*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G43909 - Migraine, unspecified, not intractable, without status migrainosus - as a primary diagnosis code | G43909 - Migraine, unspecified, not intractable, without status migrainosus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.11 | |
| Readmission Rate (%) | 20.33 | |
| Unplanned Readmission Rate (%) | 9.43 | |
| 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 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 102: HEADACHES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,109 | ||||
| Total Hospitalizations with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 4,890 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus in DRG | 85.7 | ||||
| Avg LOS at DRG | 3.01 | ||||
| Avg LOS with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 2.26 | ||||
| Readmission Rate at DRG | 15.18 | ||||
| Readmission Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 11.82 | ||||
| Unplanned Readmission Rate at DRG | 10.4 | ||||
| Unplanned Readmission Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 8.25 | ||||
| Total Medicare payments at DRG | $150,904,653 | ||||
| Total Medicare payments with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $19,235,261 | ||||
| Total Medicare payment per Day at DRG | $1,468 | ||||
| Total Medicare payment per Day with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $1,740 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,424 | ||||
| Total Medicare payment per Hospitalization with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $3,934 | ||||
| Total Medicare Charges at DRG | $983,977,681 | ||||
| Total Medicare Charges with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $140,394,243 | ||||
| Avg Charges at DRG | $28,848 | ||||
| Avg Charges with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $28,710 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | NA | ||||
| SNF Discharge Rate at DRG | 5.34 | ||||
| SNF Discharge Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 4.17 | ||||
| Home Discharge Rate at DRG | 77.9 | ||||
| Home Discharge Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 81.1 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 45 |
| BAPTIST MEDICAL CENTER JACKSONVILLE | 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 32 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 31,566 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus in DRG | 8.01 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 9.82 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 24.56 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 10.82 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $226,723,634 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $731 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $7,183 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $786,504,134 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $24,916 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 1.91 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 88.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 5,676 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus in DRG | 1.44 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 4.15 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 15.93 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 12.04 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $35,209,622 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $1,496 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $6,203 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $196,573,782 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $34,632 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 0.25 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 9.9 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 66.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 4,865 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus in DRG | 1.23 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 5.45 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 27.32 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 21.84 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $42,192,524 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $1,592 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $8,673 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $199,583,760 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $41,024 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 1.77 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 11.96 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 52.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 069: TRANSIENT ISCHEMIA | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 3,801 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus in DRG | 0.96 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 3.01 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 19.71 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 13.9 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $16,227,699 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $1,418 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $4,269 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $91,884,120 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | $24,174 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 9.58 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD G43909 - Migraine, unspecified, not intractable, without status migrainosus | 67.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DCH REGIONAL MEDICAL CENTER | 809 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 2,572 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 1,921 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 1,531 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 334 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 90 |
| Dr. RICHARD DAVID HEEKIN | 2 SHIRCLIFF WAY | JACKSONVILLE | FL | 32204 | 77 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 473 |
| Dr. JAMES CARSON BYRD | 1807 STATION DR STE C | PRATTVILLE | AL | 36066 | 259 |
| Dr. CHARLES EUGENE ABNEY | 809 UNIVERSITY BLVD E | TUSCALOOSA | AL | 35401 | 183 |