*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.37 | |
| 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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 1,694 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department in DRG | 17.21 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 5.31 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 25.87 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 7.49 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $19,825,071 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $2,202 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $11,703 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $93,196,836 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $55,016 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 27.27 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 23.44 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 3.36 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 254 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department in DRG | 2.58 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 3.93 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 26.44 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 8.17 | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $1,710,216 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $1,715 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $6,733 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $10,038,389 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $39,521 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 11.81 | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 30.71 | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 8.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 061: ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,973 | ||||
| Total Hospitalizations with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 192 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department in DRG | 1.95 | ||||
| Avg LOS at DRG | 6.25 | ||||
| Avg LOS with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 5.1 | ||||
| Readmission Rate at DRG | 37.82 | ||||
| Readmission Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 27.21 | ||||
| Unplanned Readmission Rate at DRG | 9.3 | ||||
| Unplanned Readmission Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | NA | ||||
| Total Medicare payments at DRG | $293,483,130 | ||||
| Total Medicare payments with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $3,613,310 | ||||
| Total Medicare payment per Day at DRG | $2,940 | ||||
| Total Medicare payment per Day with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $3,687 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,374 | ||||
| Total Medicare payment per Hospitalization with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $18,819 | ||||
| Total Medicare Charges at DRG | $1,663,575,489 | ||||
| Total Medicare Charges with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $17,401,478 | ||||
| Avg Charges at DRG | $104,149 | ||||
| Avg Charges with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $90,633 | ||||
| Mortality Rate at DRG | 14.58 | ||||
| Mortality Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 20.31 | ||||
| SNF Discharge Rate at DRG | 23.23 | ||||
| SNF Discharge Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 26.04 | ||||
| Home Discharge Rate at DRG | 12.85 | ||||
| Home Discharge Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 6.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 135 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department in DRG | 1.37 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 5.89 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 19.42 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 14.56 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $1,551,823 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $1,952 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $11,495 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $6,235,496 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | $46,189 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 18.52 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 27.41 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD R402352 - Coma scale, best motor response, localizes pain, at arrival to emergency department | 14.07 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL HERMANN TEXAS MEDICAL CENTER | 6411 FANNIN ST | HOUSTON | TX | 77030 | 139 |
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 121 |
| RHODE ISLAND HOSPITAL | 593 EDDY ST | PROVIDENCE | RI | 02903 | 115 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. COLEMAN O MARTIN | 200 HAWKINS DR | IOWA CITY | IA | 52242 | 16 |
| Dr. SHAKEEL AHMAD CHOWDHRY | 2910 N 3RD AVE | PHOENIX | AZ | 85013 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN GERARD VERBINSKI | 27200 CALAROGA AVE | HAYWARD | CA | 94545 | 16 |
| Dr. CAROLINE HA | 6431 FANNIN ST | HOUSTON | TX | 77030 | 15 |
| Dr. GERALD S STIPANUK | 801 S MERIDIAN ST | GREENFIELD | TN | 38230 | 14 |