*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G4700 - Insomnia, unspecified - as a primary diagnosis code | G4700 - Insomnia, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.53 | |
| Readmission Rate (%) | 22.56 | |
| Unplanned Readmission Rate (%) | 14.55 | |
| 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 G4700 - Insomnia, unspecified | 347 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD G4700 - Insomnia, unspecified in DRG | 99.14 |
| Avg LOS at DRG | 8.46 |
| Avg LOS with ICD G4700 - Insomnia, unspecified | 3.35 |
| Readmission Rate at DRG | 20.55 |
| Readmission Rate with ICD G4700 - Insomnia, unspecified | 22.02 |
| Unplanned Readmission Rate at DRG | 10.87 |
| Unplanned Readmission Rate with ICD G4700 - Insomnia, unspecified | 14.07 |
| Total Medicare payments at DRG | $15,816,131 |
| Total Medicare payments with ICD G4700 - Insomnia, unspecified | $2,019,593 |
| Total Medicare payment per Day at DRG | $868 |
| Total Medicare payment per Day with ICD G4700 - Insomnia, unspecified | $1,738 |
| Total Medicare payment per Hospitalization at DRG | $7,346 |
| Total Medicare payment per Hospitalization with ICD G4700 - Insomnia, unspecified | $5,820 |
| Total Medicare Charges at DRG | $74,052,226 |
| Total Medicare Charges with ICD G4700 - Insomnia, unspecified | $8,363,127 |
| Avg Charges at DRG | $34,395 |
| Avg Charges with ICD G4700 - Insomnia, unspecified | $24,101 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD G4700 - Insomnia, unspecified | NA |
| SNF Discharge Rate at DRG | 11.98 |
| SNF Discharge Rate with ICD G4700 - Insomnia, unspecified | 12.97 |
| Home Discharge Rate at DRG | 65.21 |
| Home Discharge Rate with ICD G4700 - Insomnia, unspecified | 57.64 |
*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 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD G4700 - Insomnia, unspecified | 103,453 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD G4700 - Insomnia, unspecified in DRG | 10.7 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD G4700 - Insomnia, unspecified | 12.26 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD G4700 - Insomnia, unspecified | 26.73 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD G4700 - Insomnia, unspecified | 12.6 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD G4700 - Insomnia, unspecified | $952,230,206 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD G4700 - Insomnia, unspecified | $751 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD G4700 - Insomnia, unspecified | $9,204 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD G4700 - Insomnia, unspecified | $3,274,349,616 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD G4700 - Insomnia, unspecified | $31,651 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD G4700 - Insomnia, unspecified | 0.04 | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD G4700 - Insomnia, unspecified | 7.19 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD G4700 - Insomnia, unspecified | 79.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD G4700 - Insomnia, unspecified | 16,428 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD G4700 - Insomnia, unspecified in DRG | 1.7 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD G4700 - Insomnia, unspecified | 5.38 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD G4700 - Insomnia, unspecified | 24.05 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD G4700 - Insomnia, unspecified | 18.89 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD G4700 - Insomnia, unspecified | $125,819,176 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD G4700 - Insomnia, unspecified | $1,423 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD G4700 - Insomnia, unspecified | $7,659 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD G4700 - Insomnia, unspecified | $647,318,259 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD G4700 - Insomnia, unspecified | $39,403 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD G4700 - Insomnia, unspecified | 0.97 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD G4700 - Insomnia, unspecified | 15.0 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD G4700 - Insomnia, unspecified | 50.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD G4700 - Insomnia, unspecified | 11,600 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD G4700 - Insomnia, unspecified in DRG | 1.2 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD G4700 - Insomnia, unspecified | 4.02 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD G4700 - Insomnia, unspecified | 19.51 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD G4700 - Insomnia, unspecified | 13.62 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD G4700 - Insomnia, unspecified | $59,578,573 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD G4700 - Insomnia, unspecified | $1,277 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD G4700 - Insomnia, unspecified | $5,136 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD G4700 - Insomnia, unspecified | $303,361,718 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD G4700 - Insomnia, unspecified | $26,152 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD G4700 - Insomnia, unspecified | 0.22 | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD G4700 - Insomnia, unspecified | 26.53 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD G4700 - Insomnia, unspecified | 41.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD G4700 - Insomnia, unspecified | 10,975 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD G4700 - Insomnia, unspecified in DRG | 1.14 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD G4700 - Insomnia, unspecified | 14.59 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD G4700 - Insomnia, unspecified | 21.1 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD G4700 - Insomnia, unspecified | 12.12 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD G4700 - Insomnia, unspecified | $135,404,460 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD G4700 - Insomnia, unspecified | $846 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD G4700 - Insomnia, unspecified | $12,338 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD G4700 - Insomnia, unspecified | $431,467,644 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD G4700 - Insomnia, unspecified | $39,314 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD G4700 - Insomnia, unspecified | 0.41 | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD G4700 - Insomnia, unspecified | 39.05 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD G4700 - Insomnia, unspecified | 29.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 4,225 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 3,216 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 3,121 |
| 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 | 3,206 |
| Dr. GADSON JOHN JOHNSON | 701 SANTA MONICA BLVD | SANTA MONICA | CA | 90401 | 763 |
| Dr. GREGORY D RUDOLF | 1101 MADISON ST | SEATTLE | WA | 98104 | 564 |
| 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 | 3,692 |
| Dr. KEVIN BERNSTEIN | 7010 SMOKE RANCH RD STE 120 | LAS VEGAS | NV | 89128 | 1,453 |
| Dr. WITOLD PAWEL CZERWINSKI | 1215 SIDNEY ST | BATESVILLE | AR | 72501 | 807 |