*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G4709 - Other insomnia - as a primary diagnosis code | G4709 - Other insomnia - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.68 | |
| Readmission Rate (%) | 22.95 | |
| 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 G4709 - Other insomnia | 30 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD G4709 - Other insomnia in DRG | 100.0 |
| Avg LOS at DRG | 8.46 |
| Avg LOS with ICD G4709 - Other insomnia | 3.57 |
| Readmission Rate at DRG | 20.55 |
| Readmission Rate with ICD G4709 - Other insomnia | NA |
| Unplanned Readmission Rate at DRG | 10.87 |
| Unplanned Readmission Rate with ICD G4709 - Other insomnia | NA |
| Total Medicare payments at DRG | $15,816,131 |
| Total Medicare payments with ICD G4709 - Other insomnia | $166,571 |
| Total Medicare payment per Day at DRG | $868 |
| Total Medicare payment per Day with ICD G4709 - Other insomnia | $1,557 |
| Total Medicare payment per Hospitalization at DRG | $7,346 |
| Total Medicare payment per Hospitalization with ICD G4709 - Other insomnia | $5,552 |
| Total Medicare Charges at DRG | $74,052,226 |
| Total Medicare Charges with ICD G4709 - Other insomnia | $645,874 |
| Avg Charges at DRG | $34,395 |
| Avg Charges with ICD G4709 - Other insomnia | $21,529 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD G4709 - Other insomnia | NA |
| SNF Discharge Rate at DRG | 11.98 |
| SNF Discharge Rate with ICD G4709 - Other insomnia | NA |
| Home Discharge Rate at DRG | 65.21 |
| Home Discharge Rate with ICD G4709 - Other insomnia | 70.0 |
*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 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | 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 G4709 - Other insomnia | 1,078 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD G4709 - Other insomnia in DRG | 13.75 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD G4709 - Other insomnia | 12.46 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD G4709 - Other insomnia | 25.94 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD G4709 - Other insomnia | 13.02 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD G4709 - Other insomnia | $9,943,603 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD G4709 - Other insomnia | $740 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD G4709 - Other insomnia | $9,224 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD G4709 - Other insomnia | $36,050,557 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD G4709 - Other insomnia | $33,442 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD G4709 - Other insomnia | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD G4709 - Other insomnia | 7.7 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD G4709 - Other insomnia | 75.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD G4709 - Other insomnia | 162 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD G4709 - Other insomnia in DRG | 2.07 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD G4709 - Other insomnia | 6.5 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD G4709 - Other insomnia | 33.57 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD G4709 - Other insomnia | 25.17 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD G4709 - Other insomnia | $1,702,971 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD G4709 - Other insomnia | $1,617 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD G4709 - Other insomnia | $10,512 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD G4709 - Other insomnia | $6,955,860 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD G4709 - Other insomnia | $42,937 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD G4709 - Other insomnia | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD G4709 - Other insomnia | 17.9 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD G4709 - Other insomnia | 34.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD G4709 - Other insomnia | 98 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD G4709 - Other insomnia in DRG | 1.25 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD G4709 - Other insomnia | 15.4 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD G4709 - Other insomnia | 20.24 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD G4709 - Other insomnia | 14.29 | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD G4709 - Other insomnia | $2,299,386 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD G4709 - Other insomnia | $1,524 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD G4709 - Other insomnia | $23,463 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD G4709 - Other insomnia | $5,194,120 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD G4709 - Other insomnia | $53,001 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD G4709 - Other insomnia | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD G4709 - Other insomnia | 23.47 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD G4709 - Other insomnia | 25.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD G4709 - Other insomnia | 78 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD G4709 - Other insomnia in DRG | 0.99 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD G4709 - Other insomnia | 5.71 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD G4709 - Other insomnia | 22.97 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD G4709 - Other insomnia | 17.57 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD G4709 - Other insomnia | $806,215 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD G4709 - Other insomnia | $1,812 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD G4709 - Other insomnia | $10,336 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD G4709 - Other insomnia | $2,920,293 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD G4709 - Other insomnia | $37,440 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD G4709 - Other insomnia | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD G4709 - Other insomnia | 19.23 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD G4709 - Other insomnia | 38.46 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LANCASTER REHABILITATION HOSPITAL | 675 GOOD DRIVE | LANCASTER | PA | 17601 | 422 |
| MERCY HEALTH - LORAIN HOSPITAL | 3700 KOLBE RD | LORAIN | OH | 44053 | 215 |
| HOSPITAL METROPOLITANO DE LA MONTANA | CALLE ISAAC GONZALEZ | UTUADO | PR | 00641 | 135 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MELISSA BRANDON WEIMER | 3181 SW SAM JACKSON PARK RD | PORTLAND | OR | 97239 | 40 |
| Dr. SHAMAS MOHEYUDDIN | 3120 PROFESSIONAL DR | ANN ARBOR | MI | 48104 | 15 |
| Dr. MOHAN RAJ KARKI | 200 ELM ST N | ONAMIA | MN | 56359 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DEAN M GODFREY | 1603 W MCGALLIARD AVE | TRENTON | NJ | 08610 | 254 |
| Dr. HEATHER R SCULLIN | 3700 KOLBE RD | LORAIN | OH | 44053 | 194 |
| Dr. MILLAN JAVIER GARCIA | HOSPITAL CAYETANO COLL Y TOSTE | ARECIBO | PR | 00612 | 87 |