*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R51 - Headache - as a primary diagnosis code | R51 - Headache - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.88 | |
| Readmission Rate (%) | 20.3 | |
| Unplanned Readmission Rate (%) | 11.54 | |
| 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 R51 - Headache | 6,864 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD R51 - Headache in DRG | 79.47 | ||||
| Avg LOS at DRG | 3.01 | ||||
| Avg LOS with ICD R51 - Headache | 2.27 | ||||
| Readmission Rate at DRG | 15.18 | ||||
| Readmission Rate with ICD R51 - Headache | 14.91 | ||||
| Unplanned Readmission Rate at DRG | 10.4 | ||||
| Unplanned Readmission Rate with ICD R51 - Headache | 10.41 | ||||
| Total Medicare payments at DRG | $150,904,653 | ||||
| Total Medicare payments with ICD R51 - Headache | $27,987,601 | ||||
| Total Medicare payment per Day at DRG | $1,468 | ||||
| Total Medicare payment per Day with ICD R51 - Headache | $1,793 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,424 | ||||
| Total Medicare payment per Hospitalization with ICD R51 - Headache | $4,077 | ||||
| Total Medicare Charges at DRG | $983,977,681 | ||||
| Total Medicare Charges with ICD R51 - Headache | $182,450,904 | ||||
| Avg Charges at DRG | $28,848 | ||||
| Avg Charges with ICD R51 - Headache | $26,581 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD R51 - Headache | NA | ||||
| SNF Discharge Rate at DRG | 5.34 | ||||
| SNF Discharge Rate with ICD R51 - Headache | 6.02 | ||||
| Home Discharge Rate at DRG | 77.9 | ||||
| Home Discharge Rate with ICD R51 - Headache | 73.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 026: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 027: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 25,878 | |
| Total Hospitalizations with ICD R51 - Headache | 29 | |
| DRG Share of Total Hospitalizations | 0.08 | |
| % of Total ICD R51 - Headache in DRG | 0.34 | |
| Avg LOS at DRG | 5.36 | |
| Avg LOS with ICD R51 - Headache | 4.66 | |
| Readmission Rate at DRG | 31.94 | |
| Readmission Rate with ICD R51 - Headache | NA | |
| Unplanned Readmission Rate at DRG | 9.67 | |
| Unplanned Readmission Rate with ICD R51 - Headache | NA | |
| Total Medicare payments at DRG | $534,936,298 | |
| Total Medicare payments with ICD R51 - Headache | $614,891 | |
| Total Medicare payment per Day at DRG | $3,857 | |
| Total Medicare payment per Day with ICD R51 - Headache | $4,555 | |
| Total Medicare payment per Hospitalization at DRG | $20,671 | |
| Total Medicare payment per Hospitalization with ICD R51 - Headache | $21,203 | |
| Total Medicare Charges at DRG | $2,805,818,289 | |
| Total Medicare Charges with ICD R51 - Headache | $2,005,407 | |
| Avg Charges at DRG | $108,425 | |
| Avg Charges with ICD R51 - Headache | $69,152 | |
| Mortality Rate at DRG | 0.84 | |
| Mortality Rate with ICD R51 - Headache | NA | |
| SNF Discharge Rate at DRG | 15.36 | |
| SNF Discharge Rate with ICD R51 - Headache | NA | |
| Home Discharge Rate at DRG | 47.72 | |
| Home Discharge Rate with ICD R51 - Headache | 75.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 92 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 49 |
| BAPTIST MEDICAL CENTER JACKSONVILLE | 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 41 |
*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 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 103: HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R51 - Headache | 21,496 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R51 - Headache in DRG | 7.32 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R51 - Headache | 12.8 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R51 - Headache | 26.2 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R51 - Headache | 11.3 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R51 - Headache | $199,823,180 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R51 - Headache | $726 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R51 - Headache | $9,296 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R51 - Headache | $644,879,196 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R51 - Headache | $30,000 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R51 - Headache | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R51 - Headache | 3.96 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R51 - Headache | 84.25 |
*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) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R51 - Headache | 6,160 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R51 - Headache in DRG | 2.1 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R51 - Headache | 3.26 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R51 - Headache | 16.24 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R51 - Headache | 11.96 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R51 - Headache | $27,503,110 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R51 - Headache | $1,367 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R51 - Headache | $4,465 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R51 - Headache | $170,878,648 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R51 - Headache | $27,740 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R51 - Headache | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R51 - Headache | 6.41 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R51 - Headache | 77.08 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD R51 - Headache | 4,336 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD R51 - Headache in DRG | 1.48 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD R51 - Headache | 2.83 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD R51 - Headache | 15.36 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD R51 - Headache | 10.75 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD R51 - Headache | $19,848,406 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD R51 - Headache | $1,616 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD R51 - Headache | $4,578 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD R51 - Headache | $125,528,054 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD R51 - Headache | $28,950 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD R51 - Headache | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD R51 - Headache | 13.17 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD R51 - Headache | 60.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD R51 - Headache | 3,564 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD R51 - Headache in DRG | 1.21 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD R51 - Headache | 3.98 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD R51 - Headache | 14.22 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD R51 - Headache | 9.82 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD R51 - Headache | $21,729,198 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD R51 - Headache | $1,533 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD R51 - Headache | $6,097 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD R51 - Headache | $102,033,145 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD R51 - Headache | $28,629 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD R51 - Headache | 0.34 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD R51 - Headache | 11.08 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD R51 - Headache | 63.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 978 |
| COLLEGE HOSPITAL | 10802 COLLEGE PL | CERRITOS | CA | 90703 | 899 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 876 |
| 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 | 194 |
| Dr. CLINT HAROLD SALO | 17782 COWAN | IRVINE | CA | 92614 | 166 |
| Dr. MANOLITO B FIDEL | 23700 CAMINO DEL SOL | TORRANCE | CA | 90505 | 149 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT OLIVER MORTON | 1000 ROLLING HILLS LN | ADA | OK | 74820 | 248 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 245 |
| Dr. MANOLITO B FIDEL | 23700 CAMINO DEL SOL | TORRANCE | CA | 90505 | 226 |