*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R402113 - Coma scale, eyes open, never, at hospital admission - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.33 | |
| 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 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 023: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 2,208 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R402113 - Coma scale, eyes open, never, at hospital admission in DRG | 20.39 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 3.79 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 21.81 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 5.99 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $27,488,728 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $3,285 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $12,450 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $119,961,293 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $54,330 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 68.7 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 7.02 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 1.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 344 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD R402113 - Coma scale, eyes open, never, at hospital admission in DRG | 3.18 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 21.75 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 77.49 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 5.9 | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $37,900,758 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $5,065 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $110,177 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $151,275,637 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $439,755 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 18.6 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 13.08 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 296: CARDIAC ARREST, UNEXPLAINED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE 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 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 241 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD R402113 - Coma scale, eyes open, never, at hospital admission in DRG | 2.23 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 5.38 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 35.4 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 8.7 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $2,367,872 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $1,827 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $9,825 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $15,829,951 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $65,684 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 19.5 | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 7.88 | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 29.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 020: INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 149 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD R402113 - Coma scale, eyes open, never, at hospital admission in DRG | 1.38 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 1.43 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | NA | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $967,324 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $4,541 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $6,492 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $3,331,823 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD R402113 - Coma scale, eyes open, never, at hospital admission | $22,361 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | 69.13 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | NA | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD R402113 - Coma scale, eyes open, never, at hospital admission | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 301 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 243 |
| UPMC HAMOT | 201 STATE ST | ERIE | PA | 16550 | 170 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CARLOS JULIO RACEDO AFRICANO | 201 STATE ST | ERIE | PA | 16550 | 18 |
| Dr. ABDUL-KARIM Y HAFFAR | 1302 HOLLOWAY RD | HOLLAND | OH | 43528 | 17 |
| Dr. MONA PARIKH | 225 E JACKSON AVE | JONESBORO | AR | 72401 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TAE J LEE | 101 HEART DRIVE | GREENVILLE | NC | 27834 | 41 |
| Dr. MANJUNATH MARKANDAYA | 601 ELMWOOD AVE | ROCHESTER | NY | 14642 | 20 |
| Dr. MICHAEL LADON ROBERTS | 2660 10TH AVE S | BIRMINGHAM | AL | 35205 | 17 |