													REVISED AS OF 2/28/212																			REVISED AS OF 2/28/212													
Hospital Provider Number	TOTAL DGME SLOTS AWARDED	TOTAL IME SLOTS AWARDED	DGME Slots Effective 6/16/08	DGME Slots Effective Cost Reporting Period Beginning After 6/16/08	DGME Slots Effective  7/01/08	DGME Slots Effective Cost Reporting Period Beginning After 7/1/08	DGME Slots Effective Cost Reporting Period Beginning After 8/13/08	DGME Slots Effective Cost Reporting Period Beginning After 11/01/08	DGME Slots Effective 11/25/08	DGME Slots Effective 3/6/09	DGME Slots Effective Cost Reporting Period Beginning After 3/6/09	DGME Slots Effective 6/11/09	DGME Slots Effective Cost Reporting Period Beginning After 6/11/09	DGME Slots Effective 6/28/09	DGME Slots Effective 6/30/09	DGME Slots Effective  7/1/09	DGME Slots Effective  7/1/10	DGME Slots Effective 7/10/10	DGME Slots Effective Cost Reporting Period Beginning After 7/10/10	DGME Slots Effective  7/1/11	DGME Slots Effective 1/30/12	DGME Slots Effective  7/1/12	DGME Slots Effective  7/1/13	IME Slots Effective 6/16/08	IME Slots Effective Cost Reporting Period Beginning After 6/16/08	IME Slots Effective 7/01/08	IME Slots Effective Cost Reporting Period Beginning After 7/1/08	IME Slots Effective Cost Reporting Period Beginning After 8/13/08	IME Slots Effective Cost Reporting Period Beginning After 11/01/08	IME Slots Effective 11/25/08	IME Slots Effective 3/6/09	IME Slots Effective Cost Reporting Period Beginning After 3/6/09	IME Slots Effective 6/11/09 	IME Slots Effective Cost Reporting Period Beginning After 6/11/09 	IME  Slots Effective 6/28/09	IME Slots Effective 6/30/09	IME Slots Effective 7/1/09	IME Slots Effective 7/1/10	IME Slots Effective 7/10/10	IME Slots Effective Cost Reporting Period Beginning After 7/10/10	IME Slots Effective 7/1/11	IME  Slots Effective 1/30/12	IME Slots Effective 7/1/12	IME Slots Effective 7/1/13	
010033	31.91	30.47																		3.61	26.49	1.81																			3.66	24.98	1.83		
010039	0.00	0.00																																											
010056	26.00	26.00														19.00	5.00			2.00																	19.00	5.00			2.00				
010092	0.00	0.00																																											
010103	1.71	1.64																		0.19	1.42	0.10																			0.20	1.34	0.10		
010104	1.91	2.47						0.20												0.19	1.42	0.10							1.29												0.14	0.97	0.07		
030022	7.28	4.84																			7.28																					4.84			
030024	14.02	8.49																			14.02																					8.49			
053303	0.00	0.00																																											
070006	2.85	2.85														2.85																					2.85								
113300	1.09	0.00																			1.09																								
113301	0.41	0.00																			0.41																								
140007	5.85	5.85																			5.85																					5.85			
140018	0.02	2.02																			0.02																					2.02			
140049	0.00	0.00																																											
140054	0.32	0.00																			0.32																								
140082	10.00	10.00																			10.00																					10.00			
140113	0.00	0.00																																											
140114	14.98	13.44																			14.98																					13.44			
140150	78.41	86.06										66.54									11.87												72.93									13.13			
140158	17.50	16.64										10.00									7.50												10.00									6.64			
140182	0.00	0.00																																											
140206	12.44	12.44																			12.44																					12.44			
140208	8.37	7.41																			8.37																					7.41			
140223	7.87	7.41																			7.87																					7.41			
140224	7.00	7.00											1.00								6.00													1.00								6.00			
140240	0.00	0.00																																											
140281	36.76	32.55																			36.76																					32.55			
150012	7.00	5.87				7.00																					5.87																		
220011	0.00	0.00																																											
230156	1.09	0.25																			1.09																					0.25			
230254	1.55	0.33																			1.55																					0.33			
240080	0.00	0.00																																											
260141	5.33	0.00													5.33																														
310001	18.29	15.65														0.70	7.71			2.46	5.25	1.34	0.83														0.58	7.22			2.40	3.45	1.19	0.81	
310002	4.34	4.07														0.17	1.83			0.58	1.24	0.32	0.20														0.15	1.88			0.62	0.90	0.31	0.21	
310014	0.00	0.00																																											
310015	32.69	21.54														1.25	13.78			4.40	9.38	2.40	1.48														0.80	9.93			3.30	4.75	1.64	1.12	
310019	4.00	4.00														4.00																					4.00								
310027	1.46	1.23														0.06	0.61			0.19	0.42	0.11	0.07														0.05	0.57			0.19	0.27	0.09	0.06	
310038	9.16	7.82														0.35	3.86			1.23	2.63	0.67	0.42														0.29	3.61			1.20	1.72	0.59	0.41	
310051	0.00	0.00																																											
310058	0.00	9.12																																			0.34	4.21			1.40	2.01	0.69	0.47	
310064	1.99	1.99																			1.99																					1.99			
310070	14.25	12.49			2.00											0.47	5.16			1.65	3.51	0.90	0.56			2.00											0.39	4.84			1.61	2.31	0.80	0.54	
310073	5.67	5.27					2.00				1.00					0.10	1.12			0.36	0.77	0.20	0.12					2.00				1.00					0.08	1.05			0.35	0.50	0.17	0.12	
310075	9.40	8.04														0.36	3.96			1.26	2.70	0.69	0.43														0.30	3.71			1.23	1.77	0.61	0.42	
310076	2.99	2.55														0.11	1.26			0.40	0.86	0.22	0.14														0.10	1.18			0.39	0.56	0.19	0.13	
310108	6.00	6.00														6.00																					6.00								
330009	9.53	8.30														0.36	4.02			1.28	2.74	0.70	0.43														0.31	3.83			1.27	1.83	0.63	0.43	
330014	25.05	22.44									16.00					0.35	3.81			1.22	2.60	0.66	0.41									16.00					0.24	2.97			0.99	1.42	0.49	0.33	
330024	55.88	52.04	7.00	2.60	1.75											1.55	17.02	3.00	1.14	5.43	11.59	2.97	1.83		1.07	1.75											1.70	21.12	3.00	0.43	7.02	10.09	3.48	2.38	
330028	31.44	34.21								20.44						11.00															23.21						11.00								
330046	3.70	3.40														0.08	0.86		1.67	0.27	0.58	0.15	0.09														0.06	0.80		1.67	0.27	0.38	0.13	0.09	
330059	13.14	13.14		0.57	4.00						1.00					7.57									0.57	4.00						1.00					7.57								
330064	0.00	0.00																																											
330080	0.00	0.00																																											
330101	15.00	15.00			8.26											6.74										8.06											6.94								
330154	0.36	0.00														0.01	0.15			0.05	0.10	0.03	0.02																						
330169	2.26	1.50			1.50											0.03	0.32			0.10	0.22	0.06	0.03			1.50																			
330194	1.00	0.74																	1.00																					0.74					
330198	2.25	2.19									1.78					0.02	0.20			0.06	0.14	0.03	0.02									1.78					0.02	0.19			0.06	0.09	0.03	0.02	
330201	0.00	0.00																																											
330214	6.76	20.16														0.26	2.84			0.91	1.94	0.50	0.31														0.75	9.30			3.09	4.44	1.53	1.05	
330221	19.45	17.17		0.92							1.83					0.60	6.65		0.92	2.12	4.53	1.16	0.72		0.92							1.83					0.50	6.23		0.92	2.07	2.97	1.03	0.70	
330231	4.53	5.00			2.49											2.04										2.69											2.31								
330234	8.17	8.17		5.00							3.17														5.00							3.17													
330236	10.28	10.18		1.83	4.00		0.92				2.83					0.03	0.30			0.09	0.20	0.05	0.03		1.83	4.00		0.92				2.83					0.02	0.28			0.09	0.13	0.05	0.03	
330241	0.00	0.00																																											
330306	7.62	7.62		3.05			1.57				3.00														3.05			1.57				3.00													
330395	24.39	16.96														0.93	10.28			3.28	7.00	1.79	1.11														0.63	7.82			2.60	3.74	1.29	0.88	
340030	0.96	0.00																			0.96																								
380004	0.00	0.00																																											
380082	0.00	0.00																																											
390027	2.36	2.36												2.36																					2.36										
390042	0.00	0.00																																											
390049	0.05	0.04															0.02			0.01	0.02																	0.02			0.01	0.01			
390110	0.00	0.00																																											
390111	0.61	0.53														0.02	0.26			0.08	0.18	0.04	0.03														0.02	0.24			0.08	0.12	0.04	0.03	
390114	0.00	0.00																																											
390133	22.00	22.00														22.00																					22.00								
390164	0.00	0.00																																											
390195	0.01	0.01															0.01																					0.01							
393302	0.00	0.00																																											
420004	16.56	15.10							16.56																					15.10															
420078	0.00	0.00																																											
440002	0.00	0.00																																											
440039	0.00	0.00																																											
88	695.27	662.06	7.00	13.97	24.00	7.00	4.49	0.20	16.56	20.44	30.61	76.54	1.00	2.36	5.33	89.01	91.03	3.00	4.73	33.42	238.30	17.00	9.28	0.00	12.44	24.00	5.87	4.49	1.29	15.10	23.21	30.61	82.93	1.00	2.36	0.00	89.00	96.01	3.00	3.76	36.24	203.54	16.98	10.23	
																																													
																																													
													695.27																					662.06											
