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 STATE

Outlier Payment 

PercentageTotal Outlier 

PaymentsTotal Medicare 

Payments

Total Number of 

Outlier Claims

Total Number 

Medicare Claims

Outlier Claim Percentage

CANCER TREATMENT CENTERS OF AMERICA PHILADELPHIA PA 64.8% 12,914,652 19,942,280 391 809 48.3%MIDWESTERN REGION MED CENTER ZION IL 53.5% 9,751,030 18,231,392 336 972 34.6%SOUTHWESTERN REGIONAL MEDICAL CENTER TULSA OK 44.6% 5,238,391 11,755,200 301 758 39.7%PINNACLE HOSPITAL CROWN POINT IN 44.3% 6,105,876 13,795,001 142 1366 10.4%DOCTORS HOSPITAL LLC LEAWOOD KS 37.1% 5,159,014 13,918,072 221 1075 20.6%CLARIAN‐ARNETT HEALTH SYSTEM INC LAFAYETTE IN 32.8% 38,092,060 116,059,307 2073 10371 20.0%PALMETTO HEALTH BAPTIST COLUMBIA SC 28.0% 48,529,014 173,223,526 2095 14784 14.2%LAC/RANCHO LOS AMIGOS NATIONAL MED CTR DOWNEY CA 27.7% 4,115,624 14,875,313 156 800 19.5%HOUSTON PHYSICIANS' HOSPITAL WEBSTER TX 23.9% 2,425,835 10,147,495 221 846 26.1%COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA MONTEREY CA 22.2% 66,372,074 299,427,341 2301 19476 11.8%USC UNIVERSITY HOSPITAL LOS ANGELES CA 21.8% 65,489,005 301,048,015 1817 12072 15.1%CEDARS‐SINAI MEDICAL CENTER LOS ANGELES CA 21.1% 270,094,234 1,282,281,511 9188 68991 13.3%UNIVERSITY GENERAL HOSPITAL HOUSTON TX 20.9% 6,075,463 29,068,115 441 2761 16.0%ST ANTHONY SUMMIT MEDICAL CENTER FRISCO CO 19.8% 1,675,647 8,477,030 116 757 15.3%SPECIALISTS HOSPITAL SHREVEPORT SHREVEPORT LA 18.8% 2,334,838 12,388,883 190 988 19.2%DOCTORS HOSPITAL CORAL GABLES FL 18.7% 18,293,215 97,825,725 1061 9636 11.0%SCRIPPS MEMORIAL HOSPITAL LA JOLLA LA JOLLA CA 18.6% 41,577,909 223,670,108 1717 17120 10.0%JOHN MUIR MEDICAL CENTER ‐ WALNUT CREEK CAMPUS WALNUT CREEK CA 18.6% 64,877,617 349,500,764 2662 23715 11.2%WESTCHESTER MEDICAL CENTER VALHALLA NY 17.7% 84,357,638 475,715,207 2696 18355 14.7%CLARIAN NORTH MEDICAL CENTER CARMEL IN 17.6% 13,278,247 75,294,421 1262 7123 17.7%BAYLOR SURGICAL HOSPITAL AT FORT WORTH FORT WORTH TX 17.4% 2,602,305 14,925,504 129 1224 10.5%MONROE HOSPITAL BLOOMINGTON IN 16.9% 3,451,866 20,423,277 358 2750 13.0%SAN FRANCISCO GENERAL HOSPITAL SAN FRANCISCO CA 16.7% 28,342,745 169,925,882 783 7993 9.8%PROVIDENCE TARZANA MEDICAL CENTER TARZANA CA 16.2% 33,560,675 207,564,682 1432 16896 8.5%CATAWBA HOSPITAL CATAWBA VA 16.2% 508,655 3,149,035 60 745 8.1%HUEY P LONG MEDICAL CENTER PINEVILLE LA 16.1% 917,867 5,710,087 49 746 6.6%SOUTH MIAMI HOSPITAL MIAMI FL 15.8% 23,041,464 146,197,198 1240 12507 9.9%SETON SOUTHWEST HOSPITAL AUSTIN TX 15.7% 522,455 3,317,890 89 588 15.1%SALINAS VALLEY MEMORIAL HOSPITAL SALINAS CA 15.6% 43,189,155 276,774,829 1562 17175 9.1%NORTHSIDE HOSPITAL ATLANTA GA 15.6% 17,234,649 110,546,430 811 10364 7.8%FRANCISCAN PHYSICIANS HOSPITAL, LLC MUNSTER IN 15.4% 2,282,620 14,832,880 179 1680 10.7%COOPER GREEN HOSPITAL BIRMINGHAM AL 15.3% 1,506,112 9,824,648 52 1048 5.0%RONALD REAGAN UCLA MEDICAL CENTER LOS ANGELES CA 15.2% 90,668,472 595,047,225 2293 22637 10.1%ST LUKES EPISCOPAL HOSPITAL HOUSTON TX 15.2% 86,218,351 568,831,983 3341 37917 8.8%UT SOUTHWESTERN UNIVERSITY HOSPITAL DALLAS TX 14.8% 38,035,408 257,487,215 1312 20040 6.5%MEDICAL CENTER OF THE ROCKIES LOVELAND CO 14.4% 17,532,908 121,736,026 1311 10599 12.4%UNIV OF CALIFORNIA IRVINE MED CENTER ORANGE CA 14.0% 38,126,963 273,135,764 1271 13351 9.5%MARICOPA MEDICAL CENTER PHOENIX AZ 13.5% 9,239,436 68,640,810 233 3439 6.8%STANFORD HOSPITAL STANFORD CA 13.5% 108,405,870 805,817,584 2929 30566 9.6%DOCTORS HOSPITAL AUGUSTA GA 13.0% 21,402,812 164,037,719 509 12607 4.0%KAISER FOUNDATION HOSPITAL HONOLULU HI 12.9% 3,048,702 23,647,985 106 2220 4.8%JOHN MUIR MEDICAL CENTER ‐ CONCORD CAMPUS CONCORD CA 12.7% 30,661,105 241,403,399 1365 15465 8.8%UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER SYRACUSE NY 12.6% 39,800,500 316,451,905 1849 20347 9.1%MEDICAL CITY DALLAS HOSPITAL DALLAS TX 12.5% 36,609,752 291,856,674 1515 23115 6.6%ARIZONA REGIONAL MEDICAL CENTER MESA AZ 12.4% 3,951,084 31,778,920 263 2892 9.1%MAIMONIDES MEDICAL CENTER BROOKLYN NY 12.4% 115,109,548 928,703,342 4246 44707 9.5%GEORGE L MEE MEMORIAL HOSPITAL KING CITY CA 12.3% 1,995,785 16,173,845 87 1288 6.8%UAMS MEDICAL CENTER LITTLE ROCK AR 12.1% 38,220,385 316,667,906 1402 22116 6.3%

Hospital CITY STATE

Outlier Payment 

PercentageTotal Outlier 

PaymentsTotal Medicare 

Payments

Total Number of 

Outlier Claims

Total Number 

Medicare Claims

Outlier Claim Percentage

KARMANOS CANCER CENTER DETROIT MI 12.0% 7,992,377 66,367,918 277 4760 5.8%KAPIOLANI MEDICAL CENTER AT PALI MOMI AIEA HI 11.8% 11,800,270 99,583,935 430 8454 5.1%HARBORVIEW MEDICAL CENTER SEATTLE WA 11.8% 38,933,783 329,987,198 1569 16288 9.6%SANTA MONICA ‐ UCLA MED CTR & ORTHOPAEDIC HOSPITASANTA MONICA CA 11.8% 25,101,881 213,111,186 1139 18302 6.2%UNIVERSITY OF MINNESOTA  MEDICAL CENTER, FAIRVIEW MINNEAPOLIS MN 11.7% 49,824,022 424,100,410 1667 22911 7.3%NORTHWESTERN MEMORIAL HOSPITAL CHICAGO IL 11.7% 85,553,729 729,462,354 3779 52238 7.2%MAUI MEMORIAL MEDICAL CENTER WAILUKU HI 11.7% 14,054,563 120,022,801 677 7143 9.5%LOS ROBLES HOSPITAL & MEDICAL CENTER THOUSAND OAKS CA 11.7% 31,448,809 268,639,096 1262 20884 6.0%WASHINGTON HOSPITAL FREMONT CA 11.7% 38,610,759 330,422,751 1639 20036 8.2%HOWARD UNIVERSITY HOSPITAL WASHINGTON DC 11.6% 19,582,533 169,074,745 656 11472 5.7%NYU HOSPITALS CENTER NEW YORK NY 11.5% 87,348,489 761,692,362 3764 42865 8.8%PROVIDENCE SAINT JOSEPH MEDICAL CTR BURBANK CA 11.4% 34,933,513 306,575,101 1681 23535 7.1%GEORGETOWN UNIVERSITY HOSPITAL WASHINGTON DC 11.3% 32,874,008 289,985,645 1476 16686 8.8%UNIVERSITY OF MICHIGAN HEALTH SYSTEM ANN ARBOR MI 11.3% 95,306,609 844,458,834 3401 47375 7.2%SUTTER MEDICAL CENTER OF SANTA ROSA SANTA ROSA CA 11.2% 13,581,268 121,453,048 391 5579 7.0%THE HEART HOSPITAL BAYLOR PLANO PLANO TX 11.0% 12,397,642 112,297,078 931 6168 15.1%RIVERSIDE COUNTY REGIONAL MEDICAL CENTER MORENO VALLEY CA 11.0% 9,091,123 82,655,909 367 7143 5.1%SINGING RIVER HOSPITAL SYSTEM PASCAGOULA MS 10.9% 26,102,100 240,087,251 1758 27267 6.4%VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM RICHMOND VA 10.8% 50,933,751 472,673,703 2203 25746 8.6%SMDC MEDICAL CENTER DULUTH MN 10.7% 4,429,735 41,572,594 240 4465 5.4%SWEDISH MEDICAL CENTER/CHERRY HILL SEATTLE WA 10.6% 22,428,451 211,293,078 1368 13959 9.8%MISSION HOSPITAL REGIONAL MED CENTER MISSION VIEJO CA 10.6% 25,403,637 240,112,108 1311 23421 5.6%ALAMEDA COUNTY MEDICAL CENTER OAKLAND CA 10.5% 7,771,273 74,202,420 244 4515 5.4%BAPTIST HOSPITAL OF MIAMI INC MIAMI FL 10.4% 37,863,350 363,278,765 1817 29632 6.1%BAYLOR REGIONAL MEDICAL CENTER AT PLANO PLANO TX 10.3% 9,462,970 91,969,132 635 10121 6.3%TAMPA GENERAL HOSPITAL TAMPA FL 10.3% 59,780,443 582,446,004 2818 36641 7.7%LEGACY EMANUEL HOSPITAL PORTLAND OR 10.2% 12,284,500 119,919,803 526 7492 7.0%LIBERTYHEALTH‐MEADOWLANDS HOSPITAL CAMPUS SECAUCUS NJ 10.2% 4,576,893 44,728,578 118 4746 2.5%UCSF MEDICAL CENTER SAN FRANCISCO CA 10.2% 76,944,566 756,479,243 2087 28542 7.3%METHODIST MANSFIELD MEDICAL CENTER MANSFIELD TX 10.1% 4,448,161 43,862,342 352 5565 6.3%ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC FORT WAYNE IN 10.1% 2,898,268 28,614,548 267 2235 11.9%ST JOSEPH HOSPITAL FORT WAYNE IN 10.1% 5,915,043 58,611,882 328 5720 5.7%SHARP MEMORIAL HOSPITAL SAN DIEGO CA 10.1% 26,528,781 263,072,640 1102 19209 5.7%NORTHBAY MEDICAL CENTER FAIRFIELD CA 10.1% 12,677,950 125,832,395 573 7699 7.4%RENAISSANCE HOSPITAL HOUSTON TX 10.0% 1,103,773 10,988,318 62 1384 4.5%SAMARITAN MEDICAL CENTER WATERTOWN NY 10.0% 9,510,158 94,898,111 618 9844 6.3%UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND  CLINICS SALT LAKE CITY UT 9.9% 31,179,626 314,036,234 1384 19300 7.2%MEMORIAL REGIONAL HOSPITAL HOLLYWOOD FL 9.9% 31,749,873 319,939,183 1589 28693 5.5%HUNTINGTON MEMORIAL HOSPITAL PASADENA CA 9.9% 38,473,932 388,091,465 1779 31608 5.6%HENRICO DOCTORS' HOSPITAL RICHMOND VA 9.9% 28,287,208 285,884,795 1609 30588 5.3%WELLSTAR KENNESTONE HOSPITAL MARIETTA GA 9.9% 44,624,550 451,800,133 2856 45450 6.3%SETON MEDICAL CENTER DALY CITY CA 9.9% 20,756,503 210,655,334 881 12996 6.8%EAST COOPER REGIONAL MEDICAL CENTER MOUNT PLEASANT SC 9.9% 4,856,279 49,291,631 333 5561 6.0%ST MARYS HOSPITAL ROCHESTER MN 9.7% 88,402,221 908,682,487 3570 58482 6.1%ST JOHNS MERCY MEDICAL CENTER SAINT LOUIS MO 9.7% 34,195,089 353,713,400 1709 34944 4.9%PALMETTO HEALTH RICHLAND COLUMBIA SC 9.7% 37,737,228 390,539,093 1885 28298 6.7%STAMFORD HOSPITAL STAMFORD CT 9.6% 19,231,632 199,523,654 935 16339 5.7%SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES SIMI VALLEY CA 9.6% 6,867,961 71,342,561 372 7184 5.2%

Hospital CITY STATE

Outlier Payment 

PercentageTotal Outlier 

PaymentsTotal Medicare 

Payments

Total Number of 

Outlier Claims

Total Number 

Medicare Claims

Outlier Claim Percentage

HAWAII MEDICAL CENTER EAST HONOLULU HI 9.6% 6,491,995 67,856,374 201 3996 5.0%PIEDMONT HOSPITAL ATLANTA GA 9.5% 37,755,212 396,400,725 1920 34762 5.5%MAYO CLINIC JACKSONVILLE FL 9.5% 29,319,443 308,698,931 1506 26727 5.6%SCRIPPS MEMORIAL HOSPITAL ‐ ENCINITAS ENCINITAS CA 9.5% 10,162,896 107,076,103 535 10385 5.2%ROGUE VALLEY MEDICAL CENTER MEDFORD OR 9.4% 22,396,683 237,825,325 1159 18849 6.1%SOUTHERN SURGICAL HOSPITAL SLIDELL LA 9.4% 1,255,493 13,348,695 112 1317 8.5%METHODIST HOSPITAL,THE HOUSTON TX 9.4% 77,953,769 831,704,283 4141 60988 6.8%VAIL VALLEY MEDICAL CENTER VAIL CO 9.3% 2,367,379 25,352,886 250 1376 18.2%HOAG MEMORIAL HOSPITAL PRESBYTERIAN NEWPORT BEACH CA 9.3% 33,205,795 358,799,867 1978 31976 6.2%ST CHARLES MEDICAL CENTER ‐ BEND BEND OR 9.2% 17,116,709 185,733,785 1072 16202 6.6%YALE‐NEW HAVEN HOSPITAL NEW HAVEN CT 9.2% 81,389,595 883,839,205 2844 54230 5.2%LONGMONT UNITED HOSPITAL LONGMONT CO 9.2% 9,065,962 98,493,478 677 10961 6.2%DAMERON HOSPITAL STOCKTON CA 9.2% 8,571,787 93,633,966 360 7026 5.1%DUKE HEALTH RALEIGH HOSPITAL RALEIGH NC 9.1% 10,841,421 119,049,190 873 12213 7.1%SUMTER REGIONAL HOSPITAL EAST AMERICUS GA 9.1% 1,600,044 17,573,994 220 2740 8.0%RICHARDSON REGIONAL MEDICAL CENTER RICHARDSON TX 9.0% 5,823,575 64,390,443 262 7176 3.7%SETON MEDICAL CENTER WILLIAMSON ROUND ROCK TX 9.0% 5,404,331 59,801,579 466 7598 6.1%SEQUOIA HOSPITAL REDWOOD CITY CA 9.0% 14,867,297 164,837,105 748 10797 6.9%MEDICAL CENTER OF LOUISIANA AT N O NEW ORLEANS LA 9.0% 6,137,163 68,329,342 319 4140 7.7%UT SOUTHWESTERN UNIVERSITY HOSPITAL‐ZALE LIPSHY DALLAS TX 9.0% 6,880,488 76,639,749 418 6355 6.6%PROVIDENCE HOLY CROSS MEDICAL CENTER MISSION HILLS CA 9.0% 18,159,502 202,287,473 792 15171 5.2%SAINT FRANCIS MEMORIAL HOSPITAL SAN FRANCISCO CA 9.0% 10,315,041 114,921,519 376 6753 5.6%GOOD SAMARITAN HOSPITAL SAN JOSE CA 9.0% 23,446,191 261,326,787 965 17473 5.5%MARSHALL MEDICAL CENTER (1‐RH) PLACERVILLE CA 8.9% 9,462,813 105,744,316 508 10534 4.8%SANTA CLARA VALLEY MEDICAL CENTER SAN JOSE CA 8.9% 17,649,681 197,277,768 441 8396 5.3%QUEEN OF THE VALLEY MEDICAL CENTER NAPA CA 8.9% 15,891,417 178,488,602 668 12846 5.2%MARIN GENERAL HOSPITAL GREENBRAE CA 8.9% 18,481,993 207,885,777 954 15791 6.0%UNIVERSITY COMMUNITY  HOSPITAL AT CARROLLWOOD TAMPA FL 8.7% 4,895,449 56,219,978 330 5495 6.0%TORRANCE MEMORIAL MEDICAL CENTER TORRANCE CA 8.7% 20,393,238 235,012,141 979 21800 4.5%PRESBYTERIAN/ST LUKE'S MEDICAL CENTER DENVER CO 8.7% 11,482,261 132,700,505 585 8961 6.5%NORTH OAKS MEDICAL CENTER HAMMOND LA 8.6% 15,701,733 181,591,899 1124 19954 5.6%UW HEALTH  UW HOSPITALS AND CLINICS MADISON WI 8.6% 43,756,551 508,022,136 2053 30157 6.8%LANCASTER REGIONAL MEDICAL CENTER LANCASTER PA 8.6% 4,389,512 51,209,404 297 6011 4.9%PACIFIC CAMPUS HOSPITAL SAN FRANCISCO CA 8.5% 32,992,563 386,361,471 1132 22877 4.9%UNIVERSITY OF KANSAS HOSPITAL KANSAS CITY KS 8.5% 36,343,649 426,910,966 1879 29181 6.4%WAUKESHA MEMORIAL HOSPITAL WAUKESHA WI 8.5% 19,856,179 233,666,754 1527 25005 6.1%ST JOSEPHS HSPTL MARSHFIELD WI 8.5% 20,008,024 236,187,246 1290 21685 5.9%BOULDER COMMUNITY HOSPITAL BOULDER CO 8.5% 7,902,786 93,364,751 635 10199 6.2%PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER RIVERSIDE CA 8.4% 6,539,542 77,616,064 293 6061 4.8%SENTARA NORFOLK GENL HOSP NORFOLK VA 8.4% 36,979,422 441,229,362 1710 32640 5.2%HARRISON MEDICAL CENTER BREMERTON WA 8.4% 23,207,584 277,026,761 1333 26300 5.1%CONTRA COSTA REGIONAL MEDICAL CENTER MARTINEZ CA 8.4% 4,636,013 55,389,431 175 3741 4.7%SAN RAMON REGIONAL MEDICAL CTR SAN RAMON CA 8.4% 5,902,035 70,648,132 259 5930 4.4%ST ROSE DOMINICAN HOSP‐SAN MARTIN LAS VEGAS NV 8.3% 6,274,873 75,154,060 412 7875 5.2%THE NEBRASKA MEDICAL CENTER OMAHA NE 8.3% 35,525,450 425,768,159 1734 32488 5.3%BON SECOURS ‐ ST FRANCIS MEDICAL CENTER MIDLOTHIAN VA 8.3% 8,768,616 105,356,839 715 12242 5.8%THE HOSPITAL AT WESTLAKE MEDICAL CENTER AUSTIN TX 8.3% 1,793,298 21,592,809 116 2064 5.6%BEEBE MEDICAL CENTER LEWES DE 8.3% 16,187,136 195,427,520 1057 19916 5.3%

Hospital CITY STATE

Outlier Payment 

PercentageTotal Outlier 

PaymentsTotal Medicare 

Payments

Total Number of 

Outlier Claims

Total Number 

Medicare Claims

Outlier Claim Percentage

MERCY HEALTH CENTER, INC OKLAHOMA CITY OK 8.3% 15,893,268 192,045,257 1198 23413 5.1%WEST HILLS HOSPITAL & MEDICAL CENTER WEST HILLS CA 8.3% 11,491,512 139,255,646 665 12858 5.2%PROVIDENCE ALASKA MEDICAL CENTER ANCHORAGE AK 8.2% 21,398,604 259,500,713 1031 16862 6.1%ALASKA REGIONAL HOSPITAL ANCHORAGE AK 8.2% 7,944,213 96,735,330 390 5861 6.7%THE NEBRASKA METHODIST HOSPITAL OMAHA NE 8.2% 17,734,387 217,177,826 1289 23772 5.4%ST JOHN'S PLEASANT VALLEY HOSPITAL CAMARILLO CA 8.2% 5,028,187 61,639,435 230 6819 3.4%SAINT FRANCIS MEDICAL CENTER PEORIA IL 8.2% 37,847,333 464,088,575 1926 39691 4.9%EVERGREEN HOSPITAL MEDICAL CENTER KIRKLAND WA 8.1% 11,327,565 139,228,522 749 14830 5.1%MONONGALIA COUNTY GENERAL HOSPITAL MORGANTOWN WV 8.1% 10,821,631 133,334,920 954 16660 5.7%UNIVERSITY OF ILLINOIS HOSPITAL CHICAGO IL 8.1% 23,065,134 284,333,303 938 15655 6.0%ST LUKE'S HOSPITAL SAN FRANCISCO CA 8.1% 5,733,972 70,988,772 218 4338 5.0%HENRY MAYO NEWHALL MEMORIAL HOSPITAL VALENCIA CA 8.0% 9,395,716 117,177,236 505 11635 4.3%UNIVERSITY OF ALABAMA HOSPITAL BIRMINGHAM AL 8.0% 52,428,000 654,102,651 2098 43926 4.8%LDS HOSPITAL SALT LAKE CITY UT 8.0% 4,720,381 59,004,147 259 6617 3.9%

Outlier PercentageTotal Outlier PaymentsTotal Medicare PaymentsTotal Number of Outlier ClaimsTotal Number Medicare ClaimsOutlier Claim Percentage

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