*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R402243 - Coma scale, best verbal response, confused conversation, at hospital admission - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.4 | |
| 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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 1,309 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission in DRG | 10.86 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 5.92 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 38.06 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 11.07 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $14,706,306 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $1,899 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $11,235 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $74,960,486 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $57,265 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 10.01 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 34.91 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 6.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES 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 689: KIDNEY AND URINARY TRACT INFECTIONS 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 R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 294 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission in DRG | 2.44 | ||||
| Avg LOS at DRG | 4.33 | ||||
| Avg LOS with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 5.31 | ||||
| Readmission Rate at DRG | 27.41 | ||||
| Readmission Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 30.71 | ||||
| Unplanned Readmission Rate at DRG | 11.53 | ||||
| Unplanned Readmission Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 10.63 | ||||
| Total Medicare payments at DRG | $170,996,169 | ||||
| Total Medicare payments with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $2,678,891 | ||||
| Total Medicare payment per Day at DRG | $2,034 | ||||
| Total Medicare payment per Day with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $1,716 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,807 | ||||
| Total Medicare payment per Hospitalization with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $9,112 | ||||
| Total Medicare Charges at DRG | $900,861,807 | ||||
| Total Medicare Charges with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $16,470,569 | ||||
| Avg Charges at DRG | $46,400 | ||||
| Avg Charges with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $56,022 | ||||
| Mortality Rate at DRG | 5.22 | ||||
| Mortality Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 4.42 | ||||
| SNF Discharge Rate at DRG | 29.13 | ||||
| SNF Discharge Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 39.8 | ||||
| Home Discharge Rate at DRG | 28.24 | ||||
| Home Discharge Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 13.95 |
*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 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR 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 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 187 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission in DRG | 1.55 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 5.11 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 23.27 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 13.84 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $1,732,274 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $1,814 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $9,263 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $8,298,695 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $44,378 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 8.02 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 34.22 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 14.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH 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 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 130 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission in DRG | 1.08 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 5.25 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 22.43 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 15.89 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $1,141,389 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $1,671 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $8,780 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $5,985,312 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | $46,041 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 10.0 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 26.92 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD R402243 - Coma scale, best verbal response, confused conversation, at hospital admission | 14.62 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 350 |
| WEST VIRGINIA UNIVERSITY HOSPITALS | 1 MEDICAL CENTER DRIVE | MORGANTOWN | WV | 26506 | 316 |
| OSF SAINT FRANCIS MEDICAL CENTER | 530 NE GLEN OAK AVE | PEORIA | IL | 61637 | 296 |
| 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 | 13 |
| Dr. ASHUTOSH P. JADHAV | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 12 |
| Dr. JOSHUA PAUL HAZELTON | 3 COOPER PLZ | CAMDEN | NJ | 08103 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID WANG | 100 NE RANDOLPH AVE | PEORIA | IL | 61606 | 34 |
| Dr. DEEPAK S NAIR | 530 NE GLEN OAK AVE | PEORIA | IL | 61637 | 31 |
| Dr. KEVIN DEAN MIKAWA | 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 27 |