*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G501 - Atypical facial pain - as a primary diagnosis code | G501 - Atypical facial pain - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.5 | |
| Readmission Rate (%) | 19.46 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 67,236 |
| Total Hospitalizations with ICD G501 - Atypical facial pain | 38 |
| DRG Share of Total Hospitalizations | 0.2 |
| % of Total ICD G501 - Atypical facial pain in DRG | 65.52 |
| Avg LOS at DRG | 4.93 |
| Avg LOS with ICD G501 - Atypical facial pain | 2.87 |
| Readmission Rate at DRG | 23.47 |
| Readmission Rate with ICD G501 - Atypical facial pain | NA |
| Unplanned Readmission Rate at DRG | 16.32 |
| Unplanned Readmission Rate with ICD G501 - Atypical facial pain | NA |
| Total Medicare payments at DRG | $519,464,020 |
| Total Medicare payments with ICD G501 - Atypical facial pain | $218,139 |
| Total Medicare payment per Day at DRG | $1,566 |
| Total Medicare payment per Day with ICD G501 - Atypical facial pain | $2,001 |
| Total Medicare payment per Hospitalization at DRG | $7,726 |
| Total Medicare payment per Hospitalization with ICD G501 - Atypical facial pain | $5,741 |
| Total Medicare Charges at DRG | $2,306,121,861 |
| Total Medicare Charges with ICD G501 - Atypical facial pain | $1,029,790 |
| Avg Charges at DRG | $34,299 |
| Avg Charges with ICD G501 - Atypical facial pain | $27,100 |
| Mortality Rate at DRG | 0.07 |
| Mortality Rate with ICD G501 - Atypical facial pain | NA |
| SNF Discharge Rate at DRG | 14.97 |
| SNF Discharge Rate with ICD G501 - Atypical facial pain | NA |
| Home Discharge Rate at DRG | 53.9 |
| Home Discharge Rate with ICD G501 - Atypical facial pain | 84.21 |
*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 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 027: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD G501 - Atypical facial pain | 72 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD G501 - Atypical facial pain in DRG | 10.11 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD G501 - Atypical facial pain | 15.92 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD G501 - Atypical facial pain | 23.88 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD G501 - Atypical facial pain | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD G501 - Atypical facial pain | $970,716 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD G501 - Atypical facial pain | $847 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD G501 - Atypical facial pain | $13,482 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD G501 - Atypical facial pain | $2,105,688 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD G501 - Atypical facial pain | $29,246 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD G501 - Atypical facial pain | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD G501 - Atypical facial pain | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD G501 - Atypical facial pain | 90.28 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS 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 G501 - Atypical facial pain | 15 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD G501 - Atypical facial pain in DRG | 2.11 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD G501 - Atypical facial pain | 2.53 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD G501 - Atypical facial pain | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD G501 - Atypical facial pain | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD G501 - Atypical facial pain | $151,087 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD G501 - Atypical facial pain | $3,976 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD G501 - Atypical facial pain | $10,072 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD G501 - Atypical facial pain | $718,159 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD G501 - Atypical facial pain | $47,877 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD G501 - Atypical facial pain | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD G501 - Atypical facial pain | NA | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD G501 - Atypical facial pain | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 522,791 |
| Total Hospitalizations with ICD G501 - Atypical facial pain | 11 |
| DRG Share of Total Hospitalizations | 1.59 |
| % of Total ICD G501 - Atypical facial pain in DRG | 1.54 |
| Avg LOS at DRG | 3.14 |
| Avg LOS with ICD G501 - Atypical facial pain | 3.36 |
| Readmission Rate at DRG | 17.1 |
| Readmission Rate with ICD G501 - Atypical facial pain | NA |
| Unplanned Readmission Rate at DRG | 12.62 |
| Unplanned Readmission Rate with ICD G501 - Atypical facial pain | NA |
| Total Medicare payments at DRG | $2,290,151,156 |
| Total Medicare payments with ICD G501 - Atypical facial pain | $52,390 |
| Total Medicare payment per Day at DRG | $1,394 |
| Total Medicare payment per Day with ICD G501 - Atypical facial pain | $1,416 |
| Total Medicare payment per Hospitalization at DRG | $4,381 |
| Total Medicare payment per Hospitalization with ICD G501 - Atypical facial pain | $4,763 |
| Total Medicare Charges at DRG | $13,619,287,561 |
| Total Medicare Charges with ICD G501 - Atypical facial pain | $382,577 |
| Avg Charges at DRG | $26,051 |
| Avg Charges with ICD G501 - Atypical facial pain | $34,780 |
| Mortality Rate at DRG | 0.18 |
| Mortality Rate with ICD G501 - Atypical facial pain | NA |
| SNF Discharge Rate at DRG | 8.57 |
| SNF Discharge Rate with ICD G501 - Atypical facial pain | NA |
| Home Discharge Rate at DRG | 72.49 |
| Home Discharge Rate with ICD G501 - Atypical facial pain | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SIERRA VISTA HOSPITAL | 8001 BRUCEVILLE RD | SACRAMENTO | CA | 95823 | 29 |
| ST. JOSEPH MERCY CHELSEA | 775 S MAIN ST | CHELSEA | MI | 48118 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOEL R SAPER | 3120 PROFESSIONAL DR | ANN ARBOR | MI | 48104 | 18 |