*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R4020 - Unspecified coma - as a primary diagnosis code | R4020 - Unspecified coma - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.65 | |
| Readmission Rate (%) | 29.56 | |
| Unplanned Readmission Rate (%) | 8.55 | |
| 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 081: NONTRAUMATIC STUPOR AND COMA WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 080: NONTRAUMATIC STUPOR AND COMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 2,340 | |
| Total Hospitalizations with ICD R4020 - Unspecified coma | 139 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD R4020 - Unspecified coma in DRG | 53.88 | |
| Avg LOS at DRG | 3.49 | |
| Avg LOS with ICD R4020 - Unspecified coma | 2.35 | |
| Readmission Rate at DRG | 24.76 | |
| Readmission Rate with ICD R4020 - Unspecified coma | 18.07 | |
| Unplanned Readmission Rate at DRG | 12.89 | |
| Unplanned Readmission Rate with ICD R4020 - Unspecified coma | NA | |
| Total Medicare payments at DRG | $12,957,792 | |
| Total Medicare payments with ICD R4020 - Unspecified coma | $694,297 | |
| Total Medicare payment per Day at DRG | $1,589 | |
| Total Medicare payment per Day with ICD R4020 - Unspecified coma | $2,130 | |
| Total Medicare payment per Hospitalization at DRG | $5,538 | |
| Total Medicare payment per Hospitalization with ICD R4020 - Unspecified coma | $4,995 | |
| Total Medicare Charges at DRG | $60,697,392 | |
| Total Medicare Charges with ICD R4020 - Unspecified coma | $2,290,428 | |
| Avg Charges at DRG | $25,939 | |
| Avg Charges with ICD R4020 - Unspecified coma | $16,478 | |
| Mortality Rate at DRG | 3.29 | |
| Mortality Rate with ICD R4020 - Unspecified coma | 25.9 | |
| SNF Discharge Rate at DRG | 18.8 | |
| SNF Discharge Rate with ICD R4020 - Unspecified coma | 13.67 | |
| Home Discharge Rate at DRG | 40.09 | |
| Home Discharge Rate with ICD R4020 - Unspecified coma | 21.58 |
*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 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 | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD R4020 - Unspecified coma | 7,682 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R4020 - Unspecified coma in DRG | 16.9 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD R4020 - Unspecified coma | 4.0 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD R4020 - Unspecified coma | 10.12 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD R4020 - Unspecified coma | 3.99 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD R4020 - Unspecified coma | $92,561,480 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R4020 - Unspecified coma | $3,012 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD R4020 - Unspecified coma | $12,049 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD R4020 - Unspecified coma | $409,887,823 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD R4020 - Unspecified coma | $53,357 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD R4020 - Unspecified coma | 69.94 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD R4020 - Unspecified coma | 5.08 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD R4020 - Unspecified coma | 0.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 023: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS 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 296: CARDIAC ARREST, UNEXPLAINED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,461 | ||||
| Total Hospitalizations with ICD R4020 - Unspecified coma | 1,623 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD R4020 - Unspecified coma in DRG | 3.57 | ||||
| Avg LOS at DRG | 10.08 | ||||
| Avg LOS with ICD R4020 - Unspecified coma | 8.09 | ||||
| Readmission Rate at DRG | 51.13 | ||||
| Readmission Rate with ICD R4020 - Unspecified coma | 30.13 | ||||
| Unplanned Readmission Rate at DRG | 8.51 | ||||
| Unplanned Readmission Rate with ICD R4020 - Unspecified coma | 4.15 | ||||
| Total Medicare payments at DRG | $1,065,644,894 | ||||
| Total Medicare payments with ICD R4020 - Unspecified coma | $62,337,071 | ||||
| Total Medicare payment per Day at DRG | $3,715 | ||||
| Total Medicare payment per Day with ICD R4020 - Unspecified coma | $4,748 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,442 | ||||
| Total Medicare payment per Hospitalization with ICD R4020 - Unspecified coma | $38,409 | ||||
| Total Medicare Charges at DRG | $5,534,780,189 | ||||
| Total Medicare Charges with ICD R4020 - Unspecified coma | $287,550,656 | ||||
| Avg Charges at DRG | $194,469 | ||||
| Avg Charges with ICD R4020 - Unspecified coma | $177,172 | ||||
| Mortality Rate at DRG | 28.59 | ||||
| Mortality Rate with ICD R4020 - Unspecified coma | 70.24 | ||||
| SNF Discharge Rate at DRG | 19.38 | ||||
| SNF Discharge Rate with ICD R4020 - Unspecified coma | 5.85 | ||||
| Home Discharge Rate at DRG | 5.45 | ||||
| Home Discharge Rate with ICD R4020 - Unspecified coma | 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD R4020 - Unspecified coma | 978 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R4020 - Unspecified coma in DRG | 2.15 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD R4020 - Unspecified coma | 15.3 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD R4020 - Unspecified coma | 40.52 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD R4020 - Unspecified coma | 15.16 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD R4020 - Unspecified coma | $41,031,881 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD R4020 - Unspecified coma | $2,742 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD R4020 - Unspecified coma | $41,955 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD R4020 - Unspecified coma | $236,353,866 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD R4020 - Unspecified coma | $241,671 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD R4020 - Unspecified coma | 62.07 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD R4020 - Unspecified coma | 13.6 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD R4020 - Unspecified coma | 1.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,887 | ||||
| Total Hospitalizations with ICD R4020 - Unspecified coma | 594 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD R4020 - Unspecified coma in DRG | 1.31 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD R4020 - Unspecified coma | 3.34 | ||||
| Readmission Rate at DRG | 32.67 | ||||
| Readmission Rate with ICD R4020 - Unspecified coma | 12.06 | ||||
| Unplanned Readmission Rate at DRG | 12.74 | ||||
| Unplanned Readmission Rate with ICD R4020 - Unspecified coma | NA | ||||
| Total Medicare payments at DRG | $261,162,717 | ||||
| Total Medicare payments with ICD R4020 - Unspecified coma | $8,565,342 | ||||
| Total Medicare payment per Day at DRG | $2,446 | ||||
| Total Medicare payment per Day with ICD R4020 - Unspecified coma | $4,317 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,465 | ||||
| Total Medicare payment per Hospitalization with ICD R4020 - Unspecified coma | $14,420 | ||||
| Total Medicare Charges at DRG | $1,308,172,656 | ||||
| Total Medicare Charges with ICD R4020 - Unspecified coma | $35,583,490 | ||||
| Avg Charges at DRG | $77,466 | ||||
| Avg Charges with ICD R4020 - Unspecified coma | $59,905 | ||||
| Mortality Rate at DRG | 32.04 | ||||
| Mortality Rate with ICD R4020 - Unspecified coma | 75.25 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R4020 - Unspecified coma | 4.55 | ||||
| Home Discharge Rate at DRG | 11.05 | ||||
| Home Discharge Rate with ICD R4020 - Unspecified coma | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CARLE FOUNDATION HOSPITAL | 611 W PARK ST | URBANA | IL | 61801 | 385 |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | 620 SKYLINE DR | JACKSON | TN | 38301 | 233 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 214 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KAREN C WHITE | 611 WEST PARK | URBANA | IL | 61801 | 23 |
| Dr. STAVROPOULA IOANNIS TJOUMAKARIS | 909 WALNUT STREET, 2RD FLOOR | PHILADELPHIA | PA | 19107 | 20 |
| Dr. PASCAL M JABBOUR | 909 WALNUT ST | PHILADELPHIA | PA | 19107 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HRISHIKESH GHANEKAR | 1025 MAINE ST | QUINCY | IL | 62301 | 32 |
| Dr. BENJAMIN AARON EMANUEL | 1520 SAN PABLO ST | LOS ANGELES | CA | 90033 | 29 |
| Dr. KAREN C WHITE | 611 WEST PARK | URBANA | IL | 61801 | 25 |