*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach - as a primary procedure code | 0SG0071 - Fusion of Lumbar Vertebral Joint 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) | 18,579 | 41,354 |
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | 30,203 | 65,271 |
| 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 460: SPINAL FUSION EXCEPT CERVICAL 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 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 26,623 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 88.15 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 3.07 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 13.78 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 4.0 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $632,567,928 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $7,747 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $23,760 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $2,317,422,140 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $87,046 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 15.06 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 54.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH 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 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,922 | ||||
| Total Hospitalizations with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 200 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 0.66 | ||||
| Avg LOS at DRG | 3.59 | ||||
| Avg LOS with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 3.12 | ||||
| Readmission Rate at DRG | 21.46 | ||||
| Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 17.86 | ||||
| Unplanned Readmission Rate at DRG | 4.66 | ||||
| Unplanned Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Total Medicare payments at DRG | $172,966,878 | ||||
| Total Medicare payments with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $6,827,121 | ||||
| Total Medicare payment per Day at DRG | $9,799 | ||||
| Total Medicare payment per Day with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $10,941 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,142 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $34,136 | ||||
| Total Medicare Charges at DRG | $747,447,911 | ||||
| Total Medicare Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $18,053,472 | ||||
| Avg Charges at DRG | $151,859 | ||||
| Avg Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $90,267 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 18.57 | ||||
| SNF Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 12.5 | ||||
| Home Discharge Rate at DRG | 45.04 | ||||
| Home Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 50.0 |
*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 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 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,769 | |||
| Total Hospitalizations with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 17 | |||
| DRG Share of Total Hospitalizations | 0.02 | |||
| % of Total ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 0.06 | |||
| Avg LOS at DRG | 2.9 | |||
| Avg LOS with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 4.53 | |||
| Readmission Rate at DRG | 17.65 | |||
| Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | |||
| Unplanned Readmission Rate at DRG | 4.94 | |||
| Unplanned Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | |||
| Total Medicare payments at DRG | $68,813,638 | |||
| Total Medicare payments with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $184,558 | |||
| Total Medicare payment per Day at DRG | $4,109 | |||
| Total Medicare payment per Day with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $2,397 | |||
| Total Medicare payment per Hospitalization at DRG | $11,928 | |||
| Total Medicare payment per Hospitalization with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $10,856 | |||
| Total Medicare Charges at DRG | $412,922,486 | |||
| Total Medicare Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $2,002,459 | |||
| Avg Charges at DRG | $71,576 | |||
| Avg Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $117,792 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | |||
| SNF Discharge Rate at DRG | 7.61 | |||
| SNF Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | |||
| Home Discharge Rate at DRG | 67.24 | |||
| Home Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 64.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 326 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 297 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 273 |
| SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY | 2011 MURPHY AVENUE | NASHVILLE | TN | 37203 | |
| OKLAHOMA SURGICAL HOSPITAL | 2408 E 81ST ST | TULSA | OK | 74137 | |
| KANSAS SPINE & SPECIALTY HOSPITAL | 3333 N WEBB RD | WICHITA | KS | 67226 | |
| SOUTH TEXAS SPINE AND SURGICAL HOSPITAL | 18600 NORTH HARDY OAK BLVD | SAN ANTONIO | TX | 78258 | |
| MERCYONE NORTH IOWA MEDICAL CENTER | 1000 4TH ST SW | MASON CITY | IA | 50401 | |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID W BECK | 1010 4TH ST SW | MASON CITY | IA | 50401 | 163 |
| Dr. PAUL T GEIBEL | 18626 HARDY OAK BLVD | SAN ANTONIO | TX | 78258 | 136 |
| Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 109 |
| Dr. RAYMOND W GRUNDMEYER | 3223 N WEBB RD | WICHITA | KS | 67226 | |
| Dr. HENRY FABIAN | 940 CENTRAL PARK DR | STEAMBOAT SPRINGS | CO | 80487 | |
| Dr. TIMOTHY A. GARVEY | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | |
| Dr. MILAN B HERCEG | 4605 SAWMILL RD | UPPER ARLINGTON | OH | 43220 | |
| Dr. TIFFANY ROGERS | 23456 HAWTHORNE BLVD | TORRANCE | CA | 90505 | |
| Dr. MARK S ESKANDER | 1941 LIMESTONE ROAD | WILMINGTON | DE | 19808 | |
| Dr. JUSTIN S FIELD | 1635 E MYRTLE AVE SUITE 400 | PHOENIX | AZ | 85020 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID W BECK | 1010 4TH ST SW | MASON CITY | IA | 50401 | 163 |
| Dr. PAUL T GEIBEL | 18626 HARDY OAK BLVD | SAN ANTONIO | TX | 78258 | 136 |
| Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | 107 |
| Dr. RAYMOND W GRUNDMEYER | 3223 N WEBB RD | WICHITA | KS | 67226 | |
| Dr. R TYLER BOONE | 6475 S YALE AVE | TULSA | OK | 74136 | |
| Dr. TIMOTHY A. GARVEY | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | |
| Dr. CHRISTOPHER K. KEPLER | 925 CHESTNUT ST | PHILADELPHIA | PA | 19107 | |
| Dr. MARK S ESKANDER | 1941 LIMESTONE ROAD | WILMINGTON | DE | 19808 | |
| Dr. DAVID A JONES | 973 MICA DR | CARSON CITY | NV | 89705 | |
| Dr. MILAN B HERCEG | 4605 SAWMILL RD | UPPER ARLINGTON | OH | 43220 |
*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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 41,632 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 63.78 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 3.11 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 13.83 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 3.93 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $989,328,197 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $7,632 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $23,764 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $3,971,554,533 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $95,397 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 15.09 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 54.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | 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) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 13,267 | ||||
| Total Hospitalizations with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 785 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 1.2 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 5.48 | ||||
| Readmission Rate at DRG | 37.98 | ||||
| Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 32.86 | ||||
| Unplanned Readmission Rate at DRG | 7.67 | ||||
| Unplanned Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 7.04 | ||||
| Total Medicare payments at DRG | $663,107,672 | ||||
| Total Medicare payments with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $37,549,992 | ||||
| Total Medicare payment per Day at DRG | $8,133 | ||||
| Total Medicare payment per Day with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $8,724 | ||||
| Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $47,834 | ||||
| Total Medicare Charges at DRG | $2,896,079,147 | ||||
| Total Medicare Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $141,968,568 | ||||
| Avg Charges at DRG | $218,292 | ||||
| Avg Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $180,852 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 28.37 | ||||
| SNF Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 27.77 | ||||
| Home Discharge Rate at DRG | 23.93 | ||||
| Home Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 27.13 |
*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 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 6,227 | ||||
| Total Hospitalizations with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 40 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 0.06 | ||||
| Avg LOS at DRG | 11.45 | ||||
| Avg LOS with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 14.7 | ||||
| Readmission Rate at DRG | 51.82 | ||||
| Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 38.24 | ||||
| Unplanned Readmission Rate at DRG | 10.35 | ||||
| Unplanned Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Total Medicare payments at DRG | $241,416,949 | ||||
| Total Medicare payments with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $1,752,808 | ||||
| Total Medicare payment per Day at DRG | $3,385 | ||||
| Total Medicare payment per Day with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $2,981 | ||||
| Total Medicare payment per Hospitalization at DRG | $38,769 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $43,820 | ||||
| Total Medicare Charges at DRG | $1,126,422,406 | ||||
| Total Medicare Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $9,084,633 | ||||
| Avg Charges at DRG | $180,893 | ||||
| Avg Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $227,116 | ||||
| Mortality Rate at DRG | 5.91 | ||||
| Mortality Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 25.95 | ||||
| SNF Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 30.0 | ||||
| Home Discharge Rate at DRG | 13.46 | ||||
| Home Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint 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 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,715 | ||||
| Total Hospitalizations with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 20 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 0.03 | ||||
| Avg LOS at DRG | 8.41 | ||||
| Avg LOS with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 9.5 | ||||
| Readmission Rate at DRG | 39.42 | ||||
| Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 75.0 | ||||
| Unplanned Readmission Rate at DRG | 6.84 | ||||
| Unplanned Readmission Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Total Medicare payments at DRG | $134,152,817 | ||||
| Total Medicare payments with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $798,270 | ||||
| Total Medicare payment per Day at DRG | $3,383 | ||||
| Total Medicare payment per Day with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $4,201 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,452 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $39,914 | ||||
| Total Medicare Charges at DRG | $710,915,261 | ||||
| Total Medicare Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $4,912,472 | ||||
| Avg Charges at DRG | $150,777 | ||||
| Avg Charges with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $245,624 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 34.91 | ||||
| SNF Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Home Discharge Rate at DRG | 18.56 | ||||
| Home Discharge Rate with ICD 0SG0071 - Fusion of Lumbar Vertebral Joint 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 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 839 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 587 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 544 |
| OKLAHOMA SPINE HOSPITAL | 14101 PARKWAY COMMONS DR | OKLAHOMA CITY | OK | 73134 | |
| SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY | 2011 MURPHY AVENUE | NASHVILLE | TN | 37203 | |
| CHI HEALTH IMMANUEL | 6901 N 72ND ST | OMAHA | NE | 68122 | |
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | |
| BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL | 1814 ROSELAND BLVD | TYLER | TX | 75701 | |
| KANSAS SPINE & SPECIALTY HOSPITAL | 3333 N WEBB RD | WICHITA | KS | 67226 | |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 |
| 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 | 258 |
| Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 183 |
| Dr. JUSTIN S FIELD | 1635 E MYRTLE AVE SUITE 400 | PHOENIX | AZ | 85020 | 178 |
| Dr. DAVID W BECK | 1010 4TH ST SW | MASON CITY | IA | 50401 | |
| Dr. MILAN B HERCEG | 4605 SAWMILL RD | UPPER ARLINGTON | OH | 43220 | |
| Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | |
| Dr. PAUL T GEIBEL | 18626 HARDY OAK BLVD | SAN ANTONIO | TX | 78258 | |
| Dr. KEVIN D RUTZ | 2325 DOUGHERTY FERRY RD | SAINT LOUIS | MO | 63122 | |
| Dr. MICHAEL EDWARD RUSSELL | 3414 GOLDEN RD | TYLER | TX | 75701 | |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 |
| 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 | 256 |
| Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 183 |
| Dr. DAVID W BECK | 1010 4TH ST SW | MASON CITY | IA | 50401 | 177 |
| Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | |
| Dr. MILAN B HERCEG | 4605 SAWMILL RD | UPPER ARLINGTON | OH | 43220 | |
| Dr. PAUL T GEIBEL | 18626 HARDY OAK BLVD | SAN ANTONIO | TX | 78258 | |
| Dr. KEVIN D RUTZ | 2325 DOUGHERTY FERRY RD | SAINT LOUIS | MO | 63122 | |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 | |
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | |
| Dr. CHARLES C EDWARDS, II | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 |