,152,175,405 | ||||
| Total Medicare Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $72,864,385 | ||||
| Avg Charges at DRG | $187,496 | ||||
| Avg Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $185,879 | ||||
| Mortality Rate at DRG | 2.12 | ||||
| Mortality Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 31.97 | ||||
| SNF Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 30.1 | ||||
| Home Discharge Rate at DRG | 20.62 | ||||
| Home Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 27.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 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 M5136 - Other intervertebral disc degeneration, lumbar region | 127 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD M5136 - Other intervertebral disc degeneration, lumbar region in DRG | 0.86 | ||||
| Avg LOS at DRG | 4.67 | ||||
| Avg LOS with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 3.64 | ||||
| Readmission Rate at DRG | 23.96 | ||||
| Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 23.81 | ||||
| Unplanned Readmission Rate at DRG | 9.89 | ||||
| Unplanned Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | NA | ||||
| Total Medicare payments at DRG | $524,182,097 | ||||
| Total Medicare payments with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $1,441,804 | ||||
| Total Medicare payment per Day at DRG | $2,636 | ||||
| Total Medicare payment per Day with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $3,121 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,317 | ||||
| Total Medicare payment per Hospitalization with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $11,353 | ||||
| Total Medicare Charges at DRG | $2,765,571,309 | ||||
| Total Medicare Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $8,999,014 | ||||
| Avg Charges at DRG | $64,982 | ||||
| Avg Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $70,858 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 33.62 | ||||
| SNF Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 18.9 | ||||
| Home Discharge Rate at DRG | 31.52 | ||||
| Home Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 44.09 |
*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 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,040 | ||||
| Total Hospitalizations with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 30 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M5136 - Other intervertebral disc degeneration, lumbar region in DRG | 0.2 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 8.87 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 51.72 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | NA | ||||
| Total Medicare payments at DRG | $358,064,249 | ||||
| Total Medicare payments with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $1,960,966 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $7,372 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $65,366 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $9,626,830 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $320,894 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 53.33 | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOLMES REGIONAL MEDICAL CENTER | 1350 HICKORY ST | MELBOURNE | FL | 32901 | 130 |
| GRANDVIEW MEDICAL CENTER | 3690 GRANDVIEW PKWY | BIRMINGHAM | AL | 35243 | 128 |
| CHI MEMORIAL HOSPITAL | 2525 DESALES AVE | CHATTANOOGA | TN | 37404 | 117 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS R HIGHLAND | 1 S KEENE ST | COLUMBIA | MO | 65201 | 81 |
| Dr. JAMES S. FAULKNER | 48 MEDICAL PARK EAST DR. | BIRMINGHAM | AL | 35235 | 79 |
| Dr. SCOTT D HODGES | 2415 MCCALLIE AVE | CHATTANOOGA | TN | 37404 | 79 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS R HIGHLAND | 1 S KEENE ST | COLUMBIA | MO | 65201 | 81 |
| Dr. JAMES S. FAULKNER | 48 MEDICAL PARK EAST DR. | BIRMINGHAM | AL | 35235 | 80 |
| Dr. SCOTT D HODGES | 2415 MCCALLIE AVE | CHATTANOOGA | TN | 37404 | 78 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 21,734 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M5136 - Other intervertebral disc degeneration, lumbar region in DRG | 10.27 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 3.17 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 16.42 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 4.42 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $526,283,027 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $7,631 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $24,215 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $2,657,358,385 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $122,267 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 14.33 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 52.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,430 | ||||
| Total Hospitalizations with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 3,843 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M5136 - Other intervertebral disc degeneration, lumbar region in DRG | 1.82 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 3.03 | ||||
| Readmission Rate at DRG | 12.68 | ||||
| Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 13.87 | ||||
| Unplanned Readmission Rate at DRG | 3.54 | ||||
| Unplanned Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 3.74 | ||||
| Total Medicare payments at DRG | $1,036,333,247 | ||||
| Total Medicare payments with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $133,925,014 | ||||
| Total Medicare payment per Day at DRG | $11,506 | ||||
| Total Medicare payment per Day with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $11,500 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,056 | ||||
| Total Medicare payment per Hospitalization with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $34,849 | ||||
| Total Medicare Charges at DRG | $4,847,184,577 | ||||
| Total Medicare Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $646,706,927 | ||||
| Avg Charges at DRG | $159,290 | ||||
| Avg Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $168,282 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 11.74 | ||||
| SNF Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 12.57 | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 58.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 2,790 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD M5136 - Other intervertebral disc degeneration, lumbar region in DRG | 1.32 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 4.7 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 24.53 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 18.34 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $19,273,495 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $1,469 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $6,908 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $92,710,316 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $33,230 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 0.68 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 13.15 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 52.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 2,066 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD M5136 - Other intervertebral disc degeneration, lumbar region in DRG | 0.98 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 4.08 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 19.14 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 11.98 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $12,083,498 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $1,434 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $5,849 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $53,494,204 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD M5136 - Other intervertebral disc degeneration, lumbar region | $25,893 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 18.44 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD M5136 - Other intervertebral disc degeneration, lumbar region | 51.4 |
| 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 | 892 |
| MEMORIAL HOSPITAL BELLEVILLE | 4500 MEMORIAL DR | BELLEVILLE | IL | 62226 | 779 |
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 776 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THOMAS R HIGHLAND | 1 S KEENE ST | COLUMBIA | MO | 65201 | 179 |
| Dr. MARK W WYLIE | 6301 HARRIS PKWY STE 200 | FORT WORTH | TX | 76132 | 161 |
| Dr. JAMES S. FAULKNER | 48 MEDICAL PARK EAST DR. | BIRMINGHAM | AL | 35235 | 150 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFFORY FORD THOMAS | 5002 COWHORN CREEK RD | TEXARKANA | TX | 75503 | 186 |
| Dr. THOMAS R HIGHLAND | 1 S KEENE ST | COLUMBIA | MO | 65201 | 176 |
| Dr. ROBERT FLOWERS | 333 KEEN STREET | BURKESVILLE | KY | 42717 | 174 |