| 72291 - Other and unspecified disc disorder, cervical region - as a primary diagnosis code | 72291 - Other and unspecified disc disorder, cervical region - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.47 | |
| Readmission Rate (%) | 23.4 | |
| Unplanned Readmission Rate (%) | 10.02 | |
| 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 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 59,994 | ||||
| Total Hospitalizations with ICD 72291 - Other and unspecified disc disorder, cervical region | 253 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD 72291 - Other and unspecified disc disorder, cervical region in DRG | 27.83 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD 72291 - Other and unspecified disc disorder, cervical region | 1.52 | ||||
| Readmission Rate at DRG | 9.04 | ||||
| Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 5.14 | ||||
| Unplanned Readmission Rate at DRG | 3.42 | ||||
| Unplanned Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| Total Medicare payments at DRG | $767,712,396 | ||||
| Total Medicare payments with ICD 72291 - Other and unspecified disc disorder, cervical region | $3,333,598 | ||||
| Total Medicare payment per Day at DRG | $7,421 | ||||
| Total Medicare payment per Day with ICD 72291 - Other and unspecified disc disorder, cervical region | $8,681 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,796 | ||||
| Total Medicare payment per Hospitalization with ICD 72291 - Other and unspecified disc disorder, cervical region | $13,176 | ||||
| Total Medicare Charges at DRG | $3,768,770,118 | ||||
| Total Medicare Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $16,521,584 | ||||
| Avg Charges at DRG | $62,819 | ||||
| Avg Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $65,303 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 3.59 | ||||
| SNF Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| Home Discharge Rate at DRG | 83.59 | ||||
| Home Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 90.51 |
| DRG 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS | DRG 491: BACK & NECK PROCEDURE EXCEPT 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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,875 | ||||
| Total Hospitalizations with ICD 72291 - Other and unspecified disc disorder, cervical region | 21 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD 72291 - Other and unspecified disc disorder, cervical region in DRG | 2.31 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 72291 - Other and unspecified disc disorder, cervical region | 4.62 | ||||
| Readmission Rate at DRG | 25.42 | ||||
| Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| Unplanned Readmission Rate at DRG | 6.3 | ||||
| Unplanned Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| Total Medicare payments at DRG | $377,259,129 | ||||
| Total Medicare payments with ICD 72291 - Other and unspecified disc disorder, cervical region | $248,417 | ||||
| Total Medicare payment per Day at DRG | $2,692 | ||||
| Total Medicare payment per Day with ICD 72291 - Other and unspecified disc disorder, cervical region | $2,561 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,836 | ||||
| Total Medicare payment per Hospitalization with ICD 72291 - Other and unspecified disc disorder, cervical region | $11,829 | ||||
| Total Medicare Charges at DRG | $1,906,598,118 | ||||
| Total Medicare Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $1,440,140 | ||||
| Avg Charges at DRG | $59,815 | ||||
| Avg Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $68,578 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 19.82 | ||||
| SNF Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| Home Discharge Rate at DRG | 45.92 | ||||
| Home Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 66.67 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MUKESH MISRA | 42135 10TH ST W | LANCASTER | CA | 93534 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MUKESH MISRA | 42135 10TH ST W | LANCASTER | CA | 93534 | 19 |
| DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 59,994 | ||||
| Total Hospitalizations with ICD 72291 - Other and unspecified disc disorder, cervical region | 520 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD 72291 - Other and unspecified disc disorder, cervical region in DRG | 5.0 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD 72291 - Other and unspecified disc disorder, cervical region | 1.6 | ||||
| Readmission Rate at DRG | 9.04 | ||||
| Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 6.15 | ||||
| Unplanned Readmission Rate at DRG | 3.42 | ||||
| Unplanned Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 3.08 | ||||
| Total Medicare payments at DRG | $767,712,396 | ||||
| Total Medicare payments with ICD 72291 - Other and unspecified disc disorder, cervical region | $6,713,318 | ||||
| Total Medicare payment per Day at DRG | $7,421 | ||||
| Total Medicare payment per Day with ICD 72291 - Other and unspecified disc disorder, cervical region | $8,079 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,796 | ||||
| Total Medicare payment per Hospitalization with ICD 72291 - Other and unspecified disc disorder, cervical region | $12,910 | ||||
| Total Medicare Charges at DRG | $3,768,770,118 | ||||
| Total Medicare Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $32,265,583 | ||||
| Avg Charges at DRG | $62,819 | ||||
| Avg Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $62,049 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 3.59 | ||||
| SNF Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 2.31 | ||||
| Home Discharge Rate at DRG | 83.59 | ||||
| Home Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 87.88 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 72291 - Other and unspecified disc disorder, cervical region | 283 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 72291 - Other and unspecified disc disorder, cervical region in DRG | 2.72 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 72291 - Other and unspecified disc disorder, cervical region | 14.16 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 17.67 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 12.05 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 72291 - Other and unspecified disc disorder, cervical region | $5,391,869 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 72291 - Other and unspecified disc disorder, cervical region | $1,345 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 72291 - Other and unspecified disc disorder, cervical region | $19,053 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $14,997,961 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $52,996 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 14.84 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 25.09 |
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 313: CHEST PAIN | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,583 | ||||
| Total Hospitalizations with ICD 72291 - Other and unspecified disc disorder, cervical region | 124 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD 72291 - Other and unspecified disc disorder, cervical region in DRG | 1.19 | ||||
| Avg LOS at DRG | 14.4 | ||||
| Avg LOS with ICD 72291 - Other and unspecified disc disorder, cervical region | 16.86 | ||||
| Readmission Rate at DRG | 39.61 | ||||
| Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 46.02 | ||||
| Unplanned Readmission Rate at DRG | 17.93 | ||||
| Unplanned Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 15.04 | ||||
| Total Medicare payments at DRG | $4,418,648,842 | ||||
| Total Medicare payments with ICD 72291 - Other and unspecified disc disorder, cervical region | $4,767,608 | ||||
| Total Medicare payment per Day at DRG | $2,545 | ||||
| Total Medicare payment per Day with ICD 72291 - Other and unspecified disc disorder, cervical region | $2,280 | ||||
| Total Medicare payment per Hospitalization at DRG | $36,644 | ||||
| Total Medicare payment per Hospitalization with ICD 72291 - Other and unspecified disc disorder, cervical region | $38,448 | ||||
| Total Medicare Charges at DRG | $18,323,348,541 | ||||
| Total Medicare Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $21,449,938 | ||||
| Avg Charges at DRG | $151,956 | ||||
| Avg Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $172,983 | ||||
| Mortality Rate at DRG | 13.99 | ||||
| Mortality Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 33.74 | ||||
| SNF Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 30.65 | ||||
| Home Discharge Rate at DRG | 13.29 | ||||
| Home Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 12.9 |
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 261,933 | ||||
| Total Hospitalizations with ICD 72291 - Other and unspecified disc disorder, cervical region | 105 | ||||
| DRG Share of Total Hospitalizations | 1.15 | ||||
| % of Total ICD 72291 - Other and unspecified disc disorder, cervical region in DRG | 1.01 | ||||
| Avg LOS at DRG | 4.1 | ||||
| Avg LOS with ICD 72291 - Other and unspecified disc disorder, cervical region | 4.28 | ||||
| Readmission Rate at DRG | 23.4 | ||||
| Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 22.12 | ||||
| Unplanned Readmission Rate at DRG | 18.25 | ||||
| Unplanned Readmission Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 17.31 | ||||
| Total Medicare payments at DRG | $1,493,154,986 | ||||
| Total Medicare payments with ICD 72291 - Other and unspecified disc disorder, cervical region | $626,857 | ||||
| Total Medicare payment per Day at DRG | $1,391 | ||||
| Total Medicare payment per Day with ICD 72291 - Other and unspecified disc disorder, cervical region | $1,396 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,701 | ||||
| Total Medicare payment per Hospitalization with ICD 72291 - Other and unspecified disc disorder, cervical region | $5,970 | ||||
| Total Medicare Charges at DRG | $6,844,391,093 | ||||
| Total Medicare Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $3,060,615 | ||||
| Avg Charges at DRG | $26,130 | ||||
| Avg Charges with ICD 72291 - Other and unspecified disc disorder, cervical region | $29,149 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | NA | ||||
| Home Discharge Rate at DRG | 59.35 | ||||
| Home Discharge Rate with ICD 72291 - Other and unspecified disc disorder, cervical region | 73.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 156 |
| WILLIS KNIGHTON MEDICAL CENTER | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 60 |
| MERCY HEALTH - LOURDES HOSPITAL | 1530 LONE OAK RD | PADUCAH | KY | 42003 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MUKESH MISRA | 42135 10TH ST W | LANCASTER | CA | 93534 | 22 |
| Dr. GEORGE H KHOURY | 2145 HENRY TECKLENBURG DR | CHARLESTON | SC | 29414 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMED RASHID MIRZA | 805 W CEDAR ST | STANDISH | MI | 48658 | 25 |
| Dr. ANDRE CHRISTOPHER LEWIS | 200 INDUSTRIAL BLVD. | DUBLIN | GA | 31021 | 20 |
| Dr. MUKESH MISRA | 42135 10TH ST W | LANCASTER | CA | 93534 | 20 |