*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R402213 - Coma scale, best verbal response, none, at hospital admission - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.65 | |
| 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 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 023: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | 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 R402213 - Coma scale, best verbal response, none, at hospital admission | 3,447 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R402213 - Coma scale, best verbal response, none, at hospital admission in DRG | 20.21 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 4.8 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 25.85 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 7.05 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $42,652,813 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $2,577 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $12,374 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $202,811,457 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $58,837 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 52.42 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 13.03 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 1.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 496 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD R402213 - Coma scale, best verbal response, none, at hospital admission in DRG | 2.91 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 13.02 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 38.65 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 13.55 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $20,352,184 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $3,152 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $41,033 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $91,663,271 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $184,805 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 45.56 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 19.35 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 2.82 |
*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 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 061: ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 296: CARDIAC ARREST, UNEXPLAINED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 354 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD R402213 - Coma scale, best verbal response, none, at hospital admission in DRG | 2.08 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 5.47 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 35.74 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 9.51 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $3,613,135 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $1,867 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $10,207 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $22,985,890 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $64,932 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 14.12 | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 9.32 | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 32.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,431 | ||||
| Total Hospitalizations with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 216 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD R402213 - Coma scale, best verbal response, none, at hospital admission in DRG | 1.27 | ||||
| Avg LOS at DRG | 4.53 | ||||
| Avg LOS with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 2.81 | ||||
| Readmission Rate at DRG | NA | ||||
| Readmission Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | NA | ||||
| Unplanned Readmission Rate at DRG | NA | ||||
| Unplanned Readmission Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | NA | ||||
| Total Medicare payments at DRG | $375,682,488 | ||||
| Total Medicare payments with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $2,499,812 | ||||
| Total Medicare payment per Day at DRG | $2,638 | ||||
| Total Medicare payment per Day with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $4,118 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,953 | ||||
| Total Medicare payment per Hospitalization with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $11,573 | ||||
| Total Medicare Charges at DRG | $1,972,247,066 | ||||
| Total Medicare Charges with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $12,408,522 | ||||
| Avg Charges at DRG | $62,748 | ||||
| Avg Charges with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | $57,447 | ||||
| Mortality Rate at DRG | 100.0 | ||||
| Mortality Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | 100.0 | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD R402213 - Coma scale, best verbal response, none, at hospital admission | NA | ||||
| Home Discharge Rate at DRG | NA | ||||
| Home Discharge Rate with ICD R402213 - Coma scale, best verbal response, none, 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 | 366 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 348 |
| UK HEALTHCARE - ALBERT B. CHANDLER HOSPITAL | 800 ROSE ST | LEXINGTON | KY | 40536 | 273 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SCOTT A SASSE | 2000 STADIUM WAY | LOS ANGELES | CA | 90026 | 28 |
| Dr. DAVID R NELSON | 2000 STADIUM WAY | LOS ANGELES | CA | 90026 | 26 |
| Dr. LEONARD J ADELSON | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TAE J LEE | 101 HEART DRIVE | GREENVILLE | NC | 27834 | 52 |
| Dr. MICHAEL LADON ROBERTS | 2660 10TH AVE S | BIRMINGHAM | AL | 35205 | 31 |
| Dr. DAVID WANG | 100 NE RANDOLPH AVE | PEORIA | IL | 61606 | 25 |