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Hospital/Medi-Cal Paid Amounts

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Hospital/Medi-Cal Paid Amounts OSHPD Claim Medi-Cal Paid HOSPITAL NAME NUMBER DOS Year Type Amount Mandatory Enrollment of SPDs ALAMEDA CO MED CTR - HIGHLAND CAMPUS 106010846 10846 2009 Outpatient $ 5,204,390 0 $ - ALHAMBRA HOSPITAL 106190017 190017 2009 Outpatient $ 202,292 1 $ 202,292.16 ALTA BATES SUMMIT MED CTR-SUMMIT CAMPUS-HAWTHORN106010937 10937 2009 Outpatient $ 1,222,974 1 $ 1,222,974.37 ALVARADO HOSPITAL 106370652 370652 2009 Outpatient $ 559,136 1 $ 559,136.30 ANAHEIM GENERAL HOSPITAL 106301097 301097 2009 Outpatient $ 5,376 0 $ - ANAHEIM MEMORIAL MEDICAL CENTER 106301098 301098 2009 Outpatient $ 41,992 0 $ - ARROYO GRANDE COMMUNITY HOSPITAL 106400466 400466 2009 Outpatient $ 9,505 0 $ - BAKERSFIELD HEART HOSPITAL 106154101 154101 2009 Outpatient $ 129,951 1 $ 129,950.70 BAKERSFIELD MEMORIAL HOSPITAL- 34TH STREET 106150722 150722 2009 Outpatient $ 628,606 1 $ 628,606.08 BARSTOW COMMUNITY HOSPITAL 106361105 361105 2009 Outpatient $ 327,464 1 $ 327,463.59 BARTON MEMORIAL HOSPITAL 106090793 90793 2009 Outpatient $ 259,833 0 $ - BEAR VALLEY COMMUNITY HOSPITAL 106361110 361110 2009 Outpatient $ 77,871 0 $ - BEVERLY HOSPITAL 106190081 190081 2009 Outpatient $ 524,570 1 $ 524,570.03 BIGGS GRIDLEY MEMORIAL HOSPITAL 106040802 40802 2009 Outpatient $ 300,660 0 $ - BROTMAN MEDICAL CENTER 106190110 190110 2009 Outpatient $ 271,558 1 $ 271,558.23 CALIFORNIA PACIFIC MED CTR-DAVIES CAMPUS 106380933 380933 2009 Outpatient $ 594,435 0 $ - CALIFORNIA PACIFIC MED CTR-PACIFIC CAMPUS 106380929 380929 2009 Outpatient $ 1,372,565 1 $ 1,372,565.43 CASA COLINA HOSPITAL FOR REHAB MEDICINE 106190137 190137 2009 Outpatient $ 175,084 1 $ 175,084.02 CEDARS SINAI MEDICAL CENTER 106190555 190555 2009 Outpatient $ 3,787,628 1 $ 3,787,627.52 CENTINELA FREEMAN REG MED CTR-CENTINELA CAMPUS 106190148 190148 2009 Outpatient $ 1,031,063 1 $ 1,031,063.19 CENTINELA FREEMAN REG MED CTR-MARINA CAMPUS 106190500 190500 2009 Outpatient $ 125,114 1 $ 125,113.98 CENTRAL VALLEY GENERAL HOSPITAL 106160787 160787 2009 Outpatient $ 350,743 1 $ 350,743.46 CHAPMAN MEDICAL CENTER 106301140 301140 2009 Outpatient $ 8,213 0 $ - CHILDREN'S HOSPITAL - SAN DIEGO 106370673 370673 2009 Outpatient $ 4,616,357 1 $ 4,616,357.11 CHILDRENS HOSPITAL AND RESEARCH CTR AT OAKLAND 106010776 10776 2009 Outpatient $ 5,421,626 1 $ 5,421,625.67 CHILDREN'S HOSPITAL AT MISSION 106304113 304113 2009 Outpatient $ 1,971 0 $ - CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 106204019 204019 2009 Outpatient $ 4,753,152 1 $ 4,753,152.19 CHILDREN'S HOSPITAL OF LOS ANGELES 106190170 190170 2009 Outpatient $ 12,645,515 1 $ 12,645,514.51 CHILDREN'S HOSPITAL OF ORANGE COUNTY 106300032 300032 2009 Outpatient $ 3,854,355 0 $ - CHINESE HOSPITAL 106382715 382715 2009 Outpatient $ 437,411 1 $ 437,410.97 CHINO VALLEY MEDICAL CENTER 106361144 361144 2009 Outpatient $ 220,033 1 $ 220,033.29 CITRUS VALLEY MEDICAL CENTER - IC CAMPUS 106190413 190413 2009 Outpatient $ 379,444 0 $ - CITRUS VALLEY MEDICAL CENTER - QV CAMPUS 106190636 190636 2009 Outpatient $ 405,201 1 $ 405,201.15 COAST PLAZA DOCTORS HOSPITAL 106190766 190766 2009 Outpatient $ 132,074 1 $ 132,074.07 COASTAL COMMUNITIES HOSPITAL 106301258 301258 2009 Outpatient $ 8,043 0 $ - COLORADO RIVER MEDICAL CENTER 106361458 361458 2009 Outpatient $ 158,773 1 $ 158,772.59 COLUSA REGIONAL MEDICAL CENTER 106060870 60870 2009 Outpatient $ 99,580 0 $ - COMMUNITY AND MISSION HSP OF HNTG PK - SLAUSON 106190197 190197 2009 Outpatient $ 117,707 1 $ 117,707.30 COMMUNITY HOSPITAL MONTEREY PENINSULA 106270744 270744 2009 Outpatient $ 45,012 0 $ - COMMUNITY HOSPITAL OF LOS GATOS 106430743 430743 2009 Outpatient $ 11,410 1 $ 11,410.36 COMMUNITY MEDICAL CENTER - CLOVIS 106100005 100005 2009 Outpatient $ 293,248 1 $ 293,247.88 COMMUNITY MEMORIAL HOSPITAL-SAN BUENAVENTURA 106560473 560473 2009 Outpatient $ 769,807 0 $ - COMMUNITY REGIONAL MEDICAL CENTER-FRESNO 106100717 100717 2009 Outpatient $ 5,037,925 1 $ 5,037,924.56 CONTINENTAL REHABILITATION HOSPITAL OF SAN DIEGO 106374094 374094 2009 Outpatient $ 89 1 $ 89.30 CONTRA COSTA REGIONAL MEDICAL CENTER 106070924 70924 2009 Outpatient $ 81,728 0 $ - CORONA REGIONAL MEDICAL CENTER-MAIN 106331152 331152 2009 Outpatient $ 278,580 1 $ 278,579.76 DAMERON HOSPITAL 106390846 390846 2009 Outpatient $ 493,340 1 $ 493,339.95 DELANO REGIONAL MEDICAL CENTER 106150706 150706 2009 Outpatient $ 300,512 1 $ 300,512.21 DESERT VALLEY HOSPITAL 106364144 364144 2009 Outpatient $ 287,000 1 $ 286,999.82 DOCTORS HOSPITAL OF MANTECA 106392287 392287 2009 Outpatient $ 136,141 1 $ 136,141.17 DOCTORS HOSPITAL OF WEST COVINA, INC 106190857 190857 2009 Outpatient $ 4,507 1 $ 4,506.90 DOCTORS MEDICAL CENTER 106500852 500852 2009 Outpatient $ 1,238,920 1 $ 1,238,920.10 DOCTORS MEDICAL CENTER - SAN PABLO CAMPUS 106070904 70904 2009 Outpatient $ 524,992 0 $ - EARL AND LORRAINE MILLER CHILDRENS HOSPITAL 106196168 196168 2009 Outpatient $ 3,455,536 1 $ 3,455,536.14 EAST LOS ANGELES DOCTORS HOSPITAL 106190256 190256 2009 Outpatient $ 127,031 1 $ 127,030.67 EAST VALLEY HOSPITAL MEDICAL CENTER 106190328 190328 2009 Outpatient $ 59,034 1 $ 59,033.54 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS 106320859 320859 2009 Outpatient $ 156,693 0 $ - EDEN MEDICAL CENTER 106010805 10805 2009 Outpatient $ 312,965 1 $ 312,964.79 EISENHOWER MEMORIAL HOSPITAL 106331168 331168 2009 Outpatient $ 235,665 1 $ 235,665.00 EL CAMINO HOSPITAL 106430763 430763 2009 Outpatient $ 381,188 1 $ 381,188.39 EL CENTRO REGIONAL MEDICAL CENTER 106130699 130699 2009 Outpatient $ 1,689,681 0 $ - EMANUEL MEDICAL CENTER, INC 106500867 500867 2009 Outpatient $ 728,613 1 $ 728,613.34 ENCINO-TARZANA REGIONAL MED CTR-ENCINO 106190280 190280 2009 Outpatient $ 61,225 1 $ 61,224.68 ENCINO-TARZANA REGIONAL MED CTR-TARZANA 106190517 190517 2009 Outpatient $ 165,150 1 $ 165,149.64 ENLOE MEDICAL CENTER- ESPLANADE CAMPUS 106040962 40962 2009 Outpatient $ 2,085,428 0 $ - FAIRCHILD MEDICAL CENTER 106474007 474007 2009 Outpatient $ 690,619 0 $ - FALLBROOK HOSPITAL DISTRICT 106370705 370705 2009 Outpatient $ 56,541 0 $ - FOOTHILL PRESBYTERIAN HOSPITAL-JOHNSTON MEMORIAL 106190298 190298 2009 Outpatient $ 146,982 1 $ 146,981.55 FOUNTAIN VALLEY RGNL HOSP AND MED CTR - EUCLID 106301175 301175 2009 Outpatient $ 55,435 0 $ - FRANK R HOWARD MEMORIAL HOSPITAL 106230949 230949 2009 Outpatient $ 536,711 0 $ - FRENCH HOSPITAL MEDICAL CENTER 106400480 400480 2009 Outpatient $ 9,625 0 $ - FRESNO HEART HOSPITAL 106105029 105029 2009 Outpatient $ 25,127 1 $ 25,127.15 FRESNO SURGERY CENTER 106104047 104047 2009 Outpatient $ 2,627 0 $ - GARDEN GROVE HOSPITAL AND MEDICAL CENTER 106301283 301283 2009 Outpatient $ 18,974 0 $ - GARFIELD MEDICAL CENTER 106190315 190315 2009 Outpatient $ 322,835 1 $ 322,835.45 GEORGE L MEE MEMORIAL HOSPITAL 106270777 270777 2009 Outpatient $ 4,250 0 $ - GLENDALE ADVENTIST MEDICAL CENTER - WILSON TERRACE106190323 190323 2009 Outpatient $ 1,618,337 1 $ 1,618,336.68 GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER 106190522 190522 2009 Outpatient $ 1,064,125 1 $ 1,064,124.82 GLENN MEDICAL CENTER 106110889 110889 2009 Outpatient $ 313,205 0 $ - GOLETA VALLEY COTTAGE HOSPITAL 106420483 420483 2009 Outpatient $ 4,722 0 $ - GOOD SAMARITAN HOSPITAL-BAKERSFIELD 106150775 150775 2009 Outpatient $ 126,595 1 $ 126,595.45 GOOD SAMARITAN HOSPITAL-SAN JOSE 106430779 430779 2009 Outpatient $ 143,186 1 $ 143,185.78 GROSSMONT HOSPITAL 106370714 370714 2009 Outpatient $ 2,135,465 1 $ 2,135,464.88 HANFORD COMMUNITY MEDICAL CENTER 106160725 160725 2009 Outpatient $ 901,794 1 $ 901,794.36 HEALDSBURG DISTRICT HOSPITAL 106490964 490964 2009 Outpatient $ 165,329 0 $ - HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL 106154022 154022 2009 Outpatient $ 17,975 1 $ 17,974.93 HELFORD CLINICAL RESEARCH HOSP AT CITY OF HOPE 106190176 190176 2009 Outpatient $ 7,682,089 1 $ 7,682,089.37 HEMET VALLEY MEDICAL CENTER 106331194 331194 2009 Outpatient $ 497,559 0 $ - HENRY MAYO NEWHALL MEMORIAL HOSPITAL 106190949 190949 2009 Outpatient $ 222,900 1 $ 222,900.30 HI-DESERT MEDICAL CENTER 106362041 362041 2009 Outpatient $ 1,623,607 0 $ - HOLLYWOOD PRESBYTERIAN MEDICAL CENTER 106190382 190382 2009 Outpatient $ 1,092,145 1 $ 1,092,144.93 IRVINE REGIONAL HOSPITAL AND MEDICAL CENTER 106304045 304045 2009 Outpatient $ 146 0 $ - JEROLD PHELPS COMMUNITY HOSPITAL 106121031 121031 2009 Outpatient $ 66,534 0 $ - JOHN C FREMONT HEALTHCARE DISTRICT 106220733 220733 2009 Outpatient $ 134,623 0 $ - JOHN F KENNEDY MEMORIAL HOSPITAL 106331216 331216 2009 Outpatient $ 242,325 1 $ 242,324.57 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS 106071018 71018 2009 Outpatient $ 543,772 1 $ 543,771.66 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS 106070988 70988 2009 Outpatient $ 533,100 1 $ 533,099.51 KAISER FND HOSP - ANAHEIM 106301132 301132 2009 Outpatient $ 6,366 0 $ - KAISER FND HOSP - BALDWIN PARK 106196035 196035 2009 Outpatient $ 59,834 0 $ - KAISER FND HOSP - BELLFLOWER 106190430 190430 2009 Outpatient $ 164,269 0 $ - KAISER FND HOSP - FONTANA 106361223 361223 2009 Outpatient $ 133,704 0 $ - KAISER FND HOSP - FRESNO 106104062 104062 2009 Outpatient $ 3,733 0 $ - KAISER FND HOSP - GEARY S F 106380857 380857 2009 Outpatient $ 24,395 0 $ - KAISER FND HOSP - HARBOR CITY 106190431 190431 2009 Outpatient $ 100,527 0 $ - KAISER FND HOSP - HAYWARD 106010858 10858 2009 Outpatient $ 44,684 0 $ - KAISER FND HOSP - OAKLAND CAMPUS 106010856 10856 2009 Outpatient $ 124,249 0 $ - KAISER FND HOSP - PANORAMA CITY 106190432 190432 2009 Outpatient $ 83,541 0 $ - KAISER FND HOSP - REDWOOD CITY 106410804 410804 2009 Outpatient $ 2,506 0 $ - KAISER FND HOSP - REHABILITATION CENTER VALLEJO 106480989 480989 2009 Outpatient $ 10,487 0 $
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