*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M545 - Low back pain - as a primary diagnosis code | M545 - Low back pain - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.01 | |
Readmission Rate (%) | 22.15 | |
Unplanned Readmission Rate (%) | 13.58 | |
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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 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 M545 - Low back pain | 14,117 | ||||
DRG Share of Total Hospitalizations | 0.59 | ||||
% of Total ICD M545 - Low back pain in DRG | 82.95 | ||||
Avg LOS at DRG | 4.48 | ||||
Avg LOS with ICD M545 - Low back pain | 3.66 | ||||
Readmission Rate at DRG | 20.57 | ||||
Readmission Rate with ICD M545 - Low back pain | 20.61 | ||||
Unplanned Readmission Rate at DRG | 9.88 | ||||
Unplanned Readmission Rate with ICD M545 - Low back pain | 12.39 | ||||
Total Medicare payments at DRG | $1,320,662,237 | ||||
Total Medicare payments with ICD M545 - Low back pain | $83,792,298 | ||||
Total Medicare payment per Day at DRG | $1,508 | ||||
Total Medicare payment per Day with ICD M545 - Low back pain | $1,621 | ||||
Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
Total Medicare payment per Hospitalization with ICD M545 - Low back pain | $5,936 | ||||
Total Medicare Charges at DRG | $6,024,639,461 | ||||
Total Medicare Charges with ICD M545 - Low back pain | $341,309,187 | ||||
Avg Charges at DRG | $30,820 | ||||
Avg Charges with ICD M545 - Low back pain | $24,177 | ||||
Mortality Rate at DRG | 0.24 | ||||
Mortality Rate with ICD M545 - Low back pain | 0.18 | ||||
SNF Discharge Rate at DRG | 33.36 | ||||
SNF Discharge Rate with ICD M545 - Low back pain | 29.63 | ||||
Home Discharge Rate at DRG | 30.98 | ||||
Home Discharge Rate with ICD M545 - Low back pain | 36.63 |
*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 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 21,107 | ||||
Total Hospitalizations with ICD M545 - Low back pain | 57 | ||||
DRG Share of Total Hospitalizations | 0.06 | ||||
% of Total ICD M545 - Low back pain in DRG | 0.33 | ||||
Avg LOS at DRG | 6.49 | ||||
Avg LOS with ICD M545 - Low back pain | 6.54 | ||||
Readmission Rate at DRG | 26.91 | ||||
Readmission Rate with ICD M545 - Low back pain | 29.82 | ||||
Unplanned Readmission Rate at DRG | 14.11 | ||||
Unplanned Readmission Rate with ICD M545 - Low back pain | 21.05 | ||||
Total Medicare payments at DRG | $299,258,488 | ||||
Total Medicare payments with ICD M545 - Low back pain | $750,256 | ||||
Total Medicare payment per Day at DRG | $2,183 | ||||
Total Medicare payment per Day with ICD M545 - Low back pain | $2,011 | ||||
Total Medicare payment per Hospitalization at DRG | $14,178 | ||||
Total Medicare payment per Hospitalization with ICD M545 - Low back pain | $13,162 | ||||
Total Medicare Charges at DRG | $1,625,982,661 | ||||
Total Medicare Charges with ICD M545 - Low back pain | $3,218,236 | ||||
Avg Charges at DRG | $77,035 | ||||
Avg Charges with ICD M545 - Low back pain | $56,460 | ||||
Mortality Rate at DRG | 0.28 | ||||
Mortality Rate with ICD M545 - Low back pain | NA | ||||
SNF Discharge Rate at DRG | 35.38 | ||||
SNF Discharge Rate with ICD M545 - Low back pain | NA | ||||
Home Discharge Rate at DRG | 25.84 | ||||
Home Discharge Rate with ICD M545 - Low back pain | 54.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 109,018 | ||||
Total Hospitalizations with ICD M545 - Low back pain | 19 | ||||
DRG Share of Total Hospitalizations | 0.33 | ||||
% of Total ICD M545 - Low back pain in DRG | 0.11 | ||||
Avg LOS at DRG | 12.66 | ||||
Avg LOS with ICD M545 - Low back pain | 12.11 | ||||
Readmission Rate at DRG | 35.31 | ||||
Readmission Rate with ICD M545 - Low back pain | NA | ||||
Unplanned Readmission Rate at DRG | 20.73 | ||||
Unplanned Readmission Rate with ICD M545 - Low back pain | NA | ||||
Total Medicare payments at DRG | $3,554,922,428 | ||||
Total Medicare payments with ICD M545 - Low back pain | $613,708 | ||||
Total Medicare payment per Day at DRG | $2,575 | ||||
Total Medicare payment per Day with ICD M545 - Low back pain | $2,668 | ||||
Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
Total Medicare payment per Hospitalization with ICD M545 - Low back pain | $32,300 | ||||
Total Medicare Charges at DRG | $15,445,232,132 | ||||
Total Medicare Charges with ICD M545 - Low back pain | $2,499,268 | ||||
Avg Charges at DRG | $141,676 | ||||
Avg Charges with ICD M545 - Low back pain | $131,540 | ||||
Mortality Rate at DRG | 8.99 | ||||
Mortality Rate with ICD M545 - Low back pain | NA | ||||
SNF Discharge Rate at DRG | 27.26 | ||||
SNF Discharge Rate with ICD M545 - Low back pain | NA | ||||
Home Discharge Rate at DRG | 27.78 | ||||
Home Discharge Rate with ICD M545 - Low back pain | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 90 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 85 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 75 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 12 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 32 |
Dr. MARK A FREDRICKSON | 1800 HERITAGE BLVD | MIDLAND | TX | 79707 | 31 |
Dr. ASHOK K DHINGRA | 4100 COVERT AVE | EVANSVILLE | IN | 47714 | 20 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 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 M545 - Low back pain | 36,965 | ||||
DRG Share of Total Hospitalizations | 3.35 | ||||
% of Total ICD M545 - Low back pain in DRG | 5.85 | ||||
Avg LOS at DRG | 11.86 | ||||
Avg LOS with ICD M545 - Low back pain | 11.41 | ||||
Readmission Rate at DRG | 27.58 | ||||
Readmission Rate with ICD M545 - Low back pain | 28.33 | ||||
Unplanned Readmission Rate at DRG | 13.34 | ||||
Unplanned Readmission Rate with ICD M545 - Low back pain | 12.92 | ||||
Total Medicare payments at DRG | $9,312,828,663 | ||||
Total Medicare payments with ICD M545 - Low back pain | $307,120,367 | ||||
Total Medicare payment per Day at DRG | $713 | ||||
Total Medicare payment per Day with ICD M545 - Low back pain | $728 | ||||
Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
Total Medicare payment per Hospitalization with ICD M545 - Low back pain | $8,308 | ||||
Total Medicare Charges at DRG | $32,341,464,302 | ||||
Total Medicare Charges with ICD M545 - Low back pain | $1,003,073,532 | ||||
Avg Charges at DRG | $29,378 | ||||
Avg Charges with ICD M545 - Low back pain | $27,136 | ||||
Mortality Rate at DRG | 0.04 | ||||
Mortality Rate with ICD M545 - Low back pain | NA | ||||
SNF Discharge Rate at DRG | 5.83 | ||||
SNF Discharge Rate with ICD M545 - Low back pain | 4.7 | ||||
Home Discharge Rate at DRG | 79.47 | ||||
Home Discharge Rate with ICD M545 - Low back pain | 82.66 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 522,791 | ||||
Total Hospitalizations with ICD M545 - Low back pain | 12,054 | ||||
DRG Share of Total Hospitalizations | 1.59 | ||||
% of Total ICD M545 - Low back pain in DRG | 1.91 | ||||
Avg LOS at DRG | 3.14 | ||||
Avg LOS with ICD M545 - Low back pain | 3.22 | ||||
Readmission Rate at DRG | 17.1 | ||||
Readmission Rate with ICD M545 - Low back pain | 17.5 | ||||
Unplanned Readmission Rate at DRG | 12.62 | ||||
Unplanned Readmission Rate with ICD M545 - Low back pain | 12.74 | ||||
Total Medicare payments at DRG | $2,290,151,156 | ||||
Total Medicare payments with ICD M545 - Low back pain | $54,198,328 | ||||
Total Medicare payment per Day at DRG | $1,394 | ||||
Total Medicare payment per Day with ICD M545 - Low back pain | $1,397 | ||||
Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
Total Medicare payment per Hospitalization with ICD M545 - Low back pain | $4,496 | ||||
Total Medicare Charges at DRG | $13,619,287,561 | ||||
Total Medicare Charges with ICD M545 - Low back pain | $315,255,446 | ||||
Avg Charges at DRG | $26,051 | ||||
Avg Charges with ICD M545 - Low back pain | $26,154 | ||||
Mortality Rate at DRG | 0.18 | ||||
Mortality Rate with ICD M545 - Low back pain | 0.1 | ||||
SNF Discharge Rate at DRG | 8.57 | ||||
SNF Discharge Rate with ICD M545 - Low back pain | 9.21 | ||||
Home Discharge Rate at DRG | 72.49 | ||||
Home Discharge Rate with ICD M545 - Low back pain | 71.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 539,642 | ||||
Total Hospitalizations with ICD M545 - Low back pain | 10,221 | ||||
DRG Share of Total Hospitalizations | 1.64 | ||||
% of Total ICD M545 - Low back pain in DRG | 1.62 | ||||
Avg LOS at DRG | 6.42 | ||||
Avg LOS with ICD M545 - Low back pain | 5.95 | ||||
Readmission Rate at DRG | 26.55 | ||||
Readmission Rate with ICD M545 - Low back pain | 27.5 | ||||
Unplanned Readmission Rate at DRG | 20.01 | ||||
Unplanned Readmission Rate with ICD M545 - Low back pain | 21.32 | ||||
Total Medicare payments at DRG | $5,267,842,463 | ||||
Total Medicare payments with ICD M545 - Low back pain | $95,385,990 | ||||
Total Medicare payment per Day at DRG | $1,520 | ||||
Total Medicare payment per Day with ICD M545 - Low back pain | $1,569 | ||||
Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
Total Medicare payment per Hospitalization with ICD M545 - Low back pain | $9,332 | ||||
Total Medicare Charges at DRG | $25,503,568,329 | ||||
Total Medicare Charges with ICD M545 - Low back pain | $438,673,948 | ||||
Avg Charges at DRG | $47,260 | ||||
Avg Charges with ICD M545 - Low back pain | $42,919 | ||||
Mortality Rate at DRG | 5.62 | ||||
Mortality Rate with ICD M545 - Low back pain | 2.77 | ||||
SNF Discharge Rate at DRG | 19.26 | ||||
SNF Discharge Rate with ICD M545 - Low back pain | 17.3 | ||||
Home Discharge Rate at DRG | 39.65 | ||||
Home Discharge Rate with ICD M545 - Low back pain | 44.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 443,386 | ||||
Total Hospitalizations with ICD M545 - Low back pain | 7,274 | ||||
DRG Share of Total Hospitalizations | 1.35 | ||||
% of Total ICD M545 - Low back pain in DRG | 1.15 | ||||
Avg LOS at DRG | 5.27 | ||||
Avg LOS with ICD M545 - Low back pain | 5.24 | ||||
Readmission Rate at DRG | 21.6 | ||||
Readmission Rate with ICD M545 - Low back pain | 21.9 | ||||
Unplanned Readmission Rate at DRG | 15.91 | ||||
Unplanned Readmission Rate with ICD M545 - Low back pain | 16.25 | ||||
Total Medicare payments at DRG | $3,812,834,208 | ||||
Total Medicare payments with ICD M545 - Low back pain | $63,543,949 | ||||
Total Medicare payment per Day at DRG | $1,632 | ||||
Total Medicare payment per Day with ICD M545 - Low back pain | $1,667 | ||||
Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
Total Medicare payment per Hospitalization with ICD M545 - Low back pain | $8,736 | ||||
Total Medicare Charges at DRG | $18,110,468,211 | ||||
Total Medicare Charges with ICD M545 - Low back pain | $281,970,108 | ||||
Avg Charges at DRG | $40,846 | ||||
Avg Charges with ICD M545 - Low back pain | $38,764 | ||||
Mortality Rate at DRG | 3.59 | ||||
Mortality Rate with ICD M545 - Low back pain | 2.3 | ||||
SNF Discharge Rate at DRG | 22.57 | ||||
SNF Discharge Rate with ICD M545 - Low back pain | 22.57 | ||||
Home Discharge Rate at DRG | 40.95 | ||||
Home Discharge Rate with ICD M545 - Low back pain | 42.93 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 2,068 |
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 1,710 |
BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 1,604 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 409 |
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 355 |
Dr. GREGORY DALE SMITH | 2412 RING RD | ELIZABETHTOWN | KY | 42701 | 264 |
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 | 417 |
Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 409 |
Dr. PATRICK WILLIAM DONOVAN | 1011 COLLIER ST | FORT WORTH | TX | 76102 | 402 |