*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus - as a primary diagnosis code | G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.96 | |
| Readmission Rate (%) | 26.62 | |
| Unplanned Readmission Rate (%) | 13.62 | |
| 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 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 135,138 | |
| Total Hospitalizations with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 1,245 | |
| DRG Share of Total Hospitalizations | 0.41 | |
| % of Total ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus in DRG | 66.97 | |
| Avg LOS at DRG | 3.28 | |
| Avg LOS with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 3.54 | |
| Readmission Rate at DRG | 16.48 | |
| Readmission Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 19.04 | |
| Unplanned Readmission Rate at DRG | 10.54 | |
| Unplanned Readmission Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 12.46 | |
| Total Medicare payments at DRG | $705,646,122 | |
| Total Medicare payments with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $6,610,998 | |
| Total Medicare payment per Day at DRG | $1,592 | |
| Total Medicare payment per Day with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $1,501 | |
| Total Medicare payment per Hospitalization at DRG | $5,222 | |
| Total Medicare payment per Hospitalization with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $5,310 | |
| Total Medicare Charges at DRG | $4,131,642,258 | |
| Total Medicare Charges with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $38,894,469 | |
| Avg Charges at DRG | $30,574 | |
| Avg Charges with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $31,241 | |
| Mortality Rate at DRG | 0.2 | |
| Mortality Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | NA | |
| SNF Discharge Rate at DRG | 16.47 | |
| SNF Discharge Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 12.77 | |
| Home Discharge Rate at DRG | 56.97 | |
| Home Discharge Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 62.57 |
*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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 135,138 | ||||
| Total Hospitalizations with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 1,306 | ||||
| DRG Share of Total Hospitalizations | 0.41 | ||||
| % of Total ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus in DRG | 17.57 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 3.53 | ||||
| Readmission Rate at DRG | 16.48 | ||||
| Readmission Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 19.05 | ||||
| Unplanned Readmission Rate at DRG | 10.54 | ||||
| Unplanned Readmission Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 12.7 | ||||
| Total Medicare payments at DRG | $705,646,122 | ||||
| Total Medicare payments with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $6,980,563 | ||||
| Total Medicare payment per Day at DRG | $1,592 | ||||
| Total Medicare payment per Day with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $1,515 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,222 | ||||
| Total Medicare payment per Hospitalization with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $5,345 | ||||
| Total Medicare Charges at DRG | $4,131,642,258 | ||||
| Total Medicare Charges with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $40,748,669 | ||||
| Avg Charges at DRG | $30,574 | ||||
| Avg Charges with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $31,201 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | NA | ||||
| SNF Discharge Rate at DRG | 16.47 | ||||
| SNF Discharge Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 12.71 | ||||
| Home Discharge Rate at DRG | 56.97 | ||||
| Home Discharge Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 62.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 255 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus in DRG | 3.43 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 8.5 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 24.39 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 17.56 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $3,435,870 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $1,586 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $13,474 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $18,109,646 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $71,018 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 9.8 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 29.8 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 23.14 |
*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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 82 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus in DRG | 1.1 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 7.8 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 15.85 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | NA | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $1,056,559 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $1,651 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $12,885 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $3,118,944 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $38,036 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 34.15 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 26.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 59 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus in DRG | 0.79 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 7.75 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 43.14 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | NA | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $782,245 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $1,712 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $13,258 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $4,829,013 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | $81,848 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | NA | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | 35.59 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD G40509 - Epileptic seizures related to external causes, not intractable, without status epilepticus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SPRING HARBOR HOSPITAL | 123 ANDOVER RD | WESTBROOK | ME | 04092 | 96 |
| SOUTH OAKS HOSPITAL | 400 SUNRISE HWY | AMITYVILLE | NY | 11701 | 68 |
| WINDMOOR HEALTHCARE OF CLEARWATER | 11300 US 19 N | CLEARWATER | FL | 33764 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KHIN MAR LWIN | 400 COMMUNITY DR | MANHASSET | NY | 11030 | 31 |
| Dr. FRANCIS KEVIN BUTLER | 2753 STATE ROAD 580 | CLEARWATER | FL | 33761 | 21 |
| Dr. AZHER SIDDIQI | 1147 RICHMOND RD | STATEN ISLAND | NY | 10304 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WAYNE MILLER | 1033 W GERMANTOWN PIKE | NORRISTOWN | PA | 19403 | 34 |
| Dr. KHIN MAR LWIN | 400 COMMUNITY DR | MANHASSET | NY | 11030 | 28 |
| Dr. FRANCIS KEVIN BUTLER | 2753 STATE ROAD 580 | CLEARWATER | FL | 33761 | 25 |