*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G4731 - Primary central sleep apnea - as a primary diagnosis code | G4731 - Primary central sleep apnea - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.18 | |
| Readmission Rate (%) | 24.46 | |
| 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 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 101,617 | |
| Total Hospitalizations with ICD G4731 - Primary central sleep apnea | 53 | |
| DRG Share of Total Hospitalizations | 0.31 | |
| % of Total ICD G4731 - Primary central sleep apnea in DRG | 54.64 | |
| Avg LOS at DRG | 9.5 | |
| Avg LOS with ICD G4731 - Primary central sleep apnea | 7.08 | |
| Readmission Rate at DRG | 26.88 | |
| Readmission Rate with ICD G4731 - Primary central sleep apnea | NA | |
| Unplanned Readmission Rate at DRG | 19.26 | |
| Unplanned Readmission Rate with ICD G4731 - Primary central sleep apnea | NA | |
| Total Medicare payments at DRG | $1,599,186,807 | |
| Total Medicare payments with ICD G4731 - Primary central sleep apnea | $595,937 | |
| Total Medicare payment per Day at DRG | $1,656 | |
| Total Medicare payment per Day with ICD G4731 - Primary central sleep apnea | $1,589 | |
| Total Medicare payment per Hospitalization at DRG | $15,737 | |
| Total Medicare payment per Hospitalization with ICD G4731 - Primary central sleep apnea | $11,244 | |
| Total Medicare Charges at DRG | $4,836,538,333 | |
| Total Medicare Charges with ICD G4731 - Primary central sleep apnea | $3,009,975 | |
| Avg Charges at DRG | $47,596 | |
| Avg Charges with ICD G4731 - Primary central sleep apnea | $56,792 | |
| Mortality Rate at DRG | 2.8 | |
| Mortality Rate with ICD G4731 - Primary central sleep apnea | NA | |
| SNF Discharge Rate at DRG | 20.21 | |
| SNF Discharge Rate with ICD G4731 - Primary central sleep apnea | 39.62 | |
| Home Discharge Rate at DRG | 20.17 | |
| Home Discharge Rate with ICD G4731 - Primary central sleep apnea | 26.42 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD G4731 - Primary central sleep apnea | 1,017 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD G4731 - Primary central sleep apnea in DRG | 7.27 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD G4731 - Primary central sleep apnea | 6.01 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD G4731 - Primary central sleep apnea | 27.97 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD G4731 - Primary central sleep apnea | 20.7 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD G4731 - Primary central sleep apnea | $9,867,825 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD G4731 - Primary central sleep apnea | $1,614 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD G4731 - Primary central sleep apnea | $9,703 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD G4731 - Primary central sleep apnea | $44,345,055 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD G4731 - Primary central sleep apnea | $43,604 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD G4731 - Primary central sleep apnea | 3.64 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD G4731 - Primary central sleep apnea | 17.9 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD G4731 - Primary central sleep apnea | 40.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD G4731 - Primary central sleep apnea | 230 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD G4731 - Primary central sleep apnea in DRG | 1.64 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD G4731 - Primary central sleep apnea | 5.56 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD G4731 - Primary central sleep apnea | 28.38 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD G4731 - Primary central sleep apnea | 21.17 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD G4731 - Primary central sleep apnea | $1,789,254 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD G4731 - Primary central sleep apnea | $1,400 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD G4731 - Primary central sleep apnea | $7,779 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD G4731 - Primary central sleep apnea | $9,562,270 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD G4731 - Primary central sleep apnea | $41,575 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD G4731 - Primary central sleep apnea | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD G4731 - Primary central sleep apnea | 17.83 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD G4731 - Primary central sleep apnea | 55.65 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD G4731 - Primary central sleep apnea | 167 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD G4731 - Primary central sleep apnea in DRG | 1.19 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD G4731 - Primary central sleep apnea | 3.9 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD G4731 - Primary central sleep apnea | 19.35 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD G4731 - Primary central sleep apnea | 13.55 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD G4731 - Primary central sleep apnea | $1,084,645 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD G4731 - Primary central sleep apnea | $1,664 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD G4731 - Primary central sleep apnea | $6,495 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD G4731 - Primary central sleep apnea | $5,150,524 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD G4731 - Primary central sleep apnea | $30,841 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD G4731 - Primary central sleep apnea | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD G4731 - Primary central sleep apnea | 17.96 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD G4731 - Primary central sleep apnea | 56.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD G4731 - Primary central sleep apnea | 136 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD G4731 - Primary central sleep apnea in DRG | 0.97 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD G4731 - Primary central sleep apnea | 3.76 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD G4731 - Primary central sleep apnea | 28.8 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD G4731 - Primary central sleep apnea | 20.0 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD G4731 - Primary central sleep apnea | $774,846 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD G4731 - Primary central sleep apnea | $1,513 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD G4731 - Primary central sleep apnea | $5,697 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD G4731 - Primary central sleep apnea | $3,710,814 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD G4731 - Primary central sleep apnea | $27,285 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD G4731 - Primary central sleep apnea | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD G4731 - Primary central sleep apnea | 18.38 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD G4731 - Primary central sleep apnea | 55.88 |
| 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 | 392 |
| SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 228 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 155 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JONATHAN ELIOT LEVINE | 6160 S YALE AVE | TULSA | OK | 74136 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JONATHAN ELIOT LEVINE | 6160 S YALE AVE | TULSA | OK | 74136 | 24 |
| Dr. FARSHID A ZANDI | 1815 E 15TH ST | TULSA | OK | 74104 | 12 |
| Dr. WILLIAM MAX SANDY | 516 W 14TH AVE | HOLDREGE | NE | 68949 | 12 |