Page 104 - CombinedTest_Neat

Spinal Fusion Detail
Surgeon Case Type Hardware Spend Biologic Spend Service Spend Encounter Notes
ZAKERI FUSION $3,025 $600 158895039 CERVICAL
SPETKA FUSION $11,995 $1,961 161498807 LUMBAR
AHAMMAD FUSION $2,200 $2,520 $450 161494988 CERVICAL
AHAMMAD FUSION $1,500 $840 160645236 CERVICAL
ZAKERI FUSION $5,950 $0 158893523 CERVICAL
AHAMMAD FUSION $1,500 $840 $450 160347719 CERVICAL
AHAMMAD FUSION $8,650 $0 162724138 LUMBAR
AHAMMAD FUSION $12,300 $550 162716648 LUMBAR
AHAMMAD FUSION $10,550 $405 $450 160077768 CERVICAL
SPETKA FUSION $11,309 $1,961 159595400 LUMBAR

St Vincent Spine Program Detail Total $68,979 $9,677 $1,350 10

$968
Average Per Case
Neuromodulation Detail
GL= 56380000
Notes
Surgeon
Incontinence
MEDTRONIC
$3,915
ZAFAR Stimlator Type Vendor $6,898 Pump Spend $11,680 Accessory Spend $450 Encounter 158807865 Stage 1 and 2
HASELHUHN Incontinence MEDTRONIC $0 $4,355 159605653 Stage 1 (No implanted stimulator)
HASELHUHN Incontinence MEDTRONIC $11,680 $5,545 160696198 Stage 1 and 2
SANTACROCE Incontinence MEDTRONIC $11,680 $1,270 159605902 Stage 2
Spinal Cord Stimulator Implant trial.
KHALIL Pain BOSTON SCIENTIFIC $1,700 $0 160766058 Two stimulator leads used
Total $36,740 $15,085 5
Average Per Case $7,348 $3,017

Neuro Detail
Surgeon Case Type Vendor Shunt Spend Accessory Spend Encounter Notes
ZAKERI Cranioplasty STRYKER $995 $0 161570457 Plates and screws
ZAKERI Cranioplasty STRYKER $2,054 $0 161920749 Plates and screws

Total $3,049 $0 2
Average Per Case $1,525 $0