*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M5416 - Radiculopathy, lumbar region - as a primary diagnosis code | M5416 - Radiculopathy, lumbar region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.02 | |
| Readmission Rate (%) | 19.51 | |
| Unplanned Readmission Rate (%) | 8.48 | |
| 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M5416 - Radiculopathy, lumbar region | 7,864 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M5416 - Radiculopathy, lumbar region in DRG | 55.65 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M5416 - Radiculopathy, lumbar region | 5.96 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 18.02 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 9.39 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M5416 - Radiculopathy, lumbar region | $72,018,886 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M5416 - Radiculopathy, lumbar region | $1,538 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M5416 - Radiculopathy, lumbar region | $9,158 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M5416 - Radiculopathy, lumbar region | $227,617,488 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M5416 - Radiculopathy, lumbar region | $28,944 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M5416 - Radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 21.66 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 37.73 |
*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 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,458 | ||||
| Total Hospitalizations with ICD M5416 - Radiculopathy, lumbar region | 335 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD M5416 - Radiculopathy, lumbar region in DRG | 2.37 | ||||
| Avg LOS at DRG | 3.91 | ||||
| Avg LOS with ICD M5416 - Radiculopathy, lumbar region | 3.53 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 19.69 | ||||
| Unplanned Readmission Rate at DRG | 6.06 | ||||
| Unplanned Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 6.15 | ||||
| Total Medicare payments at DRG | $282,780,660 | ||||
| Total Medicare payments with ICD M5416 - Radiculopathy, lumbar region | $3,464,394 | ||||
| Total Medicare payment per Day at DRG | $2,732 | ||||
| Total Medicare payment per Day with ICD M5416 - Radiculopathy, lumbar region | $2,928 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
| Total Medicare payment per Hospitalization with ICD M5416 - Radiculopathy, lumbar region | $10,341 | ||||
| Total Medicare Charges at DRG | $1,744,158,849 | ||||
| Total Medicare Charges with ICD M5416 - Radiculopathy, lumbar region | $22,660,830 | ||||
| Avg Charges at DRG | $65,922 | ||||
| Avg Charges with ICD M5416 - Radiculopathy, lumbar region | $67,644 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD M5416 - Radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 13.13 | ||||
| Home Discharge Rate at DRG | 44.06 | ||||
| Home Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 58.21 |
*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 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,812 | ||||
| Total Hospitalizations with ICD M5416 - Radiculopathy, lumbar region | 145 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD M5416 - Radiculopathy, lumbar region in DRG | 1.03 | ||||
| Avg LOS at DRG | 7.66 | ||||
| Avg LOS with ICD M5416 - Radiculopathy, lumbar region | 6.37 | ||||
| Readmission Rate at DRG | 36.82 | ||||
| Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 32.37 | ||||
| Unplanned Readmission Rate at DRG | 8.15 | ||||
| Unplanned Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 9.35 | ||||
| Total Medicare payments at DRG | $685,730,928 | ||||
| Total Medicare payments with ICD M5416 - Radiculopathy, lumbar region | $5,598,100 | ||||
| Total Medicare payment per Day at DRG | $5,325 | ||||
| Total Medicare payment per Day with ICD M5416 - Radiculopathy, lumbar region | $6,059 | ||||
| Total Medicare payment per Hospitalization at DRG | $40,788 | ||||
| Total Medicare payment per Hospitalization with ICD M5416 - Radiculopathy, lumbar region | $38,608 | ||||
| Total Medicare Charges at DRG | $3,152,175,405 | ||||
| Total Medicare Charges with ICD M5416 - Radiculopathy, lumbar region | $24,588,765 | ||||
| Avg Charges at DRG | $187,496 | ||||
| Avg Charges with ICD M5416 - Radiculopathy, lumbar region | $169,578 | ||||
| Mortality Rate at DRG | 2.12 | ||||
| Mortality Rate with ICD M5416 - Radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 31.97 | ||||
| SNF Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 31.72 | ||||
| Home Discharge Rate at DRG | 20.62 | ||||
| Home Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 28.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,107 | ||||
| Total Hospitalizations with ICD M5416 - Radiculopathy, lumbar region | 25 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD M5416 - Radiculopathy, lumbar region in DRG | 0.18 | ||||
| Avg LOS at DRG | 6.49 | ||||
| Avg LOS with ICD M5416 - Radiculopathy, lumbar region | 6.92 | ||||
| Readmission Rate at DRG | 26.91 | ||||
| Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | NA | ||||
| Unplanned Readmission Rate at DRG | 14.11 | ||||
| Unplanned Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | NA | ||||
| Total Medicare payments at DRG | $299,258,488 | ||||
| Total Medicare payments with ICD M5416 - Radiculopathy, lumbar region | $311,870 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD M5416 - Radiculopathy, lumbar region | $1,803 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,178 | ||||
| Total Medicare payment per Hospitalization with ICD M5416 - Radiculopathy, lumbar region | $12,475 | ||||
| Total Medicare Charges at DRG | $1,625,982,661 | ||||
| Total Medicare Charges with ICD M5416 - Radiculopathy, lumbar region | $1,984,479 | ||||
| Avg Charges at DRG | $77,035 | ||||
| Avg Charges with ICD M5416 - Radiculopathy, lumbar region | $79,379 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD M5416 - Radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 35.38 | ||||
| SNF Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | NA | ||||
| Home Discharge Rate at DRG | 25.84 | ||||
| Home Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FAWCETT MEMORIAL HOSPITAL | 21298 OLEAN BLVD | PORT CHARLOTTE | FL | 33952 | 166 |
| MERCY REHABILITATION HOSPITAL OKLAHOMA CITY | 5401 W MEMORIAL RD | OKLAHOMA CITY | OK | 73142 | 94 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 85 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DOUGLAS MARK HERSHKOWITZ | 3195 HARBOR BLVD | PORT CHARLOTTE | FL | 33952 | 121 |
| Dr. STEPHEN DALRYMPLE | 722 NEWMAN RD | NEW BERN | NC | 28562 | 73 |
| Dr. JACK BRYAN WILLIAMSON | 7401 MAIN ST | HOUSTON | TX | 77030 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN DALRYMPLE | 722 NEWMAN RD | NEW BERN | NC | 28562 | 69 |
| Dr. DOUGLAS MARK HERSHKOWITZ | 3195 HARBOR BLVD | PORT CHARLOTTE | FL | 33952 | 56 |
| Dr. JONATHAN P QUEVEDO | 65 JAMES ST | EDISON | NJ | 08820 | 41 |
*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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M5416 - Radiculopathy, lumbar region | 29,273 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M5416 - Radiculopathy, lumbar region in DRG | 19.42 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M5416 - Radiculopathy, lumbar region | 3.16 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 15.72 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 4.28 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M5416 - Radiculopathy, lumbar region | $709,468,164 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M5416 - Radiculopathy, lumbar region | $7,676 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M5416 - Radiculopathy, lumbar region | $24,236 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M5416 - Radiculopathy, lumbar region | $3,481,921,489 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M5416 - Radiculopathy, lumbar region | $118,947 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M5416 - Radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 14.81 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 53.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 520: BACK AND NECK PROCEDURES EXCEPT 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,062 | ||||
| Total Hospitalizations with ICD M5416 - Radiculopathy, lumbar region | 3,823 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD M5416 - Radiculopathy, lumbar region in DRG | 2.54 | ||||
| Avg LOS at DRG | 2.14 | ||||
| Avg LOS with ICD M5416 - Radiculopathy, lumbar region | 1.88 | ||||
| Readmission Rate at DRG | 11.6 | ||||
| Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 10.14 | ||||
| Unplanned Readmission Rate at DRG | 3.9 | ||||
| Unplanned Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 4.18 | ||||
| Total Medicare payments at DRG | $199,571,619 | ||||
| Total Medicare payments with ICD M5416 - Radiculopathy, lumbar region | $25,892,822 | ||||
| Total Medicare payment per Day at DRG | $3,102 | ||||
| Total Medicare payment per Day with ICD M5416 - Radiculopathy, lumbar region | $3,606 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,639 | ||||
| Total Medicare payment per Hospitalization with ICD M5416 - Radiculopathy, lumbar region | $6,773 | ||||
| Total Medicare Charges at DRG | $1,429,977,155 | ||||
| Total Medicare Charges with ICD M5416 - Radiculopathy, lumbar region | $183,112,944 | ||||
| Avg Charges at DRG | $47,568 | ||||
| Avg Charges with ICD M5416 - Radiculopathy, lumbar region | $47,898 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M5416 - Radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 6.85 | ||||
| Home Discharge Rate at DRG | 68.77 | ||||
| Home Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 73.01 |
*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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M5416 - Radiculopathy, lumbar region | 2,497 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M5416 - Radiculopathy, lumbar region in DRG | 1.66 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M5416 - Radiculopathy, lumbar region | 6.41 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 25.41 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 16.12 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M5416 - Radiculopathy, lumbar region | $29,028,644 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M5416 - Radiculopathy, lumbar region | $1,812 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M5416 - Radiculopathy, lumbar region | $11,625 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M5416 - Radiculopathy, lumbar region | $146,044,337 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M5416 - Radiculopathy, lumbar region | $58,488 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M5416 - Radiculopathy, lumbar region | 6.37 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 26.31 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 30.84 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD M5416 - Radiculopathy, lumbar region | 1,500 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M5416 - Radiculopathy, lumbar region in DRG | 0.99 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M5416 - Radiculopathy, lumbar region | 11.34 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 26.34 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M5416 - Radiculopathy, lumbar region | 13.38 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M5416 - Radiculopathy, lumbar region | $13,406,600 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M5416 - Radiculopathy, lumbar region | $788 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M5416 - Radiculopathy, lumbar region | $8,938 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M5416 - Radiculopathy, lumbar region | $47,194,928 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M5416 - Radiculopathy, lumbar region | $31,463 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M5416 - Radiculopathy, lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 4.33 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M5416 - Radiculopathy, lumbar region | 82.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 770 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 643 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 610 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD F. FRISCH | 1106 CHUCK DAWLEY BLVD | MT PLEASANT | SC | 29464 | 307 |
| Dr. FRED MO | 3800 RESERVOIR RD NW | WASHINGTON | DC | 20007 | 224 |
| Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 210 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD F. FRISCH | 1106 CHUCK DAWLEY BLVD | MT PLEASANT | SC | 29464 | 284 |
| Dr. FRED MO | 3800 RESERVOIR RD NW | WASHINGTON | DC | 20007 | 220 |
| Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 210 |