*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G4730 - Sleep apnea, unspecified - as a primary diagnosis code | G4730 - Sleep apnea, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.63 | |
| Readmission Rate (%) | 20.14 | |
| Unplanned Readmission Rate (%) | 12.09 | |
| 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 155: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 154: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 156: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 13,587 | ||
| Total Hospitalizations with ICD G4730 - Sleep apnea, unspecified | 89 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD G4730 - Sleep apnea, unspecified in DRG | 45.88 | ||
| Avg LOS at DRG | 3.62 | ||
| Avg LOS with ICD G4730 - Sleep apnea, unspecified | 2.97 | ||
| Readmission Rate at DRG | 16.1 | ||
| Readmission Rate with ICD G4730 - Sleep apnea, unspecified | 13.41 | ||
| Unplanned Readmission Rate at DRG | 10.91 | ||
| Unplanned Readmission Rate with ICD G4730 - Sleep apnea, unspecified | NA | ||
| Total Medicare payments at DRG | $76,567,952 | ||
| Total Medicare payments with ICD G4730 - Sleep apnea, unspecified | $453,926 | ||
| Total Medicare payment per Day at DRG | $1,558 | ||
| Total Medicare payment per Day with ICD G4730 - Sleep apnea, unspecified | $1,719 | ||
| Total Medicare payment per Hospitalization at DRG | $5,635 | ||
| Total Medicare payment per Hospitalization with ICD G4730 - Sleep apnea, unspecified | $5,100 | ||
| Total Medicare Charges at DRG | $413,036,189 | ||
| Total Medicare Charges with ICD G4730 - Sleep apnea, unspecified | $2,454,934 | ||
| Avg Charges at DRG | $30,399 | ||
| Avg Charges with ICD G4730 - Sleep apnea, unspecified | $27,584 | ||
| Mortality Rate at DRG | 0.38 | ||
| Mortality Rate with ICD G4730 - Sleep apnea, unspecified | NA | ||
| SNF Discharge Rate at DRG | 19.94 | ||
| SNF Discharge Rate with ICD G4730 - Sleep apnea, unspecified | 14.61 | ||
| Home Discharge Rate at DRG | 54.58 | ||
| Home Discharge Rate with ICD G4730 - Sleep apnea, unspecified | 58.43 |
*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 G4730 - Sleep apnea, unspecified | 56,687 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD G4730 - Sleep apnea, unspecified in DRG | 9.3 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD G4730 - Sleep apnea, unspecified | 2.31 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD G4730 - Sleep apnea, unspecified | 7.88 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD G4730 - Sleep apnea, unspecified | 3.22 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD G4730 - Sleep apnea, unspecified | $634,752,683 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD G4730 - Sleep apnea, unspecified | $4,840 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD G4730 - Sleep apnea, unspecified | $11,198 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD G4730 - Sleep apnea, unspecified | $3,418,663,609 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD G4730 - Sleep apnea, unspecified | $60,308 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD G4730 - Sleep apnea, unspecified | 0.02 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD G4730 - Sleep apnea, unspecified | 20.09 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD G4730 - Sleep apnea, unspecified | 33.75 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD G4730 - Sleep apnea, unspecified | 10,082 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD G4730 - Sleep apnea, unspecified in DRG | 1.65 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD G4730 - Sleep apnea, unspecified | 5.31 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD G4730 - Sleep apnea, unspecified | 27.69 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD G4730 - Sleep apnea, unspecified | 21.24 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD G4730 - Sleep apnea, unspecified | $86,315,097 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD G4730 - Sleep apnea, unspecified | $1,613 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD G4730 - Sleep apnea, unspecified | $8,561 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD G4730 - Sleep apnea, unspecified | $415,196,091 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD G4730 - Sleep apnea, unspecified | $41,182 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD G4730 - Sleep apnea, unspecified | 3.33 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD G4730 - Sleep apnea, unspecified | 16.94 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD G4730 - Sleep apnea, unspecified | 44.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD G4730 - Sleep apnea, unspecified | 8,315 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD G4730 - Sleep apnea, unspecified in DRG | 1.36 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD G4730 - Sleep apnea, unspecified | 3.92 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD G4730 - Sleep apnea, unspecified | 16.73 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD G4730 - Sleep apnea, unspecified | 11.26 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD G4730 - Sleep apnea, unspecified | $41,966,759 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD G4730 - Sleep apnea, unspecified | $1,286 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD G4730 - Sleep apnea, unspecified | $5,047 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD G4730 - Sleep apnea, unspecified | $200,832,650 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD G4730 - Sleep apnea, unspecified | $24,153 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD G4730 - Sleep apnea, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD G4730 - Sleep apnea, unspecified | 12.76 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD G4730 - Sleep apnea, unspecified | 56.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | 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 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD G4730 - Sleep apnea, unspecified | 6,961 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD G4730 - Sleep apnea, unspecified in DRG | 1.14 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD G4730 - Sleep apnea, unspecified | 3.44 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD G4730 - Sleep apnea, unspecified | 17.8 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD G4730 - Sleep apnea, unspecified | 13.98 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD G4730 - Sleep apnea, unspecified | $39,239,901 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD G4730 - Sleep apnea, unspecified | $1,640 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD G4730 - Sleep apnea, unspecified | $5,637 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD G4730 - Sleep apnea, unspecified | $218,339,275 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD G4730 - Sleep apnea, unspecified | $31,366 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD G4730 - Sleep apnea, unspecified | 0.49 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD G4730 - Sleep apnea, unspecified | 9.87 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD G4730 - Sleep apnea, unspecified | 69.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 2,547 |
| BAPTIST HEALTH MEDICAL CENTER - LITTLE ROCK | 9601 BAPTIST HEALTH DRIVE | LITTLE ROCK | AR | 72205 | 2,078 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,957 |
| 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 | 322 |
| Dr. ANTHONY THOMAS CARTER | 730 THIMBLE SHOALS BLVD | NEWPORT NEWS | VA | 23606 | 243 |
| Dr. VUONG B NGUYEN | 1640 N MAITLAND AVE | MAITLAND | FL | 32751 | 212 |
| 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 | 357 |
| Dr. BRADLEY S MERRITT | 3131 TROUP HWY | TYLER | TX | 75701 | 308 |
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 260 |