*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| G479 - Sleep disorder, unspecified - as a primary diagnosis code | G479 - Sleep disorder, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.3 | |
| Readmission Rate (%) | 20.57 | |
| 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 G479 - Sleep disorder, unspecified | 68 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD G479 - Sleep disorder, unspecified in DRG | 97.14 |
| Avg LOS at DRG | 8.46 |
| Avg LOS with ICD G479 - Sleep disorder, unspecified | 3.25 |
| Readmission Rate at DRG | 20.55 |
| Readmission Rate with ICD G479 - Sleep disorder, unspecified | NA |
| Unplanned Readmission Rate at DRG | 10.87 |
| Unplanned Readmission Rate with ICD G479 - Sleep disorder, unspecified | NA |
| Total Medicare payments at DRG | $15,816,131 |
| Total Medicare payments with ICD G479 - Sleep disorder, unspecified | $407,723 |
| Total Medicare payment per Day at DRG | $868 |
| Total Medicare payment per Day with ICD G479 - Sleep disorder, unspecified | $1,845 |
| Total Medicare payment per Hospitalization at DRG | $7,346 |
| Total Medicare payment per Hospitalization with ICD G479 - Sleep disorder, unspecified | $5,996 |
| Total Medicare Charges at DRG | $74,052,226 |
| Total Medicare Charges with ICD G479 - Sleep disorder, unspecified | $1,800,950 |
| Avg Charges at DRG | $34,395 |
| Avg Charges with ICD G479 - Sleep disorder, unspecified | $26,485 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD G479 - Sleep disorder, unspecified | NA |
| SNF Discharge Rate at DRG | 11.98 |
| SNF Discharge Rate with ICD G479 - Sleep disorder, unspecified | NA |
| Home Discharge Rate at DRG | 65.21 |
| Home Discharge Rate with ICD G479 - Sleep disorder, unspecified | 52.94 |
*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 G479 - Sleep disorder, unspecified | 4,448 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD G479 - Sleep disorder, unspecified in DRG | 13.34 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD G479 - Sleep disorder, unspecified | 11.09 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD G479 - Sleep disorder, unspecified | 25.36 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD G479 - Sleep disorder, unspecified | 11.65 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD G479 - Sleep disorder, unspecified | $37,349,421 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD G479 - Sleep disorder, unspecified | $757 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD G479 - Sleep disorder, unspecified | $8,397 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD G479 - Sleep disorder, unspecified | $126,231,510 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD G479 - Sleep disorder, unspecified | $28,379 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD G479 - Sleep disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD G479 - Sleep disorder, unspecified | 4.54 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD G479 - Sleep disorder, unspecified | 82.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD G479 - Sleep disorder, unspecified | 797 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD G479 - Sleep disorder, unspecified in DRG | 2.39 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD G479 - Sleep disorder, unspecified | 14.35 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD G479 - Sleep disorder, unspecified | 16.55 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD G479 - Sleep disorder, unspecified | 13.53 | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD G479 - Sleep disorder, unspecified | $16,643,549 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD G479 - Sleep disorder, unspecified | $1,455 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD G479 - Sleep disorder, unspecified | $20,883 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD G479 - Sleep disorder, unspecified | $41,149,738 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD G479 - Sleep disorder, unspecified | $51,631 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD G479 - Sleep disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD G479 - Sleep disorder, unspecified | 17.57 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD G479 - Sleep disorder, unspecified | 26.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD G479 - Sleep disorder, unspecified | 418 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD G479 - Sleep disorder, unspecified in DRG | 1.25 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD G479 - Sleep disorder, unspecified | 9.08 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD G479 - Sleep disorder, unspecified | 20.16 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD G479 - Sleep disorder, unspecified | 13.71 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD G479 - Sleep disorder, unspecified | $5,383,529 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD G479 - Sleep disorder, unspecified | $1,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD G479 - Sleep disorder, unspecified | $12,879 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD G479 - Sleep disorder, unspecified | $14,085,047 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD G479 - Sleep disorder, unspecified | $33,696 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD G479 - Sleep disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD G479 - Sleep disorder, unspecified | 19.38 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD G479 - Sleep disorder, unspecified | 29.67 |
*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 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD G479 - Sleep disorder, unspecified | 368 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD G479 - Sleep disorder, unspecified in DRG | 1.1 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD G479 - Sleep disorder, unspecified | 5.47 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD G479 - Sleep disorder, unspecified | 24.2 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD G479 - Sleep disorder, unspecified | 19.83 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD G479 - Sleep disorder, unspecified | $2,933,010 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD G479 - Sleep disorder, unspecified | $1,456 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD G479 - Sleep disorder, unspecified | $7,970 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD G479 - Sleep disorder, unspecified | $12,853,352 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD G479 - Sleep disorder, unspecified | $34,928 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD G479 - Sleep disorder, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD G479 - Sleep disorder, unspecified | 11.14 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD G479 - Sleep disorder, unspecified | 51.09 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PARKWEST MEDICAL CENTER | 9352 PARKWEST BLVD | KNOXVILLE | TN | 37923 | 632 |
| REHABILITATION INSTITUTE OF CHICAGO | 345 E SUPERIOR ST | CHICAGO | IL | 60611 | 457 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF WICHITA FALLS | 3901 ARMORY RD | WICHITA FALLS | TX | 76302 | 401 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 116 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 100 |
| Dr. CARLOS L. BUCKNER | 5715 E 2ND ST | CASPER | WY | 82609 | 67 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ARTI PATEL | 3901 ARMORY ROAD | WICHITA FALLS | TX | 76302 | 329 |
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 224 |
| Dr. SURENDRA KUMAR SHARMA | 2347 JONES BEND RD | LOUISVILLE | TN | 37777 | 188 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E785 | Hyperlipidemia, unspecified |
| 2 | I10 | Essential (primary) hypertension |