Headache is more common among the adults. Adult patients have higher medical expense.
  The patients have annual medical cost around $13,448
  In one year, the patients are expected to see doctors 32 times
  There are 8 diagnosis codes containing Headache
  Based on 25,000+ patients
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Popular Medication

Popular Medication for Headache
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Medication : Prevalence (%)
Annual Cost ($)

Experienced and Focused Doctors

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Exp Score measures the experience toward treating the query diagnosis.

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Cost Score measures the cost. Higher means more expensive.

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Focus Score measures the dominance of the related services over other services performed.

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Avoid the providers listed suspicious on the OIG exclusion database.

 

Popular Medical Services

Popular Medical Services for Headache
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Medical Services : Dominance (%)
Popular Medical Services for Headache
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Medical Services : Prevalence (%)
Annual Cost ($)

Statistics

$13,448
Annual Medical Cost
0.21
Annual Hospital Adms
32
Doctor Visits
32
Services Used
14
Doctors Used
$22,518
Annual Medical Charge
Drug Prevalence Average Charged Average Dispensed Average Supplied Days Average Supplied Quantity
  Hydrocodone 16.03% $62 3.21 32 152
  Azithromycin 15.31% $78 1.80 11 18
  Amoxicillin 13.42% $57 1.79 19 111
  Oxycodone 12.54% $201 4.22 56 261
  Cyclobenzaprine 8.71% $68 2.31 50 105
  Prednisone 8.49% $18 2.05 35 80
  Lorazepam 7.94% $119 4.20 104 247
  Fluticasone 6.78% $201 2.53 93 53
  Ibuprofen 6.37% $31 1.99 41 134
  Ciprofloxacin 6.23% $59 1.68 15 27
  Cephalexin 5.69% $36 1.58 15 74
  Lisinopril 5.56% $163 6.29 269 285
  Butalbital 5.35% $86 3.01 34 139
  Zolpidem 5.29% $389 5.27 183 191
  Methylprednisolone 5.25% $25 1.58 13 43
  Sulfamethoxazole 5.19% $27 1.79 26 65
  Citalopram 5.07% $273 5.93 220 264
  Fluconazole 4.86% $82 2.32 18 15
  Naproxen 4.86% $64 2.08 56 116
  Simvastatin 4.77% $604 6.59 293 293
Procedure Provider Unit Charge Provider Paid Ratio Provider Paid by Patient Ratio Patient Charged Patient Pays Patient Covered Per Claim Charged Per Claim Paid Services Per Patient
99214 1.51 79% 13.0% $239 $31 $157 $187 $147 1.27
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity.
99213 0.88 76% 17.1% $157 $27 $93 $123 $94 1.27
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity.
98941 2.43 75% 33.0% $347 $115 $146 $52 $39 6.66
Chiropractic manipulative treatment (cmt); spinal, 3-4 regions
70450 9.11 58% 11.7% $1,050 $123 $482 $709 $408 1.47
Computed tomography, head or brain; without contrast material
36415 0.37 49% 6.6% $26 $2 $11 $22 $11 1.14
Collection of venous blood by venipuncture
85025 1.38 59% 8.2% $73 $6 $37 $64 $38 1.12
Blood count; complete (cbc), automated (hgb, hct, rbc, wbc and platelet count) and automated differential wbc count
99284 5.37 70% 9.9% $728 $72 $439 $529 $371 1.33
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: a detailed history; a detailed examination; and medical decision making of moderate complexity.
97140 3.49 55% 8.1% $648 $52 $301 $104 $57 6.14
Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes
97110 2.05 56% 9.8% $365 $36 $170 $68 $39 5.27
Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility
80053 2.35 52% 8.6% $119 $10 $51 $109 $56 1.08
Comprehensive metabolic panel
99283 3.06 73% 14.2% $433 $61 $253 $332 $241 1.26
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of moderate complexity.
70553 19.73 63% 9.6% $3,207 $307 $1,727 $2,039 $1,293 1.56
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences
70551 11.89 60% 12.5% $2,094 $262 $997 $1,366 $821 1.51
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material
96374 3.35 63% 14.8% $194 $29 $94 $171 $109 1.11
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug
99285 5.60 68% 7.1% $823 $59 $504 $689 $471 1.17
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status:
96375 4.35 63% 8.5% $275 $23 $149 $235 $147 1.15
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/ drug (list separately in addition to code for primary procedure)
97012 0.97 27% 5.3% $158 $8 $35 $29 $8 5.47
Application of a modality to 1 or more areas; traction, mechanical
97014 1.15 27% 7.1% $187 $13 $37 $34 $9 5.40
Application of a modality to 1 or more areas; electrical stimulation (unattended)
98940 1.50 68% 38.9% $199 $77 $58 $45 $30 4.37
Chiropractic manipulative treatment (cmt); spinal, 1-2 regions
84443 1.66 62% 9.1% $117 $11 $62 $115 $71 1.02
Thyroid stimulating hormone (tsh)

High Risk Diagnoses

  • 95% Headache
  • 5% Tension headache
  • 0% Short lasting unilateral neuralgiform headache with conjunctival injection and tearing
  • 0% Cluster headache syndrome, unspecified
  • 0% Episodic cluster headache
  • 0% Chronic tension type headache
  • 0% Drug induced headache, not elsewhere classified
  • 0% Primary stabbing headache

On every hundred of patients

Sample Distribution for Headache
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Which group is risky?

Prevalence for Headache
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Which group cost more?

Annual Cost ($) for Headache
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Which group has more hassle?

Annual Doctor Visits for Headache
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