*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach - as a primary procedure code | 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach - as a primary or secondary procedure code | |
|---|---|---|
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | 2,458 | 6,973 |
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | 3,342 | 9,656 |
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total Medicare Hospitalizations after Exclusion | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 26,458 | ||||
| Total Hospitalizations with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 1,118 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach in DRG | 33.45 | ||||
| Avg LOS at DRG | 3.91 | ||||
| Avg LOS with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 5.11 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 41.61 | ||||
| Unplanned Readmission Rate at DRG | 6.06 | ||||
| Unplanned Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 5.1 | ||||
| Total Medicare payments at DRG | $282,780,660 | ||||
| Total Medicare payments with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $12,534,589 | ||||
| Total Medicare payment per Day at DRG | $2,732 | ||||
| Total Medicare payment per Day with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $2,194 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
| Total Medicare payment per Hospitalization with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $11,212 | ||||
| Total Medicare Charges at DRG | $1,744,158,849 | ||||
| Total Medicare Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $87,197,123 | ||||
| Avg Charges at DRG | $65,922 | ||||
| Avg Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $77,994 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 26.3 | ||||
| Home Discharge Rate at DRG | 44.06 | ||||
| Home Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 24.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 821: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 143 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach in DRG | 4.28 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 14.21 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 59.84 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 12.3 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $5,299,175 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $2,608 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $37,057 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $28,321,588 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $198,053 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 8.39 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 41.26 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 820: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,040 | ||||
| Total Hospitalizations with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 33 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach in DRG | 0.99 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 12.45 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 54.84 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA | ||||
| Total Medicare payments at DRG | $358,064,249 | ||||
| Total Medicare payments with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $2,491,406 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $6,062 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $75,497 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $11,474,756 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $347,720 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 42.42 | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,107 | |||
| Total Hospitalizations with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 26 | |||
| DRG Share of Total Hospitalizations | 0.06 | |||
| % of Total ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach in DRG | 0.78 | |||
| Avg LOS at DRG | 6.49 | |||
| Avg LOS with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 9.5 | |||
| Readmission Rate at DRG | 26.91 | |||
| Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 62.5 | |||
| Unplanned Readmission Rate at DRG | 14.11 | |||
| Unplanned Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA | |||
| Total Medicare payments at DRG | $299,258,488 | |||
| Total Medicare payments with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $459,922 | |||
| Total Medicare payment per Day at DRG | $2,183 | |||
| Total Medicare payment per Day with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $1,862 | |||
| Total Medicare payment per Hospitalization at DRG | $14,178 | |||
| Total Medicare payment per Hospitalization with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $17,689 | |||
| Total Medicare Charges at DRG | $1,625,982,661 | |||
| Total Medicare Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $3,586,005 | |||
| Avg Charges at DRG | $77,035 | |||
| Avg Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $137,923 | |||
| Mortality Rate at DRG | 0.28 | |||
| Mortality Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA | |||
| SNF Discharge Rate at DRG | 35.38 | |||
| SNF Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA | |||
| Home Discharge Rate at DRG | 25.84 | |||
| Home Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 21 |
| MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL | 3800 RESERVOIR RD., NW | WASHINGTON | DC | 20007 | 19 |
| MUSC MEDICAL CENTER | 169 ASHLEY AVE | CHARLESTON | SC | 29403 | 19 |
| ATRIUM HEALTH'S CAROLINAS MEDICAL CENTER | 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | |
| MAINE MEDICAL CENTER | 22 BRAMHALL ST | PORTLAND | ME | 04102 | |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | |
| NORTHWESTERN MEMORIAL HOSPITAL | 251 E HURON ST | CHICAGO | IL | 60611 | |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SCOTT PAUL FALCI | 3425 S CLARKSON ST | ENGLEWOOD | CO | 80113 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 028: SPINAL PROCEDURES 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 | 26,458 | ||||
| Total Hospitalizations with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 1,672 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach in DRG | 17.32 | ||||
| Avg LOS at DRG | 3.91 | ||||
| Avg LOS with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 5.08 | ||||
| Readmission Rate at DRG | 24.53 | ||||
| Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 41.53 | ||||
| Unplanned Readmission Rate at DRG | 6.06 | ||||
| Unplanned Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 5.28 | ||||
| Total Medicare payments at DRG | $282,780,660 | ||||
| Total Medicare payments with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $19,395,366 | ||||
| Total Medicare payment per Day at DRG | $2,732 | ||||
| Total Medicare payment per Day with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $2,285 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,688 | ||||
| Total Medicare payment per Hospitalization with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $11,600 | ||||
| Total Medicare Charges at DRG | $1,744,158,849 | ||||
| Total Medicare Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $138,668,911 | ||||
| Avg Charges at DRG | $65,922 | ||||
| Avg Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $82,936 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 26.14 | ||||
| Home Discharge Rate at DRG | 44.06 | ||||
| Home Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 25.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | DRG 520: BACK AND NECK PROCEDURES EXCEPT 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 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,719 | ||||
| Total Hospitalizations with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 510 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach in DRG | 5.28 | ||||
| Avg LOS at DRG | 5.2 | ||||
| Avg LOS with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 9.56 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 50.64 | ||||
| Unplanned Readmission Rate at DRG | 7.39 | ||||
| Unplanned Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 10.0 | ||||
| Total Medicare payments at DRG | $197,788,916 | ||||
| Total Medicare payments with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $10,722,380 | ||||
| Total Medicare payment per Day at DRG | $3,550 | ||||
| Total Medicare payment per Day with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $2,199 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,452 | ||||
| Total Medicare payment per Hospitalization with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $21,024 | ||||
| Total Medicare Charges at DRG | $1,072,900,890 | ||||
| Total Medicare Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $72,052,066 | ||||
| Avg Charges at DRG | $100,093 | ||||
| Avg Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $141,279 | ||||
| Mortality Rate at DRG | 1.19 | ||||
| Mortality Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 4.9 | ||||
| SNF Discharge Rate at DRG | 20.31 | ||||
| SNF Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 30.78 | ||||
| Home Discharge Rate at DRG | 45.02 | ||||
| Home Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 15.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 030: SPINAL PROCEDURES 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 821: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,167 | ||||
| Total Hospitalizations with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 292 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach in DRG | 3.02 | ||||
| Avg LOS at DRG | 3.11 | ||||
| Avg LOS with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 4.94 | ||||
| Readmission Rate at DRG | 19.37 | ||||
| Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 33.57 | ||||
| Unplanned Readmission Rate at DRG | 5.26 | ||||
| Unplanned Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 6.36 | ||||
| Total Medicare payments at DRG | $899,179,360 | ||||
| Total Medicare payments with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $6,084,667 | ||||
| Total Medicare payment per Day at DRG | $5,763 | ||||
| Total Medicare payment per Day with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $4,217 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,924 | ||||
| Total Medicare payment per Hospitalization with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $20,838 | ||||
| Total Medicare Charges at DRG | $4,767,802,860 | ||||
| Total Medicare Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $41,261,328 | ||||
| Avg Charges at DRG | $95,039 | ||||
| Avg Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $141,306 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 11.73 | ||||
| SNF Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 25.0 | ||||
| Home Discharge Rate at DRG | 60.19 | ||||
| Home Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 34.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||||
| Total Hospitalizations with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 94 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach in DRG | 0.97 | ||||
| Avg LOS at DRG | 1.72 | ||||
| Avg LOS with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 3.21 | ||||
| Readmission Rate at DRG | 8.56 | ||||
| Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 34.78 | ||||
| Unplanned Readmission Rate at DRG | 3.51 | ||||
| Unplanned Readmission Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA | ||||
| Total Medicare payments at DRG | $814,610,584 | ||||
| Total Medicare payments with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $1,482,797 | ||||
| Total Medicare payment per Day at DRG | $7,479 | ||||
| Total Medicare payment per Day with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $4,910 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||||
| Total Medicare payment per Hospitalization with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $15,774 | ||||
| Total Medicare Charges at DRG | $4,641,508,729 | ||||
| Total Medicare Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $9,768,474 | ||||
| Avg Charges at DRG | $73,342 | ||||
| Avg Charges with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | $103,920 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 3.8 | ||||
| SNF Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 11.7 | ||||
| Home Discharge Rate at DRG | 81.78 | ||||
| Home Discharge Rate with ICD 00NX0ZZ - Release Thoracic Spinal Cord, Open Approach | 43.62 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 105 |
| MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL | 3800 RESERVOIR RD., NW | WASHINGTON | DC | 20007 | 77 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 69 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | |
| NORTON HOSPITAL | 200 E CHESTNUT ST | LOUISVILLE | KY | 40202 | |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | |
| MUSC MEDICAL CENTER | 169 ASHLEY AVE | CHARLESTON | SC | 29403 | |
| ATRIUM HEALTH'S CAROLINAS MEDICAL CENTER | 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | |
| STANFORD HEALTHCARE | 300 PASTEUR DR | STANFORD | CA | 94305 | |
| RHODE ISLAND HOSPITAL | 593 EDDY ST | PROVIDENCE | RI | 02903 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SCOTT PAUL FALCI | 3425 S CLARKSON ST | ENGLEWOOD | CO | 80113 | 25 |
| Dr. SARKIS KASPAR | 1215 DUFF AVE | AMES | IA | 50010 | 23 |
| Dr. MICHELLE J CLARKE | 200 1ST ST SW | ROCHESTER | MN | 55905 | 20 |
| Dr. NAM DUY TRAN | 12902 USF MAGNOLIA DR | TAMPA | FL | 33612 | |
| Dr. KENNEDY YALAMANCHILI | 774 CHRISTIANA RD | NEWARK | DE | 19713 | |
| Dr. STEPHEN PAUL KALHORN | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | |
| Dr. UDAYA KUMAR KAKARLA | 2910 N 3RD AVE | PHOENIX | AZ | 85013 | |
| Dr. HOOMAN FRANCIS FARHADI | 410 W 10TH AVE | COLUMBUS | OH | 43210 | |
| Dr. DANIEL R. FASSETT | 719 N WILLIAM KUMPF BLVD | PEORIA | IL | 61605 | |
| Dr. EHUD MENDEL | 410 W 10TH AVE | COLUMBUS | OH | 43210 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SARKIS KASPAR | 1215 DUFF AVE | AMES | IA | 50010 | 23 |
| Dr. STEPHEN PAUL KALHORN | 171 ASHLEY AVE | CHARLESTON | SC | 29425 | 19 |
| Dr. MICHELLE J CLARKE | 200 1ST ST SW | ROCHESTER | MN | 55905 | 19 |
| Dr. KENNEDY YALAMANCHILI | 774 CHRISTIANA RD | NEWARK | DE | 19713 | |
| Dr. HOOMAN FRANCIS FARHADI | 410 W 10TH AVE | COLUMBUS | OH | 43210 | |
| Dr. NAM DUY TRAN | 12902 USF MAGNOLIA DR | TAMPA | FL | 33612 | |
| Dr. UDAYA KUMAR KAKARLA | 2910 N 3RD AVE | PHOENIX | AZ | 85013 | |
| Dr. EHUD MENDEL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | |
| Dr. SHARAD RAJPAL | 4743 ARAPAHOE AVE STE 202 | BOULDER | CO | 80303 | |
| Dr. FAHEEM A . SANDHU | 10401 HOSPITAL DR | CLINTON | MD | 20735 |