*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach - as a primary procedure code | 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach - as a primary or secondary procedure code | |
|---|---|---|
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | 15,961 | 63,909 |
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | 15,575 | 83,108 |
| 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 520: BACK AND NECK PROCEDURES EXCEPT 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT 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 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,062 | ||||
| Total Hospitalizations with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 7,160 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach in DRG | 45.97 | ||||
| Avg LOS at DRG | 2.14 | ||||
| Avg LOS with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 2.24 | ||||
| Readmission Rate at DRG | 11.6 | ||||
| Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 11.34 | ||||
| Unplanned Readmission Rate at DRG | 3.9 | ||||
| Unplanned Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 4.12 | ||||
| Total Medicare payments at DRG | $199,571,619 | ||||
| Total Medicare payments with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $45,145,309 | ||||
| Total Medicare payment per Day at DRG | $3,102 | ||||
| Total Medicare payment per Day with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $2,819 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,639 | ||||
| Total Medicare payment per Hospitalization with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $6,305 | ||||
| Total Medicare Charges at DRG | $1,429,977,155 | ||||
| Total Medicare Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $327,991,711 | ||||
| Avg Charges at DRG | $47,568 | ||||
| Avg Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $45,809 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 8.99 | ||||
| Home Discharge Rate at DRG | 68.77 | ||||
| Home Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 67.75 |
*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 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | 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) | DRG 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,121 | ||||
| Total Hospitalizations with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 154 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach in DRG | 0.99 | ||||
| Avg LOS at DRG | 4.83 | ||||
| Avg LOS with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 4.95 | ||||
| Readmission Rate at DRG | 25.27 | ||||
| Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 27.81 | ||||
| Unplanned Readmission Rate at DRG | 5.39 | ||||
| Unplanned Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 8.61 | ||||
| Total Medicare payments at DRG | $1,452,399,208 | ||||
| Total Medicare payments with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $7,791,626 | ||||
| Total Medicare payment per Day at DRG | $9,984 | ||||
| Total Medicare payment per Day with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $10,212 | ||||
| Total Medicare payment per Hospitalization at DRG | $48,219 | ||||
| Total Medicare payment per Hospitalization with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $50,595 | ||||
| Total Medicare Charges at DRG | $6,527,772,651 | ||||
| Total Medicare Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $37,491,091 | ||||
| Avg Charges at DRG | $216,718 | ||||
| Avg Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $243,449 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 21.6 | ||||
| SNF Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 16.23 | ||||
| Home Discharge Rate at DRG | 38.16 | ||||
| Home Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 43.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES 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 | 6,227 | ||||
| Total Hospitalizations with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 59 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach in DRG | 0.38 | ||||
| Avg LOS at DRG | 11.45 | ||||
| Avg LOS with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 10.9 | ||||
| Readmission Rate at DRG | 51.82 | ||||
| Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 48.21 | ||||
| Unplanned Readmission Rate at DRG | 10.35 | ||||
| Unplanned Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | NA | ||||
| Total Medicare payments at DRG | $241,416,949 | ||||
| Total Medicare payments with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $2,026,339 | ||||
| Total Medicare payment per Day at DRG | $3,385 | ||||
| Total Medicare payment per Day with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $3,151 | ||||
| Total Medicare payment per Hospitalization at DRG | $38,769 | ||||
| Total Medicare payment per Hospitalization with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $34,345 | ||||
| Total Medicare Charges at DRG | $1,126,422,406 | ||||
| Total Medicare Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $9,313,694 | ||||
| Avg Charges at DRG | $180,893 | ||||
| Avg Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $157,859 | ||||
| Mortality Rate at DRG | 5.91 | ||||
| Mortality Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 25.95 | ||||
| SNF Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 47.46 | ||||
| Home Discharge Rate at DRG | 13.46 | ||||
| Home Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, 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 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 11,723 | ||||
| Total Hospitalizations with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 38 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach in DRG | 0.24 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 2.92 | ||||
| Readmission Rate at DRG | 12.89 | ||||
| Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | NA | ||||
| Unplanned Readmission Rate at DRG | 7.1 | ||||
| Unplanned Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | NA | ||||
| Total Medicare payments at DRG | $122,697,695 | ||||
| Total Medicare payments with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $365,364 | ||||
| Total Medicare payment per Day at DRG | $3,328 | ||||
| Total Medicare payment per Day with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $3,292 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,466 | ||||
| Total Medicare payment per Hospitalization with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $9,615 | ||||
| Total Medicare Charges at DRG | $633,485,759 | ||||
| Total Medicare Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $1,930,213 | ||||
| Avg Charges at DRG | $54,038 | ||||
| Avg Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $50,795 | ||||
| Mortality Rate at DRG | 0.25 | ||||
| Mortality Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 9.06 | ||||
| SNF Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | NA | ||||
| Home Discharge Rate at DRG | 70.16 | ||||
| Home Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 55.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 133 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 131 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 106 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | |
| BAPTIST MEDICAL CENTER JACKSONVILLE | 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | |
| KANSAS SPINE & SPECIALTY HOSPITAL | 3333 N WEBB RD | WICHITA | KS | 67226 | |
| DEACONESS HOSPITAL | 600 MARY ST | EVANSVILLE | IN | 47710 | |
| BAPTIST MEMORIAL HOSPITAL | 6019 WALNUT GROVE RD | MEMPHIS | TN | 38120 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT LEON MASSON | 2706 REW CIR | OCOEE | FL | 34761 | 54 |
| Dr. RICHARD W EASTON | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 | 52 |
| Dr. BARRY L POLLARD | 102 S VAN BUREN | ENID | OK | 73703 | 51 |
| Dr. HIKMAT EL-KADI | 200 LOTHROP STREET | PITTSBURGH | PA | 15213 | |
| Dr. MATTHEW NOEL HENRY | 3223 N WEBB RD | WICHITA | KS | 67226 | |
| Dr. DOUGLAS MARK HERSHKOWITZ | 3195 HARBOR BLVD | PORT CHARLOTTE | FL | 33952 | |
| Dr. NABIL L MUHANNA | 1240 JESSE JEWELL PKWY SE | GAINESVILLE | GA | 30501 | |
| Dr. MOHAMED H ELNABTITY | 1575 RAMBLEWOOD DR | EAST LANSING | MI | 48823 | |
| Dr. FRANK P CAMMISA | 523 E 72ND ST | NEW YORK | NY | 10021 | |
| Dr. ERIC ALAN GOEBEL | 2200 E PARRISH AVE | OWENSBORO | KY | 42303 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT LEON MASSON | 2706 REW CIR | OCOEE | FL | 34761 | 53 |
| Dr. BARRY L POLLARD | 102 S VAN BUREN | ENID | OK | 73703 | 50 |
| Dr. RICHARD W EASTON | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 | 47 |
| Dr. HIKMAT EL-KADI | 200 LOTHROP STREET | PITTSBURGH | PA | 15213 | |
| Dr. MATTHEW NOEL HENRY | 3223 N WEBB RD | WICHITA | KS | 67226 | |
| Dr. FRANK P CAMMISA | 523 E 72ND ST | NEW YORK | NY | 10021 | |
| Dr. NABIL L MUHANNA | 1240 JESSE JEWELL PKWY SE | GAINESVILLE | GA | 30501 | |
| Dr. MOHAMED H ELNABTITY | 1575 RAMBLEWOOD DR | EAST LANSING | MI | 48823 | |
| Dr. BRIAN MASTERS | 1950 LEE RD | WINTER PARK | FL | 32789 | |
| Dr. ANDREW A SAMA | 535 EAST 70 ST | NY | NY | 10021 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT 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) | 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 | 215,355 | ||||
| Total Hospitalizations with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 40,736 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach in DRG | 49.02 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 3.19 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 15.61 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 4.19 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $986,489,845 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $7,600 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $24,217 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $5,102,663,760 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $125,262 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 0.04 | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 14.46 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 53.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR | 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 | 16,812 | ||||
| Total Hospitalizations with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 2,567 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach in DRG | 3.09 | ||||
| Avg LOS at DRG | 7.66 | ||||
| Avg LOS with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 6.93 | ||||
| Readmission Rate at DRG | 36.82 | ||||
| Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 32.72 | ||||
| Unplanned Readmission Rate at DRG | 8.15 | ||||
| Unplanned Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 7.02 | ||||
| Total Medicare payments at DRG | $685,730,928 | ||||
| Total Medicare payments with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $100,184,717 | ||||
| Total Medicare payment per Day at DRG | $5,325 | ||||
| Total Medicare payment per Day with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $5,632 | ||||
| Total Medicare payment per Hospitalization at DRG | $40,788 | ||||
| Total Medicare payment per Hospitalization with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $39,028 | ||||
| Total Medicare Charges at DRG | $3,152,175,405 | ||||
| Total Medicare Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $461,471,543 | ||||
| Avg Charges at DRG | $187,496 | ||||
| Avg Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $179,771 | ||||
| Mortality Rate at DRG | 2.12 | ||||
| Mortality Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 1.71 | ||||
| SNF Discharge Rate at DRG | 31.97 | ||||
| SNF Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 30.0 | ||||
| Home Discharge Rate at DRG | 20.62 | ||||
| Home Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 23.14 |
*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 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,040 | ||||
| Total Hospitalizations with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 451 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach in DRG | 0.54 | ||||
| Avg LOS at DRG | 11.53 | ||||
| Avg LOS with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 11.47 | ||||
| Readmission Rate at DRG | 51.77 | ||||
| Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 50.0 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 11.08 | ||||
| Total Medicare payments at DRG | $358,064,249 | ||||
| Total Medicare payments with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $32,512,975 | ||||
| Total Medicare payment per Day at DRG | $6,161 | ||||
| Total Medicare payment per Day with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $6,286 | ||||
| Total Medicare payment per Hospitalization at DRG | $71,044 | ||||
| Total Medicare payment per Hospitalization with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $72,091 | ||||
| Total Medicare Charges at DRG | $1,557,634,832 | ||||
| Total Medicare Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $144,066,444 | ||||
| Avg Charges at DRG | $309,055 | ||||
| Avg Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $319,438 | ||||
| Mortality Rate at DRG | 3.35 | ||||
| Mortality Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 2.88 | ||||
| SNF Discharge Rate at DRG | 36.57 | ||||
| SNF Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 35.7 | ||||
| Home Discharge Rate at DRG | 9.72 | ||||
| Home Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 11.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 909: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,479 | ||||
| Total Hospitalizations with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 111 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach in DRG | 0.13 | ||||
| Avg LOS at DRG | 5.19 | ||||
| Avg LOS with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 5.5 | ||||
| Readmission Rate at DRG | 22.38 | ||||
| Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 27.78 | ||||
| Unplanned Readmission Rate at DRG | 10.67 | ||||
| Unplanned Readmission Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 10.19 | ||||
| Total Medicare payments at DRG | $387,681,524 | ||||
| Total Medicare payments with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $1,568,515 | ||||
| Total Medicare payment per Day at DRG | $2,535 | ||||
| Total Medicare payment per Day with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $2,571 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,151 | ||||
| Total Medicare payment per Hospitalization with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $14,131 | ||||
| Total Medicare Charges at DRG | $1,973,997,424 | ||||
| Total Medicare Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $10,158,615 | ||||
| Avg Charges at DRG | $66,963 | ||||
| Avg Charges with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | $91,519 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 18.85 | ||||
| SNF Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 32.43 | ||||
| Home Discharge Rate at DRG | 43.01 | ||||
| Home Discharge Rate with ICD 0SB20ZZ - Excision of Lumbar Vertebral Disc, Open Approach | 38.74 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 912 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 559 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 552 |
| OKLAHOMA SPINE HOSPITAL | 14101 PARKWAY COMMONS DR | OKLAHOMA CITY | OK | 73134 | |
| CHI HEALTH IMMANUEL | 6901 N 72ND ST | OMAHA | NE | 68122 | |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | |
| EAST COOPER MEDICAL CENTER | 2000 HOSPITAL DRIVE | MT PLEASANT | SC | 29464 | |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL | 155 MEMORIAL DR | PINEHURST | NC | 28374 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 196 |
| Dr. RICHARD F. FRISCH | 1106 CHUCK DAWLEY BLVD | MT PLEASANT | SC | 29464 | 195 |
| Dr. CHRISTOPHER FRANK WAGENER | 2775 SCHOENERSVILLE RD | BETHLEHEM | PA | 18017 | 194 |
| Dr. RICHARD W EASTON | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 | |
| Dr. SCOT D MILLER | 3975 EMBASSY PKWY | AKRON | OH | 44333 | |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 | |
| Dr. GARRY M BANKS | 8232 HIGHWAY 65 NE | SPRING LAKE PARK | MN | 55432 | |
| Dr. THOMAS ALAN PARFENCHUCK | 811 13TH ST | AUGUSTA | GA | 30901 | |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | |
| Dr. ANTHONY J KWON | 2801 RANDOLPH RD | CHARLOTTE | NC | 28211 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 195 |
| Dr. CHRISTOPHER FRANK WAGENER | 2775 SCHOENERSVILLE RD | BETHLEHEM | PA | 18017 | 194 |
| Dr. SCOT D MILLER | 3975 EMBASSY PKWY | AKRON | OH | 44333 | 187 |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 | |
| Dr. RICHARD W EASTON | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 | |
| Dr. GARRY M BANKS | 8232 HIGHWAY 65 NE | SPRING LAKE PARK | MN | 55432 | |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | |
| Dr. RICHARD F. FRISCH | 1106 CHUCK DAWLEY BLVD | MT PLEASANT | SC | 29464 | |
| Dr. ANTHONY J KWON | 2801 RANDOLPH RD | CHARLOTTE | NC | 28211 | |
| Dr. JOHN M RHEE | 59 EXECUTIVE PARK SOUTH NE | ATLANTA | GA | 30329 |