*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region - as a primary diagnosis code | M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.14 | |
| Readmission Rate (%) | 14.17 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 215,355 |
| Total Hospitalizations with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 33 |
| DRG Share of Total Hospitalizations | 0.66 |
| % of Total ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region in DRG | 55.0 |
| Avg LOS at DRG | 3.28 |
| Avg LOS with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 2.88 |
| Readmission Rate at DRG | 16.7 |
| Readmission Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | NA |
| Unplanned Readmission Rate at DRG | 4.47 |
| Unplanned Readmission Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | NA |
| Total Medicare payments at DRG | $5,278,830,730 |
| Total Medicare payments with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $696,763 |
| Total Medicare payment per Day at DRG | $7,462 |
| Total Medicare payment per Day with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $7,334 |
| Total Medicare payment per Hospitalization at DRG | $24,512 |
| Total Medicare payment per Hospitalization with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $21,114 |
| Total Medicare Charges at DRG | $25,567,888,167 |
| Total Medicare Charges with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $3,031,939 |
| Avg Charges at DRG | $118,724 |
| Avg Charges with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $91,877 |
| Mortality Rate at DRG | 0.03 |
| Mortality Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | NA |
| SNF Discharge Rate at DRG | 15.71 |
| SNF Discharge Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | NA |
| Home Discharge Rate at DRG | 51.89 |
| Home Discharge Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 36.36 |
*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 455: COMBINED ANTERIOR/POSTERIOR 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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 387 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region in DRG | 57.42 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 2.82 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 12.83 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 4.81 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $8,257,966 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $7,555 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $21,338 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $40,955,321 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $105,828 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 16.28 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 31.27 |
*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 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 30,062 | ||
| Total Hospitalizations with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 17 | ||
| DRG Share of Total Hospitalizations | 0.09 | ||
| % of Total ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region in DRG | 2.52 | ||
| Avg LOS at DRG | 2.14 | ||
| Avg LOS with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 1.76 | ||
| Readmission Rate at DRG | 11.6 | ||
| Readmission Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | NA | ||
| Unplanned Readmission Rate at DRG | 3.9 | ||
| Unplanned Readmission Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | NA | ||
| Total Medicare payments at DRG | $199,571,619 | ||
| Total Medicare payments with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $92,220 | ||
| Total Medicare payment per Day at DRG | $3,102 | ||
| Total Medicare payment per Day with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $3,074 | ||
| Total Medicare payment per Hospitalization at DRG | $6,639 | ||
| Total Medicare payment per Hospitalization with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $5,425 | ||
| Total Medicare Charges at DRG | $1,429,977,155 | ||
| Total Medicare Charges with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $787,270 | ||
| Avg Charges at DRG | $47,568 | ||
| Avg Charges with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | $46,310 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | NA | ||
| SNF Discharge Rate at DRG | 8.82 | ||
| SNF Discharge Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | NA | ||
| Home Discharge Rate at DRG | 68.77 | ||
| Home Discharge Rate with ICD M9963 - Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 64.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE VILLAGES REGIONAL HOSPITAL | 1451 EL CAMINO REAL | THE VILLAGES | FL | 32159 | 191 |
| PREMIER SURGICAL INSTITUTE | 1619 K 66 | GALENA | KS | 66739 | 30 |
| CHI ST. VINCENT INFIRMARY | 2 SAINT VINCENT CIR | LITTLE ROCK | AR | 72205 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES JUDE PARAISO | 1500 SE MAGNOLIA EXT | OCALA | FL | 34471 | 192 |
| Dr. JONATHON B GENTRY | 11 MEDICAL DR | AMARILLO | TX | 79106 | 21 |
| Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FELIX CHIEBONAM AGBO | 910 OLD CAMP RD | THE VILLAGES | FL | 32162 | 89 |
| Dr. SM HASANUZ ZAMAN | 4801 SE 11TH AVE | OCALA | FL | 34480 | 32 |
| Dr. JAMES JUDE PARAISO | 1500 SE MAGNOLIA EXT | OCALA | FL | 34471 | 23 |