*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M532X7 - Spinal instabilities, lumbosacral region - as a primary diagnosis code | M532X7 - Spinal instabilities, lumbosacral region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.82 | |
| Readmission Rate (%) | 17.92 | |
| Unplanned Readmission Rate (%) | 4.49 | |
| 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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | |||
| Total Hospitalizations with ICD M532X7 - Spinal instabilities, lumbosacral region | 178 | |||
| DRG Share of Total Hospitalizations | 0.66 | |||
| % of Total ICD M532X7 - Spinal instabilities, lumbosacral region in DRG | 70.63 | |||
| Avg LOS at DRG | 3.28 | |||
| Avg LOS with ICD M532X7 - Spinal instabilities, lumbosacral region | 3.1 | |||
| Readmission Rate at DRG | 16.7 | |||
| Readmission Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | 10.92 | |||
| Unplanned Readmission Rate at DRG | 4.47 | |||
| Unplanned Readmission Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | NA | |||
| Total Medicare payments at DRG | $5,278,830,730 | |||
| Total Medicare payments with ICD M532X7 - Spinal instabilities, lumbosacral region | $4,146,843 | |||
| Total Medicare payment per Day at DRG | $7,462 | |||
| Total Medicare payment per Day with ICD M532X7 - Spinal instabilities, lumbosacral region | $7,526 | |||
| Total Medicare payment per Hospitalization at DRG | $24,512 | |||
| Total Medicare payment per Hospitalization with ICD M532X7 - Spinal instabilities, lumbosacral region | $23,297 | |||
| Total Medicare Charges at DRG | $25,567,888,167 | |||
| Total Medicare Charges with ICD M532X7 - Spinal instabilities, lumbosacral region | $20,002,222 | |||
| Avg Charges at DRG | $118,724 | |||
| Avg Charges with ICD M532X7 - Spinal instabilities, lumbosacral region | $112,372 | |||
| Mortality Rate at DRG | 0.03 | |||
| Mortality Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | NA | |||
| SNF Discharge Rate at DRG | 15.71 | |||
| SNF Discharge Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | 7.3 | |||
| Home Discharge Rate at DRG | 51.89 | |||
| Home Discharge Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | 66.29 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ASCENSION PROVIDENCE HOSPITAL - SOUTHFIELD CAMPUS | 16001 W 9 MILE RD | SOUTHFIELD | MI | 48075 | 13 |
*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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M532X7 - Spinal instabilities, lumbosacral region | 2,078 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M532X7 - Spinal instabilities, lumbosacral region in DRG | 65.72 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M532X7 - Spinal instabilities, lumbosacral region | 3.19 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | 15.11 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | 4.42 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M532X7 - Spinal instabilities, lumbosacral region | $49,800,351 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M532X7 - Spinal instabilities, lumbosacral region | $7,501 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M532X7 - Spinal instabilities, lumbosacral region | $23,966 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M532X7 - Spinal instabilities, lumbosacral region | $250,958,797 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M532X7 - Spinal instabilities, lumbosacral region | $120,769 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | 12.32 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | 54.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT 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 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 | 13,267 | |||
| Total Hospitalizations with ICD M532X7 - Spinal instabilities, lumbosacral region | 57 | |||
| DRG Share of Total Hospitalizations | 0.04 | |||
| % of Total ICD M532X7 - Spinal instabilities, lumbosacral region in DRG | 1.8 | |||
| Avg LOS at DRG | 6.15 | |||
| Avg LOS with ICD M532X7 - Spinal instabilities, lumbosacral region | 6.04 | |||
| Readmission Rate at DRG | 37.98 | |||
| Readmission Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | 32.14 | |||
| Unplanned Readmission Rate at DRG | 7.67 | |||
| Unplanned Readmission Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | NA | |||
| Total Medicare payments at DRG | $663,107,672 | |||
| Total Medicare payments with ICD M532X7 - Spinal instabilities, lumbosacral region | $2,692,938 | |||
| Total Medicare payment per Day at DRG | $8,133 | |||
| Total Medicare payment per Day with ICD M532X7 - Spinal instabilities, lumbosacral region | $7,828 | |||
| Total Medicare payment per Hospitalization at DRG | $49,982 | |||
| Total Medicare payment per Hospitalization with ICD M532X7 - Spinal instabilities, lumbosacral region | $47,245 | |||
| Total Medicare Charges at DRG | $2,896,079,147 | |||
| Total Medicare Charges with ICD M532X7 - Spinal instabilities, lumbosacral region | $13,025,132 | |||
| Avg Charges at DRG | $218,292 | |||
| Avg Charges with ICD M532X7 - Spinal instabilities, lumbosacral region | $228,511 | |||
| Mortality Rate at DRG | 0.1 | |||
| Mortality Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | NA | |||
| SNF Discharge Rate at DRG | 28.37 | |||
| SNF Discharge Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | 19.3 | |||
| Home Discharge Rate at DRG | 23.93 | |||
| Home Discharge Rate with ICD M532X7 - Spinal instabilities, lumbosacral region | 28.07 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER | 7601 OSLER DR | TOWSON | MD | 21204 | 82 |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE | 100 FRIST CT | COLUMBUS | GA | 31909 | 67 |
| OKLAHOMA SPINE HOSPITAL | 14101 PARKWAY COMMONS DR | OKLAHOMA CITY | OK | 73134 | 40 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL C MCAFEE | 7505 OSLER DR | TOWSON | MD | 21204 | 76 |
| Dr. JOHN D. DORCHAK | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 58 |
| Dr. STEVEN S HUGHES | 8320 OLD COURTHOUSE RD | VIENNA | VA | 22182 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PAUL C MCAFEE | 7505 OSLER DR | TOWSON | MD | 21204 | 77 |
| Dr. JOHN D. DORCHAK | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 58 |
| Dr. STEVEN S HUGHES | 8320 OLD COURTHOUSE RD | VIENNA | VA | 22182 | 27 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | M532X6 | Spinal instabilities, lumbar region |
| 2 | M4807 | Spinal stenosis, lumbosacral region |
| 3 | M4806 | Spinal stenosis, lumbar region |
| 4 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 5 | I10 | Essential (primary) hypertension |