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Percent of Medicare Enrollees with Cerebral Aneurysms Treated with Coiling, by Type of Aneurysm
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    Region
    (Click a region name
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    Percent of Medicare Enrollees with Cerebral Aneurysms Treated with Coiling, by Type of Aneurysm
    (Type of Aneurysm: Unruptured Aneurysm; Year: 2007-12; Region Levels: HRR)
    Anchorage, AK 49.7%
    Birmingham, AL 68.0%
    Dothan, AL na
    Huntsville, AL 70.9%
    Mobile, AL na
    Montgomery, AL na
    Tuscaloosa, AL na
    Fort Smith, AR na
    Jonesboro, AR na
    Little Rock, AR 53.7%
    Springdale, AR 56.6%
    Texarkana, AR na
    Mesa, AZ 52.8%
    Phoenix, AZ 60.5%
    Sun City, AZ 64.5%
    Tucson, AZ 68.2%
    Alameda County, CA na
    Bakersfield, CA 53.8%
    Chico, CA na
    Contra Costa County, CA 69.5%
    Fresno, CA na
    Los Angeles, CA 70.9%
    Modesto, CA 35.0%
    Napa, CA na
    Orange County, CA 75.6%
    Palm Springs/Rancho Mira, CA na
    Redding, CA 56.5%
    Sacramento, CA 58.5%
    Salinas, CA na
    San Bernardino, CA 57.9%
    San Diego, CA 47.5%
    San Francisco, CA na
    San Jose, CA 77.1%
    San Luis Obispo, CA 71.9%
    San Mateo County, CA na
    Santa Barbara, CA 79.3%
    Santa Cruz, CA na
    Santa Rosa, CA na
    Stockton, CA na
    Ventura, CA 83.5%
    Boulder, CO na
    Colorado Springs, CO 51.8%
    Denver, CO 59.5%
    Fort Collins, CO na
    Grand Junction, CO na
    Greeley, CO na
    Pueblo, CO na
    Bridgeport, CT na
    Hartford, CT 88.7%
    New Haven, CT 62.1%
    Washington, DC 51.8%
    Wilmington, DE 76.1%
    Bradenton, FL na
    Clearwater, FL na
    Fort Lauderdale, FL 87.9%
    Fort Myers, FL 75.6%
    Gainesville, FL na
    Hudson, FL 77.4%
    Jacksonville, FL 85.6%
    Lakeland, FL na
    Miami, FL 82.8%
    Ocala, FL 66.8%
    Orlando, FL 80.0%
    Ormond Beach, FL 87.0%
    Panama City, FL na
    Pensacola, FL 63.9%
    Sarasota, FL 62.5%
    St. Petersburg, FL 84.5%
    Tallahassee, FL na
    Tampa, FL 82.3%
    Albany, GA na
    Atlanta, GA 62.9%
    Augusta, GA na
    Columbus, GA na
    Macon, GA 91.1%
    Rome, GA na
    Savannah, GA 66.5%
    Honolulu, HI 82.2%
    Cedar Rapids, IA na
    Davenport, IA 94.6%
    Des Moines, IA 96.8%
    Dubuque, IA na
    Iowa City, IA 86.9%
    Mason City, IA na
    Sioux City, IA na
    Waterloo, IA na
    Boise, ID 68.4%
    Idaho Falls, ID na
    Aurora, IL 73.6%
    Bloomington, IL 94.5%
    Blue Island, IL 86.1%
    Chicago, IL 84.5%
    Elgin, IL 64.9%
    Evanston, IL 66.2%
    Hinsdale, IL 62.1%
    Joliet, IL 78.5%
    Melrose Park, IL 84.1%
    Peoria, IL 55.5%
    Rockford, IL na
    Springfield, IL 67.9%
    Urbana, IL na
    Evansville, IN 97.4%
    Fort Wayne, IN 88.5%
    Gary, IN 60.0%
    Indianapolis, IN 67.9%
    Lafayette, IN na
    Muncie, IN na
    Munster, IN na
    South Bend, IN na
    Terre Haute, IN na
    Topeka, KS na
    Wichita, KS 67.5%
    Covington, KY na
    Lexington, KY 81.1%
    Louisville, KY 90.6%
    Owensboro, KY na
    Paducah, KY 87.9%
    Alexandria, LA na
    Baton Rouge, LA 70.8%
    Houma, LA na
    Lafayette, LA 82.7%
    Lake Charles, LA na
    Metairie, LA na
    Monroe, LA na
    New Orleans, LA na
    Shreveport, LA na
    Slidell, LA na
    Boston, MA 59.3%
    Springfield, MA 78.9%
    Worcester, MA 81.0%
    Baltimore, MD 60.5%
    Salisbury, MD 56.5%
    Takoma Park, MD 76.5%
    Bangor, ME na
    Portland, ME 68.3%
    Ann Arbor, MI 70.3%
    Dearborn, MI na
    Detroit, MI 75.0%
    Flint, MI 54.0%
    Grand Rapids, MI 71.8%
    Kalamazoo, MI 69.3%
    Lansing, MI 91.8%
    Marquette, MI na
    Muskegon, MI na
    Petoskey, MI na
    Pontiac, MI 86.9%
    Royal Oak, MI 81.5%
    Saginaw, MI 61.6%
    St. Joseph, MI 79.7%
    Traverse City, MI na
    Duluth, MN 96.2%
    Minneapolis, MN 85.5%
    Rochester, MN na
    St. Cloud, MN na
    St. Paul, MN 67.5%
    Cape Girardeau, MO na
    Columbia, MO 57.2%
    Joplin, MO 86.5%
    Kansas City, MO 78.1%
    Springfield, MO 61.8%
    St. Louis, MO 85.0%
    Gulfport, MS na
    Hattiesburg, MS na
    Jackson, MS 76.3%
    Meridian, MS na
    Oxford, MS na
    Tupelo, MS na
    Billings, MT 65.9%
    Great Falls, MT na
    Missoula, MT na
    Durham, NC 70.1%
    Greenville, NC 64.3%
    Hickory, NC na
    Raleigh, NC 62.6%
    Wilmington, NC na
    Winston-Salem, NC 74.6%
    Lincoln, NE 91.9%
    Omaha, NE 88.3%
    Lebanon, NH na
    Manchester, NH 39.0%
    Camden, NJ 73.4%
    Hackensack, NJ 79.9%
    Morristown, NJ 87.4%
    New Brunswick, NJ 73.8%
    Newark, NJ 73.8%
    Paterson, NJ na
    Ridgewood, NJ na
    Albuquerque, NM na
    Las Vegas, NV 82.2%
    Reno, NV 75.9%
    Albany, NY 84.3%
    Binghamton, NY na
    Bronx, NY na
    Buffalo, NY 67.7%
    East Long Island, NY 65.1%
    Elmira, NY na
    Manhattan, NY 79.2%
    Rochester, NY na
    Syracuse, NY 74.3%
    White Plains, NY 70.1%
    National Average 71.0%
    90th Percentile 88.3%
    50th Percentile 74.4%
    10th Percentile 57.2%
        • FOOTNOTES:
        • After establishing our inclusion criteria, we examined the incidence of each event over time between 2007 and 2012. We assessed rates by each year individually. These rates were adjusted for changes in age, sex, and race occurring over time using the national standard Medicare population.

        • DENOMINATOR DEFINITION:
        • Unruptured aneurysms: ICD-9 diagnosis code 437.3
          Subarachnoid hemorrhage: ICD-9 diagnosis code 430.xx
          Not in the same index admission as:
          A. 094.87 (syphilitic aneurysm)
          B. 437.4 (cerebral arteritis), 437.5 (Moyamoya disease)
          C. 39.53, 92.30, 747.81 (AVM)
          D. 800.0-801.9, 803.0-804.9, 850.0-854.1, 873.0-873.9 (traumatic hemorrhage)

        • NUMERATOR DEFINITION:
        • ICD-9 procedure codes 39.52 and 88.41 (excluding 39.51 in same hospitalization)
          39.72, 39.79




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    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.