*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F5105 - Insomnia due to other mental disorder - as a primary diagnosis code | F5105 - Insomnia due to other mental disorder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.18 | |
| Readmission Rate (%) | 22.22 | |
| 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 F5105 - Insomnia due to other mental disorder | 14 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD F5105 - Insomnia due to other mental disorder in DRG | 100.0 |
| Avg LOS at DRG | 8.46 |
| Avg LOS with ICD F5105 - Insomnia due to other mental disorder | 5.29 |
| Readmission Rate at DRG | 20.55 |
| Readmission Rate with ICD F5105 - Insomnia due to other mental disorder | NA |
| Unplanned Readmission Rate at DRG | 10.87 |
| Unplanned Readmission Rate with ICD F5105 - Insomnia due to other mental disorder | NA |
| Total Medicare payments at DRG | $15,816,131 |
| Total Medicare payments with ICD F5105 - Insomnia due to other mental disorder | $86,113 |
| Total Medicare payment per Day at DRG | $868 |
| Total Medicare payment per Day with ICD F5105 - Insomnia due to other mental disorder | $1,164 |
| Total Medicare payment per Hospitalization at DRG | $7,346 |
| Total Medicare payment per Hospitalization with ICD F5105 - Insomnia due to other mental disorder | $6,151 |
| Total Medicare Charges at DRG | $74,052,226 |
| Total Medicare Charges with ICD F5105 - Insomnia due to other mental disorder | $327,725 |
| Avg Charges at DRG | $34,395 |
| Avg Charges with ICD F5105 - Insomnia due to other mental disorder | $23,409 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD F5105 - Insomnia due to other mental disorder | NA |
| SNF Discharge Rate at DRG | 11.98 |
| SNF Discharge Rate with ICD F5105 - Insomnia due to other mental disorder | NA |
| Home Discharge Rate at DRG | 65.21 |
| Home Discharge Rate with ICD F5105 - Insomnia due to other mental disorder | 85.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F5105 - Insomnia due to other mental disorder | 2,702 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F5105 - Insomnia due to other mental disorder in DRG | 43.48 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F5105 - Insomnia due to other mental disorder | 11.83 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F5105 - Insomnia due to other mental disorder | 23.36 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F5105 - Insomnia due to other mental disorder | 9.64 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F5105 - Insomnia due to other mental disorder | $24,875,698 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F5105 - Insomnia due to other mental disorder | $779 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F5105 - Insomnia due to other mental disorder | $9,206 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F5105 - Insomnia due to other mental disorder | $98,261,202 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F5105 - Insomnia due to other mental disorder | $36,366 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F5105 - Insomnia due to other mental disorder | 6.25 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F5105 - Insomnia due to other mental disorder | 79.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD F5105 - Insomnia due to other mental disorder | 91 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD F5105 - Insomnia due to other mental disorder in DRG | 1.46 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD F5105 - Insomnia due to other mental disorder | 8.14 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD F5105 - Insomnia due to other mental disorder | 17.44 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD F5105 - Insomnia due to other mental disorder | $549,185 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD F5105 - Insomnia due to other mental disorder | $741 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD F5105 - Insomnia due to other mental disorder | $6,035 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD F5105 - Insomnia due to other mental disorder | $2,224,531 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD F5105 - Insomnia due to other mental disorder | $24,445 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD F5105 - Insomnia due to other mental disorder | 84.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,840 | ||||
| Total Hospitalizations with ICD F5105 - Insomnia due to other mental disorder | 57 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD F5105 - Insomnia due to other mental disorder in DRG | 0.92 | ||||
| Avg LOS at DRG | 5.38 | ||||
| Avg LOS with ICD F5105 - Insomnia due to other mental disorder | 5.56 | ||||
| Readmission Rate at DRG | 22.47 | ||||
| Readmission Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| Unplanned Readmission Rate at DRG | 12.18 | ||||
| Unplanned Readmission Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| Total Medicare payments at DRG | $193,767,073 | ||||
| Total Medicare payments with ICD F5105 - Insomnia due to other mental disorder | $332,351 | ||||
| Total Medicare payment per Day at DRG | $1,033 | ||||
| Total Medicare payment per Day with ICD F5105 - Insomnia due to other mental disorder | $1,048 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,562 | ||||
| Total Medicare payment per Hospitalization with ICD F5105 - Insomnia due to other mental disorder | $5,831 | ||||
| Total Medicare Charges at DRG | $895,692,673 | ||||
| Total Medicare Charges with ICD F5105 - Insomnia due to other mental disorder | $1,162,550 | ||||
| Avg Charges at DRG | $25,709 | ||||
| Avg Charges with ICD F5105 - Insomnia due to other mental disorder | $20,396 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| SNF Discharge Rate at DRG | 12.88 | ||||
| SNF Discharge Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| Home Discharge Rate at DRG | 62.18 | ||||
| Home Discharge Rate with ICD F5105 - Insomnia due to other mental disorder | 66.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | 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 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,451 | ||||
| Total Hospitalizations with ICD F5105 - Insomnia due to other mental disorder | 42 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD F5105 - Insomnia due to other mental disorder in DRG | 0.68 | ||||
| Avg LOS at DRG | 7.27 | ||||
| Avg LOS with ICD F5105 - Insomnia due to other mental disorder | 8.43 | ||||
| Readmission Rate at DRG | 20.53 | ||||
| Readmission Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| Unplanned Readmission Rate at DRG | 10.81 | ||||
| Unplanned Readmission Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| Total Medicare payments at DRG | $122,713,938 | ||||
| Total Medicare payments with ICD F5105 - Insomnia due to other mental disorder | $288,196 | ||||
| Total Medicare payment per Day at DRG | $751 | ||||
| Total Medicare payment per Day with ICD F5105 - Insomnia due to other mental disorder | $814 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,466 | ||||
| Total Medicare payment per Hospitalization with ICD F5105 - Insomnia due to other mental disorder | $6,862 | ||||
| Total Medicare Charges at DRG | $442,340,377 | ||||
| Total Medicare Charges with ICD F5105 - Insomnia due to other mental disorder | $898,359 | ||||
| Avg Charges at DRG | $19,702 | ||||
| Avg Charges with ICD F5105 - Insomnia due to other mental disorder | $21,390 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| SNF Discharge Rate at DRG | 3.92 | ||||
| SNF Discharge Rate with ICD F5105 - Insomnia due to other mental disorder | NA | ||||
| Home Discharge Rate at DRG | 84.46 | ||||
| Home Discharge Rate with ICD F5105 - Insomnia due to other mental disorder | 85.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CENTRAL DESERT BEHAVIORAL HEALTH CENTER | 239 ELM NEST | ALBUQUERQUE | NM | 87102 | 428 |
| JOHNSON CITY MEDICAL CENTER | 400 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 353 |
| SHARP MESA VISTA HOSPITAL | 7850 VISTA HILL AVE | SAN DIEGO | CA | 92123 | 279 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAKESHKUMAR BHAGWANDAS PATEL | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 291 |
| Dr. RAJESH SHIVAJI KADAM | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 154 |
| Dr. TERRY C BOREL | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 65 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BABAK B. MIRIN | 3500 COMANCHE RD NE | ALBUQUERQUE | NM | 87107 | 377 |
| Dr. RAKESHKUMAR BHAGWANDAS PATEL | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 295 |
| Dr. RAJESH SHIVAJI KADAM | 403 N STATE OF FRANKLIN RD | JOHNSON CITY | TN | 37604 | 158 |