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Percent of Medicare Enrollees with Cerebral Aneurysms Treated with Coiling, by Type of Aneurysm
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    • Type of Aneurysm:

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