Case Number: 2014-0091

Freedom of Information Act Office
Cohen Bldg., Room 1062
330 Independence Ave. S.W
Washington DC 20201

November 14, 2013
Cheryl Clark
Health Leaders
325 W. Washington St.
San Diego, CA 92103
Dear Ms. Clark:
This is in response to the November 14, 2013, Freedom of Information Act (FOIA) request you
submitted to the Department of Health and Human Services (HHS), Office of Inspector General
(OIG), requesting a listing of the 158 hospitals in OIG report OEI-06-10-00520.
The Office of Evaluations and Inspections located four (4) pages responsive to your request. I
have determined to release them to you in their entirety with no deletions.
There is no charge for FOIA services in this instance because billable fees are under the
Department’s $25.00 cost effective threshold.
For your information, Congress excluded three discrete categories of law enforcement and
national security records from the requirements of the FOIA. See 5 U.S.C. § 552(c) (2006 &
Supp. IV (2010). This response is limited to those records that are subject to the requirements of
the FOIA. This is a standard notification that is given to all our requesters and should not be
taken as an indication that excluded records do, or do not, exist.
Sincerely,

Robin R. Brooks
Director
Freedom of Information

Hospital

CITY

CANCER TREATMENT CENTERS OF AMERICA
MIDWESTERN REGION MED CENTER
SOUTHWESTERN REGIONAL MEDICAL CENTER
PINNACLE HOSPITAL
DOCTORS HOSPITAL LLC
CLARIAN‐ARNETT HEALTH SYSTEM INC
PALMETTO HEALTH BAPTIST
LAC/RANCHO LOS AMIGOS NATIONAL MED CTR
HOUSTON PHYSICIANS' HOSPITAL
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
USC UNIVERSITY HOSPITAL
CEDARS‐SINAI MEDICAL CENTER
UNIVERSITY GENERAL HOSPITAL
ST ANTHONY SUMMIT MEDICAL CENTER
SPECIALISTS HOSPITAL SHREVEPORT
DOCTORS HOSPITAL
SCRIPPS MEMORIAL HOSPITAL LA JOLLA
JOHN MUIR MEDICAL CENTER ‐ WALNUT CREEK CAMPUS
WESTCHESTER MEDICAL CENTER
CLARIAN NORTH MEDICAL CENTER
BAYLOR SURGICAL HOSPITAL AT FORT WORTH
MONROE HOSPITAL
SAN FRANCISCO GENERAL HOSPITAL
PROVIDENCE TARZANA MEDICAL CENTER
CATAWBA HOSPITAL
HUEY P LONG MEDICAL CENTER
SOUTH MIAMI HOSPITAL
SETON SOUTHWEST HOSPITAL
SALINAS VALLEY MEMORIAL HOSPITAL
NORTHSIDE HOSPITAL
FRANCISCAN PHYSICIANS HOSPITAL, LLC
COOPER GREEN HOSPITAL
RONALD REAGAN UCLA MEDICAL CENTER
ST LUKES EPISCOPAL HOSPITAL
UT SOUTHWESTERN UNIVERSITY HOSPITAL
MEDICAL CENTER OF THE ROCKIES
UNIV OF CALIFORNIA IRVINE MED CENTER
MARICOPA MEDICAL CENTER
STANFORD HOSPITAL
DOCTORS HOSPITAL
KAISER FOUNDATION HOSPITAL
JOHN MUIR MEDICAL CENTER ‐ CONCORD CAMPUS
UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER
MEDICAL CITY DALLAS HOSPITAL
ARIZONA REGIONAL MEDICAL CENTER
MAIMONIDES MEDICAL CENTER
GEORGE L MEE MEMORIAL HOSPITAL
UAMS MEDICAL CENTER

PHILADELPHIA
ZION
TULSA
CROWN POINT
LEAWOOD
LAFAYETTE
COLUMBIA
DOWNEY
WEBSTER
MONTEREY
LOS ANGELES
LOS ANGELES
HOUSTON
FRISCO
SHREVEPORT
CORAL GABLES
LA JOLLA
WALNUT CREEK
VALHALLA
CARMEL
FORT WORTH
BLOOMINGTON
SAN FRANCISCO
TARZANA
CATAWBA
PINEVILLE
MIAMI
AUSTIN
SALINAS
ATLANTA
MUNSTER
BIRMINGHAM
LOS ANGELES
HOUSTON
DALLAS
LOVELAND
ORANGE
PHOENIX
STANFORD
AUGUSTA
HONOLULU
CONCORD
SYRACUSE
DALLAS
MESA
BROOKLYN
KING CITY
LITTLE ROCK

STATE
PA
IL
OK
IN
KS
IN
SC
CA
TX
CA
CA
CA
TX
CO
LA
FL
CA
CA
NY
IN
TX
IN
CA
CA
VA
LA
FL
TX
CA
GA
IN
AL
CA
TX
TX
CO
CA
AZ
CA
GA
HI
CA
NY
TX
AZ
NY
CA
AR

Outlier 
Payment 
Percentage
64.8%
53.5%
44.6%
44.3%
37.1%
32.8%
28.0%
27.7%
23.9%
22.2%
21.8%
21.1%
20.9%
19.8%
18.8%
18.7%
18.6%
18.6%
17.7%
17.6%
17.4%
16.9%
16.7%
16.2%
16.2%
16.1%
15.8%
15.7%
15.6%
15.6%
15.4%
15.3%
15.2%
15.2%
14.8%
14.4%
14.0%
13.5%
13.5%
13.0%
12.9%
12.7%
12.6%
12.5%
12.4%
12.4%
12.3%
12.1%

Total Outlier  Total Medicare 
Payments
Payments
12,914,652
9,751,030
5,238,391
6,105,876
5,159,014
38,092,060
48,529,014
4,115,624
2,425,835
66,372,074
65,489,005
270,094,234
6,075,463
1,675,647
2,334,838
18,293,215
41,577,909
64,877,617
84,357,638
13,278,247
2,602,305
3,451,866
28,342,745
33,560,675
508,655
917,867
23,041,464
522,455
43,189,155
17,234,649
2,282,620
1,506,112
90,668,472
86,218,351
38,035,408
17,532,908
38,126,963
9,239,436
108,405,870
21,402,812
3,048,702
30,661,105
39,800,500
36,609,752
3,951,084
115,109,548
1,995,785
38,220,385

19,942,280
18,231,392
11,755,200
13,795,001
13,918,072
116,059,307
173,223,526
14,875,313
10,147,495
299,427,341
301,048,015
1,282,281,511
29,068,115
8,477,030
12,388,883
97,825,725
223,670,108
349,500,764
475,715,207
75,294,421
14,925,504
20,423,277
169,925,882
207,564,682
3,149,035
5,710,087
146,197,198
3,317,890
276,774,829
110,546,430
14,832,880
9,824,648
595,047,225
568,831,983
257,487,215
121,736,026
273,135,764
68,640,810
805,817,584
164,037,719
23,647,985
241,403,399
316,451,905
291,856,674
31,778,920
928,703,342
16,173,845
316,667,906

Total 
Number of 
Outlier 
Claims
391
336
301
142
221
2073
2095
156
221
2301
1817
9188
441
116
190
1061
1717
2662
2696
1262
129
358
783
1432
60
49
1240
89
1562
811
179
52
2293
3341
1312
1311
1271
233
2929
509
106
1365
1849
1515
263
4246
87
1402

Total 
Number 
Medicare  Outlier Claim 
Claims
Percentage
809
972
758
1366
1075
10371
14784
800
846
19476
12072
68991
2761
757
988
9636
17120
23715
18355
7123
1224
2750
7993
16896
745
746
12507
588
17175
10364
1680
1048
22637
37917
20040
10599
13351
3439
30566
12607
2220
15465
20347
23115
2892
44707
1288
22116

48.3%
34.6%
39.7%
10.4%
20.6%
20.0%
14.2%
19.5%
26.1%
11.8%
15.1%
13.3%
16.0%
15.3%
19.2%
11.0%
10.0%
11.2%
14.7%
17.7%
10.5%
13.0%
9.8%
8.5%
8.1%
6.6%
9.9%
15.1%
9.1%
7.8%
10.7%
5.0%
10.1%
8.8%
6.5%
12.4%
9.5%
6.8%
9.6%
4.0%
4.8%
8.8%
9.1%
6.6%
9.1%
9.5%
6.8%
6.3%

Hospital

CITY

KARMANOS CANCER CENTER
DETROIT
KAPIOLANI MEDICAL CENTER AT PALI MOMI
AIEA
HARBORVIEW MEDICAL CENTER
SEATTLE
SANTA MONICA ‐ UCLA MED CTR & ORTHOPAEDIC HOSPITASANTA MONICA
UNIVERSITY OF MINNESOTA  MEDICAL CENTER, FAIRVIEW MINNEAPOLIS
CHICAGO
NORTHWESTERN MEMORIAL HOSPITAL
MAUI MEMORIAL MEDICAL CENTER
WAILUKU
LOS ROBLES HOSPITAL & MEDICAL CENTER
THOUSAND OAKS
FREMONT
WASHINGTON HOSPITAL
HOWARD UNIVERSITY HOSPITAL
WASHINGTON
NYU HOSPITALS CENTER
NEW YORK
PROVIDENCE SAINT JOSEPH MEDICAL CTR
BURBANK
WASHINGTON
GEORGETOWN UNIVERSITY HOSPITAL
UNIVERSITY OF MICHIGAN HEALTH SYSTEM
ANN ARBOR
SUTTER MEDICAL CENTER OF SANTA ROSA
SANTA ROSA
THE HEART HOSPITAL BAYLOR PLANO
PLANO
RIVERSIDE COUNTY REGIONAL MEDICAL CENTER
MORENO VALLEY
SINGING RIVER HOSPITAL SYSTEM
PASCAGOULA
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM RICHMOND
SMDC MEDICAL CENTER
DULUTH
SWEDISH MEDICAL CENTER/CHERRY HILL
SEATTLE
MISSION HOSPITAL REGIONAL MED CENTER
MISSION VIEJO
ALAMEDA COUNTY MEDICAL CENTER
OAKLAND
BAPTIST HOSPITAL OF MIAMI INC
MIAMI
PLANO
BAYLOR REGIONAL MEDICAL CENTER AT PLANO
TAMPA GENERAL HOSPITAL
TAMPA
LEGACY EMANUEL HOSPITAL
PORTLAND
LIBERTYHEALTH‐MEADOWLANDS HOSPITAL CAMPUS
SECAUCUS
UCSF MEDICAL CENTER
SAN FRANCISCO
METHODIST MANSFIELD MEDICAL CENTER
MANSFIELD
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC
FORT WAYNE
ST JOSEPH HOSPITAL
FORT WAYNE
SHARP MEMORIAL HOSPITAL
SAN DIEGO
NORTHBAY MEDICAL CENTER
FAIRFIELD
HOUSTON
RENAISSANCE HOSPITAL
SAMARITAN MEDICAL CENTER
WATERTOWN
UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND  CLINICS SALT LAKE CITY
HOLLYWOOD
MEMORIAL REGIONAL HOSPITAL
PASADENA
HUNTINGTON MEMORIAL HOSPITAL
HENRICO DOCTORS' HOSPITAL
RICHMOND
WELLSTAR KENNESTONE HOSPITAL
MARIETTA
SETON MEDICAL CENTER
DALY CITY
EAST COOPER REGIONAL MEDICAL CENTER
MOUNT PLEASANT
ST MARYS HOSPITAL
ROCHESTER
ST JOHNS MERCY MEDICAL CENTER
SAINT LOUIS
PALMETTO HEALTH RICHLAND
COLUMBIA
STAMFORD HOSPITAL
STAMFORD
SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES
SIMI VALLEY

STATE
MI
HI
WA
CA
MN
IL
HI
CA
CA
DC
NY
CA
DC
MI
CA
TX
CA
MS
VA
MN
WA
CA
CA
FL
TX
FL
OR
NJ
CA
TX
IN
IN
CA
CA
TX
NY
UT
FL
CA
VA
GA
CA
SC
MN
MO
SC
CT
CA

Outlier 
Payment 
Percentage
12.0%
11.8%
11.8%
11.8%
11.7%
11.7%
11.7%
11.7%
11.7%
11.6%
11.5%
11.4%
11.3%
11.3%
11.2%
11.0%
11.0%
10.9%
10.8%
10.7%
10.6%
10.6%
10.5%
10.4%
10.3%
10.3%
10.2%
10.2%
10.2%
10.1%
10.1%
10.1%
10.1%
10.1%
10.0%
10.0%
9.9%
9.9%
9.9%
9.9%
9.9%
9.9%
9.9%
9.7%
9.7%
9.7%
9.6%
9.6%

Total Outlier  Total Medicare 
Payments
Payments
7,992,377
11,800,270
38,933,783
25,101,881
49,824,022
85,553,729
14,054,563
31,448,809
38,610,759
19,582,533
87,348,489
34,933,513
32,874,008
95,306,609
13,581,268
12,397,642
9,091,123
26,102,100
50,933,751
4,429,735
22,428,451
25,403,637
7,771,273
37,863,350
9,462,970
59,780,443
12,284,500
4,576,893
76,944,566
4,448,161
2,898,268
5,915,043
26,528,781
12,677,950
1,103,773
9,510,158
31,179,626
31,749,873
38,473,932
28,287,208
44,624,550
20,756,503
4,856,279
88,402,221
34,195,089
37,737,228
19,231,632
6,867,961

66,367,918
99,583,935
329,987,198
213,111,186
424,100,410
729,462,354
120,022,801
268,639,096
330,422,751
169,074,745
761,692,362
306,575,101
289,985,645
844,458,834
121,453,048
112,297,078
82,655,909
240,087,251
472,673,703
41,572,594
211,293,078
240,112,108
74,202,420
363,278,765
91,969,132
582,446,004
119,919,803
44,728,578
756,479,243
43,862,342
28,614,548
58,611,882
263,072,640
125,832,395
10,988,318
94,898,111
314,036,234
319,939,183
388,091,465
285,884,795
451,800,133
210,655,334
49,291,631
908,682,487
353,713,400
390,539,093
199,523,654
71,342,561

Total 
Number of 
Outlier 
Claims
277
430
1569
1139
1667
3779
677
1262
1639
656
3764
1681
1476
3401
391
931
367
1758
2203
240
1368
1311
244
1817
635
2818
526
118
2087
352
267
328
1102
573
62
618
1384
1589
1779
1609
2856
881
333
3570
1709
1885
935
372

Total 
Number 
Medicare  Outlier Claim 
Claims
Percentage
4760
8454
16288
18302
22911
52238
7143
20884
20036
11472
42865
23535
16686
47375
5579
6168
7143
27267
25746
4465
13959
23421
4515
29632
10121
36641
7492
4746
28542
5565
2235
5720
19209
7699
1384
9844
19300
28693
31608
30588
45450
12996
5561
58482
34944
28298
16339
7184

5.8%
5.1%
9.6%
6.2%
7.3%
7.2%
9.5%
6.0%
8.2%
5.7%
8.8%
7.1%
8.8%
7.2%
7.0%
15.1%
5.1%
6.4%
8.6%
5.4%
9.8%
5.6%
5.4%
6.1%
6.3%
7.7%
7.0%
2.5%
7.3%
6.3%
11.9%
5.7%
5.7%
7.4%
4.5%
6.3%
7.2%
5.5%
5.6%
5.3%
6.3%
6.8%
6.0%
6.1%
4.9%
6.7%
5.7%
5.2%

Hospital

CITY

HAWAII MEDICAL CENTER EAST
PIEDMONT HOSPITAL
MAYO CLINIC
SCRIPPS MEMORIAL HOSPITAL ‐ ENCINITAS
ROGUE VALLEY MEDICAL CENTER
SOUTHERN SURGICAL HOSPITAL
METHODIST HOSPITAL,THE
VAIL VALLEY MEDICAL CENTER
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
ST CHARLES MEDICAL CENTER ‐ BEND
YALE‐NEW HAVEN HOSPITAL
LONGMONT UNITED HOSPITAL
DAMERON HOSPITAL
DUKE HEALTH RALEIGH HOSPITAL
SUMTER REGIONAL HOSPITAL EAST
RICHARDSON REGIONAL MEDICAL CENTER
SETON MEDICAL CENTER WILLIAMSON
SEQUOIA HOSPITAL
MEDICAL CENTER OF LOUISIANA AT N O
UT SOUTHWESTERN UNIVERSITY HOSPITAL‐ZALE LIPSHY
PROVIDENCE HOLY CROSS MEDICAL CENTER
SAINT FRANCIS MEMORIAL HOSPITAL
GOOD SAMARITAN HOSPITAL
MARSHALL MEDICAL CENTER (1‐RH)
SANTA CLARA VALLEY MEDICAL CENTER
QUEEN OF THE VALLEY MEDICAL CENTER
MARIN GENERAL HOSPITAL
UNIVERSITY COMMUNITY  HOSPITAL AT CARROLLWOOD
TORRANCE MEMORIAL MEDICAL CENTER
PRESBYTERIAN/ST LUKE'S MEDICAL CENTER
NORTH OAKS MEDICAL CENTER
UW HEALTH  UW HOSPITALS AND CLINICS
LANCASTER REGIONAL MEDICAL CENTER
PACIFIC CAMPUS HOSPITAL
UNIVERSITY OF KANSAS HOSPITAL
WAUKESHA MEMORIAL HOSPITAL
ST JOSEPHS HSPTL
BOULDER COMMUNITY HOSPITAL
PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER
SENTARA NORFOLK GENL HOSP
HARRISON MEDICAL CENTER
CONTRA COSTA REGIONAL MEDICAL CENTER
SAN RAMON REGIONAL MEDICAL CTR
ST ROSE DOMINICAN HOSP‐SAN MARTIN
THE NEBRASKA MEDICAL CENTER
BON SECOURS ‐ ST FRANCIS MEDICAL CENTER
THE HOSPITAL AT WESTLAKE MEDICAL CENTER
BEEBE MEDICAL CENTER

HONOLULU
ATLANTA
JACKSONVILLE
ENCINITAS
MEDFORD
SLIDELL
HOUSTON
VAIL
NEWPORT BEACH
BEND
NEW HAVEN
LONGMONT
STOCKTON
RALEIGH
AMERICUS
RICHARDSON
ROUND ROCK
REDWOOD CITY
NEW ORLEANS
DALLAS
MISSION HILLS
SAN FRANCISCO
SAN JOSE
PLACERVILLE
SAN JOSE
NAPA
GREENBRAE
TAMPA
TORRANCE
DENVER
HAMMOND
MADISON
LANCASTER
SAN FRANCISCO
KANSAS CITY
WAUKESHA
MARSHFIELD
BOULDER
RIVERSIDE
NORFOLK
BREMERTON
MARTINEZ
SAN RAMON
LAS VEGAS
OMAHA
MIDLOTHIAN
AUSTIN
LEWES

STATE
HI
GA
FL
CA
OR
LA
TX
CO
CA
OR
CT
CO
CA
NC
GA
TX
TX
CA
LA
TX
CA
CA
CA
CA
CA
CA
CA
FL
CA
CO
LA
WI
PA
CA
KS
WI
WI
CO
CA
VA
WA
CA
CA
NV
NE
VA
TX
DE

Outlier 
Payment 
Percentage
9.6%
9.5%
9.5%
9.5%
9.4%
9.4%
9.4%
9.3%
9.3%
9.2%
9.2%
9.2%
9.2%
9.1%
9.1%
9.0%
9.0%
9.0%
9.0%
9.0%
9.0%
9.0%
9.0%
8.9%
8.9%
8.9%
8.9%
8.7%
8.7%
8.7%
8.6%
8.6%
8.6%
8.5%
8.5%
8.5%
8.5%
8.5%
8.4%
8.4%
8.4%
8.4%
8.4%
8.3%
8.3%
8.3%
8.3%
8.3%

Total Outlier  Total Medicare 
Payments
Payments
6,491,995
37,755,212
29,319,443
10,162,896
22,396,683
1,255,493
77,953,769
2,367,379
33,205,795
17,116,709
81,389,595
9,065,962
8,571,787
10,841,421
1,600,044
5,823,575
5,404,331
14,867,297
6,137,163
6,880,488
18,159,502
10,315,041
23,446,191
9,462,813
17,649,681
15,891,417
18,481,993
4,895,449
20,393,238
11,482,261
15,701,733
43,756,551
4,389,512
32,992,563
36,343,649
19,856,179
20,008,024
7,902,786
6,539,542
36,979,422
23,207,584
4,636,013
5,902,035
6,274,873
35,525,450
8,768,616
1,793,298
16,187,136

67,856,374
396,400,725
308,698,931
107,076,103
237,825,325
13,348,695
831,704,283
25,352,886
358,799,867
185,733,785
883,839,205
98,493,478
93,633,966
119,049,190
17,573,994
64,390,443
59,801,579
164,837,105
68,329,342
76,639,749
202,287,473
114,921,519
261,326,787
105,744,316
197,277,768
178,488,602
207,885,777
56,219,978
235,012,141
132,700,505
181,591,899
508,022,136
51,209,404
386,361,471
426,910,966
233,666,754
236,187,246
93,364,751
77,616,064
441,229,362
277,026,761
55,389,431
70,648,132
75,154,060
425,768,159
105,356,839
21,592,809
195,427,520

Total 
Number of 
Outlier 
Claims
201
1920
1506
535
1159
112
4141
250
1978
1072
2844
677
360
873
220
262
466
748
319
418
792
376
965
508
441
668
954
330
979
585
1124
2053
297
1132
1879
1527
1290
635
293
1710
1333
175
259
412
1734
715
116
1057

Total 
Number 
Medicare  Outlier Claim 
Claims
Percentage
3996
34762
26727
10385
18849
1317
60988
1376
31976
16202
54230
10961
7026
12213
2740
7176
7598
10797
4140
6355
15171
6753
17473
10534
8396
12846
15791
5495
21800
8961
19954
30157
6011
22877
29181
25005
21685
10199
6061
32640
26300
3741
5930
7875
32488
12242
2064
19916

5.0%
5.5%
5.6%
5.2%
6.1%
8.5%
6.8%
18.2%
6.2%
6.6%
5.2%
6.2%
5.1%
7.1%
8.0%
3.7%
6.1%
6.9%
7.7%
6.6%
5.2%
5.6%
5.5%
4.8%
5.3%
5.2%
6.0%
6.0%
4.5%
6.5%
5.6%
6.8%
4.9%
4.9%
6.4%
6.1%
5.9%
6.2%
4.8%
5.2%
5.1%
4.7%
4.4%
5.2%
5.3%
5.8%
5.6%
5.3%

STATE

Outlier 
Payment 
Percentage

Total Outlier  Total Medicare 
Payments
Payments

Total 
Number of 
Outlier 
Claims

Total 
Number 
Medicare  Outlier Claim 
Claims
Percentage

Hospital

CITY

MERCY HEALTH CENTER, INC
WEST HILLS HOSPITAL & MEDICAL CENTER
PROVIDENCE ALASKA MEDICAL CENTER
ALASKA REGIONAL HOSPITAL
THE NEBRASKA METHODIST HOSPITAL
ST JOHN'S PLEASANT VALLEY HOSPITAL
SAINT FRANCIS MEDICAL CENTER
EVERGREEN HOSPITAL MEDICAL CENTER
MONONGALIA COUNTY GENERAL HOSPITAL
UNIVERSITY OF ILLINOIS HOSPITAL
ST LUKE'S HOSPITAL
HENRY MAYO NEWHALL MEMORIAL HOSPITAL
UNIVERSITY OF ALABAMA HOSPITAL
LDS HOSPITAL

OKLAHOMA CITY
WEST HILLS
ANCHORAGE
ANCHORAGE
OMAHA
CAMARILLO
PEORIA
KIRKLAND
MORGANTOWN
CHICAGO
SAN FRANCISCO
VALENCIA
BIRMINGHAM
SALT LAKE CITY

Outlier Percentage
Total Outlier Payments
Total Medicare Payments
Total Number of Outlier Claims
Total Number Medicare Claims
Outlier Claim Percentage

Percentage of Medicare revenue received from operating outlier payments during calendar years 2008‐2011
Total amount of operating outlier payments during calendar years 2008‐2011
Total amount of Medicare IPPS payments during calendar years 2008‐2011
Total number of operating outlier claims during calendar years 2008‐2011
Total number of Medicare IPPS claims during calendar years 2008‐2011
Percentage of Medicare claims that were  operating outlier claims during calendar years 2008‐2011

OK
CA
AK
AK
NE
CA
IL
WA
WV
IL
CA
CA
AL
UT

8.3%
8.3%
8.2%
8.2%
8.2%
8.2%
8.2%
8.1%
8.1%
8.1%
8.1%
8.0%
8.0%
8.0%

15,893,268
11,491,512
21,398,604
7,944,213
17,734,387
5,028,187
37,847,333
11,327,565
10,821,631
23,065,134
5,733,972
9,395,716
52,428,000
4,720,381

192,045,257
139,255,646
259,500,713
96,735,330
217,177,826
61,639,435
464,088,575
139,228,522
133,334,920
284,333,303
70,988,772
117,177,236
654,102,651
59,004,147

1198
665
1031
390
1289
230
1926
749
954
938
218
505
2098
259

23413
12858
16862
5861
23772
6819
39691
14830
16660
15655
4338
11635
43926
6617

5.1%
5.2%
6.1%
6.7%
5.4%
3.4%
4.9%
5.1%
5.7%
6.0%
5.0%
4.3%
4.8%
3.9%

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