*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M5410 - Radiculopathy, site unspecified - as a primary diagnosis code | M5410 - Radiculopathy, site unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.68 | |
| Readmission Rate (%) | 21.12 | |
| Unplanned Readmission Rate (%) | 10.89 | |
| 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 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,236 | |||
| Total Hospitalizations with ICD M5410 - Radiculopathy, site unspecified | 714 | |||
| DRG Share of Total Hospitalizations | 0.2 | |||
| % of Total ICD M5410 - Radiculopathy, site unspecified in DRG | 82.45 | |||
| Avg LOS at DRG | 4.93 | |||
| Avg LOS with ICD M5410 - Radiculopathy, site unspecified | 4.49 | |||
| Readmission Rate at DRG | 23.47 | |||
| Readmission Rate with ICD M5410 - Radiculopathy, site unspecified | 17.66 | |||
| Unplanned Readmission Rate at DRG | 16.32 | |||
| Unplanned Readmission Rate with ICD M5410 - Radiculopathy, site unspecified | 11.13 | |||
| Total Medicare payments at DRG | $519,464,020 | |||
| Total Medicare payments with ICD M5410 - Radiculopathy, site unspecified | $5,408,279 | |||
| Total Medicare payment per Day at DRG | $1,566 | |||
| Total Medicare payment per Day with ICD M5410 - Radiculopathy, site unspecified | $1,686 | |||
| Total Medicare payment per Hospitalization at DRG | $7,726 | |||
| Total Medicare payment per Hospitalization with ICD M5410 - Radiculopathy, site unspecified | $7,575 | |||
| Total Medicare Charges at DRG | $2,306,121,861 | |||
| Total Medicare Charges with ICD M5410 - Radiculopathy, site unspecified | $19,396,814 | |||
| Avg Charges at DRG | $34,299 | |||
| Avg Charges with ICD M5410 - Radiculopathy, site unspecified | $27,166 | |||
| Mortality Rate at DRG | 0.07 | |||
| Mortality Rate with ICD M5410 - Radiculopathy, site unspecified | NA | |||
| SNF Discharge Rate at DRG | 14.97 | |||
| SNF Discharge Rate with ICD M5410 - Radiculopathy, site unspecified | 14.85 | |||
| Home Discharge Rate at DRG | 53.9 | |||
| Home Discharge Rate with ICD M5410 - Radiculopathy, site unspecified | 50.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M5410 - Radiculopathy, site unspecified | 1,529 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M5410 - Radiculopathy, site unspecified in DRG | 6.48 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M5410 - Radiculopathy, site unspecified | 3.39 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M5410 - Radiculopathy, site unspecified | 17.88 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M5410 - Radiculopathy, site unspecified | 4.74 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M5410 - Radiculopathy, site unspecified | $37,367,654 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M5410 - Radiculopathy, site unspecified | $7,210 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M5410 - Radiculopathy, site unspecified | $24,439 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M5410 - Radiculopathy, site unspecified | $195,235,570 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M5410 - Radiculopathy, site unspecified | $127,688 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M5410 - Radiculopathy, site unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M5410 - Radiculopathy, site unspecified | 17.2 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M5410 - Radiculopathy, site unspecified | 50.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M5410 - Radiculopathy, site unspecified | 600 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M5410 - Radiculopathy, site unspecified in DRG | 2.54 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M5410 - Radiculopathy, site unspecified | 11.03 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M5410 - Radiculopathy, site unspecified | 26.48 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M5410 - Radiculopathy, site unspecified | 11.67 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M5410 - Radiculopathy, site unspecified | $4,868,177 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M5410 - Radiculopathy, site unspecified | $735 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M5410 - Radiculopathy, site unspecified | $8,114 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M5410 - Radiculopathy, site unspecified | $18,408,273 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M5410 - Radiculopathy, site unspecified | $30,680 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M5410 - Radiculopathy, site unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M5410 - Radiculopathy, site unspecified | 5.0 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M5410 - Radiculopathy, site unspecified | 82.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD M5410 - Radiculopathy, site unspecified | 295 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD M5410 - Radiculopathy, site unspecified in DRG | 1.25 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD M5410 - Radiculopathy, site unspecified | 5.29 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD M5410 - Radiculopathy, site unspecified | 21.05 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD M5410 - Radiculopathy, site unspecified | 12.41 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD M5410 - Radiculopathy, site unspecified | $2,192,872 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD M5410 - Radiculopathy, site unspecified | $1,406 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD M5410 - Radiculopathy, site unspecified | $7,433 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD M5410 - Radiculopathy, site unspecified | $8,976,377 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD M5410 - Radiculopathy, site unspecified | $30,428 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD M5410 - Radiculopathy, site unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD M5410 - Radiculopathy, site unspecified | 24.07 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD M5410 - Radiculopathy, site unspecified | 30.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | 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 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||||
| Total Hospitalizations with ICD M5410 - Radiculopathy, site unspecified | 261 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD M5410 - Radiculopathy, site unspecified in DRG | 1.11 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD M5410 - Radiculopathy, site unspecified | 3.1 | ||||
| Readmission Rate at DRG | 19.37 | ||||
| Readmission Rate with ICD M5410 - Radiculopathy, site unspecified | 17.79 | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD M5410 - Radiculopathy, site unspecified | 6.32 | ||||
| Total Medicare payments at DRG | $899,179,360 | ||||
| Total Medicare payments with ICD M5410 - Radiculopathy, site unspecified | $4,677,338 | ||||
| Total Medicare payment per Day at DRG | $5,763 | ||||
| Total Medicare payment per Day with ICD M5410 - Radiculopathy, site unspecified | $5,789 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
| Total Medicare payment per Hospitalization with ICD M5410 - Radiculopathy, site unspecified | $17,921 | ||||
| Total Medicare Charges at DRG | $4,767,802,860 | ||||
| Total Medicare Charges with ICD M5410 - Radiculopathy, site unspecified | $25,103,750 | ||||
| Avg Charges at DRG | $95,039 | ||||
| Avg Charges with ICD M5410 - Radiculopathy, site unspecified | $96,183 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD M5410 - Radiculopathy, site unspecified | NA | ||||
| SNF Discharge Rate at DRG | 11.73 | ||||
| SNF Discharge Rate with ICD M5410 - Radiculopathy, site unspecified | 9.58 | ||||
| Home Discharge Rate at DRG | 60.19 | ||||
| Home Discharge Rate with ICD M5410 - Radiculopathy, site unspecified | 64.75 |
| 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 | 114 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 100 |
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 90 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN T ENGUIDANOS | 550 TWIN CITIES BLVD | NICEVILLE | FL | 32578 | 31 |
| Dr. BRIAN M SCHOLL | 927 FRANKLIN ST | HUNTSVILLE | AL | 35801 | 26 |
| Dr. RODERICK CLAYBROOKS | 22250 PROVIDENCE DR | SOUTHFIELD | MI | 48075 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES MARTIN KRESHON | 2585 FREEPORT ROAD | PITTSBURGH | PA | 15238 | 48 |
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 43 |
| Dr. TAHIR M AHMAD | 44045 RIVERSIDE PARKWAY | LEESBURG | VA | 20176 | 39 |