*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G40911 - Epilepsy, unspecified, intractable, with status epilepticus - as a primary diagnosis code | G40911 - Epilepsy, unspecified, intractable, with status epilepticus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.95 | |
| Readmission Rate (%) | 29.72 | |
| Unplanned Readmission Rate (%) | 13.81 | |
| 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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,879 | ||||
| Total Hospitalizations with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 1,366 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus in DRG | 59.16 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 8.3 | ||||
| Readmission Rate at DRG | 24.72 | ||||
| Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 25.4 | ||||
| Unplanned Readmission Rate at DRG | 15.43 | ||||
| Unplanned Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 14.73 | ||||
| Total Medicare payments at DRG | $887,347,366 | ||||
| Total Medicare payments with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $18,960,361 | ||||
| Total Medicare payment per Day at DRG | $1,935 | ||||
| Total Medicare payment per Day with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $1,672 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,971 | ||||
| Total Medicare payment per Hospitalization with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $13,880 | ||||
| Total Medicare Charges at DRG | $4,622,921,880 | ||||
| Total Medicare Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $129,949,802 | ||||
| Avg Charges at DRG | $57,158 | ||||
| Avg Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $95,132 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 8.71 | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 25.33 | ||||
| Home Discharge Rate at DRG | 34.76 | ||||
| Home Discharge Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 28.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 33,583 |
| Total Hospitalizations with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 17 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus in DRG | 0.74 |
| Avg LOS at DRG | 11.44 |
| Avg LOS with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 15.47 |
| Readmission Rate at DRG | 33.65 |
| Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA |
| Unplanned Readmission Rate at DRG | 21.15 |
| Unplanned Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA |
| Total Medicare payments at DRG | $802,022,870 |
| Total Medicare payments with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $572,211 |
| Total Medicare payment per Day at DRG | $2,088 |
| Total Medicare payment per Day with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $2,176 |
| Total Medicare payment per Hospitalization at DRG | $23,882 |
| Total Medicare payment per Hospitalization with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $33,659 |
| Total Medicare Charges at DRG | $3,957,485,422 |
| Total Medicare Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $4,384,463 |
| Avg Charges at DRG | $117,842 |
| Avg Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $257,910 |
| Mortality Rate at DRG | 8.73 |
| Mortality Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA |
| SNF Discharge Rate at DRG | 24.87 |
| SNF Discharge Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA |
| Home Discharge Rate at DRG | 28.69 |
| Home Discharge Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF CINCINNATI MEDICAL CENTER | 234 GOODMAN STREET | CINCINNATI | OH | 45219 | 18 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 18 |
| PROVIDENCE SACRED HEART MEDICAL CENTER | 101 W 8TH AVE | SPOKANE | WA | 99204 | 14 |
*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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 80,879 | ||||
| Total Hospitalizations with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 1,387 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus in DRG | 31.89 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 8.3 | ||||
| Readmission Rate at DRG | 24.72 | ||||
| Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 25.2 | ||||
| Unplanned Readmission Rate at DRG | 15.43 | ||||
| Unplanned Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 14.51 | ||||
| Total Medicare payments at DRG | $887,347,366 | ||||
| Total Medicare payments with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $19,361,565 | ||||
| Total Medicare payment per Day at DRG | $1,935 | ||||
| Total Medicare payment per Day with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $1,683 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,971 | ||||
| Total Medicare payment per Hospitalization with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $13,959 | ||||
| Total Medicare Charges at DRG | $4,622,921,880 | ||||
| Total Medicare Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $132,331,213 | ||||
| Avg Charges at DRG | $57,158 | ||||
| Avg Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $95,408 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 8.8 | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 25.52 | ||||
| Home Discharge Rate at DRG | 34.76 | ||||
| Home Discharge Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 27.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH 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 | 99,136 | ||||
| Total Hospitalizations with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 126 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus in DRG | 2.9 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 17.6 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 29.23 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $5,235,485 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $2,360 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $41,551 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $27,155,489 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $215,520 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 43.65 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 23.02 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD G40911 - Epilepsy, unspecified, 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 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 53 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus in DRG | 1.22 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 12.53 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 28.21 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $943,946 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $1,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $17,810 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $5,740,686 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $108,315 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 37.74 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD G40911 - Epilepsy, unspecified, 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 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 097: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 62,680 | ||||
| Total Hospitalizations with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 31 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus in DRG | 0.71 | ||||
| Avg LOS at DRG | 7.42 | ||||
| Avg LOS with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | 12.81 | ||||
| Readmission Rate at DRG | 28.38 | ||||
| Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA | ||||
| Unplanned Readmission Rate at DRG | 19.73 | ||||
| Unplanned Readmission Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA | ||||
| Total Medicare payments at DRG | $784,253,159 | ||||
| Total Medicare payments with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $597,251 | ||||
| Total Medicare payment per Day at DRG | $1,686 | ||||
| Total Medicare payment per Day with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,512 | ||||
| Total Medicare payment per Hospitalization with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $19,266 | ||||
| Total Medicare Charges at DRG | $3,210,257,310 | ||||
| Total Medicare Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $4,241,288 | ||||
| Avg Charges at DRG | $51,217 | ||||
| Avg Charges with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | $136,816 | ||||
| Mortality Rate at DRG | 4.21 | ||||
| Mortality Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA | ||||
| SNF Discharge Rate at DRG | 30.71 | ||||
| SNF Discharge Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA | ||||
| Home Discharge Rate at DRG | 21.91 | ||||
| Home Discharge Rate with ICD G40911 - Epilepsy, unspecified, intractable, with status epilepticus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 37 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 28 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 27 |