Examples: ICD M32, ICD R6521, ICD 8210, ICD 1970

S72002D - ICD 10 Diagnosis Code - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing

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

S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary diagnosis code S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 10.48
Readmission Rate (%) 17.56
Unplanned Readmission Rate (%) 8.43
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

Table of Contents


No Quality Metrics
Top DRGs Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary diagnosis code
Top Hospitals Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary diagnosis code
Top Operating Physicians Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary diagnosis code
Top Attending Physicians Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary diagnosis code
Top DRGs Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary or secondary diagnosis code
Top Hospitals Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary or secondary diagnosis code
Top Operating Physicians Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary or secondary diagnosis code
Top Attending Physicians Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary or secondary diagnosis code
Machine Learning Identified Top 50 Most Common Comorbid Conditions Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing

Top DRGs Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 188,863
Total Hospitalizations with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 4,639
DRG Share of Total Hospitalizations 0.57
% of Total ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing in DRG 53.74
Avg LOS at DRG 11.75
Avg LOS with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 12.59
Readmission Rate at DRG 12.14
Readmission Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 11.12
Unplanned Readmission Rate at DRG 7.97
Unplanned Readmission Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 8.47
Total Medicare payments at DRG $3,216,901,374
Total Medicare payments with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $86,824,604
Total Medicare payment per Day at DRG $1,450
Total Medicare payment per Day with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $1,486
Total Medicare payment per Hospitalization at DRG $17,033
Total Medicare payment per Hospitalization with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $18,716
Total Medicare Charges at DRG $7,709,712,645
Total Medicare Charges with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $197,584,520
Avg Charges at DRG $40,822
Avg Charges with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $42,592
Mortality Rate at DRG 0.11
Mortality Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing NA
SNF Discharge Rate at DRG 19.54
SNF Discharge Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 17.83
Home Discharge Rate at DRG 19.47
Home Discharge Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 18.19

Top Hospitals Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
CAPE FEAR VALLEY MEDICAL CENTER 1638 OWEN DR FAYETTEVILLE NC 28304 98
HEATHSOUTH SEA PINES REHABILITATION HOSPITAL 101 E FLORIDA AVE MELBOURNE FL 32901 60
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TREASURE COAST 1600 37TH ST VERO BEACH FL 32960 52

Top Operating Physicians Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. G STEVEN CHESSER 700 SUNSET DR ATHENS GA 30606 19
Dr. AAMIR HASHMAT 2024 15TH ST FL 2 MERIDIAN MS 39301 18
Dr. JAMIE CHARLOTTE PINTO 11001 EXECUTIVE CENTER DR LITTLE ROCK AR 72211 18

Top Attending Physicians Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. FELIX JAMES ALLEN 2257 TAYLOR RD MONTGOMERY AL 36117 46
Dr. MEISHA KAMA ABBASINEJAD 1540 PURDUE DR FAYETTEVILLE NC 28303 46
Dr. DAVIDSON C. CURWEN 60 LYNOAK COVE JACKSON TN 38305 34

Top DRGs Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE
Total Hospitalizations at DRG 188,863
Total Hospitalizations with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 5,116
DRG Share of Total Hospitalizations 0.57
% of Total ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing in DRG 29.2
Avg LOS at DRG 11.75
Avg LOS with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 12.61
Readmission Rate at DRG 12.14
Readmission Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 11.17
Unplanned Readmission Rate at DRG 7.97
Unplanned Readmission Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 8.46
Total Medicare payments at DRG $3,216,901,374
Total Medicare payments with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $95,450,237
Total Medicare payment per Day at DRG $1,450
Total Medicare payment per Day with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $1,480
Total Medicare payment per Hospitalization at DRG $17,033
Total Medicare payment per Hospitalization with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $18,657
Total Medicare Charges at DRG $7,709,712,645
Total Medicare Charges with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $221,194,686
Avg Charges at DRG $40,822
Avg Charges with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $43,236
Mortality Rate at DRG 0.11
Mortality Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing NA
SNF Discharge Rate at DRG 19.54
SNF Discharge Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 18.16
Home Discharge Rate at DRG 19.47
Home Discharge Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 18.08

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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,013,774
Total Hospitalizations with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 246
DRG Share of Total Hospitalizations 3.08
% of Total ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing in DRG 1.4
Avg LOS at DRG 5.34
Avg LOS with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 5.75
Readmission Rate at DRG 28.25
Readmission Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 25.11
Unplanned Readmission Rate at DRG 21.93
Unplanned Readmission Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 18.72
Total Medicare payments at DRG $9,469,067,156
Total Medicare payments with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $2,405,094
Total Medicare payment per Day at DRG $1,751
Total Medicare payment per Day with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $1,701
Total Medicare payment per Hospitalization at DRG $9,340
Total Medicare payment per Hospitalization with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $9,777
Total Medicare Charges at DRG $43,343,716,813
Total Medicare Charges with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $10,129,596
Avg Charges at DRG $42,755
Avg Charges with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $41,177
Mortality Rate at DRG 3.72
Mortality Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 5.69
SNF Discharge Rate at DRG 20.84
SNF Discharge Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 50.0
Home Discharge Rate at DRG 37.68
Home Discharge Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 5.69

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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 474,314
Total Hospitalizations with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 164
DRG Share of Total Hospitalizations 1.44
% of Total ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing in DRG 0.94
Avg LOS at DRG 3.53
Avg LOS with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 4.2
Readmission Rate at DRG 18.03
Readmission Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 21.6
Unplanned Readmission Rate at DRG 12.55
Unplanned Readmission Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 12.35
Total Medicare payments at DRG $2,312,733,090
Total Medicare payments with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $944,370
Total Medicare payment per Day at DRG $1,380
Total Medicare payment per Day with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $1,371
Total Medicare payment per Hospitalization at DRG $4,876
Total Medicare payment per Hospitalization with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $5,758
Total Medicare Charges at DRG $11,559,952,314
Total Medicare Charges with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $3,792,514
Avg Charges at DRG $24,372
Avg Charges with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $23,125
Mortality Rate at DRG 0.22
Mortality Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing NA
SNF Discharge Rate at DRG 25.96
SNF Discharge Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 54.27
Home Discharge Rate at DRG 43.58
Home Discharge Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 7.32

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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 499,133
Total Hospitalizations with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 128
DRG Share of Total Hospitalizations 1.52
% of Total ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing in DRG 0.73
Avg LOS at DRG 4.34
Avg LOS with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 5.19
Readmission Rate at DRG 17.57
Readmission Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 21.24
Unplanned Readmission Rate at DRG 12.56
Unplanned Readmission Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 15.04
Total Medicare payments at DRG $3,254,711,780
Total Medicare payments with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $967,434
Total Medicare payment per Day at DRG $1,504
Total Medicare payment per Day with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $1,457
Total Medicare payment per Hospitalization at DRG $6,521
Total Medicare payment per Hospitalization with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $7,558
Total Medicare Charges at DRG $16,863,396,143
Total Medicare Charges with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $4,711,503
Avg Charges at DRG $33,785
Avg Charges with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing $36,809
Mortality Rate at DRG 1.33
Mortality Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing NA
SNF Discharge Rate at DRG 19.89
SNF Discharge Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 44.53
Home Discharge Rate at DRG 49.27
Home Discharge Rate with ICD S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing 10.16

Top Hospitals Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - 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 )
CAPE FEAR VALLEY MEDICAL CENTER 1638 OWEN DR FAYETTEVILLE NC 28304 107
ENCOMPASS HEALTH LAKESHORE REHABILITATION HOSPITAL 3800 RIDGEWAY DR BIRMINGHAM AL 35209 70
HEATHSOUTH SEA PINES REHABILITATION HOSPITAL 101 E FLORIDA AVE MELBOURNE FL 32901 64

Top Operating Physicians Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - 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. BRETT C LAMPTON 2301 SOUTH LAMAR BLVD OXFORD MS 38655 28
Dr. AAMIR HASHMAT 2024 15TH ST FL 2 MERIDIAN MS 39301 27
Dr. G STEVEN CHESSER 700 SUNSET DR ATHENS GA 30606 22

Top Attending Physicians Associated With S72002D - Fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing - 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. MICHAEL A ROSEMORE 3004 ALLISON BONNETT MEMORIAL DR HUEYTOWN AL 35023 67
Dr. FELIX JAMES ALLEN 2257 TAYLOR RD MONTGOMERY AL 36117 51
Dr. MEISHA KAMA ABBASINEJAD 1540 PURDUE DR FAYETTEVILLE NC 28303 48