*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach - as a primary procedure code | 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach - as a primary or secondary procedure code | |
|---|---|---|
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | 5,150 | 9,081 |
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | 7,594 | 14,160 |
| 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 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,267 | ||||
| Total Hospitalizations with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 2,345 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 30.88 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 6.03 | ||||
| Readmission Rate at DRG | 37.98 | ||||
| Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 38.07 | ||||
| Unplanned Readmission Rate at DRG | 7.67 | ||||
| Unplanned Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 7.22 | ||||
| Total Medicare payments at DRG | $663,107,672 | ||||
| Total Medicare payments with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $116,318,282 | ||||
| Total Medicare payment per Day at DRG | $8,133 | ||||
| Total Medicare payment per Day with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $8,229 | ||||
| Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
| Total Medicare payment per Hospitalization with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $49,603 | ||||
| Total Medicare Charges at DRG | $2,896,079,147 | ||||
| Total Medicare Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $513,237,259 | ||||
| Avg Charges at DRG | $218,292 | ||||
| Avg Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $218,865 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 28.37 | ||||
| SNF Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 28.32 | ||||
| Home Discharge Rate at DRG | 23.93 | ||||
| Home Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 22.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,121 | ||||
| Total Hospitalizations with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 244 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 3.21 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 7.52 | ||||
| Readmission Rate at DRG | 25.27 | ||||
| Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 35.56 | ||||
| Unplanned Readmission Rate at DRG | 5.39 | ||||
| Unplanned Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 5.78 | ||||
| Total Medicare payments at DRG | $1,452,399,208 | ||||
| Total Medicare payments with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $14,784,043 | ||||
| Total Medicare payment per Day at DRG | $9,984 | ||||
| Total Medicare payment per Day with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $8,061 | ||||
| Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
| Total Medicare payment per Hospitalization with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $60,590 | ||||
| Total Medicare Charges at DRG | $6,527,772,651 | ||||
| Total Medicare Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $78,476,053 | ||||
| Avg Charges at DRG | $216,718 | ||||
| Avg Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $321,623 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 21.6 | ||||
| SNF Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 25.41 | ||||
| Home Discharge Rate at DRG | 38.16 | ||||
| Home Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 20.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 47 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 0.62 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 28.74 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 85.0 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $6,072,935 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $4,495 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $129,211 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $25,538,499 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $543,372 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, 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 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 5,769 | ||
| Total Hospitalizations with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 18 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 0.24 | ||
| Avg LOS at DRG | 2.9 | ||
| Avg LOS with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 4.61 | ||
| Readmission Rate at DRG | 17.65 | ||
| Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||
| Unplanned Readmission Rate at DRG | 4.94 | ||
| Unplanned Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||
| Total Medicare payments at DRG | $68,813,638 | ||
| Total Medicare payments with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $351,763 | ||
| Total Medicare payment per Day at DRG | $4,109 | ||
| Total Medicare payment per Day with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $4,238 | ||
| Total Medicare payment per Hospitalization at DRG | $11,928 | ||
| Total Medicare payment per Hospitalization with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $19,542 | ||
| Total Medicare Charges at DRG | $412,922,486 | ||
| Total Medicare Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $2,376,447 | ||
| Avg Charges at DRG | $71,576 | ||
| Avg Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $132,025 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||
| SNF Discharge Rate at DRG | 7.61 | ||
| SNF Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||
| Home Discharge Rate at DRG | 67.24 | ||
| Home Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 143 |
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 111 |
| UNIVERSITY OF VIRGINIA HEALTH SYSTEM UNIVERSITY HOSPITAL | 1215 LEE ST PFS | CHARLOTTESVILLE | VA | 22908 | 80 |
| UW MEDICINE HARBORVIEW MEDICAL CENTER | 325 9TH AVE | SEATTLE | WA | 98104 | |
| NORTON HOSPITAL | 200 E CHESTNUT ST | LOUISVILLE | KY | 40202 | |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | |
| OKLAHOMA SPINE HOSPITAL | 14101 PARKWAY COMMONS DR | OKLAHOMA CITY | OK | 73134 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK JOHANN SCHWAB | 535 E 70TH ST | NEW YORK | NY | 10021 | 43 |
| Dr. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 41 |
| Dr. CARLOS ANTONIO BAGLEY | 2100 ERWIN ROAD | DURHAM | NC | 27710 | 36 |
| Dr. HAN JO KIM | 535 E 70TH ST | NEW YORK | NY | 10021 | |
| Dr. ROBERT JEROME WIENECKE | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | |
| Dr. CHRISTOPHER I. SHAFFREY | LEE ST | CHARLOTTESVILLE | VA | 22908 | |
| Dr. EDWARD SCUDDER MACKEY | 4230 HARDING RD | NASHVILLE | TN | 37205 | |
| Dr. RICHARD JACKSON BRANSFORD | HARBORVIEW MEDICAL CENTER | SEATTLE | WA | 98104 | |
| Dr. CHRISTOPHER P. AMES | 400 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | |
| Dr. ANTHONY HUNKYUN SIN | 1501 KINGS HWY | SHREVEPORT | LA | 71103 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK JOHANN SCHWAB | 535 E 70TH ST | NEW YORK | NY | 10021 | 43 |
| Dr. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 42 |
| Dr. CARLOS ANTONIO BAGLEY | 2100 ERWIN ROAD | DURHAM | NC | 27710 | 36 |
| Dr. HAN JO KIM | 535 E 70TH ST | NEW YORK | NY | 10021 | |
| Dr. CHRISTOPHER I. SHAFFREY | LEE ST | CHARLOTTESVILLE | VA | 22908 | |
| Dr. CHRISTOPHER P. AMES | 400 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | |
| Dr. ROBERT JEROME WIENECKE | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | |
| Dr. ANTHONY HUNKYUN SIN | 1501 KINGS HWY | SHREVEPORT | LA | 71103 | |
| Dr. RICHARD JACKSON BRANSFORD | HARBORVIEW MEDICAL CENTER | SEATTLE | WA | 98104 | |
| Dr. EDWARD SCUDDER MACKEY | 4230 HARDING RD | NASHVILLE | TN | 37205 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,267 | ||||
| Total Hospitalizations with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 3,607 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 25.47 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 6.17 | ||||
| Readmission Rate at DRG | 37.98 | ||||
| Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 39.35 | ||||
| Unplanned Readmission Rate at DRG | 7.67 | ||||
| Unplanned Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 7.58 | ||||
| Total Medicare payments at DRG | $663,107,672 | ||||
| Total Medicare payments with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $181,963,433 | ||||
| Total Medicare payment per Day at DRG | $8,133 | ||||
| Total Medicare payment per Day with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $8,180 | ||||
| Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
| Total Medicare payment per Hospitalization with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $50,447 | ||||
| Total Medicare Charges at DRG | $2,896,079,147 | ||||
| Total Medicare Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $831,422,247 | ||||
| Avg Charges at DRG | $218,292 | ||||
| Avg Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $230,502 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 28.37 | ||||
| SNF Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 28.36 | ||||
| Home Discharge Rate at DRG | 23.93 | ||||
| Home Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 21.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,362 | ||||
| Total Hospitalizations with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 885 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 6.25 | ||||
| Avg LOS at DRG | 10.04 | ||||
| Avg LOS with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 12.0 | ||||
| Readmission Rate at DRG | 45.05 | ||||
| Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 58.03 | ||||
| Unplanned Readmission Rate at DRG | 8.78 | ||||
| Unplanned Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 10.46 | ||||
| Total Medicare payments at DRG | $550,960,642 | ||||
| Total Medicare payments with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $74,865,225 | ||||
| Total Medicare payment per Day at DRG | $7,454 | ||||
| Total Medicare payment per Day with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $7,049 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,838 | ||||
| Total Medicare payment per Hospitalization with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $84,593 | ||||
| Total Medicare Charges at DRG | $2,482,391,111 | ||||
| Total Medicare Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $396,320,353 | ||||
| Avg Charges at DRG | $337,190 | ||||
| Avg Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $447,820 | ||||
| Mortality Rate at DRG | 2.55 | ||||
| Mortality Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 3.16 | ||||
| SNF Discharge Rate at DRG | 31.16 | ||||
| SNF Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 31.64 | ||||
| Home Discharge Rate at DRG | 16.07 | ||||
| Home Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 6.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 160 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 1.13 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 28.29 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 79.86 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $20,862,957 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $4,610 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $130,393 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $101,842,369 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $636,515 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 8.13 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 13.75 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, 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 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 956: LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE 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 | 5,769 | ||||
| Total Hospitalizations with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 32 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 0.23 | ||||
| Avg LOS at DRG | 2.9 | ||||
| Avg LOS with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 4.88 | ||||
| Readmission Rate at DRG | 17.65 | ||||
| Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Unplanned Readmission Rate at DRG | 4.94 | ||||
| Unplanned Readmission Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Total Medicare payments at DRG | $68,813,638 | ||||
| Total Medicare payments with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $620,387 | ||||
| Total Medicare payment per Day at DRG | $4,109 | ||||
| Total Medicare payment per Day with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $3,977 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,928 | ||||
| Total Medicare payment per Hospitalization with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $19,387 | ||||
| Total Medicare Charges at DRG | $412,922,486 | ||||
| Total Medicare Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $4,542,506 | ||||
| Avg Charges at DRG | $71,576 | ||||
| Avg Charges with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $141,953 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Home Discharge Rate at DRG | 67.24 | ||||
| Home Discharge Rate with ICD 0RG7071 - Fusion of 2 to 7 Thoracic Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 34.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 258 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 207 |
| UNIVERSITY OF VIRGINIA HEALTH SYSTEM UNIVERSITY HOSPITAL | 1215 LEE ST PFS | CHARLOTTESVILLE | VA | 22908 | 173 |
| UW MEDICINE HARBORVIEW MEDICAL CENTER | 325 9TH AVE | SEATTLE | WA | 98104 | |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | |
| NORTON HOSPITAL | 200 E CHESTNUT ST | LOUISVILLE | KY | 40202 | |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | |
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER P. AMES | 400 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 73 |
| Dr. CHRISTOPHER I. SHAFFREY | LEE ST | CHARLOTTESVILLE | VA | 22908 | 65 |
| Dr. RICHARD JACKSON BRANSFORD | HARBORVIEW MEDICAL CENTER | SEATTLE | WA | 98104 | 62 |
| Dr. DANIEL R. FASSETT | 719 N WILLIAM KUMPF BLVD | PEORIA | IL | 61605 | |
| Dr. JENS R CHAPMAN | 325 9TH AVE | SEATTLE | WA | 98104 | |
| Dr. ANTHONY J KWON | 2801 RANDOLPH RD | CHARLOTTE | NC | 28211 | |
| Dr. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | |
| Dr. CARLOS ANTONIO BAGLEY | 2100 ERWIN ROAD | DURHAM | NC | 27710 | |
| Dr. MICHAEL S CHANG | 1462 S. DOBSON ROAD | MESA | AZ | 85202 | |
| Dr. FRANK JOHANN SCHWAB | 535 E 70TH ST | NEW YORK | NY | 10021 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER P. AMES | 400 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | 77 |
| Dr. CHRISTOPHER I. SHAFFREY | LEE ST | CHARLOTTESVILLE | VA | 22908 | 65 |
| Dr. JENS R CHAPMAN | 325 9TH AVE | SEATTLE | WA | 98104 | 58 |
| Dr. FADI F NASR | 4120 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | |
| Dr. ANTHONY J KWON | 2801 RANDOLPH RD | CHARLOTTE | NC | 28211 | |
| Dr. CARLOS ANTONIO BAGLEY | 2100 ERWIN ROAD | DURHAM | NC | 27710 | |
| Dr. DANIEL R. FASSETT | 719 N WILLIAM KUMPF BLVD | PEORIA | IL | 61605 | |
| Dr. RICHARD JACKSON BRANSFORD | HARBORVIEW MEDICAL CENTER | SEATTLE | WA | 98104 | |
| Dr. HAN JO KIM | 535 E 70TH ST | NEW YORK | NY | 10021 | |
| Dr. FRANK JOHANN SCHWAB | 535 E 70TH ST | NEW YORK | NY | 10021 |