| 72402 - Spinal stenosis, lumbar region, without neurogenic claudication - as a primary diagnosis code | 72402 - Spinal stenosis, lumbar region, without neurogenic claudication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.08 | |
| Readmission Rate (%) | 20.55 | |
| Unplanned Readmission Rate (%) | 5.33 | |
| 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 491: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS 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 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 152,568 | ||||
| Total Hospitalizations with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 30,366 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication in DRG | 43.3 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 3.37 | ||||
| Readmission Rate at DRG | 17.7 | ||||
| Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 17.29 | ||||
| Unplanned Readmission Rate at DRG | 4.43 | ||||
| Unplanned Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 4.46 | ||||
| Total Medicare payments at DRG | $3,694,867,855 | ||||
| Total Medicare payments with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $726,722,827 | ||||
| Total Medicare payment per Day at DRG | $7,071 | ||||
| Total Medicare payment per Day with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $7,102 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,218 | ||||
| Total Medicare payment per Hospitalization with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $23,932 | ||||
| Total Medicare Charges at DRG | $15,855,495,798 | ||||
| Total Medicare Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $2,966,296,760 | ||||
| Avg Charges at DRG | $103,924 | ||||
| Avg Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $97,685 | ||||
| Mortality Rate at DRG | 0.02 | ||||
| Mortality Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 18.39 | ||||
| Home Discharge Rate at DRG | 51.64 | ||||
| Home Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 50.29 |
| DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,132 | ||||
| Total Hospitalizations with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 1,616 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication in DRG | 2.3 | ||||
| Avg LOS at DRG | 8.38 | ||||
| Avg LOS with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 7.7 | ||||
| Readmission Rate at DRG | 39.84 | ||||
| Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 36.65 | ||||
| Unplanned Readmission Rate at DRG | 8.33 | ||||
| Unplanned Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 7.7 | ||||
| Total Medicare payments at DRG | $384,099,820 | ||||
| Total Medicare payments with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $65,215,158 | ||||
| Total Medicare payment per Day at DRG | $5,018 | ||||
| Total Medicare payment per Day with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $5,243 | ||||
| Total Medicare payment per Hospitalization at DRG | $42,061 | ||||
| Total Medicare payment per Hospitalization with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $40,356 | ||||
| Total Medicare Charges at DRG | $1,565,625,576 | ||||
| Total Medicare Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $254,544,411 | ||||
| Avg Charges at DRG | $171,444 | ||||
| Avg Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $157,515 | ||||
| Mortality Rate at DRG | 2.37 | ||||
| Mortality Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 1.73 | ||||
| SNF Discharge Rate at DRG | 32.23 | ||||
| SNF Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 33.11 | ||||
| Home Discharge Rate at DRG | 17.88 | ||||
| Home Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 18.87 |
| DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH 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 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,098 | ||||
| Total Hospitalizations with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 231 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication in DRG | 0.33 | ||||
| Avg LOS at DRG | 6.01 | ||||
| Avg LOS with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 4.74 | ||||
| Readmission Rate at DRG | 25.98 | ||||
| Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 21.43 | ||||
| Unplanned Readmission Rate at DRG | 7.88 | ||||
| Unplanned Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 6.25 | ||||
| Total Medicare payments at DRG | $21,528,375 | ||||
| Total Medicare payments with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $4,210,630 | ||||
| Total Medicare payment per Day at DRG | $3,263 | ||||
| Total Medicare payment per Day with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $3,849 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,607 | ||||
| Total Medicare payment per Hospitalization with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $18,228 | ||||
| Total Medicare Charges at DRG | $103,982,918 | ||||
| Total Medicare Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $18,457,713 | ||||
| Avg Charges at DRG | $94,702 | ||||
| Avg Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $79,904 | ||||
| Mortality Rate at DRG | 1.82 | ||||
| Mortality Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | NA | ||||
| SNF Discharge Rate at DRG | 23.13 | ||||
| SNF Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 22.94 | ||||
| Home Discharge Rate at DRG | 39.25 | ||||
| Home Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 41.56 |
| DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 59,994 | ||||
| Total Hospitalizations with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 44 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication in DRG | 0.06 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 2.11 | ||||
| Readmission Rate at DRG | 9.04 | ||||
| Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | NA | ||||
| Unplanned Readmission Rate at DRG | 3.42 | ||||
| Unplanned Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | NA | ||||
| Total Medicare payments at DRG | $767,712,396 | ||||
| Total Medicare payments with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $561,843 | ||||
| Total Medicare payment per Day at DRG | $7,421 | ||||
| Total Medicare payment per Day with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $6,041 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,796 | ||||
| Total Medicare payment per Hospitalization with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $12,769 | ||||
| Total Medicare Charges at DRG | $3,768,770,118 | ||||
| Total Medicare Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $3,532,720 | ||||
| Avg Charges at DRG | $62,819 | ||||
| Avg Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $80,289 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | NA | ||||
| SNF Discharge Rate at DRG | 3.59 | ||||
| SNF Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | NA | ||||
| Home Discharge Rate at DRG | 83.59 | ||||
| Home Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 72.73 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 485 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 359 |
| BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL | 1814 ROSELAND BLVD | TYLER | TX | 75701 | 305 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. TODD MARTIN RAABE | 3414 GOLDEN RD | TYLER | TX | 75701 | 153 |
| Dr. WILLIAM RAY BROWN | 160 KIMEL FOREST DR | WINSTON SALEM | NC | 27103 | 121 |
| Dr. JEFFREY ALLAN RIHN | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 120 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. TODD MARTIN RAABE | 3414 GOLDEN RD | TYLER | TX | 75701 | 150 |
| Dr. WILLIAM RAY BROWN | 160 KIMEL FOREST DR | WINSTON SALEM | NC | 27103 | 121 |
| Dr. JEFFREY ALLAN RIHN | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 120 |
| DRG 460: SPINAL FUSION EXCEPT CERVICAL 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 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 152,568 | ||||
| Total Hospitalizations with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 48,010 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication in DRG | 20.31 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 3.37 | ||||
| Readmission Rate at DRG | 17.7 | ||||
| Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 17.14 | ||||
| Unplanned Readmission Rate at DRG | 4.43 | ||||
| Unplanned Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 4.37 | ||||
| Total Medicare payments at DRG | $3,694,867,855 | ||||
| Total Medicare payments with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $1,146,277,827 | ||||
| Total Medicare payment per Day at DRG | $7,071 | ||||
| Total Medicare payment per Day with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $7,082 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,218 | ||||
| Total Medicare payment per Hospitalization with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $23,876 | ||||
| Total Medicare Charges at DRG | $15,855,495,798 | ||||
| Total Medicare Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $4,786,543,004 | ||||
| Avg Charges at DRG | $103,924 | ||||
| Avg Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $99,699 | ||||
| Mortality Rate at DRG | 0.02 | ||||
| Mortality Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 0.02 | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 17.68 | ||||
| Home Discharge Rate at DRG | 51.64 | ||||
| Home Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 50.96 |
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 6,955 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication in DRG | 2.94 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 3.23 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 15.09 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 3.94 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $88,237,434 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $3,927 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $12,687 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $389,307,480 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $55,975 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | NA | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 40.65 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 14.74 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 520: BACK AND NECK PROCEDURES 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 2,313 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication in DRG | 0.98 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 3.6 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 17.79 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 12.21 | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $10,178,775 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $1,222 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $4,401 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $57,591,603 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $24,899 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 14.31 | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 62.91 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 1,983 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication in DRG | 0.84 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 4.59 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 25.4 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 16.07 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $11,681,735 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $1,282 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $5,891 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $59,081,726 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | $29,794 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 0.81 | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 33.03 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 72402 - Spinal stenosis, lumbar region, without neurogenic claudication | 34.69 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,034 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 858 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 789 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL EDWARD RUSSELL | 3414 GOLDEN RD | TYLER | TX | 75701 | 186 |
| Dr. TODD MARTIN RAABE | 3414 GOLDEN RD | TYLER | TX | 75701 | 174 |
| Dr. JEFFREY ALLAN RIHN | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 157 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL EDWARD RUSSELL | 3414 GOLDEN RD | TYLER | TX | 75701 | 176 |
| Dr. TODD MARTIN RAABE | 3414 GOLDEN RD | TYLER | TX | 75701 | 171 |
| Dr. JEFFREY ALLAN RIHN | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | 157 |