*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M549 - Dorsalgia, unspecified - as a primary diagnosis code | M549 - Dorsalgia, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.49 | |
| Readmission Rate (%) | 22.81 | |
| Unplanned Readmission Rate (%) | 14.23 | |
| 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 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M549 - Dorsalgia, unspecified | 5,445 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M549 - Dorsalgia, unspecified in DRG | 81.41 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M549 - Dorsalgia, unspecified | 3.35 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M549 - Dorsalgia, unspecified | 21.08 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M549 - Dorsalgia, unspecified | 12.95 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M549 - Dorsalgia, unspecified | $30,020,304 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M549 - Dorsalgia, unspecified | $1,645 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M549 - Dorsalgia, unspecified | $5,513 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M549 - Dorsalgia, unspecified | $145,077,119 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M549 - Dorsalgia, unspecified | $26,644 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M549 - Dorsalgia, unspecified | 0.22 | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M549 - Dorsalgia, unspecified | 27.11 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M549 - Dorsalgia, unspecified | 41.45 |
*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) | DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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) | DRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 42,559 | |||
| Total Hospitalizations with ICD M549 - Dorsalgia, unspecified | 21 | |||
| DRG Share of Total Hospitalizations | 0.13 | |||
| % of Total ICD M549 - Dorsalgia, unspecified in DRG | 0.31 | |||
| Avg LOS at DRG | 4.67 | |||
| Avg LOS with ICD M549 - Dorsalgia, unspecified | 5.14 | |||
| Readmission Rate at DRG | 23.96 | |||
| Readmission Rate with ICD M549 - Dorsalgia, unspecified | NA | |||
| Unplanned Readmission Rate at DRG | 9.89 | |||
| Unplanned Readmission Rate with ICD M549 - Dorsalgia, unspecified | NA | |||
| Total Medicare payments at DRG | $524,182,097 | |||
| Total Medicare payments with ICD M549 - Dorsalgia, unspecified | $266,762 | |||
| Total Medicare payment per Day at DRG | $2,636 | |||
| Total Medicare payment per Day with ICD M549 - Dorsalgia, unspecified | $2,470 | |||
| Total Medicare payment per Hospitalization at DRG | $12,317 | |||
| Total Medicare payment per Hospitalization with ICD M549 - Dorsalgia, unspecified | $12,703 | |||
| Total Medicare Charges at DRG | $2,765,571,309 | |||
| Total Medicare Charges with ICD M549 - Dorsalgia, unspecified | $1,744,458 | |||
| Avg Charges at DRG | $64,982 | |||
| Avg Charges with ICD M549 - Dorsalgia, unspecified | $83,069 | |||
| Mortality Rate at DRG | 0.11 | |||
| Mortality Rate with ICD M549 - Dorsalgia, unspecified | NA | |||
| SNF Discharge Rate at DRG | 33.62 | |||
| SNF Discharge Rate with ICD M549 - Dorsalgia, unspecified | NA | |||
| Home Discharge Rate at DRG | 31.52 | |||
| Home Discharge Rate with ICD M549 - Dorsalgia, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 64 |
| JFK MEDICAL CENTER | 5301 S CONGRESS AVE | ATLANTIS | FL | 33462 | 33 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ADNAN M DAHDUL | 14 CHESTNUT PL | LUDLOW | MA | 01056 | 22 |
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 14 |
| Dr. FAIYAZ H HAKIM | 390 MAIN ST | WORCESTER | MA | 01608 | 11 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH 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 M549 - Dorsalgia, unspecified | 55,124 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD M549 - Dorsalgia, unspecified in DRG | 6.56 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD M549 - Dorsalgia, unspecified | 10.48 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD M549 - Dorsalgia, unspecified | 27.37 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD M549 - Dorsalgia, unspecified | 12.76 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD M549 - Dorsalgia, unspecified | $415,413,617 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD M549 - Dorsalgia, unspecified | $719 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD M549 - Dorsalgia, unspecified | $7,536 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD M549 - Dorsalgia, unspecified | $1,424,622,187 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD M549 - Dorsalgia, unspecified | $25,844 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD M549 - Dorsalgia, unspecified | 0.03 | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD M549 - Dorsalgia, unspecified | 3.55 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD M549 - Dorsalgia, unspecified | 84.72 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD M549 - Dorsalgia, unspecified | 19,225 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD M549 - Dorsalgia, unspecified in DRG | 2.29 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD M549 - Dorsalgia, unspecified | 3.12 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD M549 - Dorsalgia, unspecified | 17.42 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD M549 - Dorsalgia, unspecified | 12.97 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD M549 - Dorsalgia, unspecified | $81,867,902 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD M549 - Dorsalgia, unspecified | $1,364 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD M549 - Dorsalgia, unspecified | $4,258 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD M549 - Dorsalgia, unspecified | $527,271,899 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD M549 - Dorsalgia, unspecified | $27,426 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD M549 - Dorsalgia, unspecified | 0.09 | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD M549 - Dorsalgia, unspecified | 7.98 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD M549 - Dorsalgia, unspecified | 74.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD M549 - Dorsalgia, unspecified | 11,939 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD M549 - Dorsalgia, unspecified in DRG | 1.42 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD M549 - Dorsalgia, unspecified | 3.77 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD M549 - Dorsalgia, unspecified | 26.1 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD M549 - Dorsalgia, unspecified | 21.42 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD M549 - Dorsalgia, unspecified | $66,911,042 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD M549 - Dorsalgia, unspecified | $1,488 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD M549 - Dorsalgia, unspecified | $5,604 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD M549 - Dorsalgia, unspecified | $343,150,773 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD M549 - Dorsalgia, unspecified | $28,742 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M549 - Dorsalgia, unspecified | 0.18 | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD M549 - Dorsalgia, unspecified | 9.45 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD M549 - Dorsalgia, unspecified | 61.11 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD M549 - Dorsalgia, unspecified | 10,753 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD M549 - Dorsalgia, unspecified in DRG | 1.28 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD M549 - Dorsalgia, unspecified | 4.14 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD M549 - Dorsalgia, unspecified | 20.58 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD M549 - Dorsalgia, unspecified | 11.5 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD M549 - Dorsalgia, unspecified | $67,478,252 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD M549 - Dorsalgia, unspecified | $1,516 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD M549 - Dorsalgia, unspecified | $6,275 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD M549 - Dorsalgia, unspecified | $316,701,667 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD M549 - Dorsalgia, unspecified | $29,452 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD M549 - Dorsalgia, unspecified | 0.18 | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD M549 - Dorsalgia, unspecified | 28.83 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD M549 - Dorsalgia, unspecified | 36.79 |
| 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 | 3,455 |
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 2,152 |
| NEW HANOVER REGIONAL MEDICAL CENTER | 2131 S 17TH ST | WILMINGTON | NC | 28401 | 1,908 |
| 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 | 1,334 |
| Dr. PAUL REGINALD GREENLAW | 738 NEWMAN RD | NEW BERN | NC | 28562 | 255 |
| Dr. MOHAMMAD ALHABBAL | 119 BELMONT ST | WORCESTER | MA | 01605 | 234 |
| 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 | 1,485 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 736 |
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 552 |