*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G4710 - Hypersomnia, unspecified - as a primary diagnosis code | G4710 - Hypersomnia, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.85 | |
| Readmission Rate (%) | 23.31 | |
| 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 G4710 - Hypersomnia, unspecified | 114 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD G4710 - Hypersomnia, unspecified in DRG | 98.28 |
| Avg LOS at DRG | 8.46 |
| Avg LOS with ICD G4710 - Hypersomnia, unspecified | 2.8 |
| Readmission Rate at DRG | 20.55 |
| Readmission Rate with ICD G4710 - Hypersomnia, unspecified | 16.82 |
| Unplanned Readmission Rate at DRG | 10.87 |
| Unplanned Readmission Rate with ICD G4710 - Hypersomnia, unspecified | NA |
| Total Medicare payments at DRG | $15,816,131 |
| Total Medicare payments with ICD G4710 - Hypersomnia, unspecified | $621,110 |
| Total Medicare payment per Day at DRG | $868 |
| Total Medicare payment per Day with ICD G4710 - Hypersomnia, unspecified | $1,947 |
| Total Medicare payment per Hospitalization at DRG | $7,346 |
| Total Medicare payment per Hospitalization with ICD G4710 - Hypersomnia, unspecified | $5,448 |
| Total Medicare Charges at DRG | $74,052,226 |
| Total Medicare Charges with ICD G4710 - Hypersomnia, unspecified | $2,991,531 |
| Avg Charges at DRG | $34,395 |
| Avg Charges with ICD G4710 - Hypersomnia, unspecified | $26,242 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD G4710 - Hypersomnia, unspecified | NA |
| SNF Discharge Rate at DRG | 11.98 |
| SNF Discharge Rate with ICD G4710 - Hypersomnia, unspecified | 22.81 |
| Home Discharge Rate at DRG | 65.21 |
| Home Discharge Rate with ICD G4710 - Hypersomnia, unspecified | 49.12 |
*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 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD G4710 - Hypersomnia, unspecified | 1,060 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD G4710 - Hypersomnia, unspecified in DRG | 6.81 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD G4710 - Hypersomnia, unspecified | 13.06 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD G4710 - Hypersomnia, unspecified | 24.28 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD G4710 - Hypersomnia, unspecified | 12.54 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD G4710 - Hypersomnia, unspecified | $10,490,179 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD G4710 - Hypersomnia, unspecified | $758 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD G4710 - Hypersomnia, unspecified | $9,896 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD G4710 - Hypersomnia, unspecified | $39,710,537 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD G4710 - Hypersomnia, unspecified | $37,463 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD G4710 - Hypersomnia, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD G4710 - Hypersomnia, unspecified | 6.04 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD G4710 - Hypersomnia, unspecified | 78.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD G4710 - Hypersomnia, unspecified | 337 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD G4710 - Hypersomnia, unspecified in DRG | 2.17 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD G4710 - Hypersomnia, unspecified | 5.54 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD G4710 - Hypersomnia, unspecified | 26.9 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD G4710 - Hypersomnia, unspecified | 22.15 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD G4710 - Hypersomnia, unspecified | $2,282,962 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD G4710 - Hypersomnia, unspecified | $1,223 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD G4710 - Hypersomnia, unspecified | $6,774 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD G4710 - Hypersomnia, unspecified | $14,338,595 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD G4710 - Hypersomnia, unspecified | $42,548 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD G4710 - Hypersomnia, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD G4710 - Hypersomnia, unspecified | 16.91 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD G4710 - Hypersomnia, unspecified | 47.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD G4710 - Hypersomnia, unspecified | 199 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD G4710 - Hypersomnia, unspecified in DRG | 1.28 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD G4710 - Hypersomnia, unspecified | 8.19 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD G4710 - Hypersomnia, unspecified | 35.2 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD G4710 - Hypersomnia, unspecified | 13.97 | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD G4710 - Hypersomnia, unspecified | $2,218,067 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD G4710 - Hypersomnia, unspecified | $1,362 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD G4710 - Hypersomnia, unspecified | $11,146 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD G4710 - Hypersomnia, unspecified | $14,144,230 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD G4710 - Hypersomnia, unspecified | $71,077 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD G4710 - Hypersomnia, unspecified | 7.04 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD G4710 - Hypersomnia, unspecified | 38.69 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD G4710 - Hypersomnia, unspecified | 14.07 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD G4710 - Hypersomnia, unspecified | 170 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD G4710 - Hypersomnia, unspecified in DRG | 1.09 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD G4710 - Hypersomnia, unspecified | 5.1 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD G4710 - Hypersomnia, unspecified | 18.9 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD G4710 - Hypersomnia, unspecified | 9.76 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD G4710 - Hypersomnia, unspecified | $1,154,787 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD G4710 - Hypersomnia, unspecified | $1,332 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD G4710 - Hypersomnia, unspecified | $6,793 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD G4710 - Hypersomnia, unspecified | $6,202,971 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD G4710 - Hypersomnia, unspecified | $36,488 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD G4710 - Hypersomnia, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD G4710 - Hypersomnia, unspecified | 22.94 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD G4710 - Hypersomnia, unspecified | 46.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. JOSEPHS COMMUNITY HOSPITAL OF WEST BEND | 3200 PLEASANT VALLEY RD | WEST BEND | WI | 53095 | 143 |
| SINAI-GRACE HOSPITAL | 6071 W OUTER DR | DETROIT | MI | 48235 | 136 |
| PARKWEST MEDICAL CENTER | 9352 PARKWEST BLVD | KNOXVILLE | TN | 37923 | 80 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY I MULLIN | 1700 W PARADISE DR | WEST BEND | WI | 53095 | 11 |
| Dr. PATRICIA M HAIBACH | 601 SOUTH EIGHT STREET - HOSPITAL MEDICINE DEPARTMENT | GRIFFIN | GA | 30224 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 39 |
| Dr. DONNA GAIL MCKENZIE | 1331 S LOCUST AVE | LAWRENCEBURG | TN | 38464 | 35 |
| Dr. NAEEM A QURESHI | 112 AIRWAY DR | MARION | IL | 62959 | 22 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | G4733 | Obstructive sleep apnea (adult) (pediatric) |
| 2 | E785 | Hyperlipidemia, unspecified |
| 3 | I10 | Essential (primary) hypertension |