| 34931 - Accidental puncture or laceration of dura during a procedure - as a primary diagnosis code | 34931 - Accidental puncture or laceration of dura during a procedure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.24 | |
| Readmission Rate (%) | 27.66 | |
| Unplanned Readmission Rate (%) | 6.77 | |
| 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 | ||
| DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 921: COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,625 | ||||
| Total Hospitalizations with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 160 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 34931 - Accidental puncture or laceration of dura during a procedure in DRG | 50.16 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 3.24 | ||||
| Readmission Rate at DRG | 13.88 | ||||
| Readmission Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 11.95 | ||||
| Unplanned Readmission Rate at DRG | 6.55 | ||||
| Unplanned Readmission Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| Total Medicare payments at DRG | $58,894,614 | ||||
| Total Medicare payments with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $1,103,794 | ||||
| Total Medicare payment per Day at DRG | $2,376 | ||||
| Total Medicare payment per Day with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $2,127 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,724 | ||||
| Total Medicare payment per Hospitalization with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $6,899 | ||||
| Total Medicare Charges at DRG | $297,473,193 | ||||
| Total Medicare Charges with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $5,691,248 | ||||
| Avg Charges at DRG | $39,013 | ||||
| Avg Charges with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $35,570 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| SNF Discharge Rate at DRG | 8.92 | ||||
| SNF Discharge Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| Home Discharge Rate at DRG | 63.87 | ||||
| Home Discharge Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 78.13 |
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 152,568 | ||||
| Total Hospitalizations with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 6,390 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 34931 - Accidental puncture or laceration of dura during a procedure in DRG | 37.59 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 4.68 | ||||
| Readmission Rate at DRG | 17.7 | ||||
| Readmission Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 25.9 | ||||
| Unplanned Readmission Rate at DRG | 4.43 | ||||
| Unplanned Readmission Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 5.42 | ||||
| Total Medicare payments at DRG | $3,694,867,855 | ||||
| Total Medicare payments with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $164,633,664 | ||||
| Total Medicare payment per Day at DRG | $7,071 | ||||
| Total Medicare payment per Day with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $5,509 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,218 | ||||
| Total Medicare payment per Hospitalization with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $25,764 | ||||
| Total Medicare Charges at DRG | $15,855,495,798 | ||||
| Total Medicare Charges with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $755,354,731 | ||||
| Avg Charges at DRG | $103,924 | ||||
| Avg Charges with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $118,209 | ||||
| Mortality Rate at DRG | 0.02 | ||||
| Mortality Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 22.55 | ||||
| Home Discharge Rate at DRG | 51.64 | ||||
| Home Discharge Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 37.21 |
| DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,581 | ||||
| Total Hospitalizations with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 559 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 34931 - Accidental puncture or laceration of dura during a procedure in DRG | 3.29 | ||||
| Avg LOS at DRG | 5.71 | ||||
| Avg LOS with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 6.06 | ||||
| Readmission Rate at DRG | 29.27 | ||||
| Readmission Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 35.61 | ||||
| Unplanned Readmission Rate at DRG | 5.47 | ||||
| Unplanned Readmission Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 7.19 | ||||
| Total Medicare payments at DRG | $519,250,186 | ||||
| Total Medicare payments with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $30,401,980 | ||||
| Total Medicare payment per Day at DRG | $9,489 | ||||
| Total Medicare payment per Day with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $8,973 | ||||
| Total Medicare payment per Hospitalization at DRG | $54,196 | ||||
| Total Medicare payment per Hospitalization with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $54,386 | ||||
| Total Medicare Charges at DRG | $2,142,677,239 | ||||
| Total Medicare Charges with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $133,215,674 | ||||
| Avg Charges at DRG | $223,638 | ||||
| Avg Charges with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $238,311 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| SNF Discharge Rate at DRG | 22.21 | ||||
| SNF Discharge Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 23.97 | ||||
| Home Discharge Rate at DRG | 34.08 | ||||
| Home Discharge Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 29.87 |
| DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 026: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,625 | ||||
| Total Hospitalizations with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 162 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 34931 - Accidental puncture or laceration of dura during a procedure in DRG | 0.95 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 3.25 | ||||
| Readmission Rate at DRG | 13.88 | ||||
| Readmission Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 12.42 | ||||
| Unplanned Readmission Rate at DRG | 6.55 | ||||
| Unplanned Readmission Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| Total Medicare payments at DRG | $58,894,614 | ||||
| Total Medicare payments with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $1,121,929 | ||||
| Total Medicare payment per Day at DRG | $2,376 | ||||
| Total Medicare payment per Day with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $2,129 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,724 | ||||
| Total Medicare payment per Hospitalization with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $6,925 | ||||
| Total Medicare Charges at DRG | $297,473,193 | ||||
| Total Medicare Charges with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $5,868,833 | ||||
| Avg Charges at DRG | $39,013 | ||||
| Avg Charges with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $36,227 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| SNF Discharge Rate at DRG | 8.92 | ||||
| SNF Discharge Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| Home Discharge Rate at DRG | 63.87 | ||||
| Home Discharge Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 77.16 |
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 028: SPINAL PROCEDURES WITH 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 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,870 | ||||
| Total Hospitalizations with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 65 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 34931 - Accidental puncture or laceration of dura during a procedure in DRG | 0.38 | ||||
| Avg LOS at DRG | 32.29 | ||||
| Avg LOS with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 25.4 | ||||
| Readmission Rate at DRG | 77.59 | ||||
| Readmission Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | 78.57 | ||||
| Unplanned Readmission Rate at DRG | 6.64 | ||||
| Unplanned Readmission Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| Total Medicare payments at DRG | $4,332,531,897 | ||||
| Total Medicare payments with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $7,333,481 | ||||
| Total Medicare payment per Day at DRG | $3,848 | ||||
| Total Medicare payment per Day with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $4,442 | ||||
| Total Medicare payment per Hospitalization at DRG | $124,248 | ||||
| Total Medicare payment per Hospitalization with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $112,823 | ||||
| Total Medicare Charges at DRG | $18,041,668,887 | ||||
| Total Medicare Charges with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $31,350,222 | ||||
| Avg Charges at DRG | $517,398 | ||||
| Avg Charges with ICD 34931 - Accidental puncture or laceration of dura during a procedure | $482,311 | ||||
| Mortality Rate at DRG | 19.09 | ||||
| Mortality Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| SNF Discharge Rate at DRG | 14.38 | ||||
| SNF Discharge Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA | ||||
| Home Discharge Rate at DRG | 1.86 | ||||
| Home Discharge Rate with ICD 34931 - Accidental puncture or laceration of dura during a procedure | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 176 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 121 |
| KANSAS SPINE & SPECIALTY HOSPITAL | 3333 N WEBB RD | WICHITA | KS | 67226 | 118 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN R DICKERSON | 3223 N WEBB RD | WICHITA | KS | 67226 | 62 |
| Dr. KENNY B EDWARDS | 670 LEIGH DRIVE | COLUMBUS | MS | 39705 | 44 |
| Dr. CONSTANTINE A TOUMBIS | 6099 W GULF TO LAKE HWY | CRYSTAL RIVER | FL | 34429 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN R DICKERSON | 3223 N WEBB RD | WICHITA | KS | 67226 | 61 |
| Dr. KENNY B EDWARDS | 670 LEIGH DRIVE | COLUMBUS | MS | 39705 | 43 |
| Dr. CONSTANTINE A TOUMBIS | 6099 W GULF TO LAKE HWY | CRYSTAL RIVER | FL | 34429 | 39 |