*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M542 - Cervicalgia - as a primary diagnosis code | M542 - Cervicalgia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.99 | |
| Readmission Rate (%) | 20.68 | |
| Unplanned Readmission Rate (%) | 11.0 | |
| 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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M542 - Cervicalgia | 2,803 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M542 - Cervicalgia in DRG | 81.74 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M542 - Cervicalgia | 2.75 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M542 - Cervicalgia | 15.86 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M542 - Cervicalgia | 9.62 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M542 - Cervicalgia | $14,472,192 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M542 - Cervicalgia | $1,876 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M542 - Cervicalgia | $5,163 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M542 - Cervicalgia | $77,771,048 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M542 - Cervicalgia | $27,746 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M542 - Cervicalgia | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M542 - Cervicalgia | 15.48 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M542 - Cervicalgia | 59.04 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 42,559 |
| Total Hospitalizations with ICD M542 - Cervicalgia | 11 |
| DRG Share of Total Hospitalizations | 0.13 |
| % of Total ICD M542 - Cervicalgia in DRG | 0.32 |
| Avg LOS at DRG | 4.67 |
| Avg LOS with ICD M542 - Cervicalgia | 3.64 |
| Readmission Rate at DRG | 23.96 |
| Readmission Rate with ICD M542 - Cervicalgia | NA |
| Unplanned Readmission Rate at DRG | 9.89 |
| Unplanned Readmission Rate with ICD M542 - Cervicalgia | NA |
| Total Medicare payments at DRG | $524,182,097 |
| Total Medicare payments with ICD M542 - Cervicalgia | $152,196 |
| Total Medicare payment per Day at DRG | $2,636 |
| Total Medicare payment per Day with ICD M542 - Cervicalgia | $3,805 |
| Total Medicare payment per Hospitalization at DRG | $12,317 |
| Total Medicare payment per Hospitalization with ICD M542 - Cervicalgia | $13,836 |
| Total Medicare Charges at DRG | $2,765,571,309 |
| Total Medicare Charges with ICD M542 - Cervicalgia | $567,550 |
| Avg Charges at DRG | $64,982 |
| Avg Charges with ICD M542 - Cervicalgia | $51,595 |
| Mortality Rate at DRG | 0.11 |
| Mortality Rate with ICD M542 - Cervicalgia | NA |
| SNF Discharge Rate at DRG | 33.62 |
| SNF Discharge Rate with ICD M542 - Cervicalgia | NA |
| Home Discharge Rate at DRG | 31.52 |
| Home Discharge Rate with ICD M542 - Cervicalgia | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 29 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 26 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 24 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT 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 | 1,100,860 | ||||
| Total Hospitalizations with ICD M542 - Cervicalgia | 13,229 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M542 - Cervicalgia in DRG | 7.8 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M542 - Cervicalgia | 11.39 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M542 - Cervicalgia | 25.45 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M542 - Cervicalgia | 10.93 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M542 - Cervicalgia | $107,707,029 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M542 - Cervicalgia | $715 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M542 - Cervicalgia | $8,142 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M542 - Cervicalgia | $359,063,140 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M542 - Cervicalgia | $27,142 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M542 - Cervicalgia | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M542 - Cervicalgia | 2.94 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M542 - Cervicalgia | 85.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD M542 - Cervicalgia | 2,866 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD M542 - Cervicalgia in DRG | 1.69 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD M542 - Cervicalgia | 3.28 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD M542 - Cervicalgia | 16.94 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD M542 - Cervicalgia | 12.1 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD M542 - Cervicalgia | $12,351,466 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD M542 - Cervicalgia | $1,314 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD M542 - Cervicalgia | $4,310 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD M542 - Cervicalgia | $80,201,707 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD M542 - Cervicalgia | $27,984 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD M542 - Cervicalgia | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD M542 - Cervicalgia | 7.57 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD M542 - Cervicalgia | 74.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD M542 - Cervicalgia | 2,441 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD M542 - Cervicalgia in DRG | 1.44 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD M542 - Cervicalgia | 5.49 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD M542 - Cervicalgia | 29.94 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD M542 - Cervicalgia | 23.43 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD M542 - Cervicalgia | $22,597,468 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD M542 - Cervicalgia | $1,685 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD M542 - Cervicalgia | $9,257 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD M542 - Cervicalgia | $103,353,862 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD M542 - Cervicalgia | $42,341 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD M542 - Cervicalgia | 2.91 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD M542 - Cervicalgia | 22.61 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD M542 - Cervicalgia | 38.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 313: CHEST PAIN | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 180,138 | ||||
| Total Hospitalizations with ICD M542 - Cervicalgia | 1,979 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD M542 - Cervicalgia in DRG | 1.17 | ||||
| Avg LOS at DRG | 1.91 | ||||
| Avg LOS with ICD M542 - Cervicalgia | 2.01 | ||||
| Readmission Rate at DRG | 16.98 | ||||
| Readmission Rate with ICD M542 - Cervicalgia | 14.87 | ||||
| Unplanned Readmission Rate at DRG | 12.86 | ||||
| Unplanned Readmission Rate with ICD M542 - Cervicalgia | 11.45 | ||||
| Total Medicare payments at DRG | $645,443,207 | ||||
| Total Medicare payments with ICD M542 - Cervicalgia | $6,879,013 | ||||
| Total Medicare payment per Day at DRG | $1,876 | ||||
| Total Medicare payment per Day with ICD M542 - Cervicalgia | $1,726 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,583 | ||||
| Total Medicare payment per Hospitalization with ICD M542 - Cervicalgia | $3,476 | ||||
| Total Medicare Charges at DRG | $4,502,159,305 | ||||
| Total Medicare Charges with ICD M542 - Cervicalgia | $53,232,713 | ||||
| Avg Charges at DRG | $24,993 | ||||
| Avg Charges with ICD M542 - Cervicalgia | $26,899 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD M542 - Cervicalgia | NA | ||||
| SNF Discharge Rate at DRG | 7.73 | ||||
| SNF Discharge Rate with ICD M542 - Cervicalgia | 7.07 | ||||
| Home Discharge Rate at DRG | 72.82 | ||||
| Home Discharge Rate with ICD M542 - Cervicalgia | 75.49 |
| 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 | 794 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 526 |
| NEW HANOVER REGIONAL MEDICAL CENTER | 2131 S 17TH ST | WILMINGTON | NC | 28401 | 415 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 329 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 82 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 51 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 367 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 103 |
| Dr. GEOFFREY R. SMITH | LEE ST | CHARLOTTESVILLE | VA | 22908 | 86 |