*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B0222 - Postherpetic trigeminal neuralgia - as a primary diagnosis code | B0222 - Postherpetic trigeminal neuralgia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.37 | |
| Readmission Rate (%) | 22.63 | |
| Unplanned Readmission Rate (%) | 12.4 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 67,236 | |
| Total Hospitalizations with ICD B0222 - Postherpetic trigeminal neuralgia | 305 | |
| DRG Share of Total Hospitalizations | 0.2 | |
| % of Total ICD B0222 - Postherpetic trigeminal neuralgia in DRG | 79.02 | |
| Avg LOS at DRG | 4.93 | |
| Avg LOS with ICD B0222 - Postherpetic trigeminal neuralgia | 4.26 | |
| Readmission Rate at DRG | 23.47 | |
| Readmission Rate with ICD B0222 - Postherpetic trigeminal neuralgia | 14.58 | |
| Unplanned Readmission Rate at DRG | 16.32 | |
| Unplanned Readmission Rate with ICD B0222 - Postherpetic trigeminal neuralgia | 10.85 | |
| Total Medicare payments at DRG | $519,464,020 | |
| Total Medicare payments with ICD B0222 - Postherpetic trigeminal neuralgia | $1,918,594 | |
| Total Medicare payment per Day at DRG | $1,566 | |
| Total Medicare payment per Day with ICD B0222 - Postherpetic trigeminal neuralgia | $1,476 | |
| Total Medicare payment per Hospitalization at DRG | $7,726 | |
| Total Medicare payment per Hospitalization with ICD B0222 - Postherpetic trigeminal neuralgia | $6,290 | |
| Total Medicare Charges at DRG | $2,306,121,861 | |
| Total Medicare Charges with ICD B0222 - Postherpetic trigeminal neuralgia | $8,421,231 | |
| Avg Charges at DRG | $34,299 | |
| Avg Charges with ICD B0222 - Postherpetic trigeminal neuralgia | $27,611 | |
| Mortality Rate at DRG | 0.07 | |
| Mortality Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | |
| SNF Discharge Rate at DRG | 14.97 | |
| SNF Discharge Rate with ICD B0222 - Postherpetic trigeminal neuralgia | 15.08 | |
| Home Discharge Rate at DRG | 53.9 | |
| Home Discharge Rate with ICD B0222 - Postherpetic trigeminal neuralgia | 62.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,236 | ||||
| Total Hospitalizations with ICD B0222 - Postherpetic trigeminal neuralgia | 328 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD B0222 - Postherpetic trigeminal neuralgia in DRG | 15.97 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD B0222 - Postherpetic trigeminal neuralgia | 4.35 | ||||
| Readmission Rate at DRG | 23.47 | ||||
| Readmission Rate with ICD B0222 - Postherpetic trigeminal neuralgia | 14.51 | ||||
| Unplanned Readmission Rate at DRG | 16.32 | ||||
| Unplanned Readmission Rate with ICD B0222 - Postherpetic trigeminal neuralgia | 11.04 | ||||
| Total Medicare payments at DRG | $519,464,020 | ||||
| Total Medicare payments with ICD B0222 - Postherpetic trigeminal neuralgia | $2,064,850 | ||||
| Total Medicare payment per Day at DRG | $1,566 | ||||
| Total Medicare payment per Day with ICD B0222 - Postherpetic trigeminal neuralgia | $1,448 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,726 | ||||
| Total Medicare payment per Hospitalization with ICD B0222 - Postherpetic trigeminal neuralgia | $6,295 | ||||
| Total Medicare Charges at DRG | $2,306,121,861 | ||||
| Total Medicare Charges with ICD B0222 - Postherpetic trigeminal neuralgia | $9,321,964 | ||||
| Avg Charges at DRG | $34,299 | ||||
| Avg Charges with ICD B0222 - Postherpetic trigeminal neuralgia | $28,421 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| SNF Discharge Rate at DRG | 14.97 | ||||
| SNF Discharge Rate with ICD B0222 - Postherpetic trigeminal neuralgia | 15.55 | ||||
| Home Discharge Rate at DRG | 53.9 | ||||
| Home Discharge Rate with ICD B0222 - Postherpetic trigeminal neuralgia | 62.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD B0222 - Postherpetic trigeminal neuralgia | 36 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD B0222 - Postherpetic trigeminal neuralgia in DRG | 1.75 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD B0222 - Postherpetic trigeminal neuralgia | 4.36 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD B0222 - Postherpetic trigeminal neuralgia | $204,678 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD B0222 - Postherpetic trigeminal neuralgia | $1,304 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD B0222 - Postherpetic trigeminal neuralgia | $5,686 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD B0222 - Postherpetic trigeminal neuralgia | $912,906 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD B0222 - Postherpetic trigeminal neuralgia | $25,359 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD B0222 - Postherpetic trigeminal neuralgia | 52.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD B0222 - Postherpetic trigeminal neuralgia | 31 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD B0222 - Postherpetic trigeminal neuralgia in DRG | 1.51 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD B0222 - Postherpetic trigeminal neuralgia | 4.45 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD B0222 - Postherpetic trigeminal neuralgia | $173,415 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD B0222 - Postherpetic trigeminal neuralgia | $1,257 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD B0222 - Postherpetic trigeminal neuralgia | $5,594 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD B0222 - Postherpetic trigeminal neuralgia | $958,715 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD B0222 - Postherpetic trigeminal neuralgia | $30,926 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD B0222 - Postherpetic trigeminal neuralgia | 35.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD B0222 - Postherpetic trigeminal neuralgia | 26 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD B0222 - Postherpetic trigeminal neuralgia in DRG | 1.27 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD B0222 - Postherpetic trigeminal neuralgia | 4.08 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD B0222 - Postherpetic trigeminal neuralgia | $157,271 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD B0222 - Postherpetic trigeminal neuralgia | $1,484 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD B0222 - Postherpetic trigeminal neuralgia | $6,049 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD B0222 - Postherpetic trigeminal neuralgia | $615,516 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD B0222 - Postherpetic trigeminal neuralgia | $23,674 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD B0222 - Postherpetic trigeminal neuralgia | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD B0222 - Postherpetic trigeminal neuralgia | 42.31 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 22 |
| ADVOCATE GOOD SHEPHERD HOSPITAL | 450 W IL ROUTE 22 | BARRINGTON | IL | 60010 | 11 |