| 72252 - Degeneration of lumbar or lumbosacral intervertebral disc - as a primary diagnosis code | 72252 - Degeneration of lumbar or lumbosacral intervertebral disc - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.98 | |
| Readmission Rate (%) | 20.67 | |
| Unplanned Readmission Rate (%) | 6.07 | |
| 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 152,568 | ||||
| Total Hospitalizations with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 21,877 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc in DRG | 53.92 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 3.24 | ||||
| Readmission Rate at DRG | 17.7 | ||||
| Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 16.3 | ||||
| Unplanned Readmission Rate at DRG | 4.43 | ||||
| Unplanned Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 4.45 | ||||
| Total Medicare payments at DRG | $3,694,867,855 | ||||
| Total Medicare payments with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $528,159,151 | ||||
| Total Medicare payment per Day at DRG | $7,071 | ||||
| Total Medicare payment per Day with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $7,461 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,218 | ||||
| Total Medicare payment per Hospitalization with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $24,142 | ||||
| Total Medicare Charges at DRG | $15,855,495,798 | ||||
| Total Medicare Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $2,380,576,342 | ||||
| Avg Charges at DRG | $103,924 | ||||
| Avg Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $108,816 | ||||
| Mortality Rate at DRG | 0.02 | ||||
| Mortality Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 14.23 | ||||
| Home Discharge Rate at DRG | 51.64 | ||||
| Home Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 54.81 |
| DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,875 | ||||
| Total Hospitalizations with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 1,579 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc in DRG | 3.89 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 3.76 | ||||
| Readmission Rate at DRG | 25.42 | ||||
| Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 20.31 | ||||
| Unplanned Readmission Rate at DRG | 6.3 | ||||
| Unplanned Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 5.56 | ||||
| Total Medicare payments at DRG | $377,259,129 | ||||
| Total Medicare payments with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $18,006,452 | ||||
| Total Medicare payment per Day at DRG | $2,692 | ||||
| Total Medicare payment per Day with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $3,030 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,836 | ||||
| Total Medicare payment per Hospitalization with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $11,404 | ||||
| Total Medicare Charges at DRG | $1,906,598,118 | ||||
| Total Medicare Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $90,492,848 | ||||
| Avg Charges at DRG | $59,815 | ||||
| Avg Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $57,310 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | NA | ||||
| SNF Discharge Rate at DRG | 19.82 | ||||
| SNF Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 19.51 | ||||
| Home Discharge Rate at DRG | 45.92 | ||||
| Home Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 50.98 |
| DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 458: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,889 | ||||
| Total Hospitalizations with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 279 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc in DRG | 0.69 | ||||
| Avg LOS at DRG | 2.25 | ||||
| Avg LOS with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 2.05 | ||||
| Readmission Rate at DRG | 12.13 | ||||
| Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 8.24 | ||||
| Unplanned Readmission Rate at DRG | 3.71 | ||||
| Unplanned Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | NA | ||||
| Total Medicare payments at DRG | $39,433,663 | ||||
| Total Medicare payments with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $1,707,893 | ||||
| Total Medicare payment per Day at DRG | $2,975 | ||||
| Total Medicare payment per Day with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $2,981 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,696 | ||||
| Total Medicare payment per Hospitalization with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $6,121 | ||||
| Total Medicare Charges at DRG | $240,386,762 | ||||
| Total Medicare Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $11,613,106 | ||||
| Avg Charges at DRG | $40,820 | ||||
| Avg Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $41,624 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | NA | ||||
| SNF Discharge Rate at DRG | 9.22 | ||||
| SNF Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 8.96 | ||||
| Home Discharge Rate at DRG | 68.48 | ||||
| Home Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 74.55 |
| DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION 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) | 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 | 18,537 | ||||
| Total Hospitalizations with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 30 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc in DRG | 0.07 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 5.17 | ||||
| Readmission Rate at DRG | 25.28 | ||||
| Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | NA | ||||
| Unplanned Readmission Rate at DRG | 12.05 | ||||
| Unplanned Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | NA | ||||
| Total Medicare payments at DRG | $230,537,445 | ||||
| Total Medicare payments with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $357,075 | ||||
| Total Medicare payment per Day at DRG | $2,330 | ||||
| Total Medicare payment per Day with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $2,304 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,437 | ||||
| Total Medicare payment per Hospitalization with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $11,903 | ||||
| Total Medicare Charges at DRG | $1,129,058,207 | ||||
| Total Medicare Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $2,059,444 | ||||
| Avg Charges at DRG | $60,908 | ||||
| Avg Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $68,648 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | NA | ||||
| SNF Discharge Rate at DRG | 38.58 | ||||
| SNF Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 36.67 | ||||
| Home Discharge Rate at DRG | 27.88 | ||||
| Home Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 36.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| KANSAS SPINE & SPECIALTY HOSPITAL | 3333 N WEBB RD | WICHITA | KS | 67226 | 297 |
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | 260 |
| HOLMES REGIONAL MEDICAL CENTER | 1350 HICKORY ST | MELBOURNE | FL | 32901 | 245 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAYMOND W GRUNDMEYER | 3223 N WEBB RD | WICHITA | KS | 67226 | 118 |
| Dr. CHARLES C EDWARDS, II | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 118 |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 118 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. CHARLES C EDWARDS, II | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 134 |
| Dr. RAYMOND W GRUNDMEYER | 3223 N WEBB RD | WICHITA | KS | 67226 | 118 |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 117 |
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 152,568 | ||||
| Total Hospitalizations with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 40,493 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc in DRG | 18.71 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 3.3 | ||||
| Readmission Rate at DRG | 17.7 | ||||
| Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 16.76 | ||||
| Unplanned Readmission Rate at DRG | 4.43 | ||||
| Unplanned Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 4.42 | ||||
| Total Medicare payments at DRG | $3,694,867,855 | ||||
| Total Medicare payments with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $972,585,311 | ||||
| Total Medicare payment per Day at DRG | $7,071 | ||||
| Total Medicare payment per Day with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $7,287 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,218 | ||||
| Total Medicare payment per Hospitalization with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $24,019 | ||||
| Total Medicare Charges at DRG | $15,855,495,798 | ||||
| Total Medicare Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $4,390,524,743 | ||||
| Avg Charges at DRG | $103,924 | ||||
| Avg Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $108,427 | ||||
| Mortality Rate at DRG | 0.02 | ||||
| Mortality Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 14.57 | ||||
| Home Discharge Rate at DRG | 51.64 | ||||
| Home Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 53.82 |
| DRG 885: PSYCHOSES | DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 3,790 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc in DRG | 1.75 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 10.08 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 22.87 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 10.89 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $28,372,267 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $742 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $7,486 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $91,144,028 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $24,049 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 4.96 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 83.06 |
| DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,805 | ||||
| Total Hospitalizations with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 3,338 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc in DRG | 1.54 | ||||
| Avg LOS at DRG | 3.39 | ||||
| Avg LOS with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 3.33 | ||||
| Readmission Rate at DRG | 15.89 | ||||
| Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 14.65 | ||||
| Unplanned Readmission Rate at DRG | 3.89 | ||||
| Unplanned Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 3.37 | ||||
| Total Medicare payments at DRG | $341,055,226 | ||||
| Total Medicare payments with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $129,047,248 | ||||
| Total Medicare payment per Day at DRG | $11,419 | ||||
| Total Medicare payment per Day with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $11,606 | ||||
| Total Medicare payment per Hospitalization at DRG | $38,734 | ||||
| Total Medicare payment per Hospitalization with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $38,660 | ||||
| Total Medicare Charges at DRG | $1,434,061,112 | ||||
| Total Medicare Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $556,378,024 | ||||
| Avg Charges at DRG | $162,869 | ||||
| Avg Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $166,680 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | NA | ||||
| SNF Discharge Rate at DRG | 12.86 | ||||
| SNF Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 12.94 | ||||
| Home Discharge Rate at DRG | 57.21 | ||||
| Home Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 57.76 |
| DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,966 | ||||
| Total Hospitalizations with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 2,079 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc in DRG | 0.96 | ||||
| Avg LOS at DRG | 6.46 | ||||
| Avg LOS with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 6.33 | ||||
| Readmission Rate at DRG | 30.35 | ||||
| Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 32.75 | ||||
| Unplanned Readmission Rate at DRG | 16.0 | ||||
| Unplanned Readmission Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 18.12 | ||||
| Total Medicare payments at DRG | $278,961,236 | ||||
| Total Medicare payments with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $20,839,370 | ||||
| Total Medicare payment per Day at DRG | $1,662 | ||||
| Total Medicare payment per Day with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $1,584 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,743 | ||||
| Total Medicare payment per Hospitalization with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $10,024 | ||||
| Total Medicare Charges at DRG | $1,203,240,084 | ||||
| Total Medicare Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $92,110,337 | ||||
| Avg Charges at DRG | $46,339 | ||||
| Avg Charges with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | $44,305 | ||||
| Mortality Rate at DRG | 5.58 | ||||
| Mortality Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 3.03 | ||||
| SNF Discharge Rate at DRG | 40.97 | ||||
| SNF Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 41.7 | ||||
| Home Discharge Rate at DRG | 19.27 | ||||
| Home Discharge Rate with ICD 72252 - Degeneration of lumbar or lumbosacral intervertebral disc | 22.17 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 888 |
| HOLMES REGIONAL MEDICAL CENTER | 1350 HICKORY ST | MELBOURNE | FL | 32901 | 813 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 796 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. REX E.H. ARENDALL | 2400 PATTERSON ST | NASHVILLE | TN | 37203 | 200 |
| Dr. BEN BHUPENDRA PRADHAN | 2627 E WASHINGTON BLVD | PASADENA | CA | 91107 | 180 |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 174 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ABDULLAH ARSHAD | 907 E REED ST | HAYTI | MO | 63851 | 631 |
| Dr. PAUL W PIERCE | 2080 S FRONTAGE RD | VICKSBURG | MS | 39180 | 240 |
| Dr. DEBASHIS NAG | 9 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 200 |