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