*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion - as a primary diagnosis code | S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.28 | |
| Readmission Rate (%) | 14.73 | |
| 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 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 63,286 | |
| Total Hospitalizations with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | 34 | |
| DRG Share of Total Hospitalizations | 0.19 | |
| % of Total ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion in DRG | 38.64 | |
| Avg LOS at DRG | 1.72 | |
| Avg LOS with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | 3.41 | |
| Readmission Rate at DRG | 8.56 | |
| Readmission Rate with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | NA | |
| Unplanned Readmission Rate at DRG | 3.51 | |
| Unplanned Readmission Rate with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | NA | |
| Total Medicare payments at DRG | $814,610,584 | |
| Total Medicare payments with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | $563,168 | |
| Total Medicare payment per Day at DRG | $7,479 | |
| Total Medicare payment per Day with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | $4,855 | |
| Total Medicare payment per Hospitalization at DRG | $12,872 | |
| Total Medicare payment per Hospitalization with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | $16,564 | |
| Total Medicare Charges at DRG | $4,641,508,729 | |
| Total Medicare Charges with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | $3,256,794 | |
| Avg Charges at DRG | $73,342 | |
| Avg Charges with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | $95,788 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | NA | |
| SNF Discharge Rate at DRG | 3.8 | |
| SNF Discharge Rate with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | NA | |
| Home Discharge Rate at DRG | 81.78 | |
| Home Discharge Rate with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | 47.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 50,167 | |
| Total Hospitalizations with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | 40 | |
| DRG Share of Total Hospitalizations | 0.15 | |
| % of Total ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion in DRG | 29.41 | |
| Avg LOS at DRG | 3.11 | |
| Avg LOS with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | 5.13 | |
| Readmission Rate at DRG | 19.37 | |
| Readmission Rate with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | NA | |
| Unplanned Readmission Rate at DRG | 5.26 | |
| Unplanned Readmission Rate with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | NA | |
| Total Medicare payments at DRG | $899,179,360 | |
| Total Medicare payments with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | $895,845 | |
| Total Medicare payment per Day at DRG | $5,763 | |
| Total Medicare payment per Day with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | $4,370 | |
| Total Medicare payment per Hospitalization at DRG | $17,924 | |
| Total Medicare payment per Hospitalization with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | $22,396 | |
| Total Medicare Charges at DRG | $4,767,802,860 | |
| Total Medicare Charges with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | $4,589,182 | |
| Avg Charges at DRG | $95,039 | |
| Avg Charges with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | $114,730 | |
| Mortality Rate at DRG | 0.06 | |
| Mortality Rate with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | NA | |
| SNF Discharge Rate at DRG | 11.73 | |
| SNF Discharge Rate with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | 30.0 | |
| Home Discharge Rate at DRG | 60.19 | |
| Home Discharge Rate with ICD S12111K - Posterior displaced Type II dens fracture, subsequent encounter for fracture with nonunion | 30.0 |