*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R402253 - Coma scale, best verbal response, oriented, at hospital admission - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.24 | |
| 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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 3,880 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission in DRG | 12.15 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 3.35 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 38.14 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 6.59 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $23,783,459 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $1,831 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $6,130 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $143,677,522 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $37,030 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 17.19 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 34.15 |
*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 069: TRANSIENT ISCHEMIA | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 955 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission in DRG | 2.99 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 5.66 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 25.39 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 14.77 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $10,420,643 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $1,928 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $10,912 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $57,854,692 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $60,581 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 11.31 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 21.78 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 28.27 |
*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 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR 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 062: ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 462 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission in DRG | 1.45 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 5.09 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 31.41 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 21.11 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $4,024,725 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $1,710 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $8,712 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $22,817,593 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $49,389 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 5.19 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 18.18 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 35.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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 | 1,522,684 | ||||
| Total Hospitalizations with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 344 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission in DRG | 1.08 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 3.27 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 21.02 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 6.05 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $3,958,335 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $3,519 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $11,507 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $26,231,461 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | $76,254 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 38.08 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R402253 - Coma scale, best verbal response, oriented, at hospital admission | 15.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 1,732 |
| GLENWOOD REGIONAL MEDICAL CENTER | 503 MCMILLAN RD | WEST MONROE | LA | 71291 | 814 |
| UPMC HAMOT | 201 STATE ST | ERIE | PA | 16550 | 523 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TUDOR G JOVIN | 3471 5TH AVE | PITTSBURGH | PA | 15213 | 43 |
| Dr. ASHUTOSH P. JADHAV | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 38 |
| Dr. BRIAN T JANKOWITZ | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 37 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ASHUTOSH P. JADHAV | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 102 |
| Dr. JOHN MICHAEL BARNARD | 900 8TH AVE | FORT WORTH | TX | 76104 | 76 |
| Dr. DAVID WANG | 100 NE RANDOLPH AVE | PEORIA | IL | 61606 | 75 |