*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N823 - Fistula of vagina to large intestine - as a primary diagnosis code | N823 - Fistula of vagina to large intestine - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.47 | |
| Readmission Rate (%) | 26.26 | |
| Unplanned Readmission Rate (%) | 12.04 | |
| 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 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD N823 - Fistula of vagina to large intestine | 2,055 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD N823 - Fistula of vagina to large intestine in DRG | 45.99 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD N823 - Fistula of vagina to large intestine | 6.66 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD N823 - Fistula of vagina to large intestine | 16.82 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD N823 - Fistula of vagina to large intestine | 10.38 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD N823 - Fistula of vagina to large intestine | $31,834,951 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD N823 - Fistula of vagina to large intestine | $2,327 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD N823 - Fistula of vagina to large intestine | $15,491 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD N823 - Fistula of vagina to large intestine | $166,353,608 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD N823 - Fistula of vagina to large intestine | $80,951 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD N823 - Fistula of vagina to large intestine | 16.06 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD N823 - Fistula of vagina to large intestine | 43.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 334: RECTAL RESECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 39,606 | ||||
| Total Hospitalizations with ICD N823 - Fistula of vagina to large intestine | 75 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD N823 - Fistula of vagina to large intestine in DRG | 1.68 | ||||
| Avg LOS at DRG | 2.67 | ||||
| Avg LOS with ICD N823 - Fistula of vagina to large intestine | 3.68 | ||||
| Readmission Rate at DRG | 13.3 | ||||
| Readmission Rate with ICD N823 - Fistula of vagina to large intestine | 25.76 | ||||
| Unplanned Readmission Rate at DRG | 8.72 | ||||
| Unplanned Readmission Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||||
| Total Medicare payments at DRG | $152,080,579 | ||||
| Total Medicare payments with ICD N823 - Fistula of vagina to large intestine | $383,825 | ||||
| Total Medicare payment per Day at DRG | $1,436 | ||||
| Total Medicare payment per Day with ICD N823 - Fistula of vagina to large intestine | $1,391 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,840 | ||||
| Total Medicare payment per Hospitalization with ICD N823 - Fistula of vagina to large intestine | $5,118 | ||||
| Total Medicare Charges at DRG | $921,857,813 | ||||
| Total Medicare Charges with ICD N823 - Fistula of vagina to large intestine | $1,751,338 | ||||
| Avg Charges at DRG | $23,276 | ||||
| Avg Charges with ICD N823 - Fistula of vagina to large intestine | $23,351 | ||||
| Mortality Rate at DRG | 0.54 | ||||
| Mortality Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||||
| SNF Discharge Rate at DRG | 7.46 | ||||
| SNF Discharge Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||||
| Home Discharge Rate at DRG | 75.53 | ||||
| Home Discharge Rate with ICD N823 - Fistula of vagina to large intestine | 58.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 28,142 | ||
| Total Hospitalizations with ICD N823 - Fistula of vagina to large intestine | 20 | ||
| DRG Share of Total Hospitalizations | 0.09 | ||
| % of Total ICD N823 - Fistula of vagina to large intestine in DRG | 0.45 | ||
| Avg LOS at DRG | 5.88 | ||
| Avg LOS with ICD N823 - Fistula of vagina to large intestine | 5.3 | ||
| Readmission Rate at DRG | 23.6 | ||
| Readmission Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||
| Unplanned Readmission Rate at DRG | 15.33 | ||
| Unplanned Readmission Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||
| Total Medicare payments at DRG | $317,761,689 | ||
| Total Medicare payments with ICD N823 - Fistula of vagina to large intestine | $253,694 | ||
| Total Medicare payment per Day at DRG | $1,919 | ||
| Total Medicare payment per Day with ICD N823 - Fistula of vagina to large intestine | $2,393 | ||
| Total Medicare payment per Hospitalization at DRG | $11,291 | ||
| Total Medicare payment per Hospitalization with ICD N823 - Fistula of vagina to large intestine | $12,685 | ||
| Total Medicare Charges at DRG | $1,612,718,515 | ||
| Total Medicare Charges with ICD N823 - Fistula of vagina to large intestine | $981,808 | ||
| Avg Charges at DRG | $57,306 | ||
| Avg Charges with ICD N823 - Fistula of vagina to large intestine | $49,090 | ||
| Mortality Rate at DRG | 0.56 | ||
| Mortality Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||
| SNF Discharge Rate at DRG | 18.42 | ||
| SNF Discharge Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||
| Home Discharge Rate at DRG | 50.45 | ||
| Home Discharge Rate with ICD N823 - Fistula of vagina to large intestine | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 35 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 34 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD N823 - Fistula of vagina to large intestine | 3,850 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD N823 - Fistula of vagina to large intestine in DRG | 26.6 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD N823 - Fistula of vagina to large intestine | 6.74 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD N823 - Fistula of vagina to large intestine | 16.24 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD N823 - Fistula of vagina to large intestine | 10.11 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD N823 - Fistula of vagina to large intestine | $60,215,104 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD N823 - Fistula of vagina to large intestine | $2,322 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD N823 - Fistula of vagina to large intestine | $15,640 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD N823 - Fistula of vagina to large intestine | $318,157,818 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD N823 - Fistula of vagina to large intestine | $82,638 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD N823 - Fistula of vagina to large intestine | 15.32 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD N823 - Fistula of vagina to large intestine | 45.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD N823 - Fistula of vagina to large intestine | 493 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD N823 - Fistula of vagina to large intestine in DRG | 3.41 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD N823 - Fistula of vagina to large intestine | 4.73 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD N823 - Fistula of vagina to large intestine | 28.82 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD N823 - Fistula of vagina to large intestine | 16.19 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD N823 - Fistula of vagina to large intestine | $2,320,184 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD N823 - Fistula of vagina to large intestine | $995 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD N823 - Fistula of vagina to large intestine | $4,706 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD N823 - Fistula of vagina to large intestine | $15,878,108 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD N823 - Fistula of vagina to large intestine | $32,207 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD N823 - Fistula of vagina to large intestine | 15.82 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD N823 - Fistula of vagina to large intestine | 57.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,000 | ||||
| Total Hospitalizations with ICD N823 - Fistula of vagina to large intestine | 163 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD N823 - Fistula of vagina to large intestine in DRG | 1.13 | ||||
| Avg LOS at DRG | 4.23 | ||||
| Avg LOS with ICD N823 - Fistula of vagina to large intestine | 4.52 | ||||
| Readmission Rate at DRG | 22.98 | ||||
| Readmission Rate with ICD N823 - Fistula of vagina to large intestine | 34.23 | ||||
| Unplanned Readmission Rate at DRG | 17.78 | ||||
| Unplanned Readmission Rate with ICD N823 - Fistula of vagina to large intestine | 23.49 | ||||
| Total Medicare payments at DRG | $172,301,710 | ||||
| Total Medicare payments with ICD N823 - Fistula of vagina to large intestine | $1,032,513 | ||||
| Total Medicare payment per Day at DRG | $1,406 | ||||
| Total Medicare payment per Day with ICD N823 - Fistula of vagina to large intestine | $1,403 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,941 | ||||
| Total Medicare payment per Hospitalization with ICD N823 - Fistula of vagina to large intestine | $6,334 | ||||
| Total Medicare Charges at DRG | $933,956,738 | ||||
| Total Medicare Charges with ICD N823 - Fistula of vagina to large intestine | $5,685,369 | ||||
| Avg Charges at DRG | $32,205 | ||||
| Avg Charges with ICD N823 - Fistula of vagina to large intestine | $34,880 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||||
| SNF Discharge Rate at DRG | 6.28 | ||||
| SNF Discharge Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||||
| Home Discharge Rate at DRG | 77.02 | ||||
| Home Discharge Rate with ICD N823 - Fistula of vagina to large intestine | 77.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 92,661 | ||||
| Total Hospitalizations with ICD N823 - Fistula of vagina to large intestine | 113 | ||||
| DRG Share of Total Hospitalizations | 0.28 | ||||
| % of Total ICD N823 - Fistula of vagina to large intestine in DRG | 0.78 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD N823 - Fistula of vagina to large intestine | 5.89 | ||||
| Readmission Rate at DRG | 24.56 | ||||
| Readmission Rate with ICD N823 - Fistula of vagina to large intestine | 39.62 | ||||
| Unplanned Readmission Rate at DRG | 18.67 | ||||
| Unplanned Readmission Rate with ICD N823 - Fistula of vagina to large intestine | 30.19 | ||||
| Total Medicare payments at DRG | $643,680,830 | ||||
| Total Medicare payments with ICD N823 - Fistula of vagina to large intestine | $870,615 | ||||
| Total Medicare payment per Day at DRG | $1,410 | ||||
| Total Medicare payment per Day with ICD N823 - Fistula of vagina to large intestine | $1,307 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,947 | ||||
| Total Medicare payment per Hospitalization with ICD N823 - Fistula of vagina to large intestine | $7,705 | ||||
| Total Medicare Charges at DRG | $3,014,820,022 | ||||
| Total Medicare Charges with ICD N823 - Fistula of vagina to large intestine | $4,060,270 | ||||
| Avg Charges at DRG | $32,536 | ||||
| Avg Charges with ICD N823 - Fistula of vagina to large intestine | $35,932 | ||||
| Mortality Rate at DRG | 0.44 | ||||
| Mortality Rate with ICD N823 - Fistula of vagina to large intestine | NA | ||||
| SNF Discharge Rate at DRG | 19.7 | ||||
| SNF Discharge Rate with ICD N823 - Fistula of vagina to large intestine | 16.81 | ||||
| Home Discharge Rate at DRG | 52.04 | ||||
| Home Discharge Rate with ICD N823 - Fistula of vagina to large intestine | 38.05 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 82 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 82 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 75 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TRACY L HULL | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 14 |
| Dr. GARY D DUNN | 920 STANTON L YOUNG BLVD | OKLAHOMA CITY | OK | 73104 | 14 |
| Dr. JANETTE U. GAW | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GARY D DUNN | 920 STANTON L YOUNG BLVD | OKLAHOMA CITY | OK | 73104 | 14 |
| Dr. ADAM AUGUSTUS KLIPFEL | 208 COLLYER ST | PROVIDENCE | RI | 02904 | 12 |
| Dr. TRACY L HULL | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 12 |