*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F5101 - Primary insomnia - as a primary diagnosis code | F5101 - Primary insomnia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.02 | |
| Readmission Rate (%) | 19.84 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 887: OTHER MENTAL DISORDER DIAGNOSES | |
|---|---|
| Total Hospitalizations at DRG | 2,153 |
| Total Hospitalizations with ICD F5101 - Primary insomnia | 17 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD F5101 - Primary insomnia in DRG | 94.44 |
| Avg LOS at DRG | 8.46 |
| Avg LOS with ICD F5101 - Primary insomnia | 4.35 |
| Readmission Rate at DRG | 20.55 |
| Readmission Rate with ICD F5101 - Primary insomnia | NA |
| Unplanned Readmission Rate at DRG | 10.87 |
| Unplanned Readmission Rate with ICD F5101 - Primary insomnia | NA |
| Total Medicare payments at DRG | $15,816,131 |
| Total Medicare payments with ICD F5101 - Primary insomnia | $73,643 |
| Total Medicare payment per Day at DRG | $868 |
| Total Medicare payment per Day with ICD F5101 - Primary insomnia | $995 |
| Total Medicare payment per Hospitalization at DRG | $7,346 |
| Total Medicare payment per Hospitalization with ICD F5101 - Primary insomnia | $4,332 |
| Total Medicare Charges at DRG | $74,052,226 |
| Total Medicare Charges with ICD F5101 - Primary insomnia | $271,438 |
| Avg Charges at DRG | $34,395 |
| Avg Charges with ICD F5101 - Primary insomnia | $15,967 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD F5101 - Primary insomnia | NA |
| SNF Discharge Rate at DRG | 11.98 |
| SNF Discharge Rate with ICD F5101 - Primary insomnia | NA |
| Home Discharge Rate at DRG | 65.21 |
| Home Discharge Rate with ICD F5101 - Primary insomnia | 88.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD F5101 - Primary insomnia | 1,120 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD F5101 - Primary insomnia in DRG | 8.72 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD F5101 - Primary insomnia | 2.32 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD F5101 - Primary insomnia | 7.28 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD F5101 - Primary insomnia | 3.36 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD F5101 - Primary insomnia | $12,727,647 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD F5101 - Primary insomnia | $4,891 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD F5101 - Primary insomnia | $11,364 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD F5101 - Primary insomnia | $59,882,659 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD F5101 - Primary insomnia | $53,467 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD F5101 - Primary insomnia | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD F5101 - Primary insomnia | 21.79 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD F5101 - Primary insomnia | 39.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD F5101 - Primary insomnia | 243 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD F5101 - Primary insomnia in DRG | 1.89 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD F5101 - Primary insomnia | 14.26 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD F5101 - Primary insomnia | 15.79 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD F5101 - Primary insomnia | 7.46 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD F5101 - Primary insomnia | $4,381,121 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD F5101 - Primary insomnia | $1,264 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD F5101 - Primary insomnia | $18,029 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD F5101 - Primary insomnia | $10,390,803 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD F5101 - Primary insomnia | $42,761 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD F5101 - Primary insomnia | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD F5101 - Primary insomnia | 28.81 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD F5101 - Primary insomnia | 29.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD F5101 - Primary insomnia | 162 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD F5101 - Primary insomnia in DRG | 1.26 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD F5101 - Primary insomnia | 5.35 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD F5101 - Primary insomnia | 14.84 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD F5101 - Primary insomnia | 10.97 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD F5101 - Primary insomnia | $1,003,454 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD F5101 - Primary insomnia | $1,157 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD F5101 - Primary insomnia | $6,194 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD F5101 - Primary insomnia | $4,918,389 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD F5101 - Primary insomnia | $30,360 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD F5101 - Primary insomnia | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD F5101 - Primary insomnia | 14.2 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD F5101 - Primary insomnia | 57.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD F5101 - Primary insomnia | 136 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD F5101 - Primary insomnia in DRG | 1.06 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD F5101 - Primary insomnia | 3.6 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD F5101 - Primary insomnia | 20.3 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD F5101 - Primary insomnia | 12.03 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD F5101 - Primary insomnia | $700,768 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD F5101 - Primary insomnia | $1,430 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD F5101 - Primary insomnia | $5,153 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD F5101 - Primary insomnia | $2,820,287 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD F5101 - Primary insomnia | $20,737 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD F5101 - Primary insomnia | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD F5101 - Primary insomnia | 26.47 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD F5101 - Primary insomnia | 40.44 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 478 |
| GLENBEIGH HEALTH SOURCES | 2863 STATE ROUTE 45 N | ROCK CREEK | OH | 44084 | 358 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 313 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER L ADELMAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 277 |
| Dr. JOSEPH LYDON | 2737 YOUNGSTOWN RD SE | WARREN | OH | 44484 | 81 |
| Dr. THEODORE V PARRAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 55 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTOPHER L ADELMAN | 2351 E 22ND ST | CLEVELAND | OH | 44115 | 277 |
| Dr. JOSEPH LYDON | 2737 YOUNGSTOWN RD SE | WARREN | OH | 44484 | 81 |
| Dr. MICHAEL ANTHONY BELL | 100A E PLEASANT ST | MILWAUKEE | WI | 53212 | 65 |