*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.42 | |
| 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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 1,709 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department in DRG | 9.81 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 5.81 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 33.78 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 10.74 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $19,240,810 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $1,937 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $11,259 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $96,509,368 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $56,471 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 10.36 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 35.93 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 6.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,415 | ||||
| Total Hospitalizations with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 429 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department in DRG | 2.46 | ||||
| Avg LOS at DRG | 4.33 | ||||
| Avg LOS with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 4.74 | ||||
| Readmission Rate at DRG | 27.41 | ||||
| Readmission Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 29.72 | ||||
| Unplanned Readmission Rate at DRG | 11.53 | ||||
| Unplanned Readmission Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 12.85 | ||||
| Total Medicare payments at DRG | $170,996,169 | ||||
| Total Medicare payments with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $3,774,870 | ||||
| Total Medicare payment per Day at DRG | $2,034 | ||||
| Total Medicare payment per Day with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $1,856 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,807 | ||||
| Total Medicare payment per Hospitalization with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $8,799 | ||||
| Total Medicare Charges at DRG | $900,861,807 | ||||
| Total Medicare Charges with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $22,780,467 | ||||
| Avg Charges at DRG | $46,400 | ||||
| Avg Charges with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $53,101 | ||||
| Mortality Rate at DRG | 5.22 | ||||
| Mortality Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 3.73 | ||||
| SNF Discharge Rate at DRG | 29.13 | ||||
| SNF Discharge Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 41.96 | ||||
| Home Discharge Rate at DRG | 28.24 | ||||
| Home Discharge Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 18.65 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 069: TRANSIENT ISCHEMIA | DRG 023: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 61,140 | ||||
| Total Hospitalizations with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 296 | ||||
| DRG Share of Total Hospitalizations | 0.19 | ||||
| % of Total ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department in DRG | 1.7 | ||||
| Avg LOS at DRG | 8.85 | ||||
| Avg LOS with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 9.55 | ||||
| Readmission Rate at DRG | 42.86 | ||||
| Readmission Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 42.46 | ||||
| Unplanned Readmission Rate at DRG | 10.16 | ||||
| Unplanned Readmission Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 10.71 | ||||
| Total Medicare payments at DRG | $1,858,013,928 | ||||
| Total Medicare payments with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $8,929,459 | ||||
| Total Medicare payment per Day at DRG | $3,435 | ||||
| Total Medicare payment per Day with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $3,159 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,389 | ||||
| Total Medicare payment per Hospitalization with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $30,167 | ||||
| Total Medicare Charges at DRG | $9,494,684,408 | ||||
| Total Medicare Charges with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $44,676,050 | ||||
| Avg Charges at DRG | $155,294 | ||||
| Avg Charges with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $150,933 | ||||
| Mortality Rate at DRG | 7.92 | ||||
| Mortality Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 10.81 | ||||
| SNF Discharge Rate at DRG | 19.16 | ||||
| SNF Discharge Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 32.09 | ||||
| Home Discharge Rate at DRG | 25.64 | ||||
| Home Discharge Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 9.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 084: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 199 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department in DRG | 1.14 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 4.21 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 27.49 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 19.88 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $1,533,663 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $1,830 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $7,707 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $7,159,342 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | $35,977 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 36.68 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD R402242 - Coma scale, best verbal response, confused conversation, at arrival to emergency department | 22.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RHODE ISLAND HOSPITAL | 593 EDDY ST | PROVIDENCE | RI | 02903 | 357 |
| MEMORIAL HERMANN TEXAS MEDICAL CENTER | 6411 FANNIN ST | HOUSTON | TX | 77030 | 338 |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 240 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JUAN B IRIBARREN | 1 BAYLOR PLZ | HOUSTON | TX | 77030 | 20 |
| Dr. THOMAS W GOODLIVE | 3705 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 18 |
| Dr. RAEES AHMED | 3406 COLLEGE ST # 100 | BEAUMONT | TX | 77701 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEFFREY MICHAEL CRAIG | 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 27 |
| Dr. ANTHONY VAUGHN | 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 26 |
| Dr. JESSICA D LEE | 740 S LIMESTONE | LEXINGTON | KY | 40536 | 24 |