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

5119 - ICD 9 Diagnosis Code - Unspecified pleural effusion - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to 5119 - Unspecified pleural effusion

5119 - Unspecified pleural effusion - as a primary diagnosis code 5119 - Unspecified pleural effusion - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 10.14
Readmission Rate (%) 31.48
Unplanned Readmission Rate (%) 20.4
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 5119 - Unspecified pleural effusion - as a primary diagnosis code

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Top 1 to 5 DRGs - Jan 2013 to Dec 2014

DRG 186: PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 188: PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 22,416
Total Hospitalizations with ICD 5119 - Unspecified pleural effusion 19,148
DRG Share of Total Hospitalizations 0.1
% of Total ICD 5119 - Unspecified pleural effusion in DRG 40.36
Avg LOS at DRG 6.31
Avg LOS with ICD 5119 - Unspecified pleural effusion 6.11
Readmission Rate at DRG 32.4
Readmission Rate with ICD 5119 - Unspecified pleural effusion 32.42
Unplanned Readmission Rate at DRG 22.95
Unplanned Readmission Rate with ICD 5119 - Unspecified pleural effusion 22.97
Total Medicare payments at DRG $226,083,095
Total Medicare payments with ICD 5119 - Unspecified pleural effusion $190,840,533
Total Medicare payment per Day at DRG $1,599
Total Medicare payment per Day with ICD 5119 - Unspecified pleural effusion $1,632
Total Medicare payment per Hospitalization at DRG $10,086
Total Medicare payment per Hospitalization with ICD 5119 - Unspecified pleural effusion $9,967
Total Medicare Charges at DRG $1,011,683,410
Total Medicare Charges with ICD 5119 - Unspecified pleural effusion $837,885,682
Avg Charges at DRG $45,132
Avg Charges with ICD 5119 - Unspecified pleural effusion $43,758
Mortality Rate at DRG 4.13
Mortality Rate with ICD 5119 - Unspecified pleural effusion 3.94
SNF Discharge Rate at DRG 19.6
SNF Discharge Rate with ICD 5119 - Unspecified pleural effusion 19.73
Home Discharge Rate at DRG 40.55
Home Discharge Rate with ICD 5119 - Unspecified pleural effusion 40.93

Top 5 to 10 DRGs - Jan 2013 to Dec 2014

DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS
Total Hospitalizations at DRG 26,641
Total Hospitalizations with ICD 5119 - Unspecified pleural effusion 1,169
DRG Share of Total Hospitalizations 0.12
% of Total ICD 5119 - Unspecified pleural effusion in DRG 2.46
Avg LOS at DRG 6.49
Avg LOS with ICD 5119 - Unspecified pleural effusion 6.32
Readmission Rate at DRG 23.98
Readmission Rate with ICD 5119 - Unspecified pleural effusion 22.92
Unplanned Readmission Rate at DRG 15.6
Unplanned Readmission Rate with ICD 5119 - Unspecified pleural effusion 15.22
Total Medicare payments at DRG $338,196,103
Total Medicare payments with ICD 5119 - Unspecified pleural effusion $14,108,143
Total Medicare payment per Day at DRG $1,956
Total Medicare payment per Day with ICD 5119 - Unspecified pleural effusion $1,909
Total Medicare payment per Hospitalization at DRG $12,695
Total Medicare payment per Hospitalization with ICD 5119 - Unspecified pleural effusion $12,069
Total Medicare Charges at DRG $1,585,617,034
Total Medicare Charges with ICD 5119 - Unspecified pleural effusion $67,826,493
Avg Charges at DRG $59,518
Avg Charges with ICD 5119 - Unspecified pleural effusion $58,021
Mortality Rate at DRG 1.11
Mortality Rate with ICD 5119 - Unspecified pleural effusion NA
SNF Discharge Rate at DRG 15.22
SNF Discharge Rate with ICD 5119 - Unspecified pleural effusion 13.09
Home Discharge Rate at DRG 51.73
Home Discharge Rate with ICD 5119 - Unspecified pleural effusion 50.04

Top 10 to 15 DRGs - Jan 2013 to Dec 2014

DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE
Total Hospitalizations at DRG 48,577
Total Hospitalizations with ICD 5119 - Unspecified pleural effusion 199
DRG Share of Total Hospitalizations 0.21
% of Total ICD 5119 - Unspecified pleural effusion in DRG 0.42
Avg LOS at DRG 14.65
Avg LOS with ICD 5119 - Unspecified pleural effusion 14.48
Readmission Rate at DRG 37.54
Readmission Rate with ICD 5119 - Unspecified pleural effusion 32.24
Unplanned Readmission Rate at DRG 20.58
Unplanned Readmission Rate with ICD 5119 - Unspecified pleural effusion 19.13
Total Medicare payments at DRG $1,729,486,111
Total Medicare payments with ICD 5119 - Unspecified pleural effusion $6,512,868
Total Medicare payment per Day at DRG $2,430
Total Medicare payment per Day with ICD 5119 - Unspecified pleural effusion $2,261
Total Medicare payment per Hospitalization at DRG $35,603
Total Medicare payment per Hospitalization with ICD 5119 - Unspecified pleural effusion $32,728
Total Medicare Charges at DRG $7,235,174,566
Total Medicare Charges with ICD 5119 - Unspecified pleural effusion $28,410,953
Avg Charges at DRG $148,942
Avg Charges with ICD 5119 - Unspecified pleural effusion $142,769
Mortality Rate at DRG 9.66
Mortality Rate with ICD 5119 - Unspecified pleural effusion 6.53
SNF Discharge Rate at DRG 30.41
SNF Discharge Rate with ICD 5119 - Unspecified pleural effusion 30.65
Home Discharge Rate at DRG 22.89
Home Discharge Rate with ICD 5119 - Unspecified pleural effusion 25.63

Top 15 to 20 DRGs - Jan 2013 to Dec 2014

DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 15,434
Total Hospitalizations with ICD 5119 - Unspecified pleural effusion 37
DRG Share of Total Hospitalizations 0.07
% of Total ICD 5119 - Unspecified pleural effusion in DRG 0.08
Avg LOS at DRG 13.22
Avg LOS with ICD 5119 - Unspecified pleural effusion 9.78
Readmission Rate at DRG 33.5
Readmission Rate with ICD 5119 - Unspecified pleural effusion 36.11
Unplanned Readmission Rate at DRG 18.81
Unplanned Readmission Rate with ICD 5119 - Unspecified pleural effusion NA
Total Medicare payments at DRG $382,542,088
Total Medicare payments with ICD 5119 - Unspecified pleural effusion $779,511
Total Medicare payment per Day at DRG $1,874
Total Medicare payment per Day with ICD 5119 - Unspecified pleural effusion $2,153
Total Medicare payment per Hospitalization at DRG $24,786
Total Medicare payment per Hospitalization with ICD 5119 - Unspecified pleural effusion $21,068
Total Medicare Charges at DRG $1,564,323,426
Total Medicare Charges with ICD 5119 - Unspecified pleural effusion $3,754,569
Avg Charges at DRG $101,356
Avg Charges with ICD 5119 - Unspecified pleural effusion $101,475
Mortality Rate at DRG 6.36
Mortality Rate with ICD 5119 - Unspecified pleural effusion NA
SNF Discharge Rate at DRG 29.41
SNF Discharge Rate with ICD 5119 - Unspecified pleural effusion NA
Home Discharge Rate at DRG 26.0
Home Discharge Rate with ICD 5119 - Unspecified pleural effusion 37.84

Top Hospitals Associated With 5119 - Unspecified pleural effusion - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
ADVENTHEALTH ORLANDO 601 E ROLLINS ST ORLANDO FL 32803 186
METHODIST HOSPITAL 7700 FLOYD CURL DRIVE SAN ANTONIO TX 78229 115
LEHIGH VALLEY HOSPITAL - CEDAR CREST 1200 S CEDAR CREST BLVD ALLENTOWN PA 18103 109

Top Operating Physicians Associated With 5119 - Unspecified pleural effusion - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
Dr. NOBUO NAKAGAWA 3400 N CENTER RD SAGINAW MI 48603 38
Dr. MARK J AULT 8700 BEVERLY BLVD LOS ANGELES CA 90048 34
Dr. PERCIVAL OFRECIO BUENAVENTURA 25 MONUMENT RD YORK PA 17403 33

Top Attending Physicians Associated With 5119 - Unspecified pleural effusion - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
Dr. PERCIVAL OFRECIO BUENAVENTURA 25 MONUMENT RD YORK PA 17403 35
Dr. AJAY GUPTA 5325 ELLIOTT DR YPSILANTI MI 48197 21
Dr. JOHN C SIMON 1970 N HWY 190 COVINGTON LA 70433 20

Top DRGs Associated With 5119 - Unspecified pleural effusion - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Jan 2013 to Dec 2014

DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 901,552
Total Hospitalizations with ICD 5119 - Unspecified pleural effusion 51,323
DRG Share of Total Hospitalizations 3.95
% of Total ICD 5119 - Unspecified pleural effusion in DRG 7.5
Avg LOS at DRG 6.79
Avg LOS with ICD 5119 - Unspecified pleural effusion 9.52
Readmission Rate at DRG 25.38
Readmission Rate with ICD 5119 - Unspecified pleural effusion 29.87
Unplanned Readmission Rate at DRG 17.1
Unplanned Readmission Rate with ICD 5119 - Unspecified pleural effusion 18.93
Total Medicare payments at DRG $11,142,976,193
Total Medicare payments with ICD 5119 - Unspecified pleural effusion $721,415,891
Total Medicare payment per Day at DRG $1,821
Total Medicare payment per Day with ICD 5119 - Unspecified pleural effusion $1,477
Total Medicare payment per Hospitalization at DRG $12,360
Total Medicare payment per Hospitalization with ICD 5119 - Unspecified pleural effusion $14,056
Total Medicare Charges at DRG $48,288,426,708
Total Medicare Charges with ICD 5119 - Unspecified pleural effusion $4,087,525,610
Avg Charges at DRG $53,561
Avg Charges with ICD 5119 - Unspecified pleural effusion $79,643
Mortality Rate at DRG 15.16
Mortality Rate with ICD 5119 - Unspecified pleural effusion 18.63
SNF Discharge Rate at DRG 28.41
SNF Discharge Rate with ICD 5119 - Unspecified pleural effusion 28.75
Home Discharge Rate at DRG 23.21
Home Discharge Rate with ICD 5119 - Unspecified pleural effusion 16.45

Top 5 to 10 DRGs - Jan 2013 to Dec 2014

DRG 186: PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 22,416
Total Hospitalizations with ICD 5119 - Unspecified pleural effusion 19,298
DRG Share of Total Hospitalizations 0.1
% of Total ICD 5119 - Unspecified pleural effusion in DRG 2.82
Avg LOS at DRG 6.31
Avg LOS with ICD 5119 - Unspecified pleural effusion 6.12
Readmission Rate at DRG 32.4
Readmission Rate with ICD 5119 - Unspecified pleural effusion 32.4
Unplanned Readmission Rate at DRG 22.95
Unplanned Readmission Rate with ICD 5119 - Unspecified pleural effusion 22.98
Total Medicare payments at DRG $226,083,095
Total Medicare payments with ICD 5119 - Unspecified pleural effusion $192,467,014
Total Medicare payment per Day at DRG $1,599
Total Medicare payment per Day with ICD 5119 - Unspecified pleural effusion $1,629
Total Medicare payment per Hospitalization at DRG $10,086
Total Medicare payment per Hospitalization with ICD 5119 - Unspecified pleural effusion $9,973
Total Medicare Charges at DRG $1,011,683,410
Total Medicare Charges with ICD 5119 - Unspecified pleural effusion $846,569,514
Avg Charges at DRG $45,132
Avg Charges with ICD 5119 - Unspecified pleural effusion $43,868
Mortality Rate at DRG 4.13
Mortality Rate with ICD 5119 - Unspecified pleural effusion 3.97
SNF Discharge Rate at DRG 19.6
SNF Discharge Rate with ICD 5119 - Unspecified pleural effusion 19.72
Home Discharge Rate at DRG 40.55
Home Discharge Rate with ICD 5119 - Unspecified pleural effusion 40.89

Top 10 to 15 DRGs - Jan 2013 to Dec 2014

DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
Total Hospitalizations at DRG 120,583
Total Hospitalizations with ICD 5119 - Unspecified pleural effusion 11,561
DRG Share of Total Hospitalizations 0.53
% of Total ICD 5119 - Unspecified pleural effusion in DRG 1.69
Avg LOS at DRG 14.4
Avg LOS with ICD 5119 - Unspecified pleural effusion 19.12
Readmission Rate at DRG 39.61
Readmission Rate with ICD 5119 - Unspecified pleural effusion 41.14
Unplanned Readmission Rate at DRG 17.93
Unplanned Readmission Rate with ICD 5119 - Unspecified pleural effusion 17.2
Total Medicare payments at DRG $4,418,648,842
Total Medicare payments with ICD 5119 - Unspecified pleural effusion $502,016,250
Total Medicare payment per Day at DRG $2,545
Total Medicare payment per Day with ICD 5119 - Unspecified pleural effusion $2,272
Total Medicare payment per Hospitalization at DRG $36,644
Total Medicare payment per Hospitalization with ICD 5119 - Unspecified pleural effusion $43,423
Total Medicare Charges at DRG $18,323,348,541
Total Medicare Charges with ICD 5119 - Unspecified pleural effusion $2,494,970,333
Avg Charges at DRG $151,956
Avg Charges with ICD 5119 - Unspecified pleural effusion $215,809
Mortality Rate at DRG 13.99
Mortality Rate with ICD 5119 - Unspecified pleural effusion 17.85
SNF Discharge Rate at DRG 33.74
SNF Discharge Rate with ICD 5119 - Unspecified pleural effusion 32.81
Home Discharge Rate at DRG 13.29
Home Discharge Rate with ICD 5119 - Unspecified pleural effusion 10.07

Top 15 to 20 DRGs - Jan 2013 to Dec 2014

DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 305,326
Total Hospitalizations with ICD 5119 - Unspecified pleural effusion 7,681
DRG Share of Total Hospitalizations 1.34
% of Total ICD 5119 - Unspecified pleural effusion in DRG 1.12
Avg LOS at DRG 5.11
Avg LOS with ICD 5119 - Unspecified pleural effusion 6.9
Readmission Rate at DRG 24.58
Readmission Rate with ICD 5119 - Unspecified pleural effusion 30.63
Unplanned Readmission Rate at DRG 18.98
Unplanned Readmission Rate with ICD 5119 - Unspecified pleural effusion 23.57
Total Medicare payments at DRG $2,231,748,038
Total Medicare payments with ICD 5119 - Unspecified pleural effusion $63,951,626
Total Medicare payment per Day at DRG $1,430
Total Medicare payment per Day with ICD 5119 - Unspecified pleural effusion $1,206
Total Medicare payment per Hospitalization at DRG $7,309
Total Medicare payment per Hospitalization with ICD 5119 - Unspecified pleural effusion $8,326
Total Medicare Charges at DRG $10,098,826,638
Total Medicare Charges with ICD 5119 - Unspecified pleural effusion $354,115,943
Avg Charges at DRG $33,076
Avg Charges with ICD 5119 - Unspecified pleural effusion $46,103
Mortality Rate at DRG 1.47
Mortality Rate with ICD 5119 - Unspecified pleural effusion 3.7
SNF Discharge Rate at DRG 14.55
SNF Discharge Rate with ICD 5119 - Unspecified pleural effusion 20.3
Home Discharge Rate at DRG 53.12
Home Discharge Rate with ICD 5119 - Unspecified pleural effusion 40.46

Top Hospitals Associated With 5119 - Unspecified pleural effusion - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
ADVENTHEALTH ORLANDO 601 E ROLLINS ST ORLANDO FL 32803 3,271
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 1,985
CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 1,961

Top Operating Physicians Associated With 5119 - Unspecified pleural effusion - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
Dr. MARK J AULT 8700 BEVERLY BLVD LOS ANGELES CA 90048 402
Dr. FERNANDO J RIVERA DEL TORO 5352 LINTON BLVD DELRAY BEACH FL 33484 194
Dr. PRAKASH VAISHNAV 12820 S RIDGELAND AVE PALOS HEIGHTS IL 60463 183

Top Attending Physicians Associated With 5119 - Unspecified pleural effusion - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Jan 2013 to Dec 2014 )
Dr. ZIAD SOUS 1145 S UTICA AVE TULSA OK 74104 185
Dr. ALEXANDER DEJESUS 6400 EDGELAKE DR SARASOTA FL 34240 164
Dr. MARK EDWIN MCKENZIE 2010 GOLDRING AVE LAS VEGAS NV 89106 152