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

53290 - ICD 9 Diagnosis Code - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction

53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction - as a primary diagnosis code 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 6.86
Readmission Rate (%) 24.71
Unplanned Readmission Rate (%) 12.22
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 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction - as a primary diagnosis code

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Top 1 to 5 DRGs - Jan 2013 to Dec 2014

DRG 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 11,568
Total Hospitalizations with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 3,215
DRG Share of Total Hospitalizations 0.05
% of Total ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction in DRG 78.82
Avg LOS at DRG 3.34
Avg LOS with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 3.52
Readmission Rate at DRG 15.53
Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 14.9
Unplanned Readmission Rate at DRG 11.73
Unplanned Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 11.19
Total Medicare payments at DRG $57,033,716
Total Medicare payments with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $16,122,420
Total Medicare payment per Day at DRG $1,476
Total Medicare payment per Day with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $1,423
Total Medicare payment per Hospitalization at DRG $4,930
Total Medicare payment per Hospitalization with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $5,015
Total Medicare Charges at DRG $316,364,051
Total Medicare Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $90,890,296
Avg Charges at DRG $27,348
Avg Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $28,271
Mortality Rate at DRG 0.1
Mortality Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction NA
SNF Discharge Rate at DRG 8.39
SNF Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 10.39
Home Discharge Rate at DRG 77.2
Home Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 74.25

Top 5 to 10 DRGs - Jan 2013 to Dec 2014

DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 15,319
Total Hospitalizations with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 14
DRG Share of Total Hospitalizations 0.07
% of Total ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction in DRG 0.34
Avg LOS at DRG 11.7
Avg LOS with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 8.07
Readmission Rate at DRG 34.57
Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction NA
Unplanned Readmission Rate at DRG 21.55
Unplanned Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction NA
Total Medicare payments at DRG $412,426,683
Total Medicare payments with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $298,238
Total Medicare payment per Day at DRG $2,301
Total Medicare payment per Day with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $2,639
Total Medicare payment per Hospitalization at DRG $26,923
Total Medicare payment per Hospitalization with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $21,303
Total Medicare Charges at DRG $1,713,355,119
Total Medicare Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $845,113
Avg Charges at DRG $111,845
Avg Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $60,365
Mortality Rate at DRG 9.99
Mortality Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction NA
SNF Discharge Rate at DRG 25.56
SNF Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction NA
Home Discharge Rate at DRG 29.17
Home Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction NA

Top Hospitals Associated With 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction - 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 31
COMMUNITY MEDICAL CENTER 99 ROUTE 37 W TOMS RIVER NJ 08755 14
BEAUMONT HOSPITAL TROY 44201 DEQUINDRE RD TROY MI 48085 12

Top DRGs Associated With 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Jan 2013 to Dec 2014

DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) DRG 384: UNCOMPLICATED PEPTIC ULCER WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 293,121
Total Hospitalizations with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 7,213
DRG Share of Total Hospitalizations 1.28
% of Total ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction in DRG 14.29
Avg LOS at DRG 3.78
Avg LOS with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 3.83
Readmission Rate at DRG 17.73
Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 17.18
Unplanned Readmission Rate at DRG 13.44
Unplanned Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 12.66
Total Medicare payments at DRG $1,776,508,891
Total Medicare payments with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $43,922,164
Total Medicare payment per Day at DRG $1,604
Total Medicare payment per Day with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $1,591
Total Medicare payment per Hospitalization at DRG $6,061
Total Medicare payment per Hospitalization with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $6,089
Total Medicare Charges at DRG $8,470,312,778
Total Medicare Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $222,125,174
Avg Charges at DRG $28,897
Avg Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $30,795
Mortality Rate at DRG 0.95
Mortality Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 0.62
SNF Discharge Rate at DRG 14.94
SNF Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 15.56
Home Discharge Rate at DRG 62.44
Home Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 64.31

Top 5 to 10 DRGs - Jan 2013 to Dec 2014

DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 379: G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 383: UNCOMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 166,476
Total Hospitalizations with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 1,365
DRG Share of Total Hospitalizations 0.73
% of Total ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction in DRG 2.7
Avg LOS at DRG 3.42
Avg LOS with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 3.56
Readmission Rate at DRG 24.89
Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 17.83
Unplanned Readmission Rate at DRG 18.86
Unplanned Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 12.88
Total Medicare payments at DRG $827,236,531
Total Medicare payments with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $6,583,443
Total Medicare payment per Day at DRG $1,454
Total Medicare payment per Day with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $1,353
Total Medicare payment per Hospitalization at DRG $4,969
Total Medicare payment per Hospitalization with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $4,823
Total Medicare Charges at DRG $3,946,027,775
Total Medicare Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $38,971,118
Avg Charges at DRG $23,703
Avg Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $28,550
Mortality Rate at DRG 0.45
Mortality Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction NA
SNF Discharge Rate at DRG 14.41
SNF Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 14.73
Home Discharge Rate at DRG 64.74
Home Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 65.93

Top 10 to 15 DRGs - Jan 2013 to Dec 2014

DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES 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 235,369
Total Hospitalizations with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 801
DRG Share of Total Hospitalizations 1.03
% of Total ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction in DRG 1.59
Avg LOS at DRG 6.39
Avg LOS with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 9.13
Readmission Rate at DRG 29.0
Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 30.81
Unplanned Readmission Rate at DRG 21.04
Unplanned Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 23.64
Total Medicare payments at DRG $2,435,030,298
Total Medicare payments with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $8,489,529
Total Medicare payment per Day at DRG $1,619
Total Medicare payment per Day with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $1,161
Total Medicare payment per Hospitalization at DRG $10,346
Total Medicare payment per Hospitalization with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $10,599
Total Medicare Charges at DRG $10,227,015,588
Total Medicare Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $51,650,162
Avg Charges at DRG $43,451
Avg Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $64,482
Mortality Rate at DRG 5.93
Mortality Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 3.87
SNF Discharge Rate at DRG 27.26
SNF Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 38.08
Home Discharge Rate at DRG 34.42
Home Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 28.09

Top 15 to 20 DRGs - Jan 2013 to Dec 2014

DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 381: COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 417,322
Total Hospitalizations with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 449
DRG Share of Total Hospitalizations 1.83
% of Total ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction in DRG 0.89
Avg LOS at DRG 5.93
Avg LOS with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 8.5
Readmission Rate at DRG 28.69
Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 34.34
Unplanned Readmission Rate at DRG 21.75
Unplanned Readmission Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 27.07
Total Medicare payments at DRG $4,026,370,259
Total Medicare payments with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $5,028,258
Total Medicare payment per Day at DRG $1,626
Total Medicare payment per Day with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $1,318
Total Medicare payment per Hospitalization at DRG $9,648
Total Medicare payment per Hospitalization with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $11,199
Total Medicare Charges at DRG $17,296,169,702
Total Medicare Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $29,012,514
Avg Charges at DRG $41,446
Avg Charges with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction $64,616
Mortality Rate at DRG 5.62
Mortality Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 8.02
SNF Discharge Rate at DRG 23.05
SNF Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 27.39
Home Discharge Rate at DRG 34.75
Home Discharge Rate with ICD 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 31.63

Top Hospitals Associated With 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction - 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 204
RIVERSIDE METHODIST HOSPITAL 3535 OLENTANGY RIVER RD COLUMBUS OH 43214 171
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 157

Top Operating Physicians Associated With 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction - 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. MOIDEEN M MOOPEN 2400 HARBOR BLVD PORT CHARLOTTE FL 33952 62
Dr. AHMAD HASSAN ABURASHED 27209 LAHSER RD SOUTHFIELD MI 48034 36
Dr. SNEHAL DESAI 2031 MCDANIEL ST NORTH LAS VEGAS NV 89030 35

Top Attending Physicians Associated With 53290 - Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction - 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. NEVILLE QUINBY CRENSHAW 133 E MAIN ST KAHOKA MO 63445 132
Dr. PRODE P PASCUAL 18331 GRIDLEY RD #C CERRITOS CA 90703 56
Dr. RICHARD ANTHONY TAFOYA 4059 E OLYMPIC BLVD LOS ANGELES CA 90023 30