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M179 - ICD 10 Diagnosis Code - Osteoarthritis of knee, unspecified - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to M179 - Osteoarthritis of knee, unspecified

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

M179 - Osteoarthritis of knee, unspecified - as a primary diagnosis code M179 - Osteoarthritis of knee, unspecified - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 4.12
Readmission Rate (%) 13.69
Unplanned Readmission Rate (%) 2.88
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

Top DRGs Associated With M179 - Osteoarthritis of knee, unspecified - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 553: BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,522,684
Total Hospitalizations with ICD M179 - Osteoarthritis of knee, unspecified 74,445
DRG Share of Total Hospitalizations 4.63
% of Total ICD M179 - Osteoarthritis of knee, unspecified in DRG 95.37
Avg LOS at DRG 2.52
Avg LOS with ICD M179 - Osteoarthritis of knee, unspecified 2.51
Readmission Rate at DRG 9.03
Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified 7.04
Unplanned Readmission Rate at DRG 3.35
Unplanned Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified 2.68
Total Medicare payments at DRG $17,672,828,347
Total Medicare payments with ICD M179 - Osteoarthritis of knee, unspecified $845,191,891
Total Medicare payment per Day at DRG $4,606
Total Medicare payment per Day with ICD M179 - Osteoarthritis of knee, unspecified $4,519
Total Medicare payment per Hospitalization at DRG $11,606
Total Medicare payment per Hospitalization with ICD M179 - Osteoarthritis of knee, unspecified $11,353
Total Medicare Charges at DRG $91,836,200,128
Total Medicare Charges with ICD M179 - Osteoarthritis of knee, unspecified $4,196,445,190
Avg Charges at DRG $60,312
Avg Charges with ICD M179 - Osteoarthritis of knee, unspecified $56,370
Mortality Rate at DRG 0.05
Mortality Rate with ICD M179 - Osteoarthritis of knee, unspecified 0.02
SNF Discharge Rate at DRG 23.53
SNF Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 22.87
Home Discharge Rate at DRG 30.67
Home Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 29.36

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) DRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 489: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 63,482
Total Hospitalizations with ICD M179 - Osteoarthritis of knee, unspecified 99
DRG Share of Total Hospitalizations 0.19
% of Total ICD M179 - Osteoarthritis of knee, unspecified in DRG 0.13
Avg LOS at DRG 4.05
Avg LOS with ICD M179 - Osteoarthritis of knee, unspecified 3.45
Readmission Rate at DRG 19.14
Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified 13.27
Unplanned Readmission Rate at DRG 7.13
Unplanned Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified NA
Total Medicare payments at DRG $1,360,037,568
Total Medicare payments with ICD M179 - Osteoarthritis of knee, unspecified $1,787,294
Total Medicare payment per Day at DRG $5,286
Total Medicare payment per Day with ICD M179 - Osteoarthritis of knee, unspecified $5,226
Total Medicare payment per Hospitalization at DRG $21,424
Total Medicare payment per Hospitalization with ICD M179 - Osteoarthritis of knee, unspecified $18,053
Total Medicare Charges at DRG $6,614,169,258
Total Medicare Charges with ICD M179 - Osteoarthritis of knee, unspecified $7,753,715
Avg Charges at DRG $104,190
Avg Charges with ICD M179 - Osteoarthritis of knee, unspecified $78,320
Mortality Rate at DRG 0.11
Mortality Rate with ICD M179 - Osteoarthritis of knee, unspecified NA
SNF Discharge Rate at DRG 37.05
SNF Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 28.28
Home Discharge Rate at DRG 18.63
Home Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 27.27

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 488: KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 9,002
Total Hospitalizations with ICD M179 - Osteoarthritis of knee, unspecified 24
DRG Share of Total Hospitalizations 0.03
% of Total ICD M179 - Osteoarthritis of knee, unspecified in DRG 0.03
Avg LOS at DRG 4.84
Avg LOS with ICD M179 - Osteoarthritis of knee, unspecified 3.38
Readmission Rate at DRG 20.61
Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified NA
Unplanned Readmission Rate at DRG 7.88
Unplanned Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified NA
Total Medicare payments at DRG $103,434,256
Total Medicare payments with ICD M179 - Osteoarthritis of knee, unspecified $269,480
Total Medicare payment per Day at DRG $2,373
Total Medicare payment per Day with ICD M179 - Osteoarthritis of knee, unspecified $3,327
Total Medicare payment per Hospitalization at DRG $11,490
Total Medicare payment per Hospitalization with ICD M179 - Osteoarthritis of knee, unspecified $11,228
Total Medicare Charges at DRG $583,441,219
Total Medicare Charges with ICD M179 - Osteoarthritis of knee, unspecified $1,070,217
Avg Charges at DRG $64,812
Avg Charges with ICD M179 - Osteoarthritis of knee, unspecified $44,592
Mortality Rate at DRG 0.39
Mortality Rate with ICD M179 - Osteoarthritis of knee, unspecified NA
SNF Discharge Rate at DRG 34.83
SNF Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified NA
Home Discharge Rate at DRG 24.99
Home Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 50.0

Top Hospitals Associated With M179 - Osteoarthritis of knee, unspecified - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
RUSH UNIVERSITY MEDICAL CENTER 1653 W CONGRESS PKWY CHICAGO IL 60612 524
CHRISTIANA CARE WILMINGTON HOSPITAL 501 W 14TH ST WILMINGTON DE 19801 447
ORTHOINDY HOSPITAL 8400 NORTHWEST BLVD INDIANAPOLIS IN 46278 399

Top Operating Physicians Associated With M179 - Osteoarthritis of knee, unspecified - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. STEVEN M DELLOSE 1941 LIMESTONE ROAD WILMINGTON DE 19808 162
Dr. PHILIP E CLIFFORD 120 WILLIAM PENN PLZ DURHAM NC 27704 154
Dr. SCOTT M. SPORER 25 NORTH WINFIELD ROAD WINFIELD IL 60190 149

Top Attending Physicians Associated With M179 - Osteoarthritis of knee, unspecified - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. STEVEN M DELLOSE 1941 LIMESTONE ROAD WILMINGTON DE 19808 162
Dr. PHILIP E CLIFFORD 120 WILLIAM PENN PLZ DURHAM NC 27704 154
Dr. SCOTT M. SPORER 25 NORTH WINFIELD ROAD WINFIELD IL 60190 146

Top DRGs Associated With M179 - Osteoarthritis of knee, unspecified - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*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 885: PSYCHOSES DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,522,684
Total Hospitalizations with ICD M179 - Osteoarthritis of knee, unspecified 77,243
DRG Share of Total Hospitalizations 4.63
% of Total ICD M179 - Osteoarthritis of knee, unspecified in DRG 50.86
Avg LOS at DRG 2.52
Avg LOS with ICD M179 - Osteoarthritis of knee, unspecified 2.53
Readmission Rate at DRG 9.03
Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified 7.29
Unplanned Readmission Rate at DRG 3.35
Unplanned Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified 2.75
Total Medicare payments at DRG $17,672,828,347
Total Medicare payments with ICD M179 - Osteoarthritis of knee, unspecified $879,320,048
Total Medicare payment per Day at DRG $4,606
Total Medicare payment per Day with ICD M179 - Osteoarthritis of knee, unspecified $4,496
Total Medicare payment per Hospitalization at DRG $11,606
Total Medicare payment per Hospitalization with ICD M179 - Osteoarthritis of knee, unspecified $11,384
Total Medicare Charges at DRG $91,836,200,128
Total Medicare Charges with ICD M179 - Osteoarthritis of knee, unspecified $4,387,072,867
Avg Charges at DRG $60,312
Avg Charges with ICD M179 - Osteoarthritis of knee, unspecified $56,796
Mortality Rate at DRG 0.05
Mortality Rate with ICD M179 - Osteoarthritis of knee, unspecified 0.02
SNF Discharge Rate at DRG 23.53
SNF Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 23.16
Home Discharge Rate at DRG 30.67
Home Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 29.16

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,013,774
Total Hospitalizations with ICD M179 - Osteoarthritis of knee, unspecified 1,748
DRG Share of Total Hospitalizations 3.08
% of Total ICD M179 - Osteoarthritis of knee, unspecified in DRG 1.15
Avg LOS at DRG 5.34
Avg LOS with ICD M179 - Osteoarthritis of knee, unspecified 5.68
Readmission Rate at DRG 28.25
Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified 25.54
Unplanned Readmission Rate at DRG 21.93
Unplanned Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified 18.94
Total Medicare payments at DRG $9,469,067,156
Total Medicare payments with ICD M179 - Osteoarthritis of knee, unspecified $16,546,671
Total Medicare payment per Day at DRG $1,751
Total Medicare payment per Day with ICD M179 - Osteoarthritis of knee, unspecified $1,666
Total Medicare payment per Hospitalization at DRG $9,340
Total Medicare payment per Hospitalization with ICD M179 - Osteoarthritis of knee, unspecified $9,466
Total Medicare Charges at DRG $43,343,716,813
Total Medicare Charges with ICD M179 - Osteoarthritis of knee, unspecified $71,135,075
Avg Charges at DRG $42,755
Avg Charges with ICD M179 - Osteoarthritis of knee, unspecified $40,695
Mortality Rate at DRG 3.72
Mortality Rate with ICD M179 - Osteoarthritis of knee, unspecified 2.29
SNF Discharge Rate at DRG 20.84
SNF Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 29.23
Home Discharge Rate at DRG 37.68
Home Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 30.38

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 422,757
Total Hospitalizations with ICD M179 - Osteoarthritis of knee, unspecified 1,204
DRG Share of Total Hospitalizations 1.29
% of Total ICD M179 - Osteoarthritis of knee, unspecified in DRG 0.79
Avg LOS at DRG 4.14
Avg LOS with ICD M179 - Osteoarthritis of knee, unspecified 4.68
Readmission Rate at DRG 24.43
Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified 22.87
Unplanned Readmission Rate at DRG 18.48
Unplanned Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified 15.9
Total Medicare payments at DRG $2,636,135,714
Total Medicare payments with ICD M179 - Osteoarthritis of knee, unspecified $7,776,801
Total Medicare payment per Day at DRG $1,507
Total Medicare payment per Day with ICD M179 - Osteoarthritis of knee, unspecified $1,381
Total Medicare payment per Hospitalization at DRG $6,236
Total Medicare payment per Hospitalization with ICD M179 - Osteoarthritis of knee, unspecified $6,459
Total Medicare Charges at DRG $11,980,955,733
Total Medicare Charges with ICD M179 - Osteoarthritis of knee, unspecified $34,683,815
Avg Charges at DRG $28,340
Avg Charges with ICD M179 - Osteoarthritis of knee, unspecified $28,807
Mortality Rate at DRG 1.01
Mortality Rate with ICD M179 - Osteoarthritis of knee, unspecified NA
SNF Discharge Rate at DRG 16.05
SNF Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 23.92
Home Discharge Rate at DRG 47.18
Home Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 40.37

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 352,097
Total Hospitalizations with ICD M179 - Osteoarthritis of knee, unspecified 881
DRG Share of Total Hospitalizations 1.07
% of Total ICD M179 - Osteoarthritis of knee, unspecified in DRG 0.58
Avg LOS at DRG 3.96
Avg LOS with ICD M179 - Osteoarthritis of knee, unspecified 4.35
Readmission Rate at DRG 35.38
Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified 34.31
Unplanned Readmission Rate at DRG 7.63
Unplanned Readmission Rate with ICD M179 - Osteoarthritis of knee, unspecified 7.87
Total Medicare payments at DRG $2,360,891,966
Total Medicare payments with ICD M179 - Osteoarthritis of knee, unspecified $6,041,038
Total Medicare payment per Day at DRG $1,693
Total Medicare payment per Day with ICD M179 - Osteoarthritis of knee, unspecified $1,578
Total Medicare payment per Hospitalization at DRG $6,705
Total Medicare payment per Hospitalization with ICD M179 - Osteoarthritis of knee, unspecified $6,857
Total Medicare Charges at DRG $13,014,640,264
Total Medicare Charges with ICD M179 - Osteoarthritis of knee, unspecified $32,412,690
Avg Charges at DRG $36,963
Avg Charges with ICD M179 - Osteoarthritis of knee, unspecified $36,791
Mortality Rate at DRG 1.54
Mortality Rate with ICD M179 - Osteoarthritis of knee, unspecified NA
SNF Discharge Rate at DRG 24.0
SNF Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 30.08
Home Discharge Rate at DRG 26.62
Home Discharge Rate with ICD M179 - Osteoarthritis of knee, unspecified 22.59

Top Hospitals Associated With M179 - Osteoarthritis of knee, unspecified - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
RUSH UNIVERSITY MEDICAL CENTER 1653 W CONGRESS PKWY CHICAGO IL 60612 704
CHRISTIANA CARE WILMINGTON HOSPITAL 501 W 14TH ST WILMINGTON DE 19801 632
ST. JOSEPH MERCY OAKLAND 44405 WOODWARD AVE PONTIAC MI 48341 503

Top Operating Physicians Associated With M179 - Osteoarthritis of knee, unspecified - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. STEVEN M DELLOSE 1941 LIMESTONE ROAD WILMINGTON DE 19808 162
Dr. PHILIP E CLIFFORD 120 WILLIAM PENN PLZ DURHAM NC 27704 159
Dr. SCOTT M. SPORER 25 NORTH WINFIELD ROAD WINFIELD IL 60190 151

Top Attending Physicians Associated With M179 - Osteoarthritis of knee, unspecified - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. STEVEN M DELLOSE 1941 LIMESTONE ROAD WILMINGTON DE 19808 162
Dr. PHILIP E CLIFFORD 120 WILLIAM PENN PLZ DURHAM NC 27704 159
Dr. ANTHONY THOMAS CARTER 730 THIMBLE SHOALS BLVD NEWPORT NEWS VA 23606 152