*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus - as a primary diagnosis code | G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.99 | |
| Readmission Rate (%) | 26.71 | |
| Unplanned Readmission Rate (%) | 12.44 | |
| 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 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH 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 | 80,879 | ||||
| Total Hospitalizations with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 2,122 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus in DRG | 59.06 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 7.14 | ||||
| Readmission Rate at DRG | 24.72 | ||||
| Readmission Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 15.43 | ||||
| Unplanned Readmission Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 12.91 | ||||
| Total Medicare payments at DRG | $887,347,366 | ||||
| Total Medicare payments with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $26,568,362 | ||||
| Total Medicare payment per Day at DRG | $1,935 | ||||
| Total Medicare payment per Day with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $1,753 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,971 | ||||
| Total Medicare payment per Hospitalization with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $12,520 | ||||
| Total Medicare Charges at DRG | $4,622,921,880 | ||||
| Total Medicare Charges with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $178,448,488 | ||||
| Avg Charges at DRG | $57,158 | ||||
| Avg Charges with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $84,094 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 5.28 | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 25.68 | ||||
| Home Discharge Rate at DRG | 34.76 | ||||
| Home Discharge Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 31.24 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 25 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 21 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,879 | ||||
| Total Hospitalizations with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 2,166 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus in DRG | 33.91 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 7.14 | ||||
| Readmission Rate at DRG | 24.72 | ||||
| Readmission Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 24.99 | ||||
| Unplanned Readmission Rate at DRG | 15.43 | ||||
| Unplanned Readmission Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 12.87 | ||||
| Total Medicare payments at DRG | $887,347,366 | ||||
| Total Medicare payments with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $27,090,745 | ||||
| Total Medicare payment per Day at DRG | $1,935 | ||||
| Total Medicare payment per Day with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $1,752 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,971 | ||||
| Total Medicare payment per Hospitalization with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $12,507 | ||||
| Total Medicare Charges at DRG | $4,622,921,880 | ||||
| Total Medicare Charges with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $181,475,740 | ||||
| Avg Charges at DRG | $57,158 | ||||
| Avg Charges with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $83,784 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 5.26 | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 25.76 | ||||
| Home Discharge Rate at DRG | 34.76 | ||||
| Home Discharge Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 31.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 148 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus in DRG | 2.32 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 8.28 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 37.27 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | NA | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $2,008,676 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $1,640 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $13,572 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $15,610,950 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $105,479 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 22.3 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 22.3 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 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 296: CARDIAC ARREST, UNEXPLAINED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,554 | ||||
| Total Hospitalizations with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 62 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus in DRG | 0.97 | ||||
| Avg LOS at DRG | 2.88 | ||||
| Avg LOS with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 5.11 | ||||
| Readmission Rate at DRG | 22.97 | ||||
| Readmission Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | NA | ||||
| Unplanned Readmission Rate at DRG | 10.59 | ||||
| Unplanned Readmission Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | NA | ||||
| Total Medicare payments at DRG | $111,136,473 | ||||
| Total Medicare payments with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $657,361 | ||||
| Total Medicare payment per Day at DRG | $3,342 | ||||
| Total Medicare payment per Day with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $2,074 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,619 | ||||
| Total Medicare payment per Hospitalization with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $10,603 | ||||
| Total Medicare Charges at DRG | $647,438,563 | ||||
| Total Medicare Charges with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $5,606,414 | ||||
| Avg Charges at DRG | $56,036 | ||||
| Avg Charges with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $90,426 | ||||
| Mortality Rate at DRG | 82.19 | ||||
| Mortality Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 72.58 | ||||
| SNF Discharge Rate at DRG | 2.85 | ||||
| SNF Discharge Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | NA | ||||
| Home Discharge Rate at DRG | 2.73 | ||||
| Home Discharge Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 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 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 61,140 | ||||
| Total Hospitalizations with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 49 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus in DRG | 0.77 | ||||
| Avg LOS at DRG | 8.85 | ||||
| Avg LOS with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 13.67 | ||||
| Readmission Rate at DRG | 42.86 | ||||
| Readmission Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 58.97 | ||||
| Unplanned Readmission Rate at DRG | 10.16 | ||||
| Unplanned Readmission Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | NA | ||||
| Total Medicare payments at DRG | $1,858,013,928 | ||||
| Total Medicare payments with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $1,871,608 | ||||
| Total Medicare payment per Day at DRG | $3,435 | ||||
| Total Medicare payment per Day with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $2,793 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,389 | ||||
| Total Medicare payment per Hospitalization with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $38,196 | ||||
| Total Medicare Charges at DRG | $9,494,684,408 | ||||
| Total Medicare Charges with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $11,197,067 | ||||
| Avg Charges at DRG | $155,294 | ||||
| Avg Charges with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | $228,512 | ||||
| Mortality Rate at DRG | 7.92 | ||||
| Mortality Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | NA | ||||
| SNF Discharge Rate at DRG | 19.16 | ||||
| SNF Discharge Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | 24.49 | ||||
| Home Discharge Rate at DRG | 25.64 | ||||
| Home Discharge Rate with ICD G40401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 37 |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 34 |
| MEMORIAL HERMANN TEXAS MEDICAL CENTER | 6411 FANNIN ST | HOUSTON | TX | 77030 | 27 |