*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G2581 - Restless legs syndrome - as a primary diagnosis code | G2581 - Restless legs syndrome - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.31 | |
| Readmission Rate (%) | 22.46 | |
| Unplanned Readmission Rate (%) | 11.72 | |
| 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 359,935 | |
| Total Hospitalizations with ICD G2581 - Restless legs syndrome | 202 | |
| DRG Share of Total Hospitalizations | 1.1 | |
| % of Total ICD G2581 - Restless legs syndrome in DRG | 70.63 | |
| Avg LOS at DRG | 12.3 | |
| Avg LOS with ICD G2581 - Restless legs syndrome | 2.84 | |
| Readmission Rate at DRG | 16.01 | |
| Readmission Rate with ICD G2581 - Restless legs syndrome | 18.32 | |
| Unplanned Readmission Rate at DRG | 9.86 | |
| Unplanned Readmission Rate with ICD G2581 - Restless legs syndrome | 11.52 | |
| Total Medicare payments at DRG | $5,883,826,653 | |
| Total Medicare payments with ICD G2581 - Restless legs syndrome | $1,259,753 | |
| Total Medicare payment per Day at DRG | $1,329 | |
| Total Medicare payment per Day with ICD G2581 - Restless legs syndrome | $2,195 | |
| Total Medicare payment per Hospitalization at DRG | $16,347 | |
| Total Medicare payment per Hospitalization with ICD G2581 - Restless legs syndrome | $6,236 | |
| Total Medicare Charges at DRG | $15,374,824,749 | |
| Total Medicare Charges with ICD G2581 - Restless legs syndrome | $5,106,049 | |
| Avg Charges at DRG | $42,716 | |
| Avg Charges with ICD G2581 - Restless legs syndrome | $25,277 | |
| Mortality Rate at DRG | 0.3 | |
| Mortality Rate with ICD G2581 - Restless legs syndrome | NA | |
| SNF Discharge Rate at DRG | 27.95 | |
| SNF Discharge Rate with ICD G2581 - Restless legs syndrome | 20.3 | |
| Home Discharge Rate at DRG | 26.85 | |
| Home Discharge Rate with ICD G2581 - Restless legs syndrome | 53.47 |
*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 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 885: PSYCHOSES | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD G2581 - Restless legs syndrome | 33,771 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD G2581 - Restless legs syndrome in DRG | 5.6 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD G2581 - Restless legs syndrome | 2.57 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD G2581 - Restless legs syndrome | 9.84 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD G2581 - Restless legs syndrome | 3.87 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD G2581 - Restless legs syndrome | $384,327,083 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD G2581 - Restless legs syndrome | $4,431 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD G2581 - Restless legs syndrome | $11,380 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD G2581 - Restless legs syndrome | $1,977,315,153 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD G2581 - Restless legs syndrome | $58,551 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD G2581 - Restless legs syndrome | 0.04 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD G2581 - Restless legs syndrome | 25.64 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD G2581 - Restless legs syndrome | 30.4 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD G2581 - Restless legs syndrome | 14,365 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD G2581 - Restless legs syndrome in DRG | 2.38 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD G2581 - Restless legs syndrome | 5.69 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD G2581 - Restless legs syndrome | 28.39 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD G2581 - Restless legs syndrome | 21.12 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD G2581 - Restless legs syndrome | $129,485,732 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD G2581 - Restless legs syndrome | $1,585 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD G2581 - Restless legs syndrome | $9,014 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD G2581 - Restless legs syndrome | $611,104,263 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD G2581 - Restless legs syndrome | $42,541 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD G2581 - Restless legs syndrome | 3.48 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD G2581 - Restless legs syndrome | 18.85 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD G2581 - Restless legs syndrome | 41.31 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD G2581 - Restless legs syndrome | 8,622 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD G2581 - Restless legs syndrome in DRG | 1.43 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD G2581 - Restless legs syndrome | 4.14 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD G2581 - Restless legs syndrome | 25.84 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD G2581 - Restless legs syndrome | 18.89 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD G2581 - Restless legs syndrome | $52,243,161 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD G2581 - Restless legs syndrome | $1,464 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD G2581 - Restless legs syndrome | $6,059 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD G2581 - Restless legs syndrome | $226,081,697 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD G2581 - Restless legs syndrome | $26,221 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD G2581 - Restless legs syndrome | 0.65 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD G2581 - Restless legs syndrome | 16.32 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD G2581 - Restless legs syndrome | 45.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD G2581 - Restless legs syndrome | 7,974 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD G2581 - Restless legs syndrome in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD G2581 - Restless legs syndrome | 3.75 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD G2581 - Restless legs syndrome | 24.03 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD G2581 - Restless legs syndrome | 19.16 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD G2581 - Restless legs syndrome | $44,379,311 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD G2581 - Restless legs syndrome | $1,484 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD G2581 - Restless legs syndrome | $5,566 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD G2581 - Restless legs syndrome | $213,080,091 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD G2581 - Restless legs syndrome | $26,722 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD G2581 - Restless legs syndrome | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD G2581 - Restless legs syndrome | 10.07 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD G2581 - Restless legs syndrome | 59.56 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 2,427 |
| ST. CLOUD HOSPITAL | 1406 6TH AVE NORTH | SAINT CLOUD | MN | 56303 | 1,933 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 1,743 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 247 |
| Dr. KENNETH ANDREW MARTIN | 8907 KANIS RD | LITTLE ROCK | AR | 72205 | 82 |
| Dr. GREGORY D RUDOLF | 1101 MADISON ST | SEATTLE | WA | 98104 | 79 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 341 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 265 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 155 |