*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach - as a primary procedure code | 0SG1071 - Fusion of 2 or more Lumbar 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) | 15,741 | 37,359 |
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | 29,837 | 62,507 |
| 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 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 23,978 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 80.36 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 3.67 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 20.11 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 5.14 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $599,349,864 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $6,810 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $24,996 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $2,670,988,191 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $111,393 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 21.8 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 41.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 30,430 | ||||
| Total Hospitalizations with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 534 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 1.79 | ||||
| Avg LOS at DRG | 2.96 | ||||
| Avg LOS with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 3.43 | ||||
| Readmission Rate at DRG | 12.68 | ||||
| Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 18.44 | ||||
| Unplanned Readmission Rate at DRG | 3.54 | ||||
| Unplanned Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 2.4 | ||||
| Total Medicare payments at DRG | $1,036,333,247 | ||||
| Total Medicare payments with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $18,312,323 | ||||
| Total Medicare payment per Day at DRG | $11,506 | ||||
| Total Medicare payment per Day with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $9,985 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,056 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $34,293 | ||||
| Total Medicare Charges at DRG | $4,847,184,577 | ||||
| Total Medicare Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $95,312,964 | ||||
| Avg Charges at DRG | $159,290 | ||||
| Avg Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $178,489 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 11.74 | ||||
| SNF Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 15.54 | ||||
| Home Discharge Rate at DRG | 59.56 | ||||
| Home Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 48.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 908: OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 18 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 0.06 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 14.56 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 64.71 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $723,356 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $2,761 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $40,186 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $4,941,974 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $274,554 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar 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 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 407 |
| NEW ENGLAND BAPTIST HOSPITAL | 125 PARKER HILL AVE | ROXBURY CROSSING | MA | 02120 | 284 |
| SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY | 2011 MURPHY AVENUE | NASHVILLE | TN | 37203 | 279 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | |
| KANSAS SPINE & SPECIALTY HOSPITAL | 3333 N WEBB RD | WICHITA | KS | 67226 | |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | |
| NORTON HOSPITAL | 200 E CHESTNUT ST | LOUISVILLE | KY | 40202 | |
| 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. BRADLEY D AHLGREN | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 | 133 |
| Dr. HENRY FABIAN | 940 CENTRAL PARK DR | STEAMBOAT SPRINGS | CO | 80487 | 120 |
| Dr. MARK ADAMS | 5400 MACKINAW RD | SAGINAW | MI | 48604 | 108 |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | |
| Dr. DAVID W BECK | 1010 4TH ST SW | MASON CITY | IA | 50401 | |
| Dr. GREGORY W. BALTURSHOT | 3525 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | |
| Dr. NAMAN SALIBI | 4677 TOWNE CENTRE RD | SAGINAW | MI | 48604 | |
| Dr. SELVON F ST. CLAIR | 801 MEDICAL DR | LIMA | OH | 45804 | |
| Dr. RICHARD W EASTON | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 | |
| Dr. BRADY THOMAS VIBERT | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRADLEY D AHLGREN | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 | 131 |
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 103 |
| Dr. DAVID W BECK | 1010 4TH ST SW | MASON CITY | IA | 50401 | 102 |
| Dr. GREGORY W. BALTURSHOT | 3525 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | |
| Dr. MARK ADAMS | 5400 MACKINAW RD | SAGINAW | MI | 48604 | |
| Dr. SELVON F ST. CLAIR | 801 MEDICAL DR | LIMA | OH | 45804 | |
| Dr. NAMAN SALIBI | 4677 TOWNE CENTRE RD | SAGINAW | MI | 48604 | |
| Dr. RICHARD W EASTON | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 | |
| Dr. JEFFREY R CARLSON | 250 NAT TURNER BLVD S | NEWPORT NEWS | VA | 23606 | |
| Dr. BRADY THOMAS VIBERT | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 |
*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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 34,390 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 55.02 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 3.72 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 20.37 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 5.2 | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $872,886,431 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $6,822 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $25,382 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $4,154,665,352 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $120,810 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 0.03 | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 21.38 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 42.06 |
*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 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS 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 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 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 2,080 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 3.33 | ||||
| Avg LOS at DRG | 10.04 | ||||
| Avg LOS with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 9.58 | ||||
| Readmission Rate at DRG | 45.05 | ||||
| Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 45.23 | ||||
| Unplanned Readmission Rate at DRG | 8.78 | ||||
| Unplanned Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 8.88 | ||||
| Total Medicare payments at DRG | $550,960,642 | ||||
| Total Medicare payments with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $160,889,168 | ||||
| Total Medicare payment per Day at DRG | $7,454 | ||||
| Total Medicare payment per Day with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $8,077 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,838 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $77,351 | ||||
| Total Medicare Charges at DRG | $2,482,391,111 | ||||
| Total Medicare Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $774,752,005 | ||||
| Avg Charges at DRG | $337,190 | ||||
| Avg Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $372,477 | ||||
| Mortality Rate at DRG | 2.55 | ||||
| Mortality Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 1.59 | ||||
| SNF Discharge Rate at DRG | 31.16 | ||||
| SNF Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 35.14 | ||||
| Home Discharge Rate at DRG | 16.07 | ||||
| Home Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 12.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 6,001 | ||||
| Total Hospitalizations with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 53 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 0.08 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 18.89 | ||||
| Readmission Rate at DRG | 47.06 | ||||
| Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 57.14 | ||||
| Unplanned Readmission Rate at DRG | 9.12 | ||||
| Unplanned Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Total Medicare payments at DRG | $326,749,599 | ||||
| Total Medicare payments with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $4,051,627 | ||||
| Total Medicare payment per Day at DRG | $4,131 | ||||
| Total Medicare payment per Day with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $4,048 | ||||
| Total Medicare payment per Hospitalization at DRG | $54,449 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $76,446 | ||||
| Total Medicare Charges at DRG | $1,594,482,525 | ||||
| Total Medicare Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $23,837,394 | ||||
| Avg Charges at DRG | $265,703 | ||||
| Avg Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $449,762 | ||||
| Mortality Rate at DRG | 22.66 | ||||
| Mortality Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 27.33 | ||||
| SNF Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 35.85 | ||||
| Home Discharge Rate at DRG | 9.3 | ||||
| Home Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar 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 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 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) | DRG 030: SPINAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,715 | ||||
| Total Hospitalizations with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 39 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach in DRG | 0.06 | ||||
| Avg LOS at DRG | 8.41 | ||||
| Avg LOS with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 13.74 | ||||
| Readmission Rate at DRG | 39.42 | ||||
| Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | 56.76 | ||||
| Unplanned Readmission Rate at DRG | 6.84 | ||||
| Unplanned Readmission Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Total Medicare payments at DRG | $134,152,817 | ||||
| Total Medicare payments with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $1,485,269 | ||||
| Total Medicare payment per Day at DRG | $3,383 | ||||
| Total Medicare payment per Day with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $2,771 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,452 | ||||
| Total Medicare payment per Hospitalization with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $38,084 | ||||
| Total Medicare Charges at DRG | $710,915,261 | ||||
| Total Medicare Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $9,934,588 | ||||
| Avg Charges at DRG | $150,777 | ||||
| Avg Charges with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | $254,733 | ||||
| Mortality Rate at DRG | 2.08 | ||||
| Mortality Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| SNF Discharge Rate at DRG | 34.91 | ||||
| SNF Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach | NA | ||||
| Home Discharge Rate at DRG | 18.56 | ||||
| Home Discharge Rate with ICD 0SG1071 - Fusion of 2 or more Lumbar 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 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 606 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 598 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 505 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | |
| UCSF MEDICAL CENTER | 505 PARNASSUS AVE | SAN FRANCISCO | CA | 94143 | |
| SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY | 2011 MURPHY AVENUE | NASHVILLE | TN | 37203 | |
| NORTON HOSPITAL | 200 E CHESTNUT ST | LOUISVILLE | KY | 40202 | |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | |
| 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. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 278 |
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 224 |
| Dr. BRADLEY D AHLGREN | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 | 159 |
| Dr. THOMAS ALAN PARFENCHUCK | 811 13TH ST | AUGUSTA | GA | 30901 | |
| Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | |
| Dr. GREGORY W. BALTURSHOT | 3525 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | |
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | |
| Dr. HENRY FABIAN | 940 CENTRAL PARK DR | STEAMBOAT SPRINGS | CO | 80487 | |
| Dr. PAUL C MCAFEE | 7505 OSLER DR | TOWSON | MD | 21204 | |
| Dr. FRED MO | 3800 RESERVOIR RD NW | WASHINGTON | DC | 20007 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HENRY E ARYAN | 1630 E HERNDON AVE | FRESNO | CA | 93720 | 270 |
| Dr. DANIEL MARK WILLIAMS | 5 FIRST VILLAGE DR | PINEHURST | NC | 28374 | 222 |
| Dr. BRADLEY D AHLGREN | 1555 SOUTH BLVD E | ROCHESTER HILLS | MI | 48307 | 156 |
| Dr. MANUEL R PINTO | 913 E 26TH ST | MINNEAPOLIS | MN | 55404 | |
| Dr. CLAYTON L DEAN | 301 SAINT PAUL ST | BALTIMORE | MD | 21202 | |
| Dr. GREGORY W. BALTURSHOT | 3525 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | |
| Dr. SELVON F ST. CLAIR | 801 MEDICAL DR | LIMA | OH | 45804 | |
| Dr. PAUL C MCAFEE | 7505 OSLER DR | TOWSON | MD | 21204 | |
| Dr. FRED MO | 3800 RESERVOIR RD NW | WASHINGTON | DC | 20007 | |
| Dr. KORNELIS POELSTRA | 155 CRYSTAL BEACH DR | DESTIN | FL | 32541 |