*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F5104 - Psychophysiologic insomnia - as a primary diagnosis code | F5104 - Psychophysiologic insomnia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.78 | |
| Readmission Rate (%) | 20.55 | |
| 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 F5104 - Psychophysiologic insomnia | 34 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD F5104 - Psychophysiologic insomnia in DRG | 100.0 |
| Avg LOS at DRG | 8.46 |
| Avg LOS with ICD F5104 - Psychophysiologic insomnia | 3.91 |
| Readmission Rate at DRG | 20.55 |
| Readmission Rate with ICD F5104 - Psychophysiologic insomnia | NA |
| Unplanned Readmission Rate at DRG | 10.87 |
| Unplanned Readmission Rate with ICD F5104 - Psychophysiologic insomnia | NA |
| Total Medicare payments at DRG | $15,816,131 |
| Total Medicare payments with ICD F5104 - Psychophysiologic insomnia | $221,631 |
| Total Medicare payment per Day at DRG | $868 |
| Total Medicare payment per Day with ICD F5104 - Psychophysiologic insomnia | $1,666 |
| Total Medicare payment per Hospitalization at DRG | $7,346 |
| Total Medicare payment per Hospitalization with ICD F5104 - Psychophysiologic insomnia | $6,519 |
| Total Medicare Charges at DRG | $74,052,226 |
| Total Medicare Charges with ICD F5104 - Psychophysiologic insomnia | $752,372 |
| Avg Charges at DRG | $34,395 |
| Avg Charges with ICD F5104 - Psychophysiologic insomnia | $22,129 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD F5104 - Psychophysiologic insomnia | NA |
| SNF Discharge Rate at DRG | 11.98 |
| SNF Discharge Rate with ICD F5104 - Psychophysiologic insomnia | NA |
| Home Discharge Rate at DRG | 65.21 |
| Home Discharge Rate with ICD F5104 - Psychophysiologic insomnia | 76.47 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD F5104 - Psychophysiologic insomnia | 1,774 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD F5104 - Psychophysiologic insomnia in DRG | 5.61 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD F5104 - Psychophysiologic insomnia | 2.58 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD F5104 - Psychophysiologic insomnia | 9.53 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD F5104 - Psychophysiologic insomnia | 3.72 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD F5104 - Psychophysiologic insomnia | $20,220,232 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD F5104 - Psychophysiologic insomnia | $4,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD F5104 - Psychophysiologic insomnia | $11,398 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD F5104 - Psychophysiologic insomnia | $105,578,256 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD F5104 - Psychophysiologic insomnia | $59,514 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD F5104 - Psychophysiologic insomnia | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD F5104 - Psychophysiologic insomnia | 28.18 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD F5104 - Psychophysiologic insomnia | 26.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD F5104 - Psychophysiologic insomnia | 629 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD F5104 - Psychophysiologic insomnia in DRG | 1.99 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD F5104 - Psychophysiologic insomnia | 6.02 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD F5104 - Psychophysiologic insomnia | 19.86 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD F5104 - Psychophysiologic insomnia | 14.34 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD F5104 - Psychophysiologic insomnia | $5,714,856 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD F5104 - Psychophysiologic insomnia | $1,509 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD F5104 - Psychophysiologic insomnia | $9,086 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD F5104 - Psychophysiologic insomnia | $28,667,174 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD F5104 - Psychophysiologic insomnia | $45,576 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD F5104 - Psychophysiologic insomnia | 3.5 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD F5104 - Psychophysiologic insomnia | 16.22 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD F5104 - Psychophysiologic insomnia | 44.36 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD F5104 - Psychophysiologic insomnia | 419 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD F5104 - Psychophysiologic insomnia in DRG | 1.33 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD F5104 - Psychophysiologic insomnia | 4.36 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD F5104 - Psychophysiologic insomnia | 16.58 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD F5104 - Psychophysiologic insomnia | 11.73 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD F5104 - Psychophysiologic insomnia | $2,773,369 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD F5104 - Psychophysiologic insomnia | $1,520 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD F5104 - Psychophysiologic insomnia | $6,619 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD F5104 - Psychophysiologic insomnia | $14,265,589 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD F5104 - Psychophysiologic insomnia | $34,047 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD F5104 - Psychophysiologic insomnia | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD F5104 - Psychophysiologic insomnia | 19.33 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD F5104 - Psychophysiologic insomnia | 54.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD F5104 - Psychophysiologic insomnia | 356 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD F5104 - Psychophysiologic insomnia in DRG | 1.13 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD F5104 - Psychophysiologic insomnia | 4.47 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD F5104 - Psychophysiologic insomnia | 24.4 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD F5104 - Psychophysiologic insomnia | 16.27 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD F5104 - Psychophysiologic insomnia | $2,235,279 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD F5104 - Psychophysiologic insomnia | $1,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD F5104 - Psychophysiologic insomnia | $6,279 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD F5104 - Psychophysiologic insomnia | $10,024,823 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD F5104 - Psychophysiologic insomnia | $28,160 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD F5104 - Psychophysiologic insomnia | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD F5104 - Psychophysiologic insomnia | 21.07 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD F5104 - Psychophysiologic insomnia | 39.89 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PARK NICOLLET METHODIST HOSPITAL | 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 463 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 242 |
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 220 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HERBERT MORTON BERTRAM | 1009 CROSSPOINTE DR | NAPLES | FL | 34110 | 59 |
| Dr. LEON PAUL MEAD | 730 GOODLETTE RD N | NAPLES | FL | 34102 | 57 |
| Dr. G STEVEN CHESSER | 700 SUNSET DR | ATHENS | GA | 30606 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SERGIO ZAMORA | 2450 EL INDIO HWY | EAGLE PASS | TX | 78852 | 70 |
| Dr. HERBERT MORTON BERTRAM | 1009 CROSSPOINTE DR | NAPLES | FL | 34110 | 59 |
| Dr. TIMOTHY M MURPHREE | 160 HAROLD FLEMING CT | SPARTANBURG | SC | 29303 | 58 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
| 2 | E785 | Hyperlipidemia, unspecified |
| 3 | I10 | Essential (primary) hypertension |