*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R402122 - Coma scale, eyes open, to pain, at arrival to emergency department - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.65 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 1,203 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department in DRG | 19.51 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 6.08 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 21.0 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 14.85 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $14,801,419 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $2,024 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $12,304 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $77,402,072 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $64,341 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 29.43 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 29.93 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 6.07 |
*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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,461 | ||||
| Total Hospitalizations with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 154 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department in DRG | 2.5 | ||||
| Avg LOS at DRG | 10.08 | ||||
| Avg LOS with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 9.62 | ||||
| Readmission Rate at DRG | 51.13 | ||||
| Readmission Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 37.36 | ||||
| Unplanned Readmission Rate at DRG | 8.51 | ||||
| Unplanned Readmission Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | NA | ||||
| Total Medicare payments at DRG | $1,065,644,894 | ||||
| Total Medicare payments with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $6,189,286 | ||||
| Total Medicare payment per Day at DRG | $3,715 | ||||
| Total Medicare payment per Day with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $4,176 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,442 | ||||
| Total Medicare payment per Hospitalization with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $40,190 | ||||
| Total Medicare Charges at DRG | $5,534,780,189 | ||||
| Total Medicare Charges with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $26,276,912 | ||||
| Avg Charges at DRG | $194,469 | ||||
| Avg Charges with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $170,629 | ||||
| Mortality Rate at DRG | 28.59 | ||||
| Mortality Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 38.96 | ||||
| SNF Discharge Rate at DRG | 19.38 | ||||
| SNF Discharge Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 20.78 | ||||
| Home Discharge Rate at DRG | 5.45 | ||||
| Home Discharge Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 103 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department in DRG | 1.67 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 5.63 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 13.41 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $933,330 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $1,609 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $9,061 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $4,398,197 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $42,701 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 15.53 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 26.21 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 12.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 061: ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT 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 | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 89 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department in DRG | 1.44 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 3.46 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 26.98 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $738,142 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $2,397 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $8,294 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $3,226,646 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | $36,254 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 25.84 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 32.58 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD R402122 - Coma scale, eyes open, to pain, at arrival to emergency department | 12.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UK HEALTHCARE - ALBERT B. CHANDLER HOSPITAL | 800 ROSE ST | LEXINGTON | KY | 40536 | 63 |
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 61 |
| ST. BERNARDS HEALTHCARE | 225 E JACKSON AVE | JONESBORO | AR | 72401 | 59 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN GERARD VERBINSKI | 27200 CALAROGA AVE | HAYWARD | CA | 94545 | 11 |