| 3485 - Cerebral edema - as a primary diagnosis code | 3485 - Cerebral edema - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.03 | |
| Readmission Rate (%) | 38.64 | |
| Unplanned Readmission Rate (%) | 14.56 | |
| 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 | ||
| DRG 081: NONTRAUMATIC STUPOR AND COMA WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 080: NONTRAUMATIC STUPOR AND COMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 026: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,502 | |||
| Total Hospitalizations with ICD 3485 - Cerebral edema | 473 | |||
| DRG Share of Total Hospitalizations | 0.04 | |||
| % of Total ICD 3485 - Cerebral edema in DRG | 58.76 | |||
| Avg LOS at DRG | 3.8 | |||
| Avg LOS with ICD 3485 - Cerebral edema | 3.49 | |||
| Readmission Rate at DRG | 21.38 | |||
| Readmission Rate with ICD 3485 - Cerebral edema | 29.86 | |||
| Unplanned Readmission Rate at DRG | 11.65 | |||
| Unplanned Readmission Rate with ICD 3485 - Cerebral edema | 14.48 | |||
| Total Medicare payments at DRG | $49,330,042 | |||
| Total Medicare payments with ICD 3485 - Cerebral edema | $2,455,923 | |||
| Total Medicare payment per Day at DRG | $1,366 | |||
| Total Medicare payment per Day with ICD 3485 - Cerebral edema | $1,486 | |||
| Total Medicare payment per Hospitalization at DRG | $5,192 | |||
| Total Medicare payment per Hospitalization with ICD 3485 - Cerebral edema | $5,192 | |||
| Total Medicare Charges at DRG | $215,392,107 | |||
| Total Medicare Charges with ICD 3485 - Cerebral edema | $12,099,915 | |||
| Avg Charges at DRG | $22,668 | |||
| Avg Charges with ICD 3485 - Cerebral edema | $25,581 | |||
| Mortality Rate at DRG | 1.66 | |||
| Mortality Rate with ICD 3485 - Cerebral edema | NA | |||
| SNF Discharge Rate at DRG | 26.34 | |||
| SNF Discharge Rate with ICD 3485 - Cerebral edema | 20.72 | |||
| Home Discharge Rate at DRG | 39.05 | |||
| Home Discharge Rate with ICD 3485 - Cerebral edema | 40.59 |
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 054: NERVOUS SYSTEM NEOPLASMS 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 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 153,096 | ||||
| Total Hospitalizations with ICD 3485 - Cerebral edema | 27,370 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD 3485 - Cerebral edema in DRG | 24.23 | ||||
| Avg LOS at DRG | 6.26 | ||||
| Avg LOS with ICD 3485 - Cerebral edema | 6.1 | ||||
| Readmission Rate at DRG | 35.37 | ||||
| Readmission Rate with ICD 3485 - Cerebral edema | 39.31 | ||||
| Unplanned Readmission Rate at DRG | 11.61 | ||||
| Unplanned Readmission Rate with ICD 3485 - Cerebral edema | 8.93 | ||||
| Total Medicare payments at DRG | $1,801,821,071 | ||||
| Total Medicare payments with ICD 3485 - Cerebral edema | $335,925,510 | ||||
| Total Medicare payment per Day at DRG | $1,879 | ||||
| Total Medicare payment per Day with ICD 3485 - Cerebral edema | $2,012 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,769 | ||||
| Total Medicare payment per Hospitalization with ICD 3485 - Cerebral edema | $12,273 | ||||
| Total Medicare Charges at DRG | $8,109,256,409 | ||||
| Total Medicare Charges with ICD 3485 - Cerebral edema | $1,543,266,456 | ||||
| Avg Charges at DRG | $52,968 | ||||
| Avg Charges with ICD 3485 - Cerebral edema | $56,385 | ||||
| Mortality Rate at DRG | 18.83 | ||||
| Mortality Rate with ICD 3485 - Cerebral edema | 26.34 | ||||
| SNF Discharge Rate at DRG | 27.6 | ||||
| SNF Discharge Rate with ICD 3485 - Cerebral edema | 21.48 | ||||
| Home Discharge Rate at DRG | 11.4 | ||||
| Home Discharge Rate with ICD 3485 - Cerebral edema | 9.4 |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/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 | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD 3485 - Cerebral edema | 2,606 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 3485 - Cerebral edema in DRG | 2.31 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 3485 - Cerebral edema | 14.44 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 3485 - Cerebral edema | 19.96 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 3485 - Cerebral edema | 14.06 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 3485 - Cerebral edema | $53,434,501 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 3485 - Cerebral edema | $1,420 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 3485 - Cerebral edema | $20,504 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 3485 - Cerebral edema | $145,573,650 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 3485 - Cerebral edema | $55,861 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 3485 - Cerebral edema | 0.42 | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 3485 - Cerebral edema | 21.3 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 3485 - Cerebral edema | 24.17 |
| DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 061: ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,683 | ||||
| Total Hospitalizations with ICD 3485 - Cerebral edema | 1,725 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD 3485 - Cerebral edema in DRG | 1.53 | ||||
| Avg LOS at DRG | 5.78 | ||||
| Avg LOS with ICD 3485 - Cerebral edema | 5.26 | ||||
| Readmission Rate at DRG | 34.12 | ||||
| Readmission Rate with ICD 3485 - Cerebral edema | 34.73 | ||||
| Unplanned Readmission Rate at DRG | 11.43 | ||||
| Unplanned Readmission Rate with ICD 3485 - Cerebral edema | 10.14 | ||||
| Total Medicare payments at DRG | $98,000,321 | ||||
| Total Medicare payments with ICD 3485 - Cerebral edema | $25,012,173 | ||||
| Total Medicare payment per Day at DRG | $2,535 | ||||
| Total Medicare payment per Day with ICD 3485 - Cerebral edema | $2,757 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,664 | ||||
| Total Medicare payment per Hospitalization with ICD 3485 - Cerebral edema | $14,500 | ||||
| Total Medicare Charges at DRG | $439,112,428 | ||||
| Total Medicare Charges with ICD 3485 - Cerebral edema | $106,342,644 | ||||
| Avg Charges at DRG | $65,706 | ||||
| Avg Charges with ICD 3485 - Cerebral edema | $61,648 | ||||
| Mortality Rate at DRG | 47.12 | ||||
| Mortality Rate with ICD 3485 - Cerebral edema | 53.04 | ||||
| SNF Discharge Rate at DRG | 16.37 | ||||
| SNF Discharge Rate with ICD 3485 - Cerebral edema | 13.33 | ||||
| Home Discharge Rate at DRG | 9.49 | ||||
| Home Discharge Rate with ICD 3485 - Cerebral edema | 8.64 |
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 020: INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 145,433 | ||||
| Total Hospitalizations with ICD 3485 - Cerebral edema | 1,093 | ||||
| DRG Share of Total Hospitalizations | 0.64 | ||||
| % of Total ICD 3485 - Cerebral edema in DRG | 0.97 | ||||
| Avg LOS at DRG | 7.16 | ||||
| Avg LOS with ICD 3485 - Cerebral edema | 4.12 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD 3485 - Cerebral edema | 29.01 | ||||
| Unplanned Readmission Rate at DRG | 19.81 | ||||
| Unplanned Readmission Rate with ICD 3485 - Cerebral edema | 12.63 | ||||
| Total Medicare payments at DRG | $2,251,747,382 | ||||
| Total Medicare payments with ICD 3485 - Cerebral edema | $16,388,293 | ||||
| Total Medicare payment per Day at DRG | $2,163 | ||||
| Total Medicare payment per Day with ICD 3485 - Cerebral edema | $3,639 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,483 | ||||
| Total Medicare payment per Hospitalization with ICD 3485 - Cerebral edema | $14,994 | ||||
| Total Medicare Charges at DRG | $10,278,831,383 | ||||
| Total Medicare Charges with ICD 3485 - Cerebral edema | $62,799,605 | ||||
| Avg Charges at DRG | $70,677 | ||||
| Avg Charges with ICD 3485 - Cerebral edema | $57,456 | ||||
| Mortality Rate at DRG | 26.04 | ||||
| Mortality Rate with ICD 3485 - Cerebral edema | 69.44 | ||||
| SNF Discharge Rate at DRG | 18.71 | ||||
| SNF Discharge Rate with ICD 3485 - Cerebral edema | 5.86 | ||||
| Home Discharge Rate at DRG | 21.5 | ||||
| Home Discharge Rate with ICD 3485 - Cerebral edema | 6.04 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 786 |
| MEMORIAL HERMANN TEXAS MEDICAL CENTER | 6411 FANNIN ST | HOUSTON | TX | 77030 | 758 |
| INOVA FAIRFAX HOSPITAL | 3300 GALLOWS RD | FALLS CHURCH | VA | 22042 | 674 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ANDREW JOSEPH TSUNG | 530 NE GLEN OAK AVE | PEORIA | IL | 61637 | 110 |
| Dr. SCOTT R SHEPARD | 7777 SOUTHWEST FWY | HOUSTON | TX | 77074 | 79 |
| Dr. DAVID SUN | 210 E GRAY ST STE 1105 | LOUISVILLE | KY | 40202 | 78 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ANDREW JOSEPH TSUNG | 530 NE GLEN OAK AVE | PEORIA | IL | 61637 | 126 |
| Dr. SCOTT S JOHNSON | 929 N SAINT FRANCIS ST | WICHITA | KS | 67214 | 105 |
| Dr. ALI KRISHT | 5 SAINT VINCENT CIR | LITTLE ROCK | AR | 72205 | 99 |