*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M532X6 - Spinal instabilities, lumbar region - as a primary diagnosis code | M532X6 - Spinal instabilities, lumbar region - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 3.55 | |
Readmission Rate (%) | 18.01 | |
Unplanned Readmission Rate (%) | 5.47 | |
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 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 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 215,355 | ||||
Total Hospitalizations with ICD M532X6 - Spinal instabilities, lumbar region | 767 | ||||
DRG Share of Total Hospitalizations | 0.66 | ||||
% of Total ICD M532X6 - Spinal instabilities, lumbar region in DRG | 72.77 | ||||
Avg LOS at DRG | 3.28 | ||||
Avg LOS with ICD M532X6 - Spinal instabilities, lumbar region | 3.07 | ||||
Readmission Rate at DRG | 16.7 | ||||
Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | 16.0 | ||||
Unplanned Readmission Rate at DRG | 4.47 | ||||
Unplanned Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | 4.67 | ||||
Total Medicare payments at DRG | $5,278,830,730 | ||||
Total Medicare payments with ICD M532X6 - Spinal instabilities, lumbar region | $17,319,432 | ||||
Total Medicare payment per Day at DRG | $7,462 | ||||
Total Medicare payment per Day with ICD M532X6 - Spinal instabilities, lumbar region | $7,348 | ||||
Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
Total Medicare payment per Hospitalization with ICD M532X6 - Spinal instabilities, lumbar region | $22,581 | ||||
Total Medicare Charges at DRG | $25,567,888,167 | ||||
Total Medicare Charges with ICD M532X6 - Spinal instabilities, lumbar region | $85,097,176 | ||||
Avg Charges at DRG | $118,724 | ||||
Avg Charges with ICD M532X6 - Spinal instabilities, lumbar region | $110,948 | ||||
Mortality Rate at DRG | 0.03 | ||||
Mortality Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 15.71 | ||||
SNF Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | 12.26 | ||||
Home Discharge Rate at DRG | 51.89 | ||||
Home Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | 59.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|
Total Hospitalizations at DRG | 6,958 |
Total Hospitalizations with ICD M532X6 - Spinal instabilities, lumbar region | 13 |
DRG Share of Total Hospitalizations | 0.02 |
% of Total ICD M532X6 - Spinal instabilities, lumbar region in DRG | 1.23 |
Avg LOS at DRG | 3.81 |
Avg LOS with ICD M532X6 - Spinal instabilities, lumbar region | 5.62 |
Readmission Rate at DRG | 15.77 |
Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA |
Unplanned Readmission Rate at DRG | 7.13 |
Unplanned Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA |
Total Medicare payments at DRG | $38,129,498 |
Total Medicare payments with ICD M532X6 - Spinal instabilities, lumbar region | $119,069 |
Total Medicare payment per Day at DRG | $1,437 |
Total Medicare payment per Day with ICD M532X6 - Spinal instabilities, lumbar region | $1,631 |
Total Medicare payment per Hospitalization at DRG | $5,480 |
Total Medicare payment per Hospitalization with ICD M532X6 - Spinal instabilities, lumbar region | $9,159 |
Total Medicare Charges at DRG | $177,015,555 |
Total Medicare Charges with ICD M532X6 - Spinal instabilities, lumbar region | $256,807 |
Avg Charges at DRG | $25,441 |
Avg Charges with ICD M532X6 - Spinal instabilities, lumbar region | $19,754 |
Mortality Rate at DRG | NA |
Mortality Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA |
SNF Discharge Rate at DRG | 33.64 |
SNF Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA |
Home Discharge Rate at DRG | 33.75 |
Home Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ATRIUM HEALTH PINEVILLE | 10628 PARK RD | CHARLOTTE | NC | 28210 | 50 |
DUNES SURGICAL HOSPITAL | 600 N SIOUX POINT RD | DAKOTA DUNES | SD | 57049 | 24 |
OSS ORTHOPAEDIC HOSPITAL | 1861 POWDER MILL RD. | YORK | PA | 17402 | 22 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MICHAEL A COWAN | 225 BALDWIN AVE | CHARLOTTE | NC | 28204 | 43 |
Dr. GRANT HARPER SHUMAKER | 575 N SIOUX POINT RD | DAKOTA DUNES | SD | 57049 | 30 |
Dr. ERIC ALAN GOEBEL | 2200 E PARRISH AVE | OWENSBORO | KY | 42303 | 17 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MICHAEL A COWAN | 225 BALDWIN AVE | CHARLOTTE | NC | 28204 | 43 |
Dr. GRANT HARPER SHUMAKER | 575 N SIOUX POINT RD | DAKOTA DUNES | SD | 57049 | 30 |
Dr. ERIC ALAN GOEBEL | 2200 E PARRISH AVE | OWENSBORO | KY | 42303 | 17 |
*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 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 459: SPINAL FUSION EXCEPT CERVICAL 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 215,355 | ||||
Total Hospitalizations with ICD M532X6 - Spinal instabilities, lumbar region | 10,670 | ||||
DRG Share of Total Hospitalizations | 0.66 | ||||
% of Total ICD M532X6 - Spinal instabilities, lumbar region in DRG | 67.41 | ||||
Avg LOS at DRG | 3.28 | ||||
Avg LOS with ICD M532X6 - Spinal instabilities, lumbar region | 3.1 | ||||
Readmission Rate at DRG | 16.7 | ||||
Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | 16.48 | ||||
Unplanned Readmission Rate at DRG | 4.47 | ||||
Unplanned Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | 4.32 | ||||
Total Medicare payments at DRG | $5,278,830,730 | ||||
Total Medicare payments with ICD M532X6 - Spinal instabilities, lumbar region | $248,132,199 | ||||
Total Medicare payment per Day at DRG | $7,462 | ||||
Total Medicare payment per Day with ICD M532X6 - Spinal instabilities, lumbar region | $7,499 | ||||
Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
Total Medicare payment per Hospitalization with ICD M532X6 - Spinal instabilities, lumbar region | $23,255 | ||||
Total Medicare Charges at DRG | $25,567,888,167 | ||||
Total Medicare Charges with ICD M532X6 - Spinal instabilities, lumbar region | $1,208,618,915 | ||||
Avg Charges at DRG | $118,724 | ||||
Avg Charges with ICD M532X6 - Spinal instabilities, lumbar region | $113,273 | ||||
Mortality Rate at DRG | 0.03 | ||||
Mortality Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 15.71 | ||||
SNF Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | 13.67 | ||||
Home Discharge Rate at DRG | 51.89 | ||||
Home Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | 53.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 552: MEDICAL BACK PROBLEMS WITHOUT 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 | 7,362 | ||||
Total Hospitalizations with ICD M532X6 - Spinal instabilities, lumbar region | 212 | ||||
DRG Share of Total Hospitalizations | 0.02 | ||||
% of Total ICD M532X6 - Spinal instabilities, lumbar region in DRG | 1.34 | ||||
Avg LOS at DRG | 10.04 | ||||
Avg LOS with ICD M532X6 - Spinal instabilities, lumbar region | 8.62 | ||||
Readmission Rate at DRG | 45.05 | ||||
Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | 42.79 | ||||
Unplanned Readmission Rate at DRG | 8.78 | ||||
Unplanned Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | 9.95 | ||||
Total Medicare payments at DRG | $550,960,642 | ||||
Total Medicare payments with ICD M532X6 - Spinal instabilities, lumbar region | $14,230,484 | ||||
Total Medicare payment per Day at DRG | $7,454 | ||||
Total Medicare payment per Day with ICD M532X6 - Spinal instabilities, lumbar region | $7,789 | ||||
Total Medicare payment per Hospitalization at DRG | $74,838 | ||||
Total Medicare payment per Hospitalization with ICD M532X6 - Spinal instabilities, lumbar region | $67,125 | ||||
Total Medicare Charges at DRG | $2,482,391,111 | ||||
Total Medicare Charges with ICD M532X6 - Spinal instabilities, lumbar region | $63,285,706 | ||||
Avg Charges at DRG | $337,190 | ||||
Avg Charges with ICD M532X6 - Spinal instabilities, lumbar region | $298,517 | ||||
Mortality Rate at DRG | 2.55 | ||||
Mortality Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 31.16 | ||||
SNF Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | 35.38 | ||||
Home Discharge Rate at DRG | 16.07 | ||||
Home Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | 19.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 43,598 | ||||
Total Hospitalizations with ICD M532X6 - Spinal instabilities, lumbar region | 73 | ||||
DRG Share of Total Hospitalizations | 0.13 | ||||
% of Total ICD M532X6 - Spinal instabilities, lumbar region in DRG | 0.46 | ||||
Avg LOS at DRG | 2.56 | ||||
Avg LOS with ICD M532X6 - Spinal instabilities, lumbar region | 2.12 | ||||
Readmission Rate at DRG | 13.58 | ||||
Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA | ||||
Unplanned Readmission Rate at DRG | 5.0 | ||||
Unplanned Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA | ||||
Total Medicare payments at DRG | $405,277,239 | ||||
Total Medicare payments with ICD M532X6 - Spinal instabilities, lumbar region | $629,833 | ||||
Total Medicare payment per Day at DRG | $3,633 | ||||
Total Medicare payment per Day with ICD M532X6 - Spinal instabilities, lumbar region | $4,063 | ||||
Total Medicare payment per Hospitalization at DRG | $9,296 | ||||
Total Medicare payment per Hospitalization with ICD M532X6 - Spinal instabilities, lumbar region | $8,628 | ||||
Total Medicare Charges at DRG | $2,108,105,162 | ||||
Total Medicare Charges with ICD M532X6 - Spinal instabilities, lumbar region | $4,307,742 | ||||
Avg Charges at DRG | $48,353 | ||||
Avg Charges with ICD M532X6 - Spinal instabilities, lumbar region | $59,010 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 16.27 | ||||
SNF Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA | ||||
Home Discharge Rate at DRG | 57.43 | ||||
Home Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | 60.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 11,393 | ||||
Total Hospitalizations with ICD M532X6 - Spinal instabilities, lumbar region | 19 | ||||
DRG Share of Total Hospitalizations | 0.03 | ||||
% of Total ICD M532X6 - Spinal instabilities, lumbar region in DRG | 0.12 | ||||
Avg LOS at DRG | 5.68 | ||||
Avg LOS with ICD M532X6 - Spinal instabilities, lumbar region | 5.26 | ||||
Readmission Rate at DRG | 34.26 | ||||
Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA | ||||
Unplanned Readmission Rate at DRG | 8.31 | ||||
Unplanned Readmission Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA | ||||
Total Medicare payments at DRG | $240,918,758 | ||||
Total Medicare payments with ICD M532X6 - Spinal instabilities, lumbar region | $439,637 | ||||
Total Medicare payment per Day at DRG | $3,724 | ||||
Total Medicare payment per Day with ICD M532X6 - Spinal instabilities, lumbar region | $4,396 | ||||
Total Medicare payment per Hospitalization at DRG | $21,146 | ||||
Total Medicare payment per Hospitalization with ICD M532X6 - Spinal instabilities, lumbar region | $23,139 | ||||
Total Medicare Charges at DRG | $1,225,112,830 | ||||
Total Medicare Charges with ICD M532X6 - Spinal instabilities, lumbar region | $2,265,741 | ||||
Avg Charges at DRG | $107,532 | ||||
Avg Charges with ICD M532X6 - Spinal instabilities, lumbar region | $119,250 | ||||
Mortality Rate at DRG | 0.18 | ||||
Mortality Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA | ||||
SNF Discharge Rate at DRG | 17.77 | ||||
SNF Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA | ||||
Home Discharge Rate at DRG | 38.9 | ||||
Home Discharge Rate with ICD M532X6 - Spinal instabilities, lumbar region | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
PIEDMONT COLUMBUS REGIONAL NORTHSIDE | 100 FRIST CT | COLUMBUS | GA | 31909 | 223 |
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL | 18600 NORTH HARDY OAK BLVD | SAN ANTONIO | TX | 78258 | 174 |
BON SECOURS-ST. FRANCIS XAVIER HOSPITAL | 2095 HENRY TECKLENBURG DR | CHARLESTON | SC | 29414 | 173 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 269 |
Dr. JOHN D. DORCHAK | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 132 |
Dr. JOHN KENNETH BURKUS | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 123 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 267 |
Dr. JOHN D. DORCHAK | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 130 |
Dr. JOHN KENNETH BURKUS | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 129 |