*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach - as a primary procedure code | 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach - as a primary or secondary procedure code | |
|---|---|---|
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | 35,253 | 41,524 |
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | 60,347 | 70,173 |
| 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 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 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 43,253 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach in DRG | 71.67 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 2.97 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 12.73 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 3.77 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $1,021,371,549 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $7,938 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $23,614 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $4,939,323,709 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $114,196 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 12.81 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 57.83 |
*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 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 638 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach in DRG | 1.06 | ||||
| Avg LOS at DRG | 6.15 | ||||
| Avg LOS with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 4.97 | ||||
| Readmission Rate at DRG | 37.98 | ||||
| Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 28.8 | ||||
| Unplanned Readmission Rate at DRG | 7.67 | ||||
| Unplanned Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 6.65 | ||||
| Total Medicare payments at DRG | $663,107,672 | ||||
| Total Medicare payments with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $30,593,844 | ||||
| Total Medicare payment per Day at DRG | $8,133 | ||||
| Total Medicare payment per Day with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $9,651 | ||||
| Total Medicare payment per Hospitalization at DRG | $49,982 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $47,953 | ||||
| Total Medicare Charges at DRG | $2,896,079,147 | ||||
| Total Medicare Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $128,008,255 | ||||
| Avg Charges at DRG | $218,292 | ||||
| Avg Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $200,640 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 28.37 | ||||
| SNF Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 29.0 | ||||
| Home Discharge Rate at DRG | 23.93 | ||||
| Home Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 29.78 |
*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 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 028: SPINAL PROCEDURES 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,769 | ||||
| Total Hospitalizations with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 20 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach in DRG | 0.03 | ||||
| Avg LOS at DRG | 2.9 | ||||
| Avg LOS with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 3.85 | ||||
| Readmission Rate at DRG | 17.65 | ||||
| Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | ||||
| Unplanned Readmission Rate at DRG | 4.94 | ||||
| Unplanned Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | ||||
| Total Medicare payments at DRG | $68,813,638 | ||||
| Total Medicare payments with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $259,324 | ||||
| Total Medicare payment per Day at DRG | $4,109 | ||||
| Total Medicare payment per Day with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $3,368 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,928 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $12,966 | ||||
| Total Medicare Charges at DRG | $412,922,486 | ||||
| Total Medicare Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $2,107,699 | ||||
| Avg Charges at DRG | $71,576 | ||||
| Avg Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $105,385 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | ||||
| Home Discharge Rate at DRG | 67.24 | ||||
| Home Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 55.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 534 |
| CHI HEALTH IMMANUEL | 6901 N 72ND ST | OMAHA | NE | 68122 | 436 |
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | 412 |
| CHI ST. VINCENT INFIRMARY | 2 SAINT VINCENT CIR | LITTLE ROCK | AR | 72205 | |
| COX MEDICAL CENTERS | 3801 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | |
| EAST COOPER MEDICAL CENTER | 2000 HOSPITAL DRIVE | MT PLEASANT | SC | 29464 | |
| ATRIUM HEALTH'S CAROLINAS MEDICAL CENTER | 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | |
| TULSA SPINE & SPECIALTY HOSPITAL | 6901 S OLYMPIA AVE | TULSA | OK | 74132 | |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL | 155 MEMORIAL DR | PINEHURST | NC | 28374 | |
| 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. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 157 |
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 157 |
| Dr. CATHERINE JANE GALLO | 74B CENTENNIAL LOOP | EUGENE | OR | 97401 | 145 |
| Dr. KEVIN D RUTZ | 2325 DOUGHERTY FERRY RD | SAINT LOUIS | MO | 63122 | |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 | |
| Dr. JOHN M RHEE | 59 EXECUTIVE PARK SOUTH NE | ATLANTA | GA | 30329 | |
| Dr. MICHAEL A CHANG | 1211 N 16TH AVE | YAKIMA | WA | 98902 | |
| Dr. RAVI YALAMANCHILI | 141 THOMAS JOHNSON DR | FREDERICK | MD | 21702 | |
| Dr. CHARLES C EDWARDS, II | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | |
| 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. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 158 |
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 153 |
| Dr. KEVIN D RUTZ | 2325 DOUGHERTY FERRY RD | SAINT LOUIS | MO | 63122 | 144 |
| Dr. CATHERINE JANE GALLO | 74B CENTENNIAL LOOP | EUGENE | OR | 97401 | |
| Dr. JOHN M RHEE | 59 EXECUTIVE PARK SOUTH NE | ATLANTA | GA | 30329 | |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 | |
| Dr. MICHAEL A CHANG | 1211 N 16TH AVE | YAKIMA | WA | 98902 | |
| Dr. YOGISH D KAMATH | 1400 VFW PARKWAY STE 1C118A | W. ROXBURY | MA | 02132 | |
| Dr. CHARLES C EDWARDS, II | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | |
| Dr. PHILLIP A TIBBS | 740 SOUTH LIMESTONE | LEXINGTON | KY | 40536 |
*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 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 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 48,802 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach in DRG | 69.55 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 3.02 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 13.09 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 3.84 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $1,159,833,858 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $7,878 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $23,766 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $5,674,974,700 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $116,286 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 13.06 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 57.28 |
*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 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 | 7,362 | ||||
| Total Hospitalizations with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 946 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach in DRG | 1.35 | ||||
| Avg LOS at DRG | 10.04 | ||||
| Avg LOS with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 7.69 | ||||
| Readmission Rate at DRG | 45.05 | ||||
| Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 36.34 | ||||
| Unplanned Readmission Rate at DRG | 8.78 | ||||
| Unplanned Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 7.5 | ||||
| Total Medicare payments at DRG | $550,960,642 | ||||
| Total Medicare payments with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $62,824,617 | ||||
| Total Medicare payment per Day at DRG | $7,454 | ||||
| Total Medicare payment per Day with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $8,634 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,838 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $66,411 | ||||
| Total Medicare Charges at DRG | $2,482,391,111 | ||||
| Total Medicare Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $236,166,952 | ||||
| Avg Charges at DRG | $337,190 | ||||
| Avg Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $249,648 | ||||
| Mortality Rate at DRG | 2.55 | ||||
| Mortality Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 1.16 | ||||
| SNF Discharge Rate at DRG | 31.16 | ||||
| SNF Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 32.77 | ||||
| Home Discharge Rate at DRG | 16.07 | ||||
| Home Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 20.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 028: SPINAL PROCEDURES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,769 | ||||
| Total Hospitalizations with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 28 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach in DRG | 0.04 | ||||
| Avg LOS at DRG | 2.9 | ||||
| Avg LOS with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 4.29 | ||||
| Readmission Rate at DRG | 17.65 | ||||
| Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | ||||
| Unplanned Readmission Rate at DRG | 4.94 | ||||
| Unplanned Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | ||||
| Total Medicare payments at DRG | $68,813,638 | ||||
| Total Medicare payments with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $417,598 | ||||
| Total Medicare payment per Day at DRG | $4,109 | ||||
| Total Medicare payment per Day with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $3,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,928 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $14,914 | ||||
| Total Medicare Charges at DRG | $412,922,486 | ||||
| Total Medicare Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $3,171,854 | ||||
| Avg Charges at DRG | $71,576 | ||||
| Avg Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $113,281 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | ||||
| Home Discharge Rate at DRG | 67.24 | ||||
| Home Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior 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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | |||
| Total Hospitalizations with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 15 | |||
| DRG Share of Total Hospitalizations | 0.15 | |||
| % of Total ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach in DRG | 0.02 | |||
| Avg LOS at DRG | 29.97 | |||
| Avg LOS with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | 31.6 | |||
| Readmission Rate at DRG | 76.3 | |||
| Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | |||
| Unplanned Readmission Rate at DRG | 6.46 | |||
| Unplanned Readmission Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | |||
| Total Medicare payments at DRG | $6,190,071,785 | |||
| Total Medicare payments with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $1,720,420 | |||
| Total Medicare payment per Day at DRG | $4,263 | |||
| Total Medicare payment per Day with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $3,630 | |||
| Total Medicare payment per Hospitalization at DRG | $127,765 | |||
| Total Medicare payment per Hospitalization with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $114,695 | |||
| Total Medicare Charges at DRG | $28,754,600,069 | |||
| Total Medicare Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $10,671,160 | |||
| Avg Charges at DRG | $593,502 | |||
| Avg Charges with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | $711,411 | |||
| Mortality Rate at DRG | 20.61 | |||
| Mortality Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | |||
| SNF Discharge Rate at DRG | 12.46 | |||
| SNF Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach | NA | |||
| Home Discharge Rate at DRG | 2.36 | |||
| Home Discharge Rate with ICD 0SG00AJ - Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior 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 | 572 |
| MERCY MEDICAL CENTER | 301 SAINT PAUL PL | BALTIMORE | MD | 21202 | 558 |
| CHI HEALTH IMMANUEL | 6901 N 72ND ST | OMAHA | NE | 68122 | 461 |
| CHI ST. VINCENT INFIRMARY | 2 SAINT VINCENT CIR | LITTLE ROCK | AR | 72205 | |
| COX MEDICAL CENTERS | 3801 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | |
| ATRIUM HEALTH'S CAROLINAS MEDICAL CENTER | 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | |
| EAST COOPER MEDICAL CENTER | 2000 HOSPITAL DRIVE | MT PLEASANT | SC | 29464 | |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL | 155 MEMORIAL DR | PINEHURST | NC | 28374 | |
| NYU LANGONE'S TISCH HOSPITAL | 550 1ST AVE | NEW YORK | NY | 10016 | |
| ASCENSION PROVIDENCE HOSPITAL - SOUTHFIELD CAMPUS | 16001 W 9 MILE RD | SOUTHFIELD | MI | 48075 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 209 |
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 177 |
| Dr. MILAN B HERCEG | 4605 SAWMILL RD | UPPER ARLINGTON | OH | 43220 | 165 |
| Dr. CATHERINE JANE GALLO | 74B CENTENNIAL LOOP | EUGENE | OR | 97401 | |
| Dr. CHARLES C EDWARDS, II | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | |
| Dr. KEVIN D RUTZ | 2325 DOUGHERTY FERRY RD | SAINT LOUIS | MO | 63122 | |
| Dr. MICHAEL A CHANG | 1211 N 16TH AVE | YAKIMA | WA | 98902 | |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 | |
| Dr. JOHN M RHEE | 59 EXECUTIVE PARK SOUTH NE | ATLANTA | GA | 30329 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 206 |
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 178 |
| Dr. CHARLES C EDWARDS, II | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | 157 |
| Dr. MILAN B HERCEG | 4605 SAWMILL RD | UPPER ARLINGTON | OH | 43220 | |
| Dr. CATHERINE JANE GALLO | 74B CENTENNIAL LOOP | EUGENE | OR | 97401 | |
| Dr. KEVIN D RUTZ | 2325 DOUGHERTY FERRY RD | SAINT LOUIS | MO | 63122 | |
| Dr. MICHAEL A CHANG | 1211 N 16TH AVE | YAKIMA | WA | 98902 | |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | |
| Dr. JOHN M RHEE | 59 EXECUTIVE PARK SOUTH NE | ATLANTA | GA | 30329 | |
| Dr. THOMAS STUART LOFTUS | 2200 PARK BEND DR. | AUSTIN | TX | 78758 |