California’s Hospitals  Spending > Specialists to primary-care ratio

The number of medical specialists a patient sees for every visit with a primary care doctor in the last two years of life.

Hospital Ratio
Bakersfield Heart Hospital 2.3:1
Ronald Reagan UCLA Medical Center 2.2:1
St. John's Regional Med Ctr 2.2:1
Cedars-Sinai Medical Center 2.2:1
St. Jude Medical Center 2.1:1
St. Francis Medical Center 2.0:1
St. Louise Regional Hospital 2.0:1
Scripps Memorial Hosp-La Jolla 2.0:1
Brotman Medical Center 2.0:1
Anaheim Memorial Medical Center 2.0:1
Citrus Valley Med Ctr-IC Campus 2.0:1
San Pedro Peninsula Hospital 1.9:1
Simi Valley Hosp & Health Care 1.9:1
Lakewood Regional Medical Center 1.9:1
St. John's Pleasant Valley Hosp 1.9:1
Henry Mayo Newhall Memorial Hosp 1.9:1
Irvine Regional Hosp & Med Ctr 1.9:1
Hoag Memorial Hosp Presbyterian 1.9:1
Eisenhower Medical Hospital 1.8:1
St. Mary Medical Center 1.8:1
Downey Regional Medical Center 1.7:1
Torrance Memorial Medical Center 1.7:1
Enloe Medical Center 1.7:1
Glendale Adventist Med Ctr 1.7:1
Salinas Valley Mem Hlthcare Sys 1.7:1
Providence Holy Cross Med Ctr 1.7:1
Providence St. Joseph Center 1.7:1
Menifee Valley Medical Center 1.6:1
St. Joseph Hospital 1.6:1
Prov-Little Company of Mary 1.6:1
Mercy Hospital 1.6:1
Citrus Valley Med Ctr-QV Campus 1.6:1
Sierra Vista Regional Med Ctr 1.6:1
Santa Barbara Cottage Hospital 1.6:1
Los Alamitos Medical Center 1.6:1
Los Robles Hosp & Med Ctr 1.5:1
Methodist Hosp of Southern CA 1.5:1
Glendale Mem Hosp & Health Ctr 1.5:1
Alta Bates Summ Med Ctr-Berkeley 1.5:1
Community Memorial Hospital 1.5:1
Northridge Hosp Med Ctr 1.5:1
Scripps Green Hospital 1.5:1
Encino-Tarzana Regional Med Ctr 1.4:1
Pomerado Hospital 1.4:1
Long Beach Memorial Med Ctr 1.4:1
Bakersfield Memorial Hospital 1.4:1
Hollywood Presbyterian Med Ctr 1.4:1
Encino-Tarzana Regional Med Ctr 1.4:1
Hemet Valley Medical Center 1.4:1
St. John's Health Center 1.4:1
San Joaquin Community Hospital 1.4:1
City of Hope National Med Ctr 1.4:1
Arroyo Grande Community Hospital 1.4:1
Sharp Grossmont Hospital 1.4:1
Good Samaritan Hospital 1.4:1
Antelope Valley Hospital 1.4:1
Placentia-Linda Hospital 1.4:1
Alvarado Hospital Medical Center 1.3:1
Sutter Delta Medical Center 1.3:1
Sharp Memorial Hospital 1.3:1
Rancho Springs Medical Center 1.3:1
Tulare Local Health Care Dist 1.3:1
O'Connor Hospital 1.3:1
Comm Hosp Monterey Peninsula 1.3:1
Presbyterian Intercommunity Hosp 1.3:1
Anaheim General Hospital 1.3:1
Huntington Beach Hospital 1.3:1
Desert Regional Medical Center 1.3:1
White Memorial Medical Center 1.3:1
Doctors Medical Center 1.3:1
Mercy San Juan Medical Center 1.3:1
West Anaheim Medical Center 1.3:1
West Hills Hosp & Med Ctr 1.3:1
El Centro Regional Med Ctr 1.3:1
Pioneers Memorial Hlthcare Dist 1.3:1
St. Vincent Medical Center 1.2:1
Watsonville Community Hospital 1.2:1
Pacific Alliance Medical Center 1.2:1
Santa Monica UCLA Medical Center 1.2:1
Santa Rosa Memorial Hospital 1.2:1
Dominican Hospital 1.2:1
St. Agnes Medical Center 1.2:1
Alhambra Hospital Medical Center 1.2:1
UC Irvine Med Ctr 1.2:1
Valley Presbyterian Hospital 1.2:1
John Muir Medical Center 1.2:1
Sutter Solano Medical Center 1.2:1
Coastal Communities Hospital 1.2:1
Mission Hospital 1.2:1
Saddleback Memorial Med Ctr 1.2:1
San Gabriel Valley Med Ctr 1.2:1
Corona Regional Medical Center 1.2:1
Good Samaritan Hospital 1.2:1
Huntington Memorial Hospital 1.2:1
Community Hospital of Los Gatos 1.2:1
Lancaster Community Hospital 1.2:1
California Hosp Med Ctr 1.2:1
John Muir Medical Center 1.2:1
Marin General Hospital 1.2:1
Palomar Medical Center 1.2:1
French Hospital Medical Center 1.2:1
Seton Medical Center 1.2:1
St. Mary Medical Center 1.2:1
Mercy Medical Center Redding 1.2:1
Barstow Community Hospital 1.1:1
Stanford Hospital and Clinics 1.1:1
Mercy Medical Center Merced 1.1:1
Pacific Hospital of Long Beach 1.1:1
Verdugo Hills Hospital 1.1:1
Sequoia Hospital 1.1:1
Dameron Hospital 1.1:1
Fountain Valley Regional Hosp 1.1:1
Sherman Oaks Hosp & Health Ctr 1.1:1
Sutter Medical Center 1.1:1
Beverly Hospital 1.1:1
Mission Community Hospital 1.1:1
UC Davis Med Ctr 1.1:1
NorthBay Medical Center 1.1:1
South Coast Medical Center 1.1:1
St. Joseph's Medical Center 1.1:1
Marian Medical Center 1.1:1
Foothill Presbyterian Hospital 1.1:1
Eden Medical Center 1.1:1
Novato Community Hospital 1.1:1
Sutter Roseville Medical Center 1.1:1
Tri-City Medical Center 1.1:1
Hanford Community Medical Center 1.1:1
Garden Grove Hosp & Med Ctr 1.0:1
Paradise Valley Hospital 1.0:1
UC San Diego Med Ctr 1.0:1
Methodist Hospital of Sacramento 1.0:1
Mercy General Hospital 1.0:1
San Leandro Hospital 1.0:1
Sharp Chula Vista Medical Center 1.0:1
Queen of the Valley Hospital 1.0:1
Scripps Memorial Hosp-Encinitas 1.0:1
St. Rose Hospital 1.0:1
El Camino Hospital 1.0:1
Kaweah Delta Health Care Dist 1.0:1
Alta Bates Summ Med Ctr-Oakland 1.0:1
St. Helena Hospital 1.0:1
Marshall Medical Center 1.0:1
Scripps Mercy Hospital 0.9:1
Sierra View District Hospital 0.9:1
Memorial Hospital of Gardena 0.9:1
Sutter Medical Center 0.9:1
Feather River Hospital 0.9:1
Riverside Community Hospital 0.9:1
Hi-Desert Medical Center 0.9:1
Pomona Valley Hosp Med Ctr 0.9:1
Mills-Peninsula Health Services 0.9:1
Regional Med Ctr of San Jose 0.9:1
California Pacific Med Ctr 0.9:1
St. Mary's Medical Center 0.9:1
NorthBay VacaValley Hospital 0.9:1
Desert Valley Hospital 0.9:1
UCSF Medical Center 0.8:1
St. Francis Memorial Hospital 0.8:1
Doctors Medical Center 0.8:1
Parkview Community Hosp Med Ctr 0.8:1
Redlands Community Hospital 0.8:1
ValleyCare Medical Center 0.8:1
San Antonio Community Hospital 0.8:1
St. Bernardine Medical Center 0.8:1
Sutter Auburn Faith Hospital 0.8:1
Madera Community Hospital 0.8:1
Sutter Tracy Community Hospital 0.8:1
Community Medical Center 0.7:1
San Ramon Regional Med Ctr 0.7:1
Santa Clara Valley Med Ctr 0.7:1
Memorial Hospitals Association 0.7:1
San Gorgonio Memorial Hospital 0.7:1
Lodi Memorial Hospital 0.7:1
Loma Linda University Med Ctr 0.7:1
Redbud Community Hospital 0.7:1
Community Medical Center-Clovis 0.7:1
Chino Valley Medical Center 0.7:1
John F. Kennedy Memorial Hosp 0.7:1
Petaluma Valley Hospital 0.7:1
Sutter Lakeside Hospital 0.7:1
Delano Regional Medical Center 0.7:1
Alameda Hospital 0.7:1
Mercy Hospital of Folsom 0.7:1
Washington Health Care District 0.6:1
Community Hosp of San Bernardino 0.6:1
Rideout Memorial Hospital 0.6:1
Barton Memorial Hospital 0.6:1
Twin Cities Community Hospital 0.6:1
San Francisco Gen Hosp Med Ctr 0.6:1
St. Elizabeth Community Hospital 0.6:1
Ridgecrest Regional Hospital 0.6:1
Sutter Amador Hospital 0.6:1
Doctors Hospital Medical Center 0.6:1
Sierra Nevada Memorial Hospital 0.6:1
Woodland Healthcare 0.6:1
Chinese Hospital 0.6:1
Ukiah Valley Medical Center 0.6:1
Emanuel Medical Center 0.6:1
Sonora Regional Medical Center 0.5:1
St. Luke's Hospital 0.5:1
Doctors Hospital of Manteca 0.5:1
Mark Twain St. Joseph's Hospital 0.5:1
Sonoma Valley Hospital 0.4:1
St. Joseph Hospital 0.4:1
Mendocino Coast District Hosp 0.4:1
Redwood Memorial Hospital 0.3:1
Oroville Hospital 0.3:1
Mad River Community Hospital 0.3:1

Sources: The Dartmouth Atlas Project, OSHPD
Research assistance: Robert Kaplan, UCLA School of Public Health
Credits: Lisa Girion, Thomas Suh Lauder, Sandra Poindexter, Doug Smith, Ben Welsh

Healthcare: Roads to Reform

Where does the money go?

At a time when the national debt is ballooning and the Obama administration is pushing a massive expansion of medical care, policymakers are searching for ways to curb the high cost of healthcare.

Care for the chronically ill in Los Angeles is among the most expensive in the nation , but why? The Times' Lisa Girion visits White Memorial Medical Center in Boyle Heights and reports on the debate.

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End-of-life expense rankings

» Highest Medicare spending
» Most days in hospital
» Most physician visits
» Highest percentage of specialists

About the data

The data were drawn from traditional, fee-for-service Medicare claims submitted on behalf of 4.7 million Medicare patients, aged 67 to 99, who died between 2001 and 2005. (Medicare Managed Care claims were not included.)

Hospitals with a statistically insignificant number of deaths among its Medicare population were not included.
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