*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G4489 - Other headache syndrome - as a primary diagnosis code | G4489 - Other headache syndrome - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.53 | |
| Readmission Rate (%) | 19.9 | |
| Unplanned Readmission Rate (%) | 12.16 | |
| 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 | |
|---|---|---|---|
| Total Hospitalizations at DRG | 34,109 | ||
| Total Hospitalizations with ICD G4489 - Other headache syndrome | 449 | ||
| DRG Share of Total Hospitalizations | 0.1 | ||
| % of Total ICD G4489 - Other headache syndrome in DRG | 77.55 | ||
| Avg LOS at DRG | 3.01 | ||
| Avg LOS with ICD G4489 - Other headache syndrome | 2.68 | ||
| Readmission Rate at DRG | 15.18 | ||
| Readmission Rate with ICD G4489 - Other headache syndrome | 13.55 | ||
| Unplanned Readmission Rate at DRG | 10.4 | ||
| Unplanned Readmission Rate with ICD G4489 - Other headache syndrome | 9.58 | ||
| Total Medicare payments at DRG | $150,904,653 | ||
| Total Medicare payments with ICD G4489 - Other headache syndrome | $1,879,475 | ||
| Total Medicare payment per Day at DRG | $1,468 | ||
| Total Medicare payment per Day with ICD G4489 - Other headache syndrome | $1,561 | ||
| Total Medicare payment per Hospitalization at DRG | $4,424 | ||
| Total Medicare payment per Hospitalization with ICD G4489 - Other headache syndrome | $4,186 | ||
| Total Medicare Charges at DRG | $983,977,681 | ||
| Total Medicare Charges with ICD G4489 - Other headache syndrome | $12,516,202 | ||
| Avg Charges at DRG | $28,848 | ||
| Avg Charges with ICD G4489 - Other headache syndrome | $27,876 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD G4489 - Other headache syndrome | NA | ||
| SNF Discharge Rate at DRG | 5.34 | ||
| SNF Discharge Rate with ICD G4489 - Other headache syndrome | 5.79 | ||
| Home Discharge Rate at DRG | 77.9 | ||
| Home Discharge Rate with ICD G4489 - Other headache syndrome | 77.73 |
*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 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,109 | ||||
| Total Hospitalizations with ICD G4489 - Other headache syndrome | 798 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD G4489 - Other headache syndrome in DRG | 9.14 | ||||
| Avg LOS at DRG | 3.01 | ||||
| Avg LOS with ICD G4489 - Other headache syndrome | 2.82 | ||||
| Readmission Rate at DRG | 15.18 | ||||
| Readmission Rate with ICD G4489 - Other headache syndrome | 13.76 | ||||
| Unplanned Readmission Rate at DRG | 10.4 | ||||
| Unplanned Readmission Rate with ICD G4489 - Other headache syndrome | 9.96 | ||||
| Total Medicare payments at DRG | $150,904,653 | ||||
| Total Medicare payments with ICD G4489 - Other headache syndrome | $3,384,695 | ||||
| Total Medicare payment per Day at DRG | $1,468 | ||||
| Total Medicare payment per Day with ICD G4489 - Other headache syndrome | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,424 | ||||
| Total Medicare payment per Hospitalization with ICD G4489 - Other headache syndrome | $4,241 | ||||
| Total Medicare Charges at DRG | $983,977,681 | ||||
| Total Medicare Charges with ICD G4489 - Other headache syndrome | $24,830,187 | ||||
| Avg Charges at DRG | $28,848 | ||||
| Avg Charges with ICD G4489 - Other headache syndrome | $31,116 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD G4489 - Other headache syndrome | NA | ||||
| SNF Discharge Rate at DRG | 5.34 | ||||
| SNF Discharge Rate with ICD G4489 - Other headache syndrome | 4.51 | ||||
| Home Discharge Rate at DRG | 77.9 | ||||
| Home Discharge Rate with ICD G4489 - Other headache syndrome | 80.45 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD G4489 - Other headache syndrome | 189 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD G4489 - Other headache syndrome in DRG | 2.17 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD G4489 - Other headache syndrome | 2.91 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD G4489 - Other headache syndrome | 5.98 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD G4489 - Other headache syndrome | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD G4489 - Other headache syndrome | $2,222,363 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD G4489 - Other headache syndrome | $4,041 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD G4489 - Other headache syndrome | $11,759 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD G4489 - Other headache syndrome | $12,353,272 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD G4489 - Other headache syndrome | $65,361 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD G4489 - Other headache syndrome | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD G4489 - Other headache syndrome | 29.1 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD G4489 - Other headache syndrome | 29.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 102: HEADACHES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,274 | ||||
| Total Hospitalizations with ICD G4489 - Other headache syndrome | 124 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD G4489 - Other headache syndrome in DRG | 1.42 | ||||
| Avg LOS at DRG | 4.43 | ||||
| Avg LOS with ICD G4489 - Other headache syndrome | 4.06 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD G4489 - Other headache syndrome | 26.05 | ||||
| Unplanned Readmission Rate at DRG | 17.27 | ||||
| Unplanned Readmission Rate with ICD G4489 - Other headache syndrome | 21.85 | ||||
| Total Medicare payments at DRG | $39,872,717 | ||||
| Total Medicare payments with ICD G4489 - Other headache syndrome | $877,131 | ||||
| Total Medicare payment per Day at DRG | $1,706 | ||||
| Total Medicare payment per Day with ICD G4489 - Other headache syndrome | $1,744 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,560 | ||||
| Total Medicare payment per Hospitalization with ICD G4489 - Other headache syndrome | $7,074 | ||||
| Total Medicare Charges at DRG | $210,529,686 | ||||
| Total Medicare Charges with ICD G4489 - Other headache syndrome | $5,680,302 | ||||
| Avg Charges at DRG | $39,918 | ||||
| Avg Charges with ICD G4489 - Other headache syndrome | $45,809 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD G4489 - Other headache syndrome | NA | ||||
| SNF Discharge Rate at DRG | 12.32 | ||||
| SNF Discharge Rate with ICD G4489 - Other headache syndrome | 13.71 | ||||
| Home Discharge Rate at DRG | 61.68 | ||||
| Home Discharge Rate with ICD G4489 - Other headache syndrome | 67.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 312: SYNCOPE AND COLLAPSE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD G4489 - Other headache syndrome | 108 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD G4489 - Other headache syndrome in DRG | 1.24 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD G4489 - Other headache syndrome | 3.07 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD G4489 - Other headache syndrome | 17.31 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD G4489 - Other headache syndrome | 12.5 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD G4489 - Other headache syndrome | $475,286 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD G4489 - Other headache syndrome | $1,432 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD G4489 - Other headache syndrome | $4,401 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD G4489 - Other headache syndrome | $3,881,007 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD G4489 - Other headache syndrome | $35,935 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD G4489 - Other headache syndrome | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD G4489 - Other headache syndrome | 12.96 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD G4489 - Other headache syndrome | 62.04 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 44 |
| METHODIST HOSPITAL | 7700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 43 |
| WEST FLORIDA HOSPITAL | 8383 N DAVIS HWY | PENSACOLA | FL | 32514 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GLENNAL VERBOIS | 8383 N DAVIS HWY | PENSACOLA | FL | 32514 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GLENNAL VERBOIS | 8383 N DAVIS HWY | PENSACOLA | FL | 32514 | 16 |