| 72403 - Spinal stenosis, lumbar region, with neurogenic claudication - as a primary diagnosis code | 72403 - Spinal stenosis, lumbar region, with neurogenic claudication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.94 | |
| Readmission Rate (%) | 18.67 | |
| Unplanned Readmission Rate (%) | 4.54 | |
| 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 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) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 152,568 | ||||
| Total Hospitalizations with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 13,319 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication in DRG | 42.96 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 3.48 | ||||
| Readmission Rate at DRG | 17.7 | ||||
| Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 18.61 | ||||
| Unplanned Readmission Rate at DRG | 4.43 | ||||
| Unplanned Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 4.2 | ||||
| Total Medicare payments at DRG | $3,694,867,855 | ||||
| Total Medicare payments with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $326,909,913 | ||||
| Total Medicare payment per Day at DRG | $7,071 | ||||
| Total Medicare payment per Day with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $7,048 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,218 | ||||
| Total Medicare payment per Hospitalization with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $24,545 | ||||
| Total Medicare Charges at DRG | $15,855,495,798 | ||||
| Total Medicare Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $1,293,323,823 | ||||
| Avg Charges at DRG | $103,924 | ||||
| Avg Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $97,104 | ||||
| Mortality Rate at DRG | 0.02 | ||||
| Mortality Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 18.36 | ||||
| Home Discharge Rate at DRG | 51.64 | ||||
| Home Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 46.8 |
| 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) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 9,132 | ||||
| Total Hospitalizations with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 713 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication in DRG | 2.3 | ||||
| Avg LOS at DRG | 8.38 | ||||
| Avg LOS with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 7.65 | ||||
| Readmission Rate at DRG | 39.84 | ||||
| Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 38.97 | ||||
| Unplanned Readmission Rate at DRG | 8.33 | ||||
| Unplanned Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 6.91 | ||||
| Total Medicare payments at DRG | $384,099,820 | ||||
| Total Medicare payments with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $29,541,272 | ||||
| Total Medicare payment per Day at DRG | $5,018 | ||||
| Total Medicare payment per Day with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $5,417 | ||||
| Total Medicare payment per Hospitalization at DRG | $42,061 | ||||
| Total Medicare payment per Hospitalization with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $41,432 | ||||
| Total Medicare Charges at DRG | $1,565,625,576 | ||||
| Total Medicare Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $110,818,116 | ||||
| Avg Charges at DRG | $171,444 | ||||
| Avg Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $155,425 | ||||
| Mortality Rate at DRG | 2.37 | ||||
| Mortality Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 2.95 | ||||
| SNF Discharge Rate at DRG | 32.23 | ||||
| SNF Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 31.42 | ||||
| Home Discharge Rate at DRG | 17.88 | ||||
| Home Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 15.71 |
| DRG 551: MEDICAL BACK PROBLEMS 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) | 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 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,966 | ||||
| Total Hospitalizations with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 136 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication in DRG | 0.44 | ||||
| Avg LOS at DRG | 6.46 | ||||
| Avg LOS with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 6.84 | ||||
| Readmission Rate at DRG | 30.35 | ||||
| Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 31.97 | ||||
| Unplanned Readmission Rate at DRG | 16.0 | ||||
| Unplanned Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 13.11 | ||||
| Total Medicare payments at DRG | $278,961,236 | ||||
| Total Medicare payments with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $1,499,702 | ||||
| Total Medicare payment per Day at DRG | $1,662 | ||||
| Total Medicare payment per Day with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $1,613 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,743 | ||||
| Total Medicare payment per Hospitalization with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $11,027 | ||||
| Total Medicare Charges at DRG | $1,203,240,084 | ||||
| Total Medicare Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $5,695,849 | ||||
| Avg Charges at DRG | $46,339 | ||||
| Avg Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $41,881 | ||||
| Mortality Rate at DRG | 5.58 | ||||
| Mortality Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | NA | ||||
| SNF Discharge Rate at DRG | 40.97 | ||||
| SNF Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 38.24 | ||||
| Home Discharge Rate at DRG | 19.27 | ||||
| Home Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 23.53 |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 13,671 | |
| Total Hospitalizations with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 25 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication in DRG | 0.08 | |
| Avg LOS at DRG | 6.63 | |
| Avg LOS with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 4.28 | |
| Readmission Rate at DRG | 28.61 | |
| Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 44.0 | |
| Unplanned Readmission Rate at DRG | 14.02 | |
| Unplanned Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | NA | |
| Total Medicare payments at DRG | $191,252,981 | |
| Total Medicare payments with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $302,469 | |
| Total Medicare payment per Day at DRG | $2,108 | |
| Total Medicare payment per Day with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $2,827 | |
| Total Medicare payment per Hospitalization at DRG | $13,990 | |
| Total Medicare payment per Hospitalization with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $12,099 | |
| Total Medicare Charges at DRG | $911,014,429 | |
| Total Medicare Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $1,600,221 | |
| Avg Charges at DRG | $66,638 | |
| Avg Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $64,009 | |
| Mortality Rate at DRG | 0.37 | |
| Mortality Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | NA | |
| SNF Discharge Rate at DRG | 37.58 | |
| SNF Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | NA | |
| Home Discharge Rate at DRG | 24.37 | |
| Home Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 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 | 384 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 315 |
| NEW ENGLAND BAPTIST HOSPITAL | 125 PARKER HILL AVE | ROXBURY CROSSING | MA | 02120 | 195 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JAMES JUDE PARAISO | 1500 SE MAGNOLIA EXT | OCALA | FL | 34471 | 129 |
| Dr. ALEXANDER HUGHES | 535 E 70TH ST | NEW YORK | NY | 10021 | 111 |
| Dr. MARK ADAMS | 5400 MACKINAW RD | SAGINAW | MI | 48604 | 107 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ALEXANDER HUGHES | 535 E 70TH ST | NEW YORK | NY | 10021 | 112 |
| Dr. MARK ADAMS | 5400 MACKINAW RD | SAGINAW | MI | 48604 | 108 |
| Dr. KENNY B EDWARDS | 670 LEIGH DRIVE | COLUMBUS | MS | 39705 | 100 |
| 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 490: BACK & NECK PROCEDURE EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICES/NEUROSTIMULATORS | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 19,574 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication in DRG | 40.7 | ||||
| Avg LOS at DRG | 3.42 | ||||
| Avg LOS with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 3.45 | ||||
| Readmission Rate at DRG | 17.7 | ||||
| Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 18.22 | ||||
| Unplanned Readmission Rate at DRG | 4.43 | ||||
| Unplanned Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 4.07 | ||||
| Total Medicare payments at DRG | $3,694,867,855 | ||||
| Total Medicare payments with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $477,370,524 | ||||
| Total Medicare payment per Day at DRG | $7,071 | ||||
| Total Medicare payment per Day with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $7,066 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,218 | ||||
| Total Medicare payment per Hospitalization with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $24,388 | ||||
| Total Medicare Charges at DRG | $15,855,495,798 | ||||
| Total Medicare Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $1,927,778,350 | ||||
| Avg Charges at DRG | $103,924 | ||||
| Avg Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $98,487 | ||||
| Mortality Rate at DRG | 0.02 | ||||
| Mortality Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | NA | ||||
| SNF Discharge Rate at DRG | 16.02 | ||||
| SNF Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 17.89 | ||||
| Home Discharge Rate at DRG | 51.64 | ||||
| Home Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 47.52 |
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH 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) | DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 123,582 | ||||
| Total Hospitalizations with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 1,122 | ||||
| DRG Share of Total Hospitalizations | 0.54 | ||||
| % of Total ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication in DRG | 2.33 | ||||
| Avg LOS at DRG | 3.98 | ||||
| Avg LOS with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 5.44 | ||||
| Readmission Rate at DRG | 21.86 | ||||
| Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 25.86 | ||||
| Unplanned Readmission Rate at DRG | 10.18 | ||||
| Unplanned Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 8.22 | ||||
| Total Medicare payments at DRG | $678,335,493 | ||||
| Total Medicare payments with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $8,222,215 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $1,346 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,489 | ||||
| Total Medicare payment per Hospitalization with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $7,328 | ||||
| Total Medicare Charges at DRG | $3,226,573,785 | ||||
| Total Medicare Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $29,942,255 | ||||
| Avg Charges at DRG | $26,109 | ||||
| Avg Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $26,687 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | NA | ||||
| SNF Discharge Rate at DRG | 34.84 | ||||
| SNF Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 27.01 | ||||
| Home Discharge Rate at DRG | 32.92 | ||||
| Home Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 33.07 |
| DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 139,343 | ||||
| Total Hospitalizations with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 559 | ||||
| DRG Share of Total Hospitalizations | 0.61 | ||||
| % of Total ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication in DRG | 1.16 | ||||
| Avg LOS at DRG | 10.91 | ||||
| Avg LOS with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 10.31 | ||||
| Readmission Rate at DRG | 9.32 | ||||
| Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 10.46 | ||||
| Unplanned Readmission Rate at DRG | 6.79 | ||||
| Unplanned Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 6.06 | ||||
| Total Medicare payments at DRG | $2,086,742,506 | ||||
| Total Medicare payments with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $8,735,239 | ||||
| Total Medicare payment per Day at DRG | $1,372 | ||||
| Total Medicare payment per Day with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $1,515 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,976 | ||||
| Total Medicare payment per Hospitalization with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $15,627 | ||||
| Total Medicare Charges at DRG | $4,091,959,256 | ||||
| Total Medicare Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $16,376,255 | ||||
| Avg Charges at DRG | $29,366 | ||||
| Avg Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $29,296 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | NA | ||||
| SNF Discharge Rate at DRG | 12.5 | ||||
| SNF Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 6.08 | ||||
| Home Discharge Rate at DRG | 28.51 | ||||
| Home Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 33.63 |
| DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,966 | ||||
| Total Hospitalizations with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 175 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication in DRG | 0.36 | ||||
| Avg LOS at DRG | 6.46 | ||||
| Avg LOS with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 6.75 | ||||
| Readmission Rate at DRG | 30.35 | ||||
| Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 32.91 | ||||
| Unplanned Readmission Rate at DRG | 16.0 | ||||
| Unplanned Readmission Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 13.29 | ||||
| Total Medicare payments at DRG | $278,961,236 | ||||
| Total Medicare payments with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $1,865,369 | ||||
| Total Medicare payment per Day at DRG | $1,662 | ||||
| Total Medicare payment per Day with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $1,579 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,743 | ||||
| Total Medicare payment per Hospitalization with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $10,659 | ||||
| Total Medicare Charges at DRG | $1,203,240,084 | ||||
| Total Medicare Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $7,147,829 | ||||
| Avg Charges at DRG | $46,339 | ||||
| Avg Charges with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | $40,845 | ||||
| Mortality Rate at DRG | 5.58 | ||||
| Mortality Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | NA | ||||
| SNF Discharge Rate at DRG | 40.97 | ||||
| SNF Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 40.0 | ||||
| Home Discharge Rate at DRG | 19.27 | ||||
| Home Discharge Rate with ICD 72403 - Spinal stenosis, lumbar region, with neurogenic claudication | 22.29 |
| 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 | 489 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 478 |
| NYU LANGONE'S TISCH HOSPITAL | 550 1ST AVE | NEW YORK | NY | 10016 | 254 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JAMES JUDE PARAISO | 1500 SE MAGNOLIA EXT | OCALA | FL | 34471 | 174 |
| Dr. ALEXANDER HUGHES | 535 E 70TH ST | NEW YORK | NY | 10021 | 138 |
| Dr. MARK ADAMS | 5400 MACKINAW RD | SAGINAW | MI | 48604 | 138 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ALEXANDER HUGHES | 535 E 70TH ST | NEW YORK | NY | 10021 | 139 |
| Dr. MARK ADAMS | 5400 MACKINAW RD | SAGINAW | MI | 48604 | 134 |
| Dr. FRANK P CAMMISA | 523 E 72ND ST | NEW YORK | NY | 10021 | 133 |