Examples: ICD M32, ICD R6521, ICD 8210, ICD 1970

G40409 - ICD 10 Diagnosis Code - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians

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Key Statistics Related to G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus

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*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary diagnosis code G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 6.1
Readmission Rate (%) 23.83
Unplanned Readmission Rate (%) 12.41
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

Table of Contents

No Quality Metrics
Top DRGs Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary diagnosis code
Top Hospitals Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary diagnosis code
Top Operating Physicians Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary diagnosis code
Top Attending Physicians Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary diagnosis code
Top DRGs Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary or secondary diagnosis code
Top Hospitals Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary or secondary diagnosis code
Top Operating Physicians Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary or secondary diagnosis code
Top Attending Physicians Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary or secondary diagnosis code
Machine Learning Identified Top 50 Most Common Comorbid Conditions Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus

Top DRGs Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR
Total Hospitalizations at DRG 135,138
Total Hospitalizations with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 12,528
DRG Share of Total Hospitalizations 0.41
% of Total ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus in DRG 62.2
Avg LOS at DRG 3.28
Avg LOS with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 3.12
Readmission Rate at DRG 16.48
Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 16.41
Unplanned Readmission Rate at DRG 10.54
Unplanned Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 10.78
Total Medicare payments at DRG $705,646,122
Total Medicare payments with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $63,440,956
Total Medicare payment per Day at DRG $1,592
Total Medicare payment per Day with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $1,623
Total Medicare payment per Hospitalization at DRG $5,222
Total Medicare payment per Hospitalization with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $5,064
Total Medicare Charges at DRG $4,131,642,258
Total Medicare Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $359,090,899
Avg Charges at DRG $30,574
Avg Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $28,663
Mortality Rate at DRG 0.2
Mortality Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 0.2
SNF Discharge Rate at DRG 16.47
SNF Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 16.59
Home Discharge Rate at DRG 56.97
Home Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 56.67

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 037: EXTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE
Total Hospitalizations at DRG 52,726
Total Hospitalizations with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 30
DRG Share of Total Hospitalizations 0.16
% of Total ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus in DRG 0.15
Avg LOS at DRG 6.68
Avg LOS with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 6.33
Readmission Rate at DRG 24.76
Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus NA
Unplanned Readmission Rate at DRG 14.45
Unplanned Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus NA
Total Medicare payments at DRG $902,862,104
Total Medicare payments with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $512,540
Total Medicare payment per Day at DRG $2,565
Total Medicare payment per Day with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $2,698
Total Medicare payment per Hospitalization at DRG $17,124
Total Medicare payment per Hospitalization with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $17,085
Total Medicare Charges at DRG $4,216,562,728
Total Medicare Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $3,153,733
Avg Charges at DRG $79,971
Avg Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $105,124
Mortality Rate at DRG 0.83
Mortality Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus NA
SNF Discharge Rate at DRG 22.41
SNF Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus NA
Home Discharge Rate at DRG 43.51
Home Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 56.67

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 61,140
Total Hospitalizations with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 13
DRG Share of Total Hospitalizations 0.19
% of Total ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus in DRG 0.06
Avg LOS at DRG 8.85
Avg LOS with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 11.08
Readmission Rate at DRG 42.86
Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus NA
Unplanned Readmission Rate at DRG 10.16
Unplanned Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus NA
Total Medicare payments at DRG $1,858,013,928
Total Medicare payments with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $385,437
Total Medicare payment per Day at DRG $3,435
Total Medicare payment per Day with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $2,677
Total Medicare payment per Hospitalization at DRG $30,389
Total Medicare payment per Hospitalization with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $29,649
Total Medicare Charges at DRG $9,494,684,408
Total Medicare Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $2,552,982
Avg Charges at DRG $155,294
Avg Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $196,383
Mortality Rate at DRG 7.92
Mortality Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus NA
SNF Discharge Rate at DRG 19.16
SNF Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus NA
Home Discharge Rate at DRG 25.64
Home Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus NA

Top Hospitals Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
BRIGHAM AND WOMEN'S HOSPITAL 75 FRANCIS ST BOSTON MA 02115 65
CAPE FEAR VALLEY MEDICAL CENTER 1638 OWEN DR FAYETTEVILLE NC 28304 60
SOUTH SHORE HOSPITAL 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 54

Top Operating Physicians Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. VAHID GHIASIAN 501 SEAVIEW AVE STATEN ISLAND NY 10305 17
Dr. ANDREW J DAWSON 263 7 AVE BROOKLYN NY 11215 13
Dr. DAVID ANSCHEL 200 BELLE TERRE RD PORT JEFFERSON NY 11777 12

Top Attending Physicians Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. JOHN C SIMON 1970 N HWY 190 COVINGTON LA 70433 12

Top DRGs Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 885: PSYCHOSES DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 135,138
Total Hospitalizations with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 12,928
DRG Share of Total Hospitalizations 0.41
% of Total ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus in DRG 22.48
Avg LOS at DRG 3.28
Avg LOS with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 3.13
Readmission Rate at DRG 16.48
Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 16.4
Unplanned Readmission Rate at DRG 10.54
Unplanned Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 10.77
Total Medicare payments at DRG $705,646,122
Total Medicare payments with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $65,511,456
Total Medicare payment per Day at DRG $1,592
Total Medicare payment per Day with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $1,620
Total Medicare payment per Hospitalization at DRG $5,222
Total Medicare payment per Hospitalization with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $5,067
Total Medicare Charges at DRG $4,131,642,258
Total Medicare Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $371,622,858
Avg Charges at DRG $30,574
Avg Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $28,746
Mortality Rate at DRG 0.2
Mortality Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 0.19
SNF Discharge Rate at DRG 16.47
SNF Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 16.53
Home Discharge Rate at DRG 56.97
Home Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 56.93

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 359,935
Total Hospitalizations with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 892
DRG Share of Total Hospitalizations 1.1
% of Total ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus in DRG 1.55
Avg LOS at DRG 12.3
Avg LOS with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 8.6
Readmission Rate at DRG 16.01
Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 19.02
Unplanned Readmission Rate at DRG 9.86
Unplanned Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 11.41
Total Medicare payments at DRG $5,883,826,653
Total Medicare payments with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $10,830,126
Total Medicare payment per Day at DRG $1,329
Total Medicare payment per Day with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $1,412
Total Medicare payment per Hospitalization at DRG $16,347
Total Medicare payment per Hospitalization with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $12,141
Total Medicare Charges at DRG $15,374,824,749
Total Medicare Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $35,855,642
Avg Charges at DRG $42,716
Avg Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $40,197
Mortality Rate at DRG 0.3
Mortality Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus NA
SNF Discharge Rate at DRG 27.95
SNF Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 25.67
Home Discharge Rate at DRG 26.85
Home Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 28.14

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,522,684
Total Hospitalizations with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 514
DRG Share of Total Hospitalizations 4.63
% of Total ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus in DRG 0.89
Avg LOS at DRG 2.52
Avg LOS with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 3.42
Readmission Rate at DRG 9.03
Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 15.65
Unplanned Readmission Rate at DRG 3.35
Unplanned Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 5.08
Total Medicare payments at DRG $17,672,828,347
Total Medicare payments with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $6,411,632
Total Medicare payment per Day at DRG $4,606
Total Medicare payment per Day with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $3,649
Total Medicare payment per Hospitalization at DRG $11,606
Total Medicare payment per Hospitalization with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $12,474
Total Medicare Charges at DRG $91,836,200,128
Total Medicare Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $32,939,316
Avg Charges at DRG $60,312
Avg Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $64,084
Mortality Rate at DRG 0.05
Mortality Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus NA
SNF Discharge Rate at DRG 23.53
SNF Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 36.38
Home Discharge Rate at DRG 30.67
Home Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 22.37

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 231,812
Total Hospitalizations with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 448
DRG Share of Total Hospitalizations 0.71
% of Total ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus in DRG 0.78
Avg LOS at DRG 4.41
Avg LOS with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 5.77
Readmission Rate at DRG 29.12
Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 28.29
Unplanned Readmission Rate at DRG 22.82
Unplanned Readmission Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 20.6
Total Medicare payments at DRG $1,743,376,418
Total Medicare payments with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $3,741,835
Total Medicare payment per Day at DRG $1,704
Total Medicare payment per Day with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $1,446
Total Medicare payment per Hospitalization at DRG $7,521
Total Medicare payment per Hospitalization with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $8,352
Total Medicare Charges at DRG $8,543,867,896
Total Medicare Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $21,981,073
Avg Charges at DRG $36,857
Avg Charges with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus $49,065
Mortality Rate at DRG 2.89
Mortality Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 3.57
SNF Discharge Rate at DRG 22.92
SNF Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 19.42
Home Discharge Rate at DRG 43.02
Home Discharge Rate with ICD G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 38.39

Top Hospitals Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
FLORIDA HOSPITAL WATERMAN 1000 WATERMAN WAY TAVARES FL 32778 156
UMASS MEMORIAL MEDICAL CENTER 55 LAKE AVENUE WORCESTER MA 01655 155
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 152

Top Operating Physicians Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. CYNTHIA MARIE CORRELL 1450 SCALP AVE JOHNSTOWN PA 15904 19
Dr. VAHID GHIASIAN 501 SEAVIEW AVE STATEN ISLAND NY 10305 19
Dr. DENNIS MICHAEL BLANKENSHIP 422 BEECH ST TEXARKANA AR 71854 17

Top Attending Physicians Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. MUHAMMED LONGI 300 READ ST LOCKPORT IL 60441 43
Dr. JOHN CHRISTOPHER STRUNK 201 REGENCY CT DOTHAN AL 36305 42
Dr. MAJD ALSAMMAN 713 E MARION AVE PUNTA GORDA FL 33950 36

AI Identified Top 50 Most Common Comorbid Conditions Associated With G40409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus   |  Back to Top

No ICD Diagnosis Code Description
1 Q909 Down syndrome, unspecified
2 T426X6A Underdosing of other antiepileptic and sedative-hypnotic drugs, initial encounter
3 I132 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
4 I161 Hypertensive emergency
5 R0902 Hypoxemia
6 F0281 Dementia in other diseases classified elsewhere with behavioral disturbance
7 E222 Syndrome of inappropriate secretion of antidiuretic hormone
8 I214 Non-ST elevation (NSTEMI) myocardial infarction
9 E1151 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
10 N186 End stage renal disease
11 F1120 Opioid dependence, uncomplicated
12 E8351 Hypocalcemia
13 Z9114 Patient's other noncompliance with medication regimen
14 Z992 Dependence on renal dialysis
15 Z820 Family history of epilepsy and other diseases of the nervous system
16 G309 Alzheimer's disease, unspecified
17 I120 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
18 D631 Anemia in chronic kidney disease
19 Z79891 Long term (current) use of opiate analgesic
20 F0280 Dementia in other diseases classified elsewhere without behavioral disturbance
21 E872 Acidosis
22 R451 Restlessness and agitation
23 M545 Low back pain
24 F05 Delirium due to known physiological condition
25 R64 Cachexia
26 Z9119 Patient's noncompliance with other medical treatment and regimen
27 F1290 Cannabis use, unspecified, uncomplicated
28 I248 Other forms of acute ischemic heart disease
29 F1020 Alcohol dependence, uncomplicated
30 N2581 Secondary hyperparathyroidism of renal origin
31 J441 Chronic obstructive pulmonary disease with (acute) exacerbation
32 F1210 Cannabis abuse, uncomplicated
33 G894 Chronic pain syndrome
34 F411 Generalized anxiety disorder
35 F259 Schizoaffective disorder, unspecified
36 R32 Unspecified urinary incontinence
37 N401 Benign prostatic hyperplasia with lower urinary tract symptoms
38 F79 Unspecified intellectual disabilities
39 Z952 Presence of prosthetic heart valve
40 Z87442 Personal history of urinary calculi
41 D72829 Elevated white blood cell count, unspecified
42 I160 Hypertensive urgency
43 Z79899 Other long term (current) drug therapy
44 F209 Schizophrenia, unspecified
45 B1920 Unspecified viral hepatitis C without hepatic coma
46 Z85038 Personal history of other malignant neoplasm of large intestine
47 E11649 Type 2 diabetes mellitus with hypoglycemia without coma
48 M6282 Rhabdomyolysis
49 E860 Dehydration
50 F319 Bipolar disorder, unspecified