Hospital Referral Region Rates - 2003-07
HRR ID HRR Name
1 AL-Birmingham
2 AL-Dothan
5 AL-Huntsville
6 AL-Mobile
7 AL-Montgomery
9 AL-Tuscaloosa
10 AK-Anchorage
11 AZ-Mesa
12 AZ-Phoenix
14 AZ-Sun City
15 AZ-Tucson
16 AR-Fort Smith
18 AR-Jonesboro
19 AR-Little Rock
21 AR-Springdale
22 AR-Texarkana
23 CA-Orange County
25 CA-Bakersfield
31 CA-Chico
33 CA-Contra Costa County
43 CA-Fresno
56 CA-Los Angeles
58 CA-Modesto
62 CA-Napa
65 CA-Alameda County
69 CA-Palm Springs/Rancho Mirage
73 CA-Redding
77 CA-Sacramento
78 CA-Salinas
79 CA-San Bernardino
80 CA-San Diego
81 CA-San Francisco
82 CA-San Jose
83 CA-San Luis Obispo
85 CA-San Mateo County
86 CA-Santa Barbara
87 CA-Santa Cruz
89 CA-Santa Rosa
91 CA-Stockton
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
HRR ID HRR Name
96 CA-Ventura
101 CO-Boulder
102 CO-Colorado Springs
103 CO-Denver
104 CO-Fort Collins
105 CO-Grand Junction
106 CO-Greeley
107 CO-Pueblo
109 CT-Bridgeport
110 CT-Hartford
111 CT-New Haven
112 DE-Wilmington
113 DC-Washington
115 FL-Bradenton
116 FL-Clearwater
118 FL-Fort Lauderdale
119 FL-Fort Myers
120 FL-Gainesville
122 FL-Hudson
123 FL-Jacksonville
124 FL-Lakeland
127 FL-Miami
129 FL-Ocala
130 FL-Orlando
131 FL-Ormond Beach
133 FL-Panama City
134 FL-Pensacola
137 FL-Sarasota
139 FL-St. Petersburg
140 FL-Tallahassee
141 FL-Tampa
142 GA-Albany
144 GA-Atlanta
145 GA-Augusta
146 GA-Columbus
147 GA-Macon
148 GA-Rome
149 GA-Savannah
150 HI-Honolulu
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
HRR ID HRR Name
151 ID-Boise
152 ID-Idaho Falls
154 IL-Aurora
155 IL-Blue Island
156 IL-Chicago
158 IL-Elgin
161 IL-Evanston
163 IL-Hinsdale
164 IL-Joliet
166 IL-Melrose Park
170 IL-Peoria
171 IL-Rockford
172 IL-Springfield
173 IL-Urbana
175 IL-Bloomington
179 IN-Evansville
180 IN-Fort Wayne
181 IN-Gary
183 IN-Indianapolis
184 IN-Lafayette
185 IN-Muncie
186 IN-Munster
187 IN-South Bend
188 IN-Terre Haute
190 IA-Cedar Rapids
191 IA-Davenport
192 IA-Des Moines
193 IA-Dubuque
194 IA-Iowa City
195 IA-Mason City
196 IA-Sioux City
197 IA-Waterloo
200 KS-Topeka
201 KS-Wichita
203 KY-Covington
204 KY-Lexington
205 KY-Louisville
207 KY-Owensboro
208 KY-Paducah
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
HRR ID HRR Name
209 LA-Alexandria
210 LA-Baton Rouge
212 LA-Houma
213 LA-Lafayette
214 LA-Lake Charles
216 LA-Metairie
217 LA-Monroe
218 LA-New Orleans
219 LA-Shreveport
220 LA-Slidell
221 ME-Bangor
222 ME-Portland
223 MD-Baltimore
225 MD-Salisbury
226 MD-Takoma Park
227 MA-Boston
230 MA-Springfield
231 MA-Worcester
232 MI-Ann Arbor
233 MI-Dearborn
234 MI-Detroit
235 MI-Flint
236 MI-Grand Rapids
238 MI-Kalamazoo
239 MI-Lansing
240 MI-Marquette
242 MI-Muskegon
243 MI-Petoskey
244 MI-Pontiac
245 MI-Royal Oak
246 MI-Saginaw
248 MI-St. Joseph
249 MI-Traverse City
250 MN-Duluth
251 MN-Minneapolis
253 MN-Rochester
254 MN-St. Cloud
256 MN-St. Paul
257 MS-Gulfport
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
HRR ID HRR Name
258 MS-Hattiesburg
259 MS-Jackson
260 MS-Meridian
261 MS-Oxford
262 MS-Tupelo
263 MO-Cape Girardeau
264 MO-Columbia
267 MO-Joplin
268 MO-Kansas City
270 MO-Springfield
273 MO-St. Louis
274 MT-Billings
275 MT-Great Falls
276 MT-Missoula
277 NE-Lincoln
278 NE-Omaha
279 NV-Las Vegas
280 NV-Reno
281 NH-Lebanon
282 NH-Manchester
283 NJ-Camden
284 NJ-Hackensack
285 NJ-Morristown
288 NJ-New Brunswick
289 NJ-Newark
291 NJ-Paterson
292 NJ-Ridgewood
293 NM-Albuquerque
295 NY-Albany
296 NY-Binghamton
297 NY-Bronx
299 NY-Buffalo
300 NY-Elmira
301 NY-East Long Island
303 NY-Manhattan
304 NY-Rochester
307 NY-Syracuse
308 NY-White Plains
309 NC-Asheville
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
HRR ID HRR Name
311 NC-Charlotte
312 NC-Durham
313 NC-Greensboro
314 NC-Greenville
315 NC-Hickory
318 NC-Raleigh
319 NC-Wilmington
320 NC-Winston-Salem
321 ND-Bismarck
322 ND-Fargo/Moorhead MN
323 ND-Grand Forks
324 ND-Minot
325 OH-Akron
326 OH-Canton
327 OH-Cincinnati
328 OH-Cleveland
329 OH-Columbus
330 OH-Dayton
331 OH-Elyria
332 OH-Kettering
334 OH-Toledo
335 OH-Youngstown
336 OK-Lawton
339 OK-Oklahoma City
340 OK-Tulsa
341 OR-Bend
342 OR-Eugene
343 OR-Medford
344 OR-Portland
345 OR-Salem
346 PA-Allentown
347 PA-Altoona
350 PA-Danville
351 PA-Erie
352 PA-Harrisburg
354 PA-Johnstown
355 PA-Lancaster
356 PA-Philadelphia
357 PA-Pittsburgh
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
HRR ID HRR Name
358 PA-Reading
359 PA-Sayre
360 PA-Scranton
362 PA-Wilkes-Barre
363 PA-York
364 RI-Providence
365 SC-Charleston
366 SC-Columbia
367 SC-Florence
368 SC-Greenville
369 SC-Spartanburg
370 SD-Rapid City
371 SD-Sioux Falls
373 TN-Chattanooga
374 TN-Jackson
375 TN-Johnson City
376 TN-Kingsport
377 TN-Knoxville
379 TN-Memphis
380 TN-Nashville
382 TX-Abilene
383 TX-Amarillo
385 TX-Austin
386 TX-Beaumont
388 TX-Bryan
390 TX-Corpus Christi
391 TX-Dallas
393 TX-El Paso
394 TX-Fort Worth
396 TX-Harlingen
397 TX-Houston
399 TX-Longview
400 TX-Lubbock
402 TX-McAllen
406 TX-Odessa
411 TX-San Angelo
412 TX-San Antonio
413 TX-Temple
416 TX-Tyler
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
HRR ID HRR Name
417 TX-Victoria
418 TX-Waco
420 TX-Wichita Falls
421 UT-Ogden
422 UT-Provo
423 UT-Salt Lake City
424 VT-Burlington
426 VA-Arlington
427 VA-Charlottesville
428 VA-Lynchburg
429 VA-Newport News
430 VA-Norfolk
431 VA-Richmond
432 VA-Roanoke
435 VA-Winchester
437 WA-Everett
438 WA-Olympia
439 WA-Seattle
440 WA-Spokane
441 WA-Tacoma
442 WA-Yakima
443 WV-Charleston
444 WV-Huntington
445 WV-Morgantown
446 WI-Appleton
447 WI-Green Bay
448 WI-La Crosse
449 WI-Madison
450 WI-Marshfield
451 WI-Milwaukee
452 WI-Neenah
456 WI-Wausau
457 WY-Casper
999 US-United States
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-07) (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 231,478 30,581 200,897 82.3 81.9 82.7 76.7 75.7 77.7 82.6 82.2 83.0
2 AL-Dothan 47,141 7,596 39,545 82.5 81.6 83.3 75.0 73.1 77.0 83.1 82.2 84.0
5 AL-Huntsville 64,218 5,299 58,919 83.8 83.1 84.5 75.1 72.8 77.5 84.6 83.8 85.3
6 AL-Mobile 78,456 12,851 65,605 78.1 77.5 78.7 76.3 74.8 77.8 77.7 77.0 78.4
7 AL-Montgomery 43,805 10,784 33,021 83.7 82.8 84.5 77.0 75.4 78.7 84.0 83.0 84.9
9 AL-Tuscaloosa 27,805 6,713 21,092 83.0 81.9 84.1 79.0 76.8 81.1 82.5 81.2 83.7
10 AK-Anchorage 38,441 804 37,637 68.8 68.0 69.7 62.5 57.0 68.0 69.4 68.5 70.2
11 AZ-Mesa 62,714 1,041 61,673 79.2 78.5 79.9 73.4 68.2 78.7 79.8 79.1 80.5
12 AZ-Phoenix 205,800 3,669 202,131 76.1 75.7 76.4 71.1 68.3 73.8 76.6 76.2 77.0
14 AZ-Sun City 44,570 514 44,056 83.8 83.0 84.7 82.8 74.9 90.8 84.4 83.5 85.2
15 AZ-Tucson 90,685 1,594 89,091 76.0 75.4 76.5 66.3 62.3 70.4 76.6 76.0 77.2
16 AR-Fort Smith 42,247 668 41,579 78.5 77.7 79.3 72.6 66.1 79.0 79.1 78.2 79.9
18 AR-Jonesboro 28,006 463 27,543 83.3 82.2 84.4 79.6 71.5 87.8 83.9 82.8 84.9
19 AR-Little Rock 186,977 20,361 166,616 81.3 80.9 81.8 76.6 75.4 77.8 81.6 81.2 82.1
21 AR-Springdale 46,746 77.4 76.6 78.2
22 AR-Texarkana 31,847 4,442 27,405 79.7 78.7 80.7 75.7 73.1 78.2 79.8 78.7 80.8
23 CA-Orange County 160,012 1,617 158,395 72.0 71.6 72.4 61.9 58.1 65.8 72.6 72.2 73.0
25 CA-Bakersfield 60,500 1,561 58,939 74.3 73.6 75.0 66.9 62.8 70.9 74.8 74.1 75.5
31 CA-Chico 40,015 321 39,694 83.5 82.6 84.4 81.8 71.8 91.8 84.1 83.2 85.0
33 CA-Contra Costa County 50,294 2,296 47,998 67.2 66.5 67.9 48.7 45.8 51.5 68.3 67.5 69.0
43 CA-Fresno 73,939 2,926 71,013 76.9 76.2 77.5 72.7 69.6 75.8 77.3 76.7 78.0
56 CA-Los Angeles 502,235 40,282 461,953 68.6 68.4 68.8 55.9 55.1 56.6 69.7 69.4 69.9
58 CA-Modesto 58,661 1,408 57,253 79.8 79.0 80.5 75.9 71.3 80.5 80.3 79.5 81.0
62 CA-Napa 28,859 360 28,499 78.4 77.4 79.4 75.3 66.3 84.4 78.9 77.9 80.0
65 CA-Alameda County 70,693 9,367 61,326 69.6 69.0 70.3 61.0 59.4 62.6 70.5 69.9 71.2
69 CA-Palm Springs/Rancho Mirage 35,979 469 35,510 72.2 71.4 73.1 68.2 60.7 75.8 72.8 71.9 73.7
73 CA-Redding 44,601 249 44,352 79.5 78.7 80.3 74.6 63.8 85.5 80.1 79.2 80.9
77 CA-Sacramento 149,099 4,943 144,156 78.9 78.5 79.4 67.7 65.4 70.0 79.7 79.2 80.1
78 CA-Salinas 33,733 1,151 32,582 75.5 74.5 76.4 75.4 70.4 80.5 75.8 74.9 76.7
79 CA-San Bernardino 101,679 6,912 94,767 68.2 67.7 68.7 61.1 59.2 62.9 68.8 68.2 69.3
80 CA-San Diego 183,615 5,883 177,732 67.2 66.9 67.6 62.4 60.3 64.4 67.7 67.3 68.1
81 CA-San Francisco 91,524 7,118 84,406 67.7 67.2 68.2 54.4 52.6 56.1 68.8 68.2 69.4
82 CA-San Jose 85,768 1,402 84,366 71.8 71.2 72.3 60.2 56.1 64.3 72.4 71.8 73.0
83 CA-San Luis Obispo 27,831 81.3 80.2 82.4
85 CA-San Mateo County 48,501 1,506 46,995 69.8 69.1 70.5 60.8 56.9 64.8 70.4 69.7 71.2
86 CA-Santa Barbara 37,329 676 36,653 75.1 74.2 76.0 73.1 66.6 79.6 75.6 74.7 76.5
87 CA-Santa Cruz 19,553 74.6 73.4 75.8
89 CA-Santa Rosa 34,051 306 33,745 81.0 80.1 82.0 76.2 66.4 86.1 81.6 80.7 82.6
91 CA-Stockton 36,114 1,993 34,121 76.9 76.0 77.8 71.5 67.7 75.2 77.4 76.5 78.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-07) (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 55,635 881 54,754 69.6 68.9 70.3 63.9 58.6 69.2 70.1 69.4 70.8
101 CO-Boulder 14,474 75.7 74.3 77.1
102 CO-Colorado Springs 61,981 1,683 60,298 73.4 72.7 74.1 57.6 54.0 61.3 74.2 73.5 74.9
103 CO-Denver 128,415 4,746 123,669 77.2 76.7 77.7 69.6 67.2 72.0 77.8 77.3 78.3
104 CO-Fort Collins 27,277 78.6 77.6 79.7
105 CO-Grand Junction 24,473 77.4 76.3 78.5
106 CO-Greeley 29,049 82.0 80.9 83.0
107 CO-Pueblo 17,022 83.0 81.7 84.4
109 CT-Bridgeport 66,696 5,210 61,486 73.1 72.5 73.8 65.9 63.7 68.1 73.7 73.0 74.4
110 CT-Hartford 172,502 7,480 165,022 78.2 77.8 78.6 69.8 67.9 71.6 78.9 78.4 79.3
111 CT-New Haven 155,601 6,720 148,881 77.5 77.1 78.0 69.9 67.9 71.9 78.1 77.7 78.6
112 DE-Wilmington 79,894 10,317 69,577 80.2 79.5 80.8 76.9 75.2 78.6 80.2 79.5 80.8
113 DC-Washington 209,108 54,188 154,920 69.6 69.2 69.9 58.3 57.7 59.0 71.8 71.4 72.2
115 FL-Bradenton 42,598 1,183 41,415 81.9 81.0 82.8 74.9 69.9 79.8 82.5 81.6 83.4
116 FL-Clearwater 64,556 986 63,570 78.5 77.9 79.2 69.2 64.0 74.3 79.2 78.5 79.9
118 FL-Fort Lauderdale 276,553 12,140 264,413 75.5 75.2 75.8 65.8 64.3 67.2 76.2 75.9 76.5
119 FL-Fort Myers 175,027 4,299 170,728 81.3 80.9 81.7 74.7 72.1 77.3 81.9 81.5 82.4
120 FL-Gainesville 60,252 6,150 54,102 77.3 76.6 78.0 74.6 72.4 76.7 77.4 76.7 78.1
122 FL-Hudson 59,319 884 58,435 79.9 79.2 80.6 75.6 69.8 81.4 80.5 79.7 81.2
123 FL-Jacksonville 139,957 18,304 121,653 78.6 78.1 79.1 72.5 71.2 73.7 79.0 78.5 79.5
124 FL-Lakeland 37,969 2,526 35,443 78.6 77.8 79.5 73.2 69.8 76.5 79.1 78.2 80.1
127 FL-Miami 165,184 13,451 151,733 64.9 64.5 65.3 58.8 57.5 60.1 65.4 65.0 65.8
129 FL-Ocala 107,395 3,873 103,522 82.0 81.5 82.6 76.9 74.1 79.6 82.6 82.0 83.1
130 FL-Orlando 369,408 22,890 346,518 78.1 77.8 78.3 72.6 71.5 73.7 78.6 78.3 78.9
131 FL-Ormond Beach 49,605 2,582 47,023 82.0 81.2 82.8 77.2 73.8 80.6 82.5 81.6 83.3
133 FL-Panama City 26,256 1,756 24,500 80.1 79.0 81.1 70.2 66.3 74.1 80.9 79.7 82.0
134 FL-Pensacola 88,256 7,501 80,755 80.7 80.2 81.3 77.9 75.9 79.9 80.9 80.3 81.6
137 FL-Sarasota 89,204 1,519 87,685 81.8 81.2 82.4 74.4 70.0 78.7 82.4 81.8 83.0
139 FL-St. Petersburg 45,564 2,662 42,902 73.7 72.9 74.5 69.8 66.6 73.0 74.1 73.3 74.9
140 FL-Tallahassee 68,866 14,787 54,079 79.2 78.6 79.9 73.5 72.1 74.9 79.4 78.7 80.2
141 FL-Tampa 87,542 5,907 81,635 75.4 74.8 75.9 69.7 67.6 71.8 75.9 75.3 76.5
142 GA-Albany 21,334 6,627 14,707 85.5 84.2 86.7 82.7 80.5 84.8 83.8 82.4 85.3
144 GA-Atlanta 393,357 59,726 333,631 77.9 77.6 78.1 70.1 69.4 70.7 78.6 78.3 78.9
145 GA-Augusta 66,287 16,229 50,058 72.5 71.9 73.2 71.0 69.7 72.3 71.4 70.7 72.2
146 GA-Columbus 32,729 8,971 23,758 80.4 79.4 81.3 76.0 74.2 77.8 79.8 78.7 81.0
147 GA-Macon 73,097 17,755 55,342 80.4 79.7 81.1 73.4 72.2 74.7 80.9 80.1 81.6
148 GA-Rome 31,172 1,979 29,193 82.8 81.8 83.8 76.3 72.5 80.2 83.4 82.3 84.4
149 GA-Savannah 80,988 16,616 64,372 79.2 78.5 79.8 74.1 72.8 75.4 79.2 78.5 79.9
150 HI-Honolulu 87,466 591 86,875 75.8 75.3 76.4 64.3 57.8 70.9 76.4 75.9 77.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-07) (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 65,267 76.9 76.2 77.6
152 ID-Idaho Falls 18,742 78.6 77.4 79.9
154 IL-Aurora 17,737 728 17,009 72.0 70.8 73.3 68.7 62.7 74.7 72.4 71.1 73.7
155 IL-Blue Island 92,835 13,328 79,507 73.7 73.2 74.3 63.6 62.2 64.9 74.9 74.3 75.5
156 IL-Chicago 188,939 67,699 121,240 66.3 65.9 66.7 57.6 57.0 58.1 68.3 67.8 68.7
158 IL-Elgin 54,699 504 54,195 75.2 74.5 76.0 58.5 51.8 65.2 75.9 75.2 76.6
161 IL-Evanston 118,531 2,086 116,445 75.2 74.7 75.6 64.9 61.5 68.4 75.8 75.3 76.3
163 IL-Hinsdale 37,340 793 36,547 74.3 73.4 75.2 70.5 64.7 76.3 74.8 73.9 75.7
164 IL-Joliet 58,529 3,040 55,489 74.7 74.0 75.4 70.4 67.4 73.4 75.1 74.4 75.9
166 IL-Melrose Park 121,862 5,382 116,480 73.7 73.3 74.2 66.5 64.3 68.6 74.3 73.8 74.8
170 IL-Peoria 81,838 1,857 79,981 78.6 78.0 79.2 75.2 71.2 79.1 79.1 78.5 79.7
171 IL-Rockford 81,980 1,895 80,085 80.3 79.7 80.9 80.0 76.0 84.0 80.7 80.1 81.3
172 IL-Springfield 117,735 2,631 115,104 83.6 83.1 84.1 77.9 74.5 81.3 84.2 83.7 84.7
173 IL-Urbana 46,084 1,542 44,542 79.5 78.7 80.4 76.0 71.6 80.3 80.0 79.2 80.9
175 IL-Bloomington 17,400 240 17,160 82.0 80.7 83.3 84.9 73.1 96.6 82.5 81.1 83.8
179 IN-Evansville 86,627 1,658 84,969 82.2 81.6 82.8 71.8 67.7 75.9 82.9 82.3 83.5
180 IN-Fort Wayne 91,255 2,109 89,146 79.7 79.1 80.3 71.4 67.8 75.0 80.3 79.8 80.9
181 IN-Gary 58,166 9,963 48,203 78.3 77.6 79.1 73.6 71.9 75.3 78.4 77.6 79.2
183 IN-Indianapolis 283,287 17,142 266,145 80.5 80.1 80.8 72.4 71.1 73.6 81.1 80.8 81.5
184 IN-Lafayette 18,441 78.8 77.5 80.0
185 IN-Muncie 21,886 671 21,215 82.9 81.7 84.1 73.7 67.2 80.2 83.6 82.3 84.8
186 IN-Munster 36,045 3,400 32,645 72.8 71.9 73.7 68.2 65.4 71.0 73.1 72.2 74.1
187 IN-South Bend 75,047 2,925 72,122 80.1 79.5 80.7 75.6 72.4 78.7 80.6 79.9 81.2
188 IN-Terre Haute 22,616 386 22,230 80.2 79.0 81.3 78.7 69.8 87.5 80.7 79.5 81.9
190 IA-Cedar Rapids 32,716 223 32,493 81.5 80.5 82.4 68.6 57.7 79.4 82.1 81.1 83.1
191 IA-Davenport 61,043 1,168 59,875 78.7 78.0 79.4 72.8 67.9 77.7 79.3 78.6 80.0
192 IA-Des Moines 125,951 1,347 124,604 82.3 81.8 82.8 71.2 66.7 75.7 83.0 82.5 83.5
193 IA-Dubuque 13,541 81.1 79.5 82.6
194 IA-Iowa City 36,300 82.3 81.3 83.2
195 IA-Mason City 23,775 83.9 82.8 85.1
196 IA-Sioux City 33,569 85.1 84.1 86.0
197 IA-Waterloo 24,542 586 23,956 86.1 84.9 87.2 88.7 81.1 96.3 86.5 85.3 87.7
200 KS-Topeka 51,871 1,534 50,337 82.9 82.1 83.7 75.0 70.7 79.4 83.5 82.7 84.3
201 KS-Wichita 158,845 3,700 155,145 85.2 84.8 85.7 78.8 75.9 81.6 85.8 85.4 86.3
203 KY-Covington 33,133 365 32,768 81.1 80.1 82.0 76.5 67.5 85.5 81.7 80.7 82.6
204 KY-Lexington 155,235 5,235 150,000 80.7 80.3 81.2 75.0 72.7 77.4 81.3 80.8 81.7
205 KY-Louisville 181,852 11,991 169,861 81.4 81.0 81.8 77.2 75.6 78.8 81.8 81.4 82.2
207 KY-Owensboro 18,470 355 18,115 85.0 83.7 86.3 76.8 67.6 86.0 85.6 84.3 87.0
208 KY-Paducah 53,923 1,732 52,191 81.3 80.6 82.1 76.6 72.5 80.7 81.9 81.1 82.6
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-07) (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 33,358 6,179 27,179 76.6 75.7 77.5 76.1 73.9 78.2 75.7 74.7 76.7
210 LA-Baton Rouge 62,352 15,286 47,066 78.8 78.1 79.5 75.2 73.8 76.6 78.3 77.5 79.1
212 LA-Houma 25,858 2,929 22,929 77.0 75.9 78.1 75.1 71.9 78.2 76.9 75.8 78.1
213 LA-Lafayette 61,894 12,183 49,711 77.8 77.1 78.5 78.3 76.7 79.9 76.5 75.7 77.2
214 LA-Lake Charles 27,186 4,374 22,812 80.4 79.3 81.5 79.0 76.4 81.7 79.9 78.7 81.0
216 LA-Metairie 35,629 3,536 32,093 72.4 71.5 73.3 67.5 64.8 70.2 72.7 71.8 73.7
217 LA-Monroe 32,373 7,120 25,253 82.4 81.4 83.3 81.9 79.8 84.0 81.0 79.9 82.1
218 LA-New Orleans 35,764 12,094 23,670 65.6 64.8 66.5 59.0 57.6 60.4 66.4 65.3 67.4
219 LA-Shreveport 78,558 19,233 59,325 78.7 78.1 79.4 72.2 71.0 73.4 79.1 78.4 79.8
220 LA-Slidell 15,353 1,213 14,140 73.4 72.1 74.8 75.0 70.2 79.9 73.3 71.9 74.7
221 ME-Bangor 57,526 83.0 82.3 83.8
222 ME-Portland 132,593 304 132,289 78.9 78.4 79.4 81.2 71.0 91.4 79.5 79.0 80.0
223 MD-Baltimore 244,833 48,427 196,406 78.7 78.4 79.1 69.8 69.0 70.5 79.8 79.4 80.1
225 MD-Salisbury 62,518 7,182 55,336 82.1 81.4 82.9 78.2 76.2 80.3 82.3 81.5 83.1
226 MD-Takoma Park 63,060 13,860 49,200 67.9 67.3 68.6 60.2 58.9 61.4 68.9 68.2 69.6
227 MA-Boston 445,227 15,134 430,093 73.6 73.3 73.8 70.2 68.9 71.6 74.0 73.8 74.3
230 MA-Springfield 72,555 2,583 69,972 80.3 79.7 81.0 76.3 72.9 79.7 80.8 80.2 81.5
231 MA-Worcester 45,235 640 44,595 75.8 75.0 76.6 70.8 64.2 77.3 76.4 75.6 77.2
232 MI-Ann Arbor 133,499 7,255 126,244 80.6 80.1 81.1 74.4 72.5 76.4 81.1 80.6 81.6
233 MI-Dearborn 60,092 1,667 58,425 81.7 81.0 82.5 69.6 65.6 73.6 82.5 81.8 83.2
234 MI-Detroit 189,419 59,528 129,891 78.1 77.7 78.5 69.7 69.0 70.4 79.2 78.7 79.7
235 MI-Flint 59,708 6,890 52,818 83.4 82.7 84.1 81.6 79.5 83.7 83.3 82.5 84.0
236 MI-Grand Rapids 108,701 2,869 105,832 83.1 82.6 83.6 78.8 75.5 82.0 83.6 83.1 84.2
238 MI-Kalamazoo 73,853 3,142 70,711 81.4 80.7 82.0 78.3 75.1 81.4 81.8 81.2 82.5
239 MI-Lansing 69,583 2,038 67,545 82.3 81.7 83.0 76.0 72.2 79.8 82.9 82.2 83.6
240 MI-Marquette 29,539 79.4 78.4 80.4
242 MI-Muskegon 31,623 1,716 29,907 85.4 84.3 86.4 83.8 79.5 88.1 85.7 84.6 86.7
243 MI-Petoskey 26,738 84.7 83.6 85.8
244 MI-Pontiac 41,263 2,607 38,656 78.4 77.6 79.3 72.6 69.3 75.9 78.9 78.0 79.8
245 MI-Royal Oak 78,422 6,249 72,173 79.8 79.1 80.4 73.2 71.1 75.3 80.3 79.6 80.9
246 MI-Saginaw 96,619 3,393 93,226 81.9 81.3 82.5 83.0 80.0 86.1 82.2 81.6 82.8
248 MI-St. Joseph 18,876 2,075 16,801 80.4 79.1 81.7 77.0 73.2 80.7 80.5 79.2 81.9
249 MI-Traverse City 35,753 85.9 85.0 86.9
250 MN-Duluth 45,077 79.7 78.9 80.5
251 MN-Minneapolis 240,905 2,253 238,652 79.1 78.8 79.5 74.2 70.6 77.7 79.7 79.3 80.1
253 MN-Rochester 50,943 78.8 78.0 79.6
254 MN-St. Cloud 22,223 79.5 78.3 80.7
256 MN-St. Paul 65,642 1,029 64,613 77.4 76.7 78.1 73.2 68.0 78.5 77.9 77.3 78.6
257 MS-Gulfport 18,956 2,269 16,687 67.1 66.0 68.3 69.3 65.8 72.7 66.5 65.3 67.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-07) (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 32,866 5,583 27,283 83.3 82.3 84.3 80.1 77.8 82.4 83.0 81.9 84.1
259 MS-Jackson 109,246 33,338 75,908 81.9 81.3 82.4 78.1 77.1 79.0 80.9 80.2 81.5
260 MS-Meridian 24,873 6,828 18,045 80.7 79.6 81.8 79.0 76.9 81.1 79.1 77.8 80.4
261 MS-Oxford 16,315 3,884 12,431 83.6 82.2 85.0 82.4 79.5 85.2 82.2 80.6 83.8
262 MS-Tupelo 44,037 6,659 37,378 83.2 82.3 84.0 80.0 77.8 82.1 83.0 82.1 83.9
263 MO-Cape Girardeau 36,113 1,745 34,368 85.0 84.1 86.0 82.4 78.1 86.6 85.4 84.4 86.4
264 MO-Columbia 84,333 1,921 82,412 79.6 79.0 80.2 74.2 70.4 78.1 80.1 79.5 80.8
267 MO-Joplin 47,970 202 47,768 82.7 81.9 83.5 82.0 69.5 94.5 83.3 82.5 84.2
268 MO-Kansas City 218,898 13,749 205,149 81.1 80.7 81.5 73.1 71.7 74.5 81.7 81.3 82.1
270 MO-Springfield 98,551 337 98,214 82.3 81.8 82.9 77.2 67.7 86.6 82.9 82.4 83.5
273 MO-St. Louis 315,148 27,528 287,620 79.3 79.0 79.6 69.3 68.3 70.3 80.2 79.9 80.5
274 MT-Billings 64,357 80.0 79.3 80.7
275 MT-Great Falls 19,024 81.5 80.2 82.8
276 MT-Missoula 44,439 75.7 74.9 76.5
277 NE-Lincoln 71,183 317 70,866 85.5 84.8 86.2 75.2 65.6 84.8 86.2 85.5 86.9
278 NE-Omaha 135,535 3,111 132,424 82.5 82.0 83.0 74.2 71.2 77.2 83.2 82.7 83.6
279 NV-Las Vegas 103,984 6,551 97,433 73.2 72.7 73.7 67.5 65.5 69.5 73.7 73.2 74.2
280 NV-Reno 64,916 610 64,306 73.9 73.3 74.6 68.9 62.3 75.6 74.5 73.8 75.1
281 NH-Lebanon 54,771 75.4 74.7 76.1
282 NH-Manchester 88,523 334 88,189 77.5 76.9 78.0 67.8 58.9 76.7 78.1 77.5 78.6
283 NJ-Camden 321,790 23,795 297,995 74.7 74.4 75.0 69.0 67.9 70.0 75.2 74.9 75.5
284 NJ-Hackensack 132,042 5,849 126,193 62.9 62.4 63.3 60.9 58.9 62.9 63.2 62.7 63.6
285 NJ-Morristown 103,321 4,958 98,363 68.7 68.2 69.2 61.5 59.3 63.7 69.3 68.8 69.8
288 NJ-New Brunswick 95,476 5,002 90,474 65.0 64.5 65.5 64.1 61.9 66.4 65.2 64.7 65.7
289 NJ-Newark 130,944 29,665 101,279 64.1 63.7 64.6 60.1 59.2 61.0 64.1 63.6 64.6
291 NJ-Paterson 37,658 3,148 34,510 67.5 66.7 68.3 61.1 58.4 63.9 68.0 67.2 68.9
292 NJ-Ridgewood 42,281 1,717 40,564 68.0 67.2 68.7 63.5 59.8 67.3 68.4 67.6 69.2
293 NM-Albuquerque 121,817 1,238 120,579 75.8 75.3 76.3 70.3 65.6 75.0 76.4 75.9 76.9
295 NY-Albany 201,057 5,210 195,847 77.3 76.9 77.7 68.3 66.1 70.6 77.9 77.5 78.3
296 NY-Binghamton 52,107 418 51,689 78.8 78.1 79.6 70.6 62.5 78.7 79.5 78.7 80.2
297 NY-Bronx 69,630 19,474 50,156 60.2 59.6 60.8 53.3 52.2 54.3 61.2 60.6 61.9
299 NY-Buffalo 109,679 8,050 101,629 77.2 76.7 77.8 64.7 63.0 66.5 78.2 77.7 78.8
300 NY-Elmira 45,447 904 44,543 80.2 79.4 81.0 73.3 67.7 78.9 80.8 80.0 81.6
301 NY-East Long Island 407,948 32,406 375,542 68.9 68.6 69.1 57.0 56.2 57.9 69.9 69.6 70.2
303 NY-Manhattan 347,364 55,650 291,714 62.2 61.9 62.4 52.4 51.8 53.0 63.4 63.1 63.7
304 NY-Rochester 79,747 3,973 75,774 79.9 79.2 80.5 72.4 69.7 75.0 80.5 79.8 81.1
307 NY-Syracuse 121,384 2,885 118,499 81.3 80.8 81.8 77.7 74.5 81.0 81.8 81.3 82.3
308 NY-White Plains 109,326 9,445 99,881 64.0 63.5 64.5 62.6 61.0 64.2 64.1 63.6 64.6
309 NC-Asheville 95,895 2,134 93,761 81.7 81.1 82.3 74.7 71.0 78.4 82.3 81.7 82.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-07) (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 203,185 25,944 177,241 82.6 82.2 83.0 78.5 77.4 79.5 82.7 82.3 83.1
312 NC-Durham 140,047 29,765 110,282 83.2 82.7 83.7 78.6 77.6 79.6 83.0 82.5 83.6
313 NC-Greensboro 51,663 7,082 44,581 80.4 79.6 81.2 72.3 70.3 74.3 81.1 80.3 82.0
314 NC-Greenville 89,917 22,544 67,373 85.0 84.4 85.6 82.3 81.1 83.5 83.9 83.2 84.6
315 NC-Hickory 33,987 1,400 32,587 83.7 82.8 84.7 81.4 76.7 86.2 84.1 83.1 85.1
318 NC-Raleigh 150,639 33,918 116,721 82.4 81.9 82.8 78.2 77.2 79.1 82.0 81.5 82.6
319 NC-Wilmington 50,951 8,153 42,798 87.4 86.5 88.2 84.4 82.4 86.4 87.1 86.2 88.0
320 NC-Winston-Salem 102,344 8,726 93,618 81.5 80.9 82.0 70.4 68.7 72.2 82.5 81.9 83.0
321 ND-Bismarck 29,740 81.9 80.9 82.9
322 ND-Fargo/Moorhead MN 62,590 84.1 83.4 84.8
323 ND-Grand Forks 20,301 84.3 83.1 85.6
324 ND-Minot 17,270 82.1 80.8 83.5
325 OH-Akron 62,974 4,559 58,415 80.4 79.7 81.1 72.4 69.9 74.8 81.1 80.4 81.8
326 OH-Canton 66,337 2,246 64,091 79.1 78.4 79.7 74.9 71.4 78.5 79.6 78.9 80.3
327 OH-Cincinnati 147,237 12,687 134,550 80.5 80.0 81.0 73.3 71.8 74.8 81.1 80.6 81.6
328 OH-Cleveland 223,247 27,211 196,036 77.0 76.7 77.4 71.8 70.8 72.8 77.4 77.0 77.7
329 OH-Columbus 280,189 14,402 265,787 81.3 81.0 81.7 76.3 74.9 77.8 81.8 81.5 82.1
330 OH-Dayton 122,237 10,684 111,553 80.1 79.6 80.6 73.0 71.4 74.6 80.7 80.2 81.2
331 OH-Elyria 28,095 1,232 26,863 75.4 74.4 76.4 66.6 62.0 71.2 76.0 75.0 77.1
332 OH-Kettering 43,135 1,407 41,728 81.7 80.8 82.5 76.8 72.2 81.3 82.2 81.3 83.1
334 OH-Toledo 104,706 5,487 99,219 80.3 79.8 80.9 75.4 73.1 77.7 80.8 80.2 81.4
335 OH-Youngstown 77,261 4,809 72,452 82.6 82.0 83.2 78.1 75.6 80.6 83.0 82.4 83.7
336 OK-Lawton 22,295 1,275 21,020 76.5 75.4 77.7 70.0 65.4 74.7 77.1 75.9 78.3
339 OK-Oklahoma City 186,373 7,315 179,058 77.0 76.6 77.4 66.2 64.3 68.1 77.7 77.3 78.1
340 OK-Tulsa 124,407 5,355 119,052 79.7 79.2 80.2 71.6 69.3 73.8 80.4 79.9 80.9
341 OR-Bend 19,028 79.6 78.4 80.9
342 OR-Eugene 62,981 78.4 77.7 79.1
343 OR-Medford 51,454 81.5 80.8 82.3
344 OR-Portland 136,798 1,708 135,090 77.6 77.1 78.1 69.6 65.6 73.5 78.2 77.8 78.7
345 OR-Salem 15,370 78.8 77.4 80.2
346 PA-Allentown 137,186 1,864 135,322 79.6 79.2 80.1 73.2 69.3 77.1 80.2 79.8 80.7
347 PA-Altoona 30,978 79.5 78.6 80.5
350 PA-Danville 60,911 270 60,641 82.0 81.3 82.7 70.4 60.3 80.4 82.7 81.9 83.4
351 PA-Erie 87,761 1,065 86,696 79.0 78.4 79.5 72.5 67.4 77.7 79.5 79.0 80.1
352 PA-Harrisburg 118,772 3,565 115,207 82.7 82.2 83.2 78.6 75.7 81.5 83.2 82.7 83.8
354 PA-Johnstown 18,270 79.1 77.8 80.4
355 PA-Lancaster 70,149 1,597 68,552 81.5 80.8 82.2 65.6 61.6 69.6 82.3 81.6 83.0
356 PA-Philadelphia 284,024 42,204 241,820 72.2 71.9 72.5 61.0 60.2 61.7 73.6 73.2 73.9
357 PA-Pittsburgh 242,930 11,735 231,195 72.8 72.4 73.1 62.9 61.4 64.3 73.5 73.1 73.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-07) (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 64,454 1,069 63,385 79.9 79.2 80.5 69.7 64.7 74.7 80.5 79.8 81.2
359 PA-Sayre 26,649 81.7 80.6 82.8
360 PA-Scranton 43,594 215 43,379 78.3 77.4 79.1 70.6 59.4 81.8 78.9 78.0 79.7
362 PA-Wilkes-Barre 35,998 76.5 75.6 77.4
363 PA-York 50,305 857 49,448 85.2 84.4 86.0 75.6 69.7 81.4 85.9 85.0 86.7
364 RI-Providence 90,554 2,120 88,434 78.0 77.4 78.6 71.9 68.3 75.5 78.6 78.0 79.1
365 SC-Charleston 106,108 20,379 85,729 84.0 83.4 84.6 79.8 78.6 81.0 83.8 83.2 84.4
366 SC-Columbia 118,735 30,603 88,132 83.3 82.7 83.8 79.6 78.6 80.6 82.5 81.9 83.1
367 SC-Florence 39,833 13,456 26,377 88.0 87.1 89.0 83.7 82.2 85.3 86.7 85.6 87.9
368 SC-Greenville 94,462 9,167 85,295 83.8 83.2 84.4 76.7 74.9 78.5 84.4 83.8 85.0
369 SC-Spartanburg 41,449 4,792 36,657 80.7 79.9 81.6 74.8 72.4 77.3 81.1 80.2 82.1
370 SD-Rapid City 23,977 78.5 77.3 79.6
371 SD-Sioux Falls 107,054 83.8 83.3 84.4
373 TN-Chattanooga 74,725 5,200 69,525 82.2 81.5 82.8 76.5 74.2 78.9 82.6 82.0 83.3
374 TN-Jackson 43,914 4,914 39,000 83.3 82.5 84.2 79.7 77.2 82.2 83.4 82.5 84.4
375 TN-Johnson City 28,571 317 28,254 75.9 74.9 76.9 68.4 59.4 77.5 76.4 75.4 77.5
376 TN-Kingsport 53,393 572 52,821 83.5 82.7 84.2 75.7 68.6 82.9 84.1 83.3 84.9
377 TN-Knoxville 139,124 3,717 135,407 82.1 81.7 82.6 79.2 76.3 82.0 82.6 82.2 83.1
379 TN-Memphis 164,191 44,572 119,619 79.5 79.1 80.0 75.3 74.5 76.1 79.0 78.5 79.5
380 TN-Nashville 232,359 15,358 217,001 81.1 80.7 81.4 73.6 72.3 75.0 81.7 81.3 82.1
382 TX-Abilene 40,344 965 39,379 81.1 80.2 82.0 75.8 70.4 81.3 81.6 80.8 82.5
383 TX-Amarillo 49,022 892 48,130 75.1 74.4 75.9 74.2 68.6 79.9 75.6 74.8 76.4
385 TX-Austin 97,121 5,559 91,562 79.3 78.8 79.9 73.2 70.9 75.4 79.9 79.3 80.5
386 TX-Beaumont 50,633 7,536 43,097 81.8 81.0 82.6 79.3 77.2 81.3 81.5 80.7 82.4
388 TX-Bryan 18,454 2,353 16,101 81.1 79.8 82.4 77.0 73.4 80.6 81.3 79.9 82.7
390 TX-Corpus Christi 47,600 1,161 46,439 80.3 79.5 81.1 71.1 66.3 76.0 81.0 80.1 81.8
391 TX-Dallas 301,091 27,930 273,161 78.8 78.5 79.1 72.0 71.0 73.0 79.3 79.0 79.7
393 TX-El Paso 90,145 1,842 88,303 69.2 68.6 69.7 60.7 57.1 64.2 69.8 69.2 70.3
394 TX-Fort Worth 130,685 7,782 122,903 79.6 79.1 80.1 72.0 70.1 73.8 80.2 79.7 80.7
396 TX-Harlingen 44,370 79.9 79.1 80.7
397 TX-Houston 379,567 49,530 330,037 74.1 73.9 74.4 69.8 69.1 70.6 74.3 74.0 74.6
399 TX-Longview 23,780 2,956 20,824 85.3 84.1 86.5 81.0 77.8 84.3 85.4 84.2 86.7
400 TX-Lubbock 73,480 2,823 70,657 76.2 75.5 76.8 71.4 68.3 74.5 76.6 76.0 77.3
402 TX-McAllen 43,119 81.0 80.2 81.9
406 TX-Odessa 33,712 1,312 32,400 73.3 72.4 74.2 68.6 64.1 73.1 73.8 72.9 74.7
411 TX-San Angelo 20,162 521 19,641 81.0 79.7 82.2 79.0 71.3 86.6 81.5 80.2 82.7
412 TX-San Antonio 189,736 7,107 182,629 72.3 72.0 72.7 61.6 59.8 63.4 73.1 72.7 73.4
413 TX-Temple 23,354 2,348 21,006 76.1 75.0 77.2 69.9 66.5 73.3 76.6 75.4 77.8
416 TX-Tyler 72,441 7,400 65,041 82.3 81.7 83.0 79.0 76.9 81.0 82.5 81.8 83.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-07) (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 19,651 1,048 18,603 84.1 82.8 85.4 82.1 76.6 87.6 84.4 83.1 85.7
418 TX-Waco 34,832 3,776 31,056 80.3 79.4 81.2 76.2 73.4 79.0 80.5 79.5 81.5
420 TX-Wichita Falls 27,875 1,192 26,683 80.7 79.7 81.8 75.5 70.6 80.4 81.3 80.2 82.3
421 UT-Ogden 29,722 291 29,431 80.8 79.8 81.8 76.9 66.8 87.1 81.4 80.4 82.4
422 UT-Provo 26,782 76.9 75.8 77.9
423 UT-Salt Lake City 136,611 365 136,246 76.4 75.9 76.8 70.6 61.9 79.3 76.9 76.5 77.4
424 VT-Burlington 73,580 236 73,344 81.5 80.8 82.1 74.1 63.0 85.3 82.1 81.4 82.8
426 VA-Arlington 124,236 8,696 115,540 71.4 70.9 71.9 64.5 62.8 66.1 72.0 71.5 72.5
427 VA-Charlottesville 64,523 4,755 59,768 82.3 81.6 83.0 78.0 75.5 80.5 82.7 81.9 83.4
428 VA-Lynchburg 31,757 4,632 27,125 84.4 83.4 85.4 80.5 77.9 83.1 84.4 83.3 85.5
429 VA-Newport News 56,873 12,452 44,421 82.4 81.7 83.2 74.9 73.4 76.4 83.1 82.2 83.9
430 VA-Norfolk 115,223 27,757 87,466 85.6 85.1 86.2 81.6 80.5 82.6 85.1 84.5 85.7
431 VA-Richmond 162,708 36,641 126,067 81.7 81.2 82.1 75.7 74.9 76.6 81.8 81.3 82.3
432 VA-Roanoke 91,848 5,091 86,757 79.4 78.9 80.0 74.1 71.7 76.5 79.9 79.3 80.5
435 VA-Winchester 45,035 1,387 43,648 78.0 77.1 78.8 72.9 68.3 77.4 78.5 77.7 79.3
437 WA-Everett 44,669 204 44,465 80.1 79.2 80.9 81.2 68.7 93.6 80.6 79.8 81.5
438 WA-Olympia 32,682 219 32,463 79.0 78.0 80.0 42.9 34.0 51.8 79.8 78.8 80.8
439 WA-Seattle 203,772 4,626 199,146 76.8 76.4 77.2 68.8 66.4 71.2 77.4 77.0 77.8
440 WA-Spokane 155,066 698 154,368 81.4 81.0 81.9 77.0 70.4 83.6 82.0 81.6 82.5
441 WA-Tacoma 56,388 2,163 54,225 73.9 73.2 74.6 55.3 52.1 58.4 75.0 74.2 75.7
442 WA-Yakima 26,765 82.9 81.8 84.0
443 WV-Charleston 108,228 2,457 105,771 81.0 80.5 81.5 75.1 71.7 78.5 81.6 81.0 82.1
444 WV-Huntington 46,715 568 46,147 76.0 75.2 76.8 72.9 65.9 79.9 76.5 75.7 77.3
445 WV-Morgantown 46,871 451 46,420 79.8 79.0 80.6 74.6 66.6 82.5 80.4 79.5 81.2
446 WI-Appleton 31,641 80.3 79.3 81.2
447 WI-Green Bay 59,462 79.1 78.4 79.8
448 WI-La Crosse 35,457 81.2 80.3 82.2
449 WI-Madison 103,971 912 103,059 80.9 80.3 81.4 78.9 73.2 84.7 81.5 80.9 82.0
450 WI-Marshfield 45,535 80.6 79.8 81.4
451 WI-Milwaukee 254,070 14,097 239,973 79.3 79.0 79.7 74.6 73.2 76.0 79.8 79.4 80.1
452 WI-Neenah 24,847 77.2 76.1 78.3
456 WI-Wausau 24,180 81.3 80.1 82.4
457 WY-Casper 23,980 77.9 76.7 79.0
999 US-United States 26,626,103 2,043,846 24,582,257 77.6 70.4 78.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of diabetic Medicare enrollees age
65-75 (2003-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 28,153 5,580 22,573 78.5 77.5 79.5 76.9 74.6 79.2 78.9 77.7 80.1
2 AL-Dothan 6,126 1,440 4,686 81.0 78.8 83.3 83.5 78.8 88.2 80.3 77.7 82.8
5 AL-Huntsville 8,004 1,096 6,908 79.0 77.0 80.9 75.5 70.3 80.6 79.5 77.4 81.6
6 AL-Mobile 9,391 2,400 6,991 75.4 73.7 77.2 72.9 69.5 76.3 76.3 74.3 78.4
7 AL-Montgomery 5,573 2,054 3,519 77.3 75.0 79.6 76.3 72.6 80.1 77.9 74.9 80.8
9 AL-Tuscaloosa 3,495 1,256 2,239 75.9 73.1 78.8 79.0 74.1 83.9 74.2 70.7 77.8
10 AK-Anchorage 3,825 68.1 65.4 70.7
11 AZ-Mesa 5,710 80.0 77.7 82.3
12 AZ-Phoenix 18,428 597 17,831 72.8 71.5 74.0 74.5 67.6 81.5 72.7 71.4 73.9
14 AZ-Sun City 3,451 80.6 77.6 83.6
15 AZ-Tucson 7,355 231 7,124 75.8 73.8 77.8 70.1 59.3 80.9 76.0 74.0 78.0
16 AR-Fort Smith 4,471 71.8 69.4 74.3
18 AR-Jonesboro 3,171 75.8 72.8 78.8
19 AR-Little Rock 18,968 3,333 15,635 77.5 76.2 78.7 76.6 73.6 79.6 77.6 76.3 79.0
21 AR-Springdale 4,086 77.8 75.1 80.5
22 AR-Texarkana 3,413 669 2,744 73.6 70.7 76.5 67.4 61.2 73.6 75.1 71.9 78.4
23 CA-Orange County 14,724 339 14,385 78.4 76.9 79.8 76.7 67.4 86.0 78.4 77.0 79.9
25 CA-Bakersfield 7,356 245 7,111 76.5 74.5 78.5 74.3 63.5 85.1 76.5 74.5 78.6
31 CA-Chico 3,785 78.6 75.7 81.4
33 CA-Contra Costa County 4,069 358 3,711 75.7 73.1 78.4 64.3 56.0 72.6 76.9 74.0 79.7
43 CA-Fresno 8,629 532 8,097 78.0 76.2 79.9 75.8 68.4 83.2 78.2 76.3 80.1
56 CA-Los Angeles 50,616 5,805 44,811 71.2 70.4 71.9 66.3 64.2 68.4 71.8 71.0 72.6
58 CA-Modesto 6,539 336 6,203 76.8 74.6 78.9 73.2 64.1 82.4 77.0 74.8 79.1
62 CA-Napa 2,278 79.6 76.0 83.3
65 CA-Alameda County 6,257 1,309 4,948 75.6 73.5 77.8 63.6 59.3 68.0 78.8 76.3 81.2
69 CA-Palm Springs/Rancho Mirage 2,430 77.5 74.0 81.0
73 CA-Redding 3,764 77.3 74.5 80.1
77 CA-Sacramento 12,000 701 11,299 80.3 78.7 81.9 75.9 69.4 82.3 80.6 78.9 82.3
78 CA-Salinas 3,651 252 3,399 81.3 78.4 84.3 73.0 62.5 83.6 81.9 78.9 85.0
79 CA-San Bernardino 11,139 1,167 9,972 73.3 71.7 74.9 68.2 63.5 73.0 73.9 72.2 75.6
80 CA-San Diego 16,259 878 15,381 77.4 76.0 78.7 72.9 67.2 78.5 77.7 76.3 79.0
81 CA-San Francisco 6,905 917 5,988 76.8 74.7 78.9 72.5 67.0 78.0 77.5 75.2 79.7
82 CA-San Jose 7,484 77.0 75.0 79.0
83 CA-San Luis Obispo 2,132 85.9 82.0 89.8
85 CA-San Mateo County 3,305 78.8 75.8 81.9
86 CA-Santa Barbara 3,043 83.8 80.6 87.1
87 CA-Santa Cruz 1,468 76.9 72.4 81.4
89 CA-Santa Rosa 2,222 78.0 74.3 81.7
91 CA-Stockton 3,557 333 3,224 75.1 72.2 77.9 72.4 63.2 81.5 75.3 72.3 78.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of diabetic Medicare enrollees age
65-75 (2003-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 4,966 79.3 76.9 81.8
101 CO-Boulder 864 81.1 75.1 87.1
102 CO-Colorado Springs 5,286 265 5,021 74.4 72.1 76.7 56.6 47.5 65.7 75.3 72.9 77.7
103 CO-Denver 9,515 707 8,808 79.4 77.6 81.1 66.8 60.7 72.8 80.4 78.5 82.2
104 CO-Fort Collins 1,935 80.5 76.5 84.5
105 CO-Grand Junction 1,548 82.7 78.2 87.2
106 CO-Greeley 2,392 81.2 77.5 84.8
107 CO-Pueblo 1,708 83.5 79.2 87.8
109 CT-Bridgeport 5,389 968 4,421 80.1 77.7 82.5 76.1 70.6 81.6 81.0 78.3 83.6
110 CT-Hartford 16,007 1,564 14,443 84.7 83.2 86.1 81.7 77.2 86.1 85.0 83.5 86.5
111 CT-New Haven 14,197 1,397 12,800 82.1 80.6 83.6 80.2 75.5 84.9 82.3 80.7 83.9
112 DE-Wilmington 9,384 2,099 7,285 78.3 76.5 80.1 76.5 72.8 80.3 78.8 76.8 80.9
113 DC-Washington 22,114 8,419 13,695 79.3 78.1 80.4 75.0 73.1 76.8 81.9 80.4 83.4
115 FL-Bradenton 3,531 218 3,313 81.7 78.7 84.7 74.3 62.9 85.8 82.2 79.1 85.3
116 FL-Clearwater 4,771 82.3 79.7 84.9
118 FL-Fort Lauderdale 20,284 2,292 17,992 83.5 82.3 84.8 80.5 76.8 84.2 83.9 82.6 85.3
119 FL-Fort Myers 14,995 827 14,168 82.8 81.4 84.3 80.4 74.3 86.5 83.0 81.5 84.5
120 FL-Gainesville 7,183 1,198 5,985 77.8 75.7 79.8 75.7 70.8 80.6 78.2 75.9 80.4
122 FL-Hudson 5,696 81.4 79.1 83.8
123 FL-Jacksonville 16,841 3,561 13,280 77.6 76.2 78.9 76.5 73.6 79.3 77.8 76.3 79.3
124 FL-Lakeland 4,551 547 4,004 83.0 80.3 85.6 83.2 75.5 90.8 82.9 80.1 85.7
127 FL-Miami 17,115 2,498 14,617 78.1 76.8 79.4 75.7 72.3 79.1 78.5 77.1 80.0
129 FL-Ocala 12,044 755 11,289 82.4 80.8 84.0 80.9 74.5 87.4 82.5 80.8 84.2
130 FL-Orlando 41,585 4,710 36,875 80.4 79.6 81.3 78.6 76.1 81.2 80.7 79.7 81.6
131 FL-Ormond Beach 4,946 563 4,383 82.3 79.7 84.8 80.5 73.1 87.9 82.5 79.8 85.2
133 FL-Panama City 3,238 369 2,869 73.1 70.1 76.0 71.3 62.7 79.9 73.3 70.2 76.4
134 FL-Pensacola 11,183 1,651 9,532 78.9 77.2 80.5 81.3 77.0 85.7 78.5 76.7 80.2
137 FL-Sarasota 6,012 236 5,776 83.2 80.9 85.5 77.5 66.3 88.8 83.4 81.1 85.8
139 FL-St. Petersburg 3,921 521 3,400 80.5 77.7 83.3 81.0 73.3 88.7 80.4 77.4 83.4
140 FL-Tallahassee 8,645 2,685 5,960 79.7 77.8 81.6 78.6 75.2 81.9 80.2 78.0 82.5
141 FL-Tampa 9,114 1,152 7,962 79.0 77.2 80.8 73.4 68.5 78.4 79.8 77.8 81.7
142 GA-Albany 2,798 1,216 1,582 75.1 71.8 78.3 72.5 67.7 77.3 77.0 72.7 81.3
144 GA-Atlanta 44,795 10,274 34,521 81.3 80.4 82.1 79.7 78.0 81.5 81.7 80.8 82.7
145 GA-Augusta 8,565 3,007 5,558 77.2 75.3 79.0 76.6 73.5 79.7 77.5 75.2 79.8
146 GA-Columbus 4,385 1,717 2,668 74.8 72.2 77.4 73.5 69.4 77.6 75.6 72.3 78.9
147 GA-Macon 10,270 3,368 6,902 78.3 76.6 80.0 77.4 74.4 80.4 78.7 76.6 80.8
148 GA-Rome 4,006 347 3,659 82.9 80.0 85.7 81.8 72.3 91.4 83.0 80.0 85.9
149 GA-Savannah 9,686 3,235 6,451 80.4 78.6 82.2 81.0 77.9 84.1 80.2 78.0 82.3
150 HI-Honolulu 10,048 82.5 80.8 84.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of diabetic Medicare enrollees age
65-75 (2003-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 5,459 81.2 78.8 83.6
152 ID-Idaho Falls 2,017 77.0 73.2 80.8
154 IL-Aurora 2,098 83.1 79.2 87.0
155 IL-Blue Island 9,454 2,498 6,956 75.0 73.3 76.8 70.5 67.2 73.8 76.7 74.6 78.7
156 IL-Chicago 21,164 10,318 10,846 67.8 66.6 68.9 61.9 60.4 63.4 73.3 71.7 74.9
158 IL-Elgin 5,353 80.6 78.2 83.0
161 IL-Evanston 8,004 298 7,706 82.8 80.8 84.8 78.2 68.2 88.2 83.0 80.9 85.0
163 IL-Hinsdale 3,050 81.5 78.3 84.7
164 IL-Joliet 6,374 612 5,762 78.2 76.0 80.4 76.5 69.5 83.4 78.4 76.1 80.7
166 IL-Melrose Park 10,933 1,057 9,876 79.0 77.4 80.7 72.9 67.7 78.0 79.7 77.9 81.5
170 IL-Peoria 7,802 375 7,427 83.3 81.3 85.3 82.4 73.2 91.6 83.3 81.3 85.4
171 IL-Rockford 8,057 467 7,590 83.7 81.7 85.7 80.3 72.2 88.4 83.9 81.9 86.0
172 IL-Springfield 11,659 492 11,167 82.7 81.0 84.3 82.1 74.1 90.1 82.7 81.0 84.4
173 IL-Urbana 4,576 295 4,281 82.0 79.4 84.6 86.1 75.5 96.7 81.7 79.0 84.4
175 IL-Bloomington 1,656 84.9 80.5 89.3
179 IN-Evansville 9,633 296 9,337 81.2 79.4 83.0 73.3 63.6 83.1 81.4 79.6 83.2
180 IN-Fort Wayne 9,074 451 8,623 83.2 81.3 85.0 80.0 71.8 88.3 83.3 81.4 85.2
181 IN-Gary 7,070 1,783 5,287 72.6 70.6 74.6 63.0 59.4 66.7 75.8 73.5 78.2
183 IN-Indianapolis 32,465 3,179 29,286 80.8 79.8 81.8 75.6 72.6 78.6 81.4 80.4 82.4
184 IN-Lafayette 1,875 82.5 78.4 86.6
185 IN-Muncie 2,490 82.3 78.7 85.9
186 IN-Munster 4,052 631 3,421 73.2 70.6 75.9 65.3 59.0 71.6 74.7 71.8 77.6
187 IN-South Bend 7,271 446 6,825 80.6 78.5 82.7 76.9 68.8 85.1 80.8 78.7 83.0
188 IN-Terre Haute 2,411 78.9 75.3 82.4
190 IA-Cedar Rapids 3,046 88.0 84.7 91.3
191 IA-Davenport 5,745 275 5,470 85.5 83.1 87.8 82.2 71.5 92.9 85.6 83.2 88.1
192 IA-Des Moines 10,970 204 10,766 84.3 82.5 86.0 84.8 72.2 97.4 84.3 82.5 86.0
193 IA-Dubuque 1,201 91.4 86.0 96.8
194 IA-Iowa City 3,384 85.2 82.1 88.3
195 IA-Mason City 1,957 86.3 82.2 90.4
196 IA-Sioux City 3,006 81.9 78.7 85.1
197 IA-Waterloo 2,299 82.0 78.3 85.7
200 KS-Topeka 4,645 311 4,334 85.1 82.5 87.8 85.2 75.0 95.5 85.1 82.4 87.9
201 KS-Wichita 14,692 739 13,953 83.7 82.3 85.2 78.9 72.5 85.3 84.0 82.5 85.5
203 KY-Covington 4,004 79.8 77.0 82.5
204 KY-Lexington 19,816 918 18,898 79.5 78.3 80.7 84.0 78.1 89.9 79.3 78.0 80.6
205 KY-Louisville 20,571 2,166 18,405 80.6 79.4 81.8 81.5 77.7 85.3 80.5 79.2 81.8
207 KY-Owensboro 2,049 82.6 78.7 86.6
208 KY-Paducah 6,014 298 5,716 78.8 76.6 81.0 79.5 69.4 89.7 78.8 76.5 81.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of diabetic Medicare enrollees age
65-75 (2003-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 4,178 1,105 3,073 74.9 72.3 77.5 76.0 70.9 81.2 74.5 71.5 77.6
210 LA-Baton Rouge 7,829 3,031 4,798 76.9 74.9 78.8 76.4 73.3 79.5 77.2 74.7 79.7
212 LA-Houma 3,699 651 3,048 81.8 78.9 84.8 77.4 70.7 84.2 82.8 79.6 86.0
213 LA-Lafayette 7,839 2,340 5,499 74.7 72.8 76.7 71.5 68.0 74.9 76.1 73.8 78.5
214 LA-Lake Charles 3,669 863 2,806 79.6 76.7 82.5 77.8 71.9 83.6 80.2 76.9 83.5
216 LA-Metairie 3,808 725 3,083 76.3 73.6 79.1 72.3 66.1 78.5 77.3 74.2 80.4
217 LA-Monroe 4,071 1,332 2,739 70.2 67.7 72.8 70.9 66.4 75.4 69.9 66.8 73.1
218 LA-New Orleans 4,250 2,148 2,102 73.1 70.5 75.6 72.3 68.7 75.9 73.8 70.2 77.5
219 LA-Shreveport 9,199 3,134 6,065 75.3 73.5 77.1 75.8 72.7 78.8 75.1 72.9 77.3
220 LA-Slidell 1,860 241 1,619 74.6 70.7 78.5 73.4 62.6 84.3 74.7 70.5 79.0
221 ME-Bangor 6,724 86.6 84.4 88.8
222 ME-Portland 12,577 87.2 85.6 88.8
223 MD-Baltimore 25,869 8,165 17,704 80.5 79.4 81.6 77.5 75.6 79.4 81.9 80.6 83.3
225 MD-Salisbury 8,065 1,555 6,510 81.3 79.4 83.3 79.4 74.9 83.8 81.8 79.6 84.0
226 MD-Takoma Park 6,221 2,255 3,966 80.5 78.3 82.8 76.9 73.3 80.5 82.6 79.8 85.4
227 MA-Boston 38,880 2,864 36,016 85.7 84.8 86.6 83.5 80.1 86.8 85.9 84.9 86.8
230 MA-Springfield 6,681 435 6,246 86.1 83.9 88.3 85.3 76.6 94.0 86.2 83.9 88.5
231 MA-Worcester 3,970 83.3 80.4 86.1
232 MI-Ann Arbor 14,070 1,381 12,689 83.7 82.2 85.2 79.4 74.7 84.1 84.1 82.5 85.7
233 MI-Dearborn 7,256 284 6,972 78.1 76.1 80.1 71.1 61.3 80.9 78.4 76.3 80.5
234 MI-Detroit 23,931 10,093 13,838 77.7 76.6 78.8 73.3 71.7 75.0 80.9 79.4 82.4
235 MI-Flint 8,003 1,537 6,466 82.4 80.4 84.4 80.3 75.8 84.8 82.9 80.7 85.1
236 MI-Grand Rapids 10,895 582 10,313 86.3 84.6 88.1 81.1 73.8 88.4 86.6 84.8 88.4
238 MI-Kalamazoo 8,099 544 7,555 83.0 81.0 84.9 81.8 74.2 89.4 83.0 81.0 85.1
239 MI-Lansing 7,484 382 7,102 84.8 82.7 86.8 81.9 72.9 91.0 84.9 82.8 87.1
240 MI-Marquette 3,040 83.9 80.7 87.2
242 MI-Muskegon 3,233 292 2,941 86.1 82.9 89.3 81.2 70.8 91.5 86.6 83.3 90.0
243 MI-Petoskey 3,024 84.9 81.6 88.2
244 MI-Pontiac 4,481 576 3,905 82.4 79.7 85.0 75.9 68.8 83.0 83.3 80.4 86.2
245 MI-Royal Oak 7,818 1,163 6,655 81.7 79.7 83.7 80.6 75.4 85.7 81.9 79.7 84.0
246 MI-Saginaw 11,275 764 10,511 82.3 80.7 84.0 77.9 71.6 84.1 82.7 80.9 84.4
248 MI-St. Joseph 2,253 503 1,750 82.5 78.7 86.2 80.5 72.7 88.4 83.0 78.8 87.3
249 MI-Traverse City 3,732 86.8 83.8 89.8
250 MN-Duluth 4,025 88.2 85.3 91.1
251 MN-Minneapolis 19,551 370 19,181 86.6 85.3 87.9 81.1 71.9 90.3 86.7 85.4 88.1
253 MN-Rochester 3,923 89.0 86.0 91.9
254 MN-St. Cloud 1,525 86.3 81.6 91.0
256 MN-St. Paul 5,457 87.0 84.5 89.4
257 MS-Gulfport 2,151 427 1,724 67.7 64.2 71.2 68.6 60.8 76.5 67.5 63.6 71.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of diabetic Medicare enrollees age
65-75 (2003-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 4,118 1,032 3,086 77.3 74.6 80.0 78.6 73.2 84.0 76.8 73.7 79.9
259 MS-Jackson 13,136 5,830 7,306 74.5 73.0 76.0 72.9 70.7 75.0 75.8 73.8 77.8
260 MS-Meridian 3,191 1,185 2,006 73.9 70.9 76.9 74.4 69.4 79.3 73.6 69.9 77.4
261 MS-Oxford 1,869 697 1,172 73.9 70.0 77.8 75.6 69.2 82.1 73.0 68.1 77.8
262 MS-Tupelo 5,090 1,162 3,928 81.5 79.0 84.0 83.0 77.7 88.2 81.0 78.2 83.9
263 MO-Cape Girardeau 4,184 348 3,836 82.6 79.9 85.4 77.9 68.6 87.1 83.0 80.2 85.9
264 MO-Columbia 8,813 355 8,458 81.2 79.4 83.1 88.5 78.7 98.2 80.9 79.0 82.9
267 MO-Joplin 4,966 78.2 75.7 80.6
268 MO-Kansas City 21,955 2,405 19,550 80.9 79.7 82.1 73.4 69.9 76.8 81.8 80.6 83.1
270 MO-Springfield 9,765 82.7 80.9 84.5
273 MO-St. Louis 33,789 5,132 28,657 80.4 79.5 81.4 73.6 71.2 75.9 81.7 80.6 82.7
274 MT-Billings 5,138 77.2 74.8 79.6
275 MT-Great Falls 1,675 73.4 69.3 77.5
276 MT-Missoula 3,484 79.1 76.2 82.1
277 NE-Lincoln 5,640 83.4 81.1 85.8
278 NE-Omaha 11,795 563 11,232 83.3 81.7 85.0 79.6 72.2 86.9 83.5 81.8 85.2
279 NV-Las Vegas 12,191 1,294 10,897 74.0 72.4 75.5 71.9 67.3 76.5 74.2 72.6 75.8
280 NV-Reno 5,171 75.2 72.8 77.5
281 NH-Lebanon 4,809 86.1 83.4 88.7
282 NH-Manchester 8,352 87.5 85.4 89.5
283 NJ-Camden 33,526 4,528 28,998 78.1 77.2 79.1 72.8 70.3 75.2 78.9 77.9 80.0
284 NJ-Hackensack 11,954 1,014 10,940 77.2 75.6 78.8 77.3 71.9 82.7 77.2 75.5 78.8
285 NJ-Morristown 9,155 864 8,291 79.8 78.0 81.7 77.4 71.6 83.3 80.1 78.1 82.0
288 NJ-New Brunswick 9,232 956 8,276 80.0 78.2 81.8 79.5 73.9 85.2 80.1 78.1 82.0
289 NJ-Newark 15,088 5,604 9,484 71.8 70.4 73.1 67.6 65.5 69.8 74.3 72.5 76.0
291 NJ-Paterson 3,787 583 3,204 75.8 73.1 78.6 67.8 61.1 74.4 77.3 74.3 80.4
292 NJ-Ridgewood 3,574 290 3,284 79.3 76.4 82.2 75.5 65.5 85.5 79.6 76.6 82.7
293 NM-Albuquerque 12,638 201 12,437 66.6 65.2 68.0 78.6 66.4 90.9 66.4 65.0 67.8
295 NY-Albany 19,200 1,148 18,052 84.6 83.3 85.9 82.4 77.2 87.7 84.7 83.4 86.0
296 NY-Binghamton 4,929 83.4 80.9 86.0
297 NY-Bronx 8,750 3,041 5,709 70.2 68.4 71.9 69.6 66.7 72.6 70.5 68.3 72.7
299 NY-Buffalo 10,381 1,397 8,984 82.8 81.0 84.5 79.5 74.8 84.1 83.3 81.4 85.2
300 NY-Elmira 4,682 85.2 82.6 87.8
301 NY-East Long Island 35,706 5,106 30,600 79.4 78.5 80.3 73.4 71.1 75.8 80.4 79.4 81.4
303 NY-Manhattan 31,377 7,694 23,683 76.0 75.1 77.0 71.5 69.7 73.4 77.5 76.4 78.6
304 NY-Rochester 7,286 862 6,424 86.0 83.9 88.2 82.6 76.5 88.7 86.5 84.2 88.8
307 NY-Syracuse 12,865 621 12,244 85.0 83.4 86.6 81.6 74.5 88.8 85.1 83.5 86.8
308 NY-White Plains 9,466 1,775 7,691 78.3 76.5 80.1 75.3 71.3 79.4 79.0 77.0 81.0
309 NC-Asheville 8,903 353 8,550 85.2 83.3 87.1 81.0 71.6 90.4 85.4 83.4 87.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of diabetic Medicare enrollees age
65-75 (2003-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 25,061 5,073 19,988 83.7 82.6 84.8 81.8 79.3 84.3 84.2 82.9 85.5
312 NC-Durham 17,132 5,732 11,400 84.2 82.8 85.6 82.1 79.7 84.4 85.3 83.6 86.9
313 NC-Greensboro 5,506 1,152 4,354 85.1 82.6 87.5 85.0 79.7 90.3 85.1 82.3 87.8
314 NC-Greenville 12,926 4,704 8,222 83.4 81.9 85.0 84.5 81.9 87.1 82.8 80.9 84.8
315 NC-Hickory 4,379 276 4,103 84.2 81.5 86.9 85.1 74.3 96.0 84.1 81.3 86.9
318 NC-Raleigh 20,245 6,886 13,359 82.9 81.6 84.1 82.4 80.3 84.6 83.1 81.5 84.6
319 NC-Wilmington 6,828 1,680 5,148 87.5 85.2 89.7 87.9 83.4 92.4 87.3 84.8 89.9
320 NC-Winston-Salem 11,607 1,575 10,032 84.9 83.2 86.6 84.1 79.6 88.7 85.0 83.2 86.8
321 ND-Bismarck 2,548 83.1 79.6 86.7
322 ND-Fargo/Moorhead MN 5,284 84.7 82.3 87.2
323 ND-Grand Forks 1,775 82.9 78.6 87.1
324 ND-Minot 1,530 82.8 78.3 87.4
325 OH-Akron 6,736 822 5,914 81.4 79.2 83.5 80.1 73.9 86.2 81.5 79.2 83.8
326 OH-Canton 7,177 409 6,768 84.3 82.2 86.4 78.0 69.4 86.6 84.7 82.5 86.9
327 OH-Cincinnati 15,940 2,411 13,529 82.8 81.4 84.3 79.2 75.6 82.7 83.5 82.0 85.0
328 OH-Cleveland 22,779 4,694 18,085 80.9 79.7 82.1 76.0 73.5 78.5 82.2 80.9 83.5
329 OH-Columbus 34,205 2,760 31,445 81.9 80.9 82.9 79.3 76.0 82.6 82.1 81.1 83.1
330 OH-Dayton 14,219 1,940 12,279 81.8 80.3 83.3 77.4 73.5 81.3 82.5 80.9 84.1
331 OH-Elyria 3,329 276 3,053 78.8 75.8 81.8 77.2 66.8 87.5 78.9 75.8 82.1
332 OH-Kettering 4,649 227 4,422 84.0 81.4 86.7 85.5 73.4 97.5 84.0 81.3 86.7
334 OH-Toledo 11,668 1,025 10,643 80.9 79.3 82.6 73.6 68.3 78.8 81.6 79.9 83.4
335 OH-Youngstown 8,799 1,029 7,770 81.4 79.5 83.3 74.6 69.4 79.9 82.3 80.3 84.3
336 OK-Lawton 2,596 281 2,315 69.5 66.3 72.7 77.6 67.3 87.9 68.5 65.1 71.9
339 OK-Oklahoma City 18,562 1,182 17,380 75.6 74.4 76.9 75.0 70.0 79.9 75.7 74.4 76.9
340 OK-Tulsa 12,361 789 11,572 74.8 73.3 76.3 76.4 70.3 82.5 74.7 73.1 76.2
341 OR-Bend 1,486 83.7 79.1 88.4
342 OR-Eugene 5,886 82.9 80.6 85.2
343 OR-Medford 4,492 84.3 81.6 87.0
344 OR-Portland 11,559 298 11,261 84.7 83.0 86.4 85.9 75.4 96.4 84.7 83.0 86.4
345 OR-Salem 1,369 82.9 78.1 87.7
346 PA-Allentown 13,780 368 13,412 82.2 80.7 83.7 81.3 72.0 90.5 82.2 80.7 83.8
347 PA-Altoona 3,348 84.4 81.3 87.5
350 PA-Danville 6,772 87.7 85.4 89.9
351 PA-Erie 9,178 82.1 80.2 83.9
352 PA-Harrisburg 13,461 690 12,771 84.7 83.1 86.2 77.4 70.8 84.0 85.0 83.4 86.6
354 PA-Johnstown 1,795 82.3 78.1 86.5
355 PA-Lancaster 7,034 253 6,781 85.9 83.7 88.1 79.8 68.8 90.9 86.1 83.9 88.4
356 PA-Philadelphia 24,437 6,216 18,221 79.7 78.5 80.8 74.1 71.9 76.2 81.6 80.3 82.9
357 PA-Pittsburgh 20,987 1,628 19,359 78.8 77.6 80.0 71.1 67.0 75.2 79.4 78.2 80.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of diabetic Medicare enrollees age
65-75 (2003-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 6,400 85.0 82.8 87.3
359 PA-Sayre 2,980 83.9 80.6 87.2
360 PA-Scranton 4,446 79.3 76.7 81.9
362 PA-Wilkes-Barre 3,470 75.6 72.7 78.5
363 PA-York 5,622 89.5 87.0 91.9
364 RI-Providence 7,292 351 6,941 80.8 78.8 82.9 75.5 66.4 84.6 81.1 79.0 83.2
365 SC-Charleston 13,902 4,251 9,651 81.1 79.6 82.6 79.7 77.0 82.4 81.7 79.9 83.5
366 SC-Columbia 15,968 6,138 9,830 76.4 75.0 77.7 75.0 72.9 77.2 77.2 75.4 78.9
367 SC-Florence 6,143 2,669 3,474 76.5 74.4 78.7 77.9 74.6 81.3 75.5 72.6 78.4
368 SC-Greenville 11,252 1,766 9,486 80.6 79.0 82.3 80.5 76.3 84.7 80.7 78.9 82.5
369 SC-Spartanburg 4,863 807 4,056 79.7 77.2 82.2 78.4 72.3 84.6 79.9 77.2 82.7
370 SD-Rapid City 1,916 78.7 74.7 82.7
371 SD-Sioux Falls 7,615 85.3 83.2 87.4
373 TN-Chattanooga 9,057 1,035 8,022 82.2 80.3 84.0 81.6 76.1 87.1 82.2 80.2 84.2
374 TN-Jackson 5,273 884 4,389 81.3 78.9 83.8 82.4 76.4 88.3 81.1 78.5 83.8
375 TN-Johnson City 3,278 82.1 79.0 85.2
376 TN-Kingsport 7,273 84.5 82.3 86.6
377 TN-Knoxville 16,976 721 16,255 84.9 83.5 86.2 82.3 75.6 88.9 85.0 83.5 86.4
379 TN-Memphis 19,984 7,851 12,133 76.7 75.5 77.9 73.7 71.8 75.6 78.7 77.1 80.3
380 TN-Nashville 26,702 2,854 23,848 82.1 81.0 83.2 80.4 77.1 83.7 82.3 81.1 83.4
382 TX-Abilene 4,002 211 3,791 76.4 73.7 79.1 67.3 56.2 78.4 76.9 74.1 79.7
383 TX-Amarillo 4,302 78.6 75.9 81.2
385 TX-Austin 10,337 1,145 9,192 81.6 79.9 83.4 81.9 76.7 87.2 81.6 79.7 83.4
386 TX-Beaumont 6,304 1,501 4,803 79.1 76.9 81.2 78.6 74.1 83.0 79.2 76.7 81.7
388 TX-Bryan 1,886 440 1,446 77.5 73.5 81.4 80.0 71.6 88.4 76.7 72.2 81.2
390 TX-Corpus Christi 6,874 213 6,661 80.6 78.5 82.7 81.7 69.6 93.8 80.5 78.4 82.7
391 TX-Dallas 32,694 5,221 27,473 80.4 79.4 81.4 77.3 75.0 79.7 81.0 79.9 82.0
393 TX-El Paso 12,251 265 11,986 72.1 70.6 73.6 60.0 50.7 69.3 72.4 70.9 73.9
394 TX-Fort Worth 14,464 1,514 12,950 81.0 79.5 82.4 77.2 72.8 81.6 81.4 79.9 83.0
396 TX-Harlingen 7,952 76.7 74.8 78.7
397 TX-Houston 42,640 9,001 33,639 77.1 76.2 77.9 76.3 74.5 78.1 77.3 76.3 78.2
399 TX-Longview 2,880 539 2,341 81.3 78.0 84.6 83.3 75.6 91.0 80.9 77.2 84.5
400 TX-Lubbock 8,156 524 7,632 77.2 75.3 79.1 74.6 67.2 82.0 77.4 75.4 79.4
402 TX-McAllen 7,698 74.8 72.9 76.8
406 TX-Odessa 3,686 75.0 72.2 77.8
411 TX-San Angelo 2,152 83.2 79.3 87.0
412 TX-San Antonio 24,363 1,196 23,167 77.2 76.1 78.3 68.2 63.6 72.9 77.6 76.5 78.8
413 TX-Temple 2,935 476 2,459 77.9 74.7 81.1 78.8 70.8 86.8 77.8 74.3 81.3
416 TX-Tyler 7,924 1,280 6,644 80.5 78.5 82.5 82.0 77.0 86.9 80.2 78.1 82.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of diabetic Medicare enrollees age
65-75 (2003-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 2,450 210 2,240 83.0 79.4 86.6 81.9 69.7 94.1 83.1 79.3 86.9
418 TX-Waco 3,519 564 2,955 80.7 77.7 83.7 80.7 73.3 88.1 80.7 77.5 84.0
420 TX-Wichita Falls 3,117 207 2,910 75.5 72.5 78.6 80.7 68.4 92.9 75.2 72.0 78.3
421 UT-Ogden 3,089 82.6 79.4 85.8
422 UT-Provo 2,544 80.5 77.0 84.0
423 UT-Salt Lake City 12,483 80.5 79.0 82.1
424 VT-Burlington 7,768 86.3 84.2 88.3
426 VA-Arlington 10,352 1,517 8,835 81.2 79.5 82.9 77.6 73.2 82.0 81.8 79.9 83.7
427 VA-Charlottesville 7,346 1,016 6,330 85.4 83.3 87.5 87.2 81.5 92.9 85.1 82.9 87.4
428 VA-Lynchburg 3,834 839 2,995 82.9 80.0 85.8 79.5 73.5 85.5 83.8 80.6 87.1
429 VA-Newport News 6,856 2,448 4,408 79.8 77.7 81.9 73.6 70.2 77.0 83.3 80.6 86.0
430 VA-Norfolk 15,505 5,798 9,707 79.6 78.2 81.0 76.9 74.6 79.2 81.2 79.4 82.9
431 VA-Richmond 19,512 6,826 12,686 82.3 81.1 83.6 80.1 78.0 82.2 83.5 81.9 85.1
432 VA-Roanoke 10,680 920 9,760 82.5 80.8 84.3 81.1 75.3 86.9 82.7 80.9 84.5
435 VA-Winchester 5,715 264 5,451 83.0 80.6 85.4 78.0 67.4 88.7 83.2 80.8 85.7
437 WA-Everett 4,078 87.6 84.8 90.5
438 WA-Olympia 2,875 82.3 78.9 85.6
439 WA-Seattle 15,926 631 15,295 86.6 85.2 88.1 79.1 72.1 86.0 86.9 85.4 88.4
440 WA-Spokane 14,041 84.9 83.4 86.5
441 WA-Tacoma 5,098 266 4,832 84.0 81.4 86.5 75.9 65.5 86.4 84.4 81.8 87.0
442 WA-Yakima 2,495 82.0 78.5 85.6
443 WV-Charleston 15,012 465 14,547 80.5 79.0 81.9 77.6 69.6 85.6 80.6 79.1 82.0
444 WV-Huntington 6,089 79.6 77.3 81.8
445 WV-Morgantown 6,018 80.7 78.4 82.9
446 WI-Appleton 2,753 88.8 85.3 92.3
447 WI-Green Bay 5,400 87.8 85.3 90.3
448 WI-La Crosse 2,960 89.1 85.7 92.5
449 WI-Madison 8,879 87.9 85.9 89.8
450 WI-Marshfield 4,340 89.8 87.0 92.6
451 WI-Milwaukee 23,878 2,895 20,983 85.5 84.3 86.7 81.4 78.1 84.7 86.1 84.8 87.3
452 WI-Neenah 2,088 89.1 85.1 93.2
456 WI-Wausau 2,281 88.4 84.5 92.2
457 WY-Casper 1,965 70.2 66.5 73.9
999 US-United States 2,754,669 366,509 2,388,160 80.3 76.3 80.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 62.9 62.0 63.8 60.7 58.7 62.8 63.4 62.4 64.5
2 AL-Dothan 71.2 69.1 73.3 67.2 63.0 71.5 72.4 69.9 74.8
5 AL-Huntsville 62.4 60.7 64.1 55.4 51.0 59.8 63.5 61.6 65.4
6 AL-Mobile 63.5 61.9 65.1 60.0 56.9 63.1 64.7 62.8 66.6
7 AL-Montgomery 70.9 68.7 73.1 66.3 62.8 69.8 73.5 70.7 76.4
9 AL-Tuscaloosa 62.4 59.8 65.0 64.3 59.9 68.8 61.3 58.1 64.6
10 AK-Anchorage 54.7 52.3 57.0
11 AZ-Mesa 67.6 65.4 69.7
12 AZ-Phoenix 63.8 62.7 65.0 58.8 52.6 64.9 64.0 62.8 65.1
14 AZ-Sun City 72.2 69.4 75.0
15 AZ-Tucson 70.1 68.2 72.0 67.5 56.9 78.1 70.2 68.3 72.2
16 AR-Fort Smith 64.7 62.3 67.0
18 AR-Jonesboro 70.9 68.0 73.9
19 AR-Little Rock 69.0 67.8 70.1 64.2 61.4 66.9 70.0 68.7 71.3
21 AR-Springdale 69.5 67.0 72.1
22 AR-Texarkana 61.4 58.8 64.1 54.6 49.0 60.2 63.1 60.2 66.1
23 CA-Orange County 65.2 63.9 66.5 64.9 56.3 73.5 65.2 63.9 66.5
25 CA-Bakersfield 64.2 62.4 66.1 53.5 44.3 62.6 64.6 62.7 66.5
31 CA-Chico 68.8 66.2 71.4
33 CA-Contra Costa County 67.9 65.3 70.4 65.1 56.7 73.4 68.1 65.5 70.8
43 CA-Fresno 66.8 65.0 68.5 60.7 54.1 67.3 67.2 65.4 68.9
56 CA-Los Angeles 67.0 66.3 67.7 60.4 58.4 62.4 67.8 67.1 68.6
58 CA-Modesto 67.0 65.0 68.9 68.2 59.3 77.0 66.9 64.9 68.9
62 CA-Napa 69.6 66.2 73.1
65 CA-Alameda County 65.9 63.9 67.9 62.1 57.8 66.4 66.9 64.6 69.1
69 CA-Palm Springs/Rancho Mirage 65.2 62.0 68.4
73 CA-Redding 73.1 70.3 75.8
77 CA-Sacramento 65.8 64.4 67.3 65.9 59.9 71.9 65.8 64.3 67.3
78 CA-Salinas 65.3 62.7 67.9 64.3 54.4 74.2 65.3 62.6 68.1
79 CA-San Bernardino 59.9 58.5 61.3 58.1 53.7 62.5 60.1 58.6 61.6
80 CA-San Diego 66.1 64.8 67.3 59.7 54.6 64.8 66.4 65.1 67.7
81 CA-San Francisco 66.9 65.0 68.8 58.8 53.8 63.7 68.1 66.1 70.2
82 CA-San Jose 68.6 66.7 70.5
83 CA-San Luis Obispo 72.0 68.4 75.6
85 CA-San Mateo County 70.2 67.4 73.1
86 CA-Santa Barbara 71.5 68.5 74.6
87 CA-Santa Cruz 66.6 62.4 70.8
89 CA-Santa Rosa 70.0 66.5 73.5
91 CA-Stockton 64.7 62.1 67.3 67.3 58.5 76.1 64.4 61.7 67.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 65.9 63.7 68.2
101 CO-Boulder 72.9 67.2 78.6
102 CO-Colorado Springs 66.4 64.2 68.6 64.9 55.2 74.6 66.4 64.2 68.7
103 CO-Denver 64.4 62.8 66.0 58.6 52.9 64.2 64.8 63.2 66.5
104 CO-Fort Collins 70.8 67.0 74.5
105 CO-Grand Junction 67.4 63.3 71.5
106 CO-Greeley 68.2 64.9 71.5
107 CO-Pueblo 63.5 59.7 67.3
109 CT-Bridgeport 70.6 68.4 72.8 62.6 57.6 67.6 72.3 69.8 74.9
110 CT-Hartford 74.8 73.5 76.1 73.3 69.0 77.5 75.0 73.6 76.4
111 CT-New Haven 75.0 73.6 76.4 70.3 65.9 74.7 75.5 74.0 77.0
112 DE-Wilmington 71.8 70.0 73.5 68.7 65.1 72.2 72.6 70.7 74.6
113 DC-Washington 65.4 64.3 66.4 62.3 60.6 64.0 67.3 65.9 68.6
115 FL-Bradenton 74.0 71.1 76.8 72.9 61.6 84.3 74.0 71.1 76.9
116 FL-Clearwater 72.4 70.0 74.8
118 FL-Fort Lauderdale 74.0 72.8 75.2 63.0 59.7 66.2 75.4 74.1 76.7
119 FL-Fort Myers 72.7 71.4 74.1 69.5 63.9 75.2 72.9 71.5 74.3
120 FL-Gainesville 67.6 65.7 69.5 68.6 63.9 73.3 67.4 65.3 69.5
122 FL-Hudson 71.8 69.6 74.0
123 FL-Jacksonville 66.0 64.8 67.2 65.4 62.7 68.1 66.1 64.8 67.5
124 FL-Lakeland 71.1 68.6 73.5 65.8 59.0 72.6 71.8 69.2 74.4
127 FL-Miami 68.5 67.2 69.7 65.0 61.9 68.2 69.1 67.7 70.4
129 FL-Ocala 71.5 70.0 73.0 69.9 64.0 75.9 71.6 70.1 73.2
130 FL-Orlando 68.1 67.3 68.9 64.3 62.0 66.6 68.6 67.7 69.4
131 FL-Ormond Beach 72.0 69.6 74.3 75.1 68.0 82.3 71.6 69.1 74.1
133 FL-Panama City 69.0 66.1 71.8 71.0 62.4 79.6 68.7 65.7 71.7
134 FL-Pensacola 69.1 67.6 70.7 67.2 63.3 71.2 69.5 67.8 71.1
137 FL-Sarasota 73.3 71.1 75.4 67.8 57.3 78.3 73.5 71.3 75.7
139 FL-St. Petersburg 69.6 67.0 72.2 67.6 60.5 74.6 69.9 67.1 72.7
140 FL-Tallahassee 66.5 64.8 68.2 63.4 60.3 66.4 67.9 65.8 70.0
141 FL-Tampa 66.8 65.1 68.5 63.8 59.2 68.4 67.2 65.4 69.0
142 GA-Albany 66.4 63.4 69.4 64.6 60.0 69.1 67.8 63.7 71.8
144 GA-Atlanta 60.6 59.9 61.4 51.3 49.9 52.6 63.4 62.6 64.3
145 GA-Augusta 68.1 66.4 69.9 61.9 59.1 64.7 71.5 69.3 73.7
146 GA-Columbus 63.7 61.4 66.1 59.9 56.3 63.6 66.2 63.1 69.2
147 GA-Macon 65.2 63.7 66.8 61.9 59.3 64.6 66.8 64.9 68.7
148 GA-Rome 59.7 57.4 62.1 58.8 50.7 66.9 59.8 57.3 62.3
149 GA-Savannah 69.3 67.6 70.9 66.4 63.6 69.2 70.7 68.7 72.8
150 HI-Honolulu 68.5 66.9 70.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 64.4 62.2 66.5
152 ID-Idaho Falls 60.6 57.2 64.0
154 IL-Aurora 67.5 64.0 71.0
155 IL-Blue Island 61.6 60.0 63.2 54.8 51.9 57.7 64.1 62.2 65.9
156 IL-Chicago 54.4 53.4 55.4 50.1 48.7 51.4 58.6 57.1 60.0
158 IL-Elgin 64.2 62.0 66.3
161 IL-Evanston 72.3 70.5 74.2 58.4 49.7 67.1 72.9 70.9 74.8
163 IL-Hinsdale 65.6 62.7 68.5
164 IL-Joliet 61.6 59.7 63.6 56.7 50.7 62.7 62.2 60.1 64.2
166 IL-Melrose Park 63.3 61.8 64.8 58.1 53.5 62.7 63.9 62.3 65.5
170 IL-Peoria 69.8 68.0 71.7 72.8 64.2 81.4 69.7 67.8 71.6
171 IL-Rockford 65.8 64.0 67.6 64.9 57.6 72.2 65.9 64.0 67.7
172 IL-Springfield 67.2 65.7 68.7 65.0 57.9 72.2 67.3 65.8 68.8
173 IL-Urbana 65.1 62.7 67.4 64.4 55.3 73.6 65.1 62.7 67.5
175 IL-Bloomington 72.9 68.8 77.0
179 IN-Evansville 66.1 64.4 67.7 63.9 54.8 73.0 66.1 64.5 67.8
180 IN-Fort Wayne 64.1 62.4 65.7 62.1 54.8 69.4 64.2 62.5 65.9
181 IN-Gary 60.2 58.4 62.0 53.5 50.1 56.8 62.5 60.3 64.6
183 IN-Indianapolis 62.5 61.6 63.3 63.4 60.7 66.2 62.3 61.4 63.2
184 IN-Lafayette 61.2 57.7 64.8
185 IN-Muncie 64.3 61.2 67.5
186 IN-Munster 63.3 60.9 65.8 55.5 49.7 61.3 64.8 62.1 67.5
187 IN-South Bend 65.5 63.6 67.3 62.8 55.4 70.1 65.6 63.7 67.6
188 IN-Terre Haute 58.4 55.4 61.5
190 IA-Cedar Rapids 79.4 76.2 82.5
191 IA-Davenport 71.5 69.4 73.7 71.6 61.6 81.6 71.5 69.3 73.8
192 IA-Des Moines 75.6 73.9 77.2 65.2 54.1 76.3 75.8 74.1 77.4
193 IA-Dubuque 79.6 74.6 84.7
194 IA-Iowa City 77.9 74.9 80.9
195 IA-Mason City 79.0 75.1 82.9
196 IA-Sioux City 70.0 67.0 73.0
197 IA-Waterloo 78.7 75.1 82.4
200 KS-Topeka 74.4 71.9 76.9 64.3 55.4 73.2 75.1 72.5 77.7
201 KS-Wichita 76.3 74.9 77.7 67.8 61.9 73.7 76.7 75.3 78.2
203 KY-Covington 62.3 59.9 64.8
204 KY-Lexington 59.0 57.9 60.1 61.7 56.6 66.7 58.9 57.8 60.0
205 KY-Louisville 66.7 65.5 67.8 67.7 64.2 71.1 66.5 65.4 67.7
207 KY-Owensboro 68.2 64.6 71.8
208 KY-Paducah 64.5 62.5 66.5 62.8 53.8 71.7 64.6 62.5 66.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 63.6 61.2 66.0 61.3 56.7 65.9 64.4 61.6 67.2
210 LA-Baton Rouge 63.0 61.2 64.7 57.6 54.9 60.3 66.3 64.0 68.6
212 LA-Houma 59.4 56.9 61.9 51.0 45.5 56.5 61.2 58.4 64.0
213 LA-Lafayette 57.2 55.5 58.8 51.4 48.5 54.3 59.6 57.6 61.7
214 LA-Lake Charles 62.5 59.9 65.1 63.2 57.9 68.5 62.3 59.4 65.2
216 LA-Metairie 65.5 63.0 68.1 54.6 49.2 60.0 68.1 65.2 71.0
217 LA-Monroe 61.0 58.6 63.4 56.8 52.7 60.8 63.1 60.2 66.1
218 LA-New Orleans 62.4 60.0 64.8 59.8 56.6 63.1 65.0 61.5 68.4
219 LA-Shreveport 63.8 62.2 65.4 59.7 57.0 62.4 65.9 63.9 67.9
220 LA-Slidell 65.4 61.8 69.1 63.9 53.8 74.0 65.7 61.7 69.6
221 ME-Bangor 80.4 78.3 82.6
222 ME-Portland 77.9 76.4 79.4
223 MD-Baltimore 65.4 64.4 66.4 58.0 56.4 59.7 68.8 67.6 70.0
225 MD-Salisbury 74.1 72.2 76.0 68.9 64.8 73.0 75.3 73.2 77.4
226 MD-Takoma Park 68.1 66.1 70.2 62.2 59.0 65.5 71.5 68.9 74.1
227 MA-Boston 74.6 73.8 75.5 73.3 70.2 76.5 74.7 73.8 75.6
230 MA-Springfield 76.5 74.4 78.6 76.3 68.1 84.5 76.5 74.3 78.7
231 MA-Worcester 74.6 71.9 77.3
232 MI-Ann Arbor 68.7 67.3 70.1 64.2 60.0 68.5 69.2 67.8 70.7
233 MI-Dearborn 63.3 61.4 65.1 62.0 52.8 71.1 63.3 61.4 65.2
234 MI-Detroit 61.2 60.2 62.1 59.4 57.9 60.9 62.4 61.1 63.7
235 MI-Flint 62.9 61.2 64.7 63.1 59.1 67.1 62.9 60.9 64.8
236 MI-Grand Rapids 69.4 67.9 71.0 65.5 58.9 72.0 69.7 68.1 71.3
238 MI-Kalamazoo 66.2 64.4 67.9 63.4 56.7 70.1 66.4 64.5 68.2
239 MI-Lansing 63.2 61.4 65.0 62.0 54.1 69.9 63.3 61.4 65.1
240 MI-Marquette 68.2 65.2 71.1
242 MI-Muskegon 70.1 67.2 73.0 66.4 57.1 75.8 70.4 67.4 73.5
243 MI-Petoskey 61.4 58.7 64.2
244 MI-Pontiac 63.8 61.4 66.1 58.0 51.8 64.2 64.6 62.1 67.1
245 MI-Royal Oak 66.8 65.0 68.6 64.8 60.2 69.5 67.2 65.2 69.1
246 MI-Saginaw 63.7 62.3 65.2 61.9 56.3 67.5 63.9 62.4 65.4
248 MI-St. Joseph 67.0 63.6 70.4 64.4 57.4 71.4 67.8 63.9 71.6
249 MI-Traverse City 66.7 64.1 69.3
250 MN-Duluth 74.8 72.2 77.5
251 MN-Minneapolis 75.1 73.9 76.3 61.4 53.4 69.3 75.4 74.1 76.6
253 MN-Rochester 74.4 71.7 77.1
254 MN-St. Cloud 75.8 71.4 80.2
256 MN-St. Paul 74.3 72.0 76.6
257 MS-Gulfport 68.5 65.0 72.0 67.7 59.9 75.5 68.7 64.8 72.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 61.8 59.4 64.2 58.3 53.7 63.0 62.9 60.1 65.7
259 MS-Jackson 62.2 60.9 63.6 57.2 55.3 59.2 66.3 64.4 68.1
260 MS-Meridian 67.4 64.5 70.2 62.5 58.0 67.0 70.2 66.5 73.9
261 MS-Oxford 64.5 60.8 68.1 59.5 53.8 65.3 67.4 62.7 72.1
262 MS-Tupelo 65.2 63.0 67.4 62.1 57.5 66.6 66.1 63.6 68.6
263 MO-Cape Girardeau 67.4 64.9 69.9 62.1 53.8 70.4 67.9 65.3 70.5
264 MO-Columbia 67.7 66.0 69.4 59.2 51.2 67.2 68.1 66.3 69.8
267 MO-Joplin 69.1 66.8 71.4
268 MO-Kansas City 70.1 69.0 71.2 65.3 62.1 68.6 70.7 69.5 71.9
270 MO-Springfield 67.3 65.7 68.9
273 MO-St. Louis 65.2 64.3 66.1 58.9 56.8 61.0 66.3 65.4 67.3
274 MT-Billings 69.1 66.8 71.4
275 MT-Great Falls 69.0 65.0 72.9
276 MT-Missoula 70.6 67.8 73.4
277 NE-Lincoln 70.8 68.6 73.0
278 NE-Omaha 73.9 72.3 75.4 71.6 64.6 78.6 74.0 72.4 75.6
279 NV-Las Vegas 60.0 58.7 61.4 60.4 56.1 64.6 60.0 58.5 61.4
280 NV-Reno 57.4 55.3 59.5
281 NH-Lebanon 74.4 71.9 76.8
282 NH-Manchester 77.1 75.2 79.0
283 NJ-Camden 69.2 68.3 70.1 63.4 61.1 65.7 70.1 69.1 71.0
284 NJ-Hackensack 68.4 66.9 69.8 59.1 54.3 63.8 69.2 67.7 70.8
285 NJ-Morristown 69.1 67.4 70.8 63.7 58.3 69.0 69.7 67.9 71.5
288 NJ-New Brunswick 66.7 65.0 68.4 66.7 61.6 71.9 66.7 64.9 68.5
289 NJ-Newark 64.2 62.9 65.4 61.7 59.7 63.8 65.6 64.0 67.2
291 NJ-Paterson 64.8 62.3 67.4 57.5 51.3 63.6 66.2 63.4 69.0
292 NJ-Ridgewood 67.0 64.3 69.7 62.4 53.3 71.5 67.4 64.6 70.2
293 NM-Albuquerque 63.4 62.0 64.8 70.7 59.0 82.3 63.3 61.9 64.7
295 NY-Albany 71.6 70.4 72.8 71.4 66.5 76.3 71.6 70.4 72.9
296 NY-Binghamton 68.1 65.8 70.4
297 NY-Bronx 64.6 62.9 66.3 63.9 61.1 66.7 65.0 62.9 67.0
299 NY-Buffalo 68.6 67.1 70.2 60.3 56.3 64.4 69.9 68.2 71.7
300 NY-Elmira 75.4 73.0 77.9
301 NY-East Long Island 70.1 69.3 71.0 62.4 60.2 64.6 71.4 70.5 72.4
303 NY-Manhattan 67.1 66.2 68.0 60.3 58.6 62.1 69.3 68.3 70.4
304 NY-Rochester 66.7 64.8 68.6 52.4 47.6 57.3 68.6 66.6 70.6
307 NY-Syracuse 72.9 71.4 74.4 67.5 61.0 73.9 73.2 71.7 74.7
308 NY-White Plains 68.6 67.0 70.3 66.5 62.8 70.3 69.1 67.3 71.0
309 NC-Asheville 69.0 67.3 70.8 61.5 53.3 69.7 69.4 67.6 71.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 68.3 67.3 69.3 64.9 62.6 67.1 69.2 68.0 70.3
312 NC-Durham 70.2 68.9 71.4 68.6 66.4 70.7 71.0 69.4 72.5
313 NC-Greensboro 68.0 65.8 70.1 68.8 64.1 73.6 67.7 65.3 70.2
314 NC-Greenville 70.2 68.7 71.6 68.6 66.2 71.0 71.0 69.2 72.9
315 NC-Hickory 67.4 64.9 69.8 67.0 57.4 76.7 67.4 64.9 69.9
318 NC-Raleigh 70.4 69.3 71.6 69.9 67.9 71.8 70.7 69.3 72.2
319 NC-Wilmington 74.2 72.2 76.2 71.1 67.1 75.2 75.2 72.8 77.6
320 NC-Winston-Salem 69.9 68.4 71.5 67.9 63.8 71.9 70.3 68.6 71.9
321 ND-Bismarck 73.6 70.3 77.0
322 ND-Fargo/Moorhead MN 76.1 73.8 78.5
323 ND-Grand Forks 78.6 74.5 82.7
324 ND-Minot 79.2 74.8 83.7
325 OH-Akron 66.8 64.9 68.8 57.9 52.7 63.1 68.1 66.0 70.2
326 OH-Canton 68.4 66.5 70.3 60.9 53.3 68.4 68.8 66.8 70.8
327 OH-Cincinnati 64.1 62.9 65.4 57.0 54.0 60.0 65.4 64.1 66.8
328 OH-Cleveland 66.9 65.8 68.0 64.0 61.7 66.2 67.7 66.5 68.9
329 OH-Columbus 65.2 64.3 66.0 59.4 56.5 62.2 65.7 64.8 66.6
330 OH-Dayton 63.8 62.5 65.1 64.8 61.2 68.4 63.6 62.2 65.1
331 OH-Elyria 65.7 63.0 68.5 65.2 55.7 74.8 65.8 62.9 68.7
332 OH-Kettering 65.2 62.8 67.5 62.1 51.9 72.4 65.3 62.9 67.7
334 OH-Toledo 64.8 63.3 66.2 60.7 55.9 65.5 65.2 63.7 66.7
335 OH-Youngstown 62.6 61.0 64.3 59.4 54.7 64.1 63.1 61.3 64.8
336 OK-Lawton 55.3 52.5 58.2 57.3 48.5 66.2 55.1 52.1 58.1
339 OK-Oklahoma City 65.2 64.0 66.3 61.3 56.8 65.7 65.5 64.3 66.7
340 OK-Tulsa 65.5 64.0 66.9 60.8 55.4 66.3 65.8 64.3 67.3
341 OR-Bend 67.9 63.7 72.1
342 OR-Eugene 69.6 67.5 71.8
343 OR-Medford 69.3 66.9 71.7
344 OR-Portland 67.8 66.3 69.3 64.8 55.6 73.9 67.8 66.3 69.4
345 OR-Salem 69.0 64.6 73.4
346 PA-Allentown 69.1 67.8 70.5 63.6 55.4 71.7 69.3 67.9 70.7
347 PA-Altoona 66.8 64.0 69.5
350 PA-Danville 67.3 65.4 69.3
351 PA-Erie 67.4 65.7 69.1
352 PA-Harrisburg 71.6 70.2 73.1 62.3 56.4 68.2 72.1 70.7 73.6
354 PA-Johnstown 61.9 58.3 65.5
355 PA-Lancaster 73.3 71.3 75.3 62.1 52.4 71.8 73.7 71.7 75.7
356 PA-Philadelphia 67.7 66.7 68.7 61.7 59.8 63.7 69.7 68.5 71.0
357 PA-Pittsburgh 63.4 62.3 64.5 59.4 55.7 63.1 63.8 62.6 64.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 68.8 66.8 70.8
359 PA-Sayre 69.2 66.2 72.2
360 PA-Scranton 67.9 65.4 70.3
362 PA-Wilkes-Barre 63.8 61.1 66.5
363 PA-York 74.7 72.5 77.0
364 RI-Providence 75.6 73.6 77.6 65.2 56.8 73.7 76.1 74.1 78.2
365 SC-Charleston 68.9 67.6 70.3 67.4 64.9 69.9 69.6 67.9 71.3
366 SC-Columbia 68.9 67.6 70.2 66.2 64.2 68.3 70.6 68.9 72.2
367 SC-Florence 61.8 59.9 63.8 60.7 57.8 63.7 62.7 60.0 65.3
368 SC-Greenville 68.4 66.9 70.0 66.6 62.8 70.4 68.8 67.1 70.5
369 SC-Spartanburg 61.2 59.0 63.4 56.9 51.7 62.1 62.1 59.6 64.5
370 SD-Rapid City 71.2 67.5 75.0
371 SD-Sioux Falls 71.3 69.4 73.2
373 TN-Chattanooga 62.8 61.1 64.4 62.2 57.4 67.0 62.8 61.1 64.6
374 TN-Jackson 64.2 62.1 66.4 62.3 57.1 67.5 64.6 62.2 67.0
375 TN-Johnson City 59.9 57.2 62.5
376 TN-Kingsport 61.7 59.9 63.5
377 TN-Knoxville 63.9 62.7 65.1 61.0 55.3 66.7 64.0 62.8 65.2
379 TN-Memphis 59.8 58.7 60.9 55.5 53.8 57.1 62.6 61.2 64.0
380 TN-Nashville 64.2 63.2 65.2 63.6 60.7 66.6 64.3 63.3 65.3
382 TX-Abilene 64.0 61.5 66.5 63.0 52.3 73.7 64.0 61.5 66.6
383 TX-Amarillo 63.7 61.3 66.1
385 TX-Austin 64.9 63.4 66.5 61.1 56.5 65.6 65.4 63.8 67.1
386 TX-Beaumont 64.2 62.3 66.2 62.3 58.3 66.3 64.9 62.6 67.1
388 TX-Bryan 61.6 58.0 65.1 48.9 42.3 55.4 65.4 61.3 69.6
390 TX-Corpus Christi 65.5 63.6 67.4 64.3 53.6 75.1 65.6 63.6 67.5
391 TX-Dallas 63.6 62.8 64.5 60.0 57.9 62.1 64.3 63.4 65.3
393 TX-El Paso 63.0 61.6 64.4 54.7 45.8 63.6 63.2 61.8 64.6
394 TX-Fort Worth 64.7 63.4 66.0 62.7 58.7 66.7 64.9 63.6 66.3
396 TX-Harlingen 71.1 69.2 72.9
397 TX-Houston 62.1 61.3 62.8 58.6 57.0 60.1 63.0 62.2 63.9
399 TX-Longview 64.8 61.9 67.7 52.1 46.0 58.2 67.7 64.4 71.0
400 TX-Lubbock 64.3 62.5 66.0 57.4 51.0 63.9 64.7 62.9 66.5
402 TX-McAllen 65.8 64.0 67.6
406 TX-Odessa 64.2 61.6 66.8
411 TX-San Angelo 67.8 64.3 71.3
412 TX-San Antonio 62.7 61.7 63.7 54.1 49.9 58.3 63.2 62.2 64.2
413 TX-Temple 63.5 60.6 66.4 59.2 52.3 66.2 64.3 61.1 67.5
416 TX-Tyler 67.9 66.1 69.7 63.3 58.9 67.6 68.8 66.8 70.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 59.6 56.5 62.6 50.0 40.4 59.6 60.5 57.2 63.7
418 TX-Waco 62.1 59.5 64.7 57.1 50.9 63.3 63.1 60.2 65.9
420 TX-Wichita Falls 70.3 67.4 73.2 75.9 64.0 87.7 69.9 66.9 72.9
421 UT-Ogden 69.1 66.1 72.0
422 UT-Provo 64.9 61.8 68.1
423 UT-Salt Lake City 65.7 64.3 67.1
424 VT-Burlington 72.4 70.5 74.3
426 VA-Arlington 66.2 64.6 67.8 59.3 55.5 63.2 67.4 65.7 69.1
427 VA-Charlottesville 69.9 68.0 71.8 59.9 55.2 64.7 71.5 69.4 73.6
428 VA-Lynchburg 73.1 70.4 75.9 58.9 53.7 64.1 77.1 74.0 80.3
429 VA-Newport News 73.1 71.1 75.1 68.3 65.0 71.5 75.8 73.3 78.4
430 VA-Norfolk 70.3 69.0 71.6 67.9 65.8 70.0 71.8 70.1 73.4
431 VA-Richmond 67.6 66.5 68.8 64.8 62.9 66.7 69.1 67.7 70.6
432 VA-Roanoke 67.8 66.2 69.3 65.5 60.3 70.8 68.0 66.4 69.6
435 VA-Winchester 65.1 63.0 67.2 59.9 50.5 69.2 65.4 63.2 67.5
437 WA-Everett 71.2 68.7 73.8
438 WA-Olympia 67.1 64.1 70.1
439 WA-Seattle 70.4 69.1 71.7 65.1 58.8 71.4 70.6 69.2 71.9
440 WA-Spokane 71.3 69.9 72.7
441 WA-Tacoma 66.3 64.0 68.5 54.1 45.3 63.0 66.9 64.6 69.2
442 WA-Yakima 70.2 66.9 73.5
443 WV-Charleston 62.4 61.2 63.7 57.4 50.5 64.3 62.6 61.3 63.9
444 WV-Huntington 65.5 63.5 67.6
445 WV-Morgantown 65.0 63.0 67.1
446 WI-Appleton 74.1 70.9 77.3
447 WI-Green Bay 70.1 67.9 72.4
448 WI-La Crosse 73.8 70.7 76.9
449 WI-Madison 71.3 69.5 73.0
450 WI-Marshfield 76.8 74.2 79.4
451 WI-Milwaukee 67.6 66.6 68.7 62.5 59.6 65.4 68.4 67.2 69.5
452 WI-Neenah 71.7 68.1 75.4
456 WI-Wausau 73.9 70.4 77.4
457 WY-Casper 63.9 60.3 67.4
999 US-United States 67.1 61.9 67.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 72.9 71.9 73.9 66.6 64.5 68.8 74.5 73.3 75.6
2 AL-Dothan 71.2 69.1 73.3 65.8 61.6 70.0 72.9 70.4 75.3
5 AL-Huntsville 72.5 70.6 74.4 63.1 58.4 67.8 74.0 72.0 76.0
6 AL-Mobile 70.9 69.2 72.6 63.3 60.2 66.5 73.5 71.4 75.5
7 AL-Montgomery 71.0 68.7 73.2 64.8 61.3 68.2 74.6 71.7 77.4
9 AL-Tuscaloosa 76.7 73.8 79.6 76.8 72.0 81.7 76.6 73.0 80.3
10 AK-Anchorage 62.6 60.1 65.1
11 AZ-Mesa 78.4 76.1 80.7
12 AZ-Phoenix 70.4 69.2 71.6 71.5 64.7 78.3 70.4 69.1 71.6
14 AZ-Sun City 82.6 79.6 85.6
15 AZ-Tucson 74.1 72.2 76.1 65.8 55.3 76.3 74.4 72.4 76.4
16 AR-Fort Smith 65.7 63.3 68.1
18 AR-Jonesboro 68.8 66.0 71.7
19 AR-Little Rock 70.3 69.1 71.5 62.4 59.8 65.1 72.0 70.6 73.3
21 AR-Springdale 70.9 68.3 73.5
22 AR-Texarkana 68.4 65.7 71.2 60.7 54.8 66.6 70.3 67.2 73.5
23 CA-Orange County 80.2 78.8 81.7 76.7 67.4 86.0 80.3 78.8 81.8
25 CA-Bakersfield 75.4 73.4 77.4 73.9 63.1 84.6 75.5 73.5 77.5
31 CA-Chico 78.2 75.3 81.0
33 CA-Contra Costa County 74.1 71.4 76.7 61.2 53.1 69.3 75.3 72.5 78.1
43 CA-Fresno 74.9 73.1 76.7 72.9 65.7 80.2 75.0 73.1 76.9
56 CA-Los Angeles 74.6 73.8 75.3 66.5 64.4 68.6 75.6 74.8 76.4
58 CA-Modesto 76.9 74.8 79.0 71.7 62.7 80.8 77.2 75.0 79.4
62 CA-Napa 75.7 72.2 79.3
65 CA-Alameda County 74.3 72.1 76.4 64.6 60.2 68.9 76.8 74.4 79.3
69 CA-Palm Springs/Rancho Mirage 80.5 76.9 84.0
73 CA-Redding 73.9 71.1 76.6
77 CA-Sacramento 77.3 75.7 78.9 64.9 59.0 70.9 78.1 76.4 79.7
78 CA-Salinas 79.6 76.7 82.5 69.4 59.2 79.7 80.4 77.3 83.4
79 CA-San Bernardino 72.5 70.9 74.1 67.1 62.4 71.8 73.1 71.4 74.8
80 CA-San Diego 76.4 75.1 77.8 69.0 63.5 74.5 76.8 75.5 78.2
81 CA-San Francisco 71.6 69.6 73.6 63.1 58.0 68.3 72.9 70.7 75.0
82 CA-San Jose 77.0 75.0 79.0
83 CA-San Luis Obispo 81.0 77.2 84.8
85 CA-San Mateo County 79.1 76.1 82.2
86 CA-Santa Barbara 79.7 76.6 82.9
87 CA-Santa Cruz 74.5 70.1 78.9
89 CA-Santa Rosa 80.7 77.0 84.5
91 CA-Stockton 79.1 76.2 82.0 75.1 65.8 84.4 79.5 76.5 82.6
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 79.4 76.9 81.8
101 CO-Boulder 73.5 67.8 79.2
102 CO-Colorado Springs 68.1 65.9 70.3 55.1 46.2 64.0 68.8 66.5 71.1
103 CO-Denver 73.9 72.2 75.7 68.0 62.0 74.1 74.4 72.6 76.2
104 CO-Fort Collins 74.6 70.8 78.5
105 CO-Grand Junction 72.4 68.1 76.6
106 CO-Greeley 71.7 68.3 75.1
107 CO-Pueblo 76.5 72.4 80.7
109 CT-Bridgeport 78.4 76.0 80.7 69.9 64.7 75.2 80.2 77.6 82.9
110 CT-Hartford 81.3 79.9 82.7 74.2 70.0 78.5 82.1 80.6 83.6
111 CT-New Haven 79.2 77.8 80.7 66.0 61.7 70.3 80.7 79.1 82.3
112 DE-Wilmington 80.1 78.3 81.9 74.2 70.5 77.9 81.8 79.7 83.9
113 DC-Washington 77.6 76.5 78.8 71.6 69.8 73.4 81.3 79.8 82.8
115 FL-Bradenton 82.0 79.0 85.0 69.7 58.6 80.8 82.8 79.7 85.9
116 FL-Clearwater 86.0 83.4 88.6
118 FL-Fort Lauderdale 84.7 83.4 86.0 76.7 73.1 80.3 85.7 84.4 87.1
119 FL-Fort Myers 83.6 82.1 85.0 77.0 71.1 83.0 84.0 82.5 85.5
120 FL-Gainesville 74.6 72.6 76.6 69.7 65.0 74.4 75.5 73.3 77.7
122 FL-Hudson 85.2 82.8 87.6
123 FL-Jacksonville 76.3 75.0 77.7 71.3 68.5 74.0 77.7 76.2 79.2
124 FL-Lakeland 84.1 81.5 86.8 82.1 74.5 89.7 84.4 81.5 87.2
127 FL-Miami 83.5 82.1 84.8 76.3 72.9 79.7 84.7 83.2 86.2
129 FL-Ocala 84.2 82.5 85.8 81.3 74.9 87.8 84.4 82.7 86.1
130 FL-Orlando 83.3 82.4 84.2 77.7 75.2 80.2 84.0 83.1 84.9
131 FL-Ormond Beach 85.3 82.8 87.9 82.4 74.9 89.9 85.7 83.0 88.4
133 FL-Panama City 73.0 70.1 76.0 66.7 58.3 75.0 73.8 70.7 77.0
134 FL-Pensacola 78.3 76.6 79.9 75.5 71.3 79.7 78.8 77.0 80.5
137 FL-Sarasota 84.4 82.0 86.7 68.6 58.1 79.2 85.0 82.6 87.4
139 FL-St. Petersburg 82.0 79.2 84.9 79.3 71.6 86.9 82.4 79.4 85.5
140 FL-Tallahassee 74.0 72.1 75.8 68.1 65.0 71.2 76.6 74.4 78.8
141 FL-Tampa 80.6 78.8 82.4 73.2 68.2 78.1 81.7 79.7 83.6
142 GA-Albany 65.2 62.2 68.1 58.1 53.8 62.3 70.6 66.5 74.8
144 GA-Atlanta 76.5 75.7 77.3 70.4 68.8 72.0 78.3 77.3 79.2
145 GA-Augusta 72.1 70.3 73.9 67.8 64.8 70.7 74.4 72.2 76.7
146 GA-Columbus 67.0 64.6 69.4 60.6 56.9 64.3 71.1 67.9 74.3
147 GA-Macon 69.3 67.7 71.0 64.7 62.0 67.4 71.6 69.6 73.6
148 GA-Rome 74.4 71.8 77.1 64.6 56.1 73.0 75.4 72.6 78.2
149 GA-Savannah 73.8 72.1 75.5 68.4 65.6 71.3 76.5 74.4 78.6
150 HI-Honolulu 82.0 80.2 83.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 73.2 70.9 75.4
152 ID-Idaho Falls 69.7 66.1 73.4
154 IL-Aurora 75.9 72.2 79.6
155 IL-Blue Island 74.3 72.5 76.0 66.5 63.3 69.7 77.1 75.0 79.1
156 IL-Chicago 66.8 65.7 67.9 60.0 58.5 61.5 73.2 71.6 74.8
158 IL-Elgin 78.0 75.6 80.4
161 IL-Evanston 80.7 78.7 82.7 71.1 61.6 80.7 81.1 79.1 83.1
163 IL-Hinsdale 80.6 77.4 83.8
164 IL-Joliet 75.2 73.1 77.3 69.6 63.0 76.2 75.8 73.5 78.0
166 IL-Melrose Park 77.1 75.5 78.8 70.1 65.1 75.2 77.9 76.1 79.6
170 IL-Peoria 77.7 75.7 79.7 70.7 62.2 79.2 78.1 76.0 80.1
171 IL-Rockford 76.3 74.4 78.2 67.0 59.6 74.5 76.9 74.9 78.8
172 IL-Springfield 75.9 74.3 77.5 67.1 59.8 74.3 76.3 74.7 77.9
173 IL-Urbana 76.4 73.9 78.9 71.9 62.2 81.5 76.7 74.1 79.3
175 IL-Bloomington 82.7 78.4 87.1
179 IN-Evansville 75.1 73.3 76.8 57.1 48.5 65.7 75.6 73.9 77.4
180 IN-Fort Wayne 75.1 73.3 76.9 67.9 60.3 75.5 75.5 73.6 77.3
181 IN-Gary 68.1 66.2 70.1 61.3 57.6 64.9 70.5 68.2 72.7
183 IN-Indianapolis 74.2 73.3 75.1 61.1 58.4 63.8 75.6 74.6 76.6
184 IN-Lafayette 77.1 73.1 81.0
185 IN-Muncie 74.5 71.1 77.9
186 IN-Munster 73.9 71.3 76.6 61.8 55.7 67.9 76.2 73.2 79.1
187 IN-South Bend 76.6 74.5 78.6 75.1 67.1 83.2 76.6 74.6 78.7
188 IN-Terre Haute 73.3 69.8 76.7
190 IA-Cedar Rapids 80.8 77.6 84.0
191 IA-Davenport 79.3 77.0 81.6 76.4 66.0 86.7 79.5 77.1 81.9
192 IA-Des Moines 73.9 72.2 75.5 69.1 57.7 80.5 73.9 72.3 75.6
193 IA-Dubuque 80.4 75.4 85.5
194 IA-Iowa City 74.3 71.4 77.2
195 IA-Mason City 72.4 68.6 76.2
196 IA-Sioux City 66.1 63.2 69.0
197 IA-Waterloo 73.3 69.8 76.8
200 KS-Topeka 73.4 70.9 75.8 70.1 60.8 79.4 73.6 71.0 76.1
201 KS-Wichita 68.1 66.7 69.4 51.7 46.5 56.9 68.9 67.6 70.3
203 KY-Covington 78.0 75.2 80.7
204 KY-Lexington 76.3 75.0 77.5 70.5 65.1 75.9 76.5 75.3 77.8
205 KY-Louisville 76.2 75.0 77.4 70.1 66.6 73.6 76.9 75.6 78.2
207 KY-Owensboro 79.6 75.7 83.5
208 KY-Paducah 74.6 72.4 76.8 66.1 56.9 75.3 75.0 72.8 77.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 72.1 69.5 74.6 71.0 66.0 75.9 72.5 69.5 75.5
210 LA-Baton Rouge 73.1 71.2 75.0 68.9 65.9 71.8 75.7 73.3 78.2
212 LA-Houma 79.6 76.7 82.5 72.4 65.8 78.9 81.1 77.9 84.3
213 LA-Lafayette 69.9 68.0 71.7 65.6 62.3 68.8 71.7 69.5 73.9
214 LA-Lake Charles 76.0 73.2 78.9 69.8 64.2 75.3 78.0 74.7 81.3
216 LA-Metairie 75.7 72.9 78.4 70.5 64.4 76.6 76.9 73.8 80.0
217 LA-Monroe 69.9 67.3 72.5 68.3 63.9 72.8 70.7 67.5 73.8
218 LA-New Orleans 70.9 68.4 73.4 67.6 64.2 71.1 74.2 70.5 77.9
219 LA-Shreveport 70.8 69.0 72.5 66.5 63.6 69.4 72.9 70.8 75.1
220 LA-Slidell 71.2 67.4 75.0 66.0 55.7 76.2 72.0 67.8 76.1
221 ME-Bangor 79.3 77.2 81.4
222 ME-Portland 80.6 79.0 82.2
223 MD-Baltimore 78.1 77.0 79.2 73.0 71.1 74.8 80.5 79.2 81.8
225 MD-Salisbury 80.7 78.7 82.6 73.1 68.9 77.4 82.5 80.3 84.7
226 MD-Takoma Park 79.8 77.6 82.1 73.2 69.6 76.7 83.6 80.8 86.5
227 MA-Boston 79.8 78.9 80.7 70.2 67.1 73.2 80.6 79.6 81.5
230 MA-Springfield 78.3 76.2 80.5 73.1 65.1 81.1 78.7 76.5 80.9
231 MA-Worcester 79.4 76.6 82.1
232 MI-Ann Arbor 80.0 78.5 81.4 71.9 67.4 76.4 80.8 79.3 82.4
233 MI-Dearborn 77.2 75.2 79.3 70.8 61.0 80.6 77.5 75.4 79.6
234 MI-Detroit 67.1 66.1 68.1 59.6 58.0 61.1 72.6 71.2 74.0
235 MI-Flint 80.6 78.6 82.6 78.1 73.7 82.5 81.2 79.0 83.4
236 MI-Grand Rapids 79.3 77.6 81.0 73.0 66.1 80.0 79.7 77.9 81.4
238 MI-Kalamazoo 77.5 75.6 79.4 68.4 61.4 75.3 78.2 76.2 80.2
239 MI-Lansing 81.4 79.4 83.4 74.1 65.5 82.7 81.8 79.7 83.9
240 MI-Marquette 76.3 73.2 79.4
242 MI-Muskegon 81.1 78.0 84.2 71.6 61.9 81.3 82.1 78.8 85.4
243 MI-Petoskey 75.1 72.0 78.2
244 MI-Pontiac 73.2 70.7 75.7 64.2 57.7 70.8 74.5 71.8 77.2
245 MI-Royal Oak 80.4 78.4 82.4 73.1 68.2 78.0 81.7 79.5 83.8
246 MI-Saginaw 75.7 74.0 77.3 72.8 66.7 78.8 75.9 74.2 77.5
248 MI-St. Joseph 78.6 74.9 82.2 72.8 65.3 80.2 80.2 76.0 84.4
249 MI-Traverse City 83.0 80.0 85.9
250 MN-Duluth 79.5 76.7 82.2
251 MN-Minneapolis 78.1 76.9 79.3 62.7 54.6 70.8 78.4 77.2 79.7
253 MN-Rochester 83.9 81.0 86.8
254 MN-St. Cloud 77.3 72.8 81.7
256 MN-St. Paul 77.7 75.4 80.0
257 MS-Gulfport 64.5 61.1 67.9 57.1 50.0 64.3 66.4 62.5 70.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 67.8 65.3 70.3 65.9 60.9 70.8 68.4 65.5 71.4
259 MS-Jackson 63.1 61.7 64.5 59.0 57.0 60.9 66.4 64.5 68.3
260 MS-Meridian 62.4 59.6 65.1 59.8 55.4 64.2 63.9 60.4 67.4
261 MS-Oxford 59.8 56.3 63.3 55.2 49.7 60.8 62.5 57.9 67.0
262 MS-Tupelo 68.5 66.3 70.8 63.1 58.5 67.7 70.1 67.5 72.8
263 MO-Cape Girardeau 72.7 70.1 75.2 62.9 54.6 71.3 73.5 70.8 76.3
264 MO-Columbia 69.2 67.5 71.0 63.4 55.1 71.7 69.5 67.7 71.3
267 MO-Joplin 70.7 68.3 73.0
268 MO-Kansas City 74.8 73.7 75.9 66.7 63.4 69.9 75.8 74.6 77.0
270 MO-Springfield 77.4 75.6 79.1
273 MO-St. Louis 73.5 72.6 74.4 63.5 61.3 65.6 75.3 74.3 76.3
274 MT-Billings 66.7 64.5 68.9
275 MT-Great Falls 64.7 60.8 68.5
276 MT-Missoula 72.0 69.2 74.8
277 NE-Lincoln 70.3 68.1 72.5
278 NE-Omaha 71.3 69.8 72.9 60.9 54.5 67.4 71.9 70.3 73.4
279 NV-Las Vegas 75.3 73.8 76.8 72.2 67.6 76.8 75.7 74.0 77.3
280 NV-Reno 73.4 71.1 75.8
281 NH-Lebanon 77.0 74.6 79.5
282 NH-Manchester 83.2 81.2 85.1
283 NJ-Camden 79.4 78.5 80.4 71.7 69.3 74.2 80.6 79.6 81.7
284 NJ-Hackensack 82.3 80.6 83.9 77.0 71.6 82.4 82.8 81.1 84.5
285 NJ-Morristown 82.2 80.4 84.1 76.9 71.0 82.7 82.8 80.8 84.7
288 NJ-New Brunswick 81.4 79.5 83.2 74.6 69.1 80.1 82.1 80.2 84.1
289 NJ-Newark 77.5 76.1 78.9 69.7 67.6 71.9 82.1 80.3 83.9
291 NJ-Paterson 79.3 76.5 82.1 71.9 65.0 78.8 80.7 77.5 83.8
292 NJ-Ridgewood 83.3 80.3 86.3 80.0 69.7 90.3 83.6 80.4 86.7
293 NM-Albuquerque 61.1 59.7 62.4 64.2 53.1 75.3 61.0 59.6 62.4
295 NY-Albany 81.9 80.7 83.2 75.0 70.0 80.0 82.4 81.1 83.7
296 NY-Binghamton 77.6 75.1 80.0
297 NY-Bronx 68.5 66.7 70.2 66.1 63.2 69.0 69.8 67.6 71.9
299 NY-Buffalo 80.7 79.0 82.4 72.6 68.1 77.1 82.0 80.1 83.8
300 NY-Elmira 78.4 75.8 80.9
301 NY-East Long Island 82.6 81.7 83.5 71.8 69.4 74.1 84.4 83.4 85.4
303 NY-Manhattan 77.2 76.2 78.2 67.2 65.4 69.0 80.4 79.3 81.6
304 NY-Rochester 80.7 78.6 82.8 71.6 65.9 77.2 81.9 79.7 84.1
307 NY-Syracuse 81.9 80.4 83.5 77.5 70.5 84.4 82.1 80.5 83.8
308 NY-White Plains 80.0 78.2 81.8 70.8 66.9 74.7 82.1 80.1 84.2
309 NC-Asheville 74.5 72.7 76.3 60.1 52.0 68.1 75.1 73.3 76.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 76.8 75.8 77.9 71.9 69.5 74.2 78.1 76.9 79.3
312 NC-Durham 74.9 73.6 76.2 67.6 65.4 69.7 78.5 76.9 80.2
313 NC-Greensboro 76.1 73.8 78.4 68.1 63.3 72.8 78.2 75.6 80.8
314 NC-Greenville 73.1 71.6 74.5 68.3 65.9 70.6 75.8 73.9 77.7
315 NC-Hickory 77.9 75.3 80.5 72.1 62.1 82.1 78.3 75.6 81.0
318 NC-Raleigh 75.0 73.8 76.2 70.1 68.1 72.1 77.5 76.0 79.0
319 NC-Wilmington 83.6 81.4 85.8 78.1 73.9 82.3 85.4 82.9 87.9
320 NC-Winston-Salem 79.2 77.6 80.9 74.0 69.7 78.2 80.1 78.3 81.8
321 ND-Bismarck 74.8 71.4 78.1
322 ND-Fargo/Moorhead MN 77.4 75.0 79.8
323 ND-Grand Forks 76.2 72.1 80.2
324 ND-Minot 76.4 72.0 80.8
325 OH-Akron 77.4 75.3 79.5 72.6 66.8 78.5 78.1 75.9 80.4
326 OH-Canton 81.1 79.0 83.2 75.1 66.7 83.5 81.4 79.3 83.6
327 OH-Cincinnati 77.8 76.5 79.2 70.9 67.6 74.3 79.1 77.6 80.6
328 OH-Cleveland 77.0 75.9 78.2 68.8 66.5 71.2 79.2 77.9 80.5
329 OH-Columbus 77.6 76.7 78.6 71.6 68.4 74.8 78.2 77.2 79.1
330 OH-Dayton 77.6 76.1 79.0 72.3 68.5 76.1 78.4 76.8 80.0
331 OH-Elyria 81.3 78.2 84.3 76.1 65.8 86.4 81.7 78.5 84.9
332 OH-Kettering 84.0 81.4 86.7 85.0 73.0 97.0 84.0 81.3 86.7
334 OH-Toledo 75.7 74.1 77.3 66.0 61.0 70.9 76.7 75.0 78.3
335 OH-Youngstown 79.7 77.8 81.5 71.5 66.4 76.7 80.8 78.8 82.8
336 OK-Lawton 66.9 63.8 70.1 71.9 62.0 81.8 66.3 63.0 69.6
339 OK-Oklahoma City 70.0 68.8 71.2 61.9 57.4 66.4 70.5 69.3 71.8
340 OK-Tulsa 69.3 67.8 70.7 65.7 60.0 71.3 69.5 68.0 71.0
341 OR-Bend 77.5 73.0 82.0
342 OR-Eugene 76.2 74.0 78.4
343 OR-Medford 77.2 74.6 79.8
344 OR-Portland 77.6 75.9 79.2 73.2 63.4 82.9 77.7 76.0 79.3
345 OR-Salem 80.6 75.9 85.4
346 PA-Allentown 79.0 77.5 80.5 73.6 64.9 82.4 79.2 77.6 80.7
347 PA-Altoona 78.9 75.8 81.9
350 PA-Danville 80.9 78.7 83.0
351 PA-Erie 75.3 73.5 77.1
352 PA-Harrisburg 78.2 76.7 79.7 66.7 60.6 72.8 78.8 77.3 80.4
354 PA-Johnstown 73.2 69.2 77.2
355 PA-Lancaster 82.4 80.3 84.6 73.1 62.6 83.7 82.8 80.6 85.0
356 PA-Philadelphia 77.8 76.7 79.0 68.4 66.4 70.5 81.1 79.7 82.4
357 PA-Pittsburgh 74.8 73.7 76.0 60.8 57.0 64.6 76.0 74.8 77.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 81.6 79.4 83.8
359 PA-Sayre 72.2 69.1 75.2
360 PA-Scranton 77.6 75.0 80.2
362 PA-Wilkes-Barre 76.2 73.3 79.1
363 PA-York 83.4 81.0 85.7
364 RI-Providence 77.8 75.8 79.8 72.4 63.5 81.3 78.1 76.0 80.2
365 SC-Charleston 76.9 75.5 78.4 69.9 67.4 72.4 80.0 78.3 81.8
366 SC-Columbia 74.5 73.2 75.9 71.5 69.4 73.6 76.4 74.7 78.1
367 SC-Florence 69.8 67.8 71.9 67.3 64.1 70.4 71.8 69.0 74.6
368 SC-Greenville 76.2 74.6 77.8 71.5 67.6 75.5 77.1 75.3 78.9
369 SC-Spartanburg 72.9 70.5 75.3 69.1 63.4 74.9 73.6 71.0 76.3
370 SD-Rapid City 68.4 64.7 72.1
371 SD-Sioux Falls 72.6 70.6 74.5
373 TN-Chattanooga 75.8 74.1 77.6 68.8 63.7 73.8 76.8 74.8 78.7
374 TN-Jackson 73.8 71.4 76.1 67.5 62.1 73.0 75.0 72.5 77.6
375 TN-Johnson City 77.7 74.7 80.7
376 TN-Kingsport 78.3 76.2 80.3
377 TN-Knoxville 80.0 78.7 81.4 71.2 65.0 77.3 80.4 79.0 81.8
379 TN-Memphis 69.6 68.4 70.7 63.7 61.9 65.5 73.4 71.8 74.9
380 TN-Nashville 76.9 75.9 78.0 69.5 66.4 72.5 77.8 76.7 78.9
382 TX-Abilene 72.6 69.9 75.2 61.6 51.0 72.2 73.2 70.5 75.9
383 TX-Amarillo 77.2 74.6 79.8
385 TX-Austin 79.3 77.6 81.0 75.4 70.3 80.4 79.8 78.0 81.6
386 TX-Beaumont 78.4 76.2 80.6 74.0 69.7 78.4 79.7 77.2 82.3
388 TX-Bryan 77.3 73.3 81.2 76.1 68.0 84.3 77.6 73.1 82.1
390 TX-Corpus Christi 81.8 79.6 83.9 76.1 64.4 87.8 82.0 79.8 84.1
391 TX-Dallas 78.5 77.6 79.5 70.6 68.3 72.9 80.0 79.0 81.1
393 TX-El Paso 73.5 71.9 75.0 61.9 52.4 71.4 73.7 72.2 75.2
394 TX-Fort Worth 77.3 75.9 78.8 70.5 66.3 74.7 78.1 76.6 79.7
396 TX-Harlingen 79.2 77.2 81.2
397 TX-Houston 76.0 75.2 76.8 72.3 70.5 74.0 77.0 76.0 77.9
399 TX-Longview 77.2 74.0 80.4 71.2 64.1 78.4 78.6 75.0 82.2
400 TX-Lubbock 75.9 74.0 77.8 65.8 58.9 72.8 76.6 74.6 78.5
402 TX-McAllen 82.2 80.1 84.2
406 TX-Odessa 70.3 67.6 73.0
411 TX-San Angelo 74.2 70.5 77.8
412 TX-San Antonio 77.3 76.2 78.4 69.0 64.3 73.7 77.7 76.6 78.8
413 TX-Temple 75.9 72.7 79.0 70.0 62.5 77.5 77.0 73.6 80.5
416 TX-Tyler 77.9 76.0 79.9 73.1 68.4 77.7 78.9 76.7 81.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 77.9 74.4 81.4 80.5 68.4 92.6 77.6 74.0 81.3
418 TX-Waco 75.9 73.0 78.8 68.4 61.6 75.3 77.3 74.1 80.5
420 TX-Wichita Falls 73.0 70.0 76.0 73.4 61.8 85.1 72.9 69.8 76.0
421 UT-Ogden 72.5 69.5 75.5
422 UT-Provo 67.6 64.4 70.8
423 UT-Salt Lake City 70.8 69.3 72.3
424 VT-Burlington 82.3 80.3 84.3
426 VA-Arlington 79.0 77.3 80.7 69.4 65.2 73.6 80.6 78.8 82.5
427 VA-Charlottesville 79.6 77.5 81.6 72.3 67.1 77.6 80.7 78.5 82.9
428 VA-Lynchburg 78.2 75.4 81.0 69.1 63.5 74.8 80.8 77.6 84.0
429 VA-Newport News 74.0 71.9 76.0 67.2 63.9 70.4 77.8 75.2 80.4
430 VA-Norfolk 75.3 74.0 76.7 69.7 67.6 71.9 78.7 77.0 80.5
431 VA-Richmond 76.8 75.6 78.1 71.8 69.8 73.9 79.5 78.0 81.1
432 VA-Roanoke 76.5 74.9 78.2 70.5 65.1 76.0 77.1 75.4 78.9
435 VA-Winchester 80.0 77.7 82.3 70.1 60.0 80.2 80.5 78.1 82.9
437 WA-Everett 80.1 77.4 82.9
438 WA-Olympia 73.0 69.9 76.1
439 WA-Seattle 79.9 78.5 81.3 66.2 59.9 72.6 80.4 79.0 81.9
440 WA-Spokane 77.3 75.9 78.8
441 WA-Tacoma 77.7 75.3 80.1 69.2 59.2 79.2 78.2 75.7 80.6
442 WA-Yakima 75.7 72.3 79.1
443 WV-Charleston 77.1 75.7 78.5 65.0 57.6 72.3 77.4 76.0 78.9
444 WV-Huntington 74.5 72.3 76.7
445 WV-Morgantown 76.8 74.6 79.0
446 WI-Appleton 83.9 80.5 87.4
447 WI-Green Bay 80.7 78.3 83.1
448 WI-La Crosse 78.5 75.3 81.7
449 WI-Madison 78.4 76.5 80.2
450 WI-Marshfield 81.9 79.2 84.6
451 WI-Milwaukee 78.3 77.2 79.4 68.6 65.6 71.6 79.6 78.4 80.8
452 WI-Neenah 81.0 77.1 84.9
456 WI-Wausau 80.5 76.9 84.2
457 WY-Casper 48.1 45.1 51.2
999 US-United States 76.5 68.7 77.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-07) period (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 20,556 2,869 17,687 61.5 60.5 62.6 58.7 55.9 61.5 62.0 60.9 63.2
2 AL-Dothan 4,388 704 3,684 65.5 63.1 67.9 57.4 51.8 63.0 67.1 64.4 69.7
5 AL-Huntsville 5,962 558 5,404 62.6 60.6 64.6 52.5 46.5 58.5 63.6 61.5 65.7
6 AL-Mobile 7,027 1,256 5,771 64.1 62.2 65.9 54.5 50.4 58.5 66.1 64.0 68.2
7 AL-Montgomery 3,715 1,033 2,682 66.0 63.4 68.6 60.2 55.5 64.9 68.3 65.1 71.4
9 AL-Tuscaloosa 2,430 578 1,852 63.8 60.7 67.0 60.6 54.2 66.9 64.9 61.2 68.5
10 AK-Anchorage 3,656 56.4 53.9 58.8
11 AZ-Mesa 5,649 65.8 63.7 67.9
12 AZ-Phoenix 17,977 358 17,619 61.4 60.2 62.5 57.3 49.4 65.1 61.4 60.3 62.6
14 AZ-Sun City 3,085 76.0 72.9 79.0
15 AZ-Tucson 7,458 65.9 64.1 67.7
16 AR-Fort Smith 3,909 56.5 54.1 58.9
18 AR-Jonesboro 2,605 58.2 55.3 61.1
19 AR-Little Rock 16,463 1,843 14,620 61.5 60.3 62.7 52.4 49.1 55.7 62.6 61.3 63.9
21 AR-Springdale 4,144 58.4 56.0 60.7
22 AR-Texarkana 2,695 408 2,287 56.2 53.4 59.1 50.0 43.1 56.9 57.3 54.2 60.4
23 CA-Orange County 13,410 62.2 60.9 63.5
25 CA-Bakersfield 4,977 57.9 55.8 60.0
31 CA-Chico 3,152 65.2 62.4 68.0
33 CA-Contra Costa County 3,855 244 3,611 60.4 58.0 62.9 46.3 37.8 54.9 61.4 58.8 63.9
43 CA-Fresno 5,905 283 5,622 59.3 57.3 61.2 51.9 43.5 60.3 59.6 57.6 61.7
56 CA-Los Angeles 39,537 3,784 35,753 52.4 51.7 53.1 42.0 40.0 44.1 53.5 52.8 54.3
58 CA-Modesto 4,926 61.0 58.9 63.2
62 CA-Napa 2,256 63.7 60.4 67.0
65 CA-Alameda County 5,183 785 4,398 58.1 56.0 60.2 49.3 44.4 54.2 59.7 57.4 62.0
69 CA-Palm Springs/Rancho Mirage 2,931 68.5 65.5 71.5
73 CA-Redding 3,729 65.7 63.1 68.3
77 CA-Sacramento 12,306 520 11,786 63.1 61.7 64.5 54.8 48.5 61.2 63.5 62.0 64.9
78 CA-Salinas 2,503 64.7 61.6 67.9
79 CA-San Bernardino 8,827 724 8,103 53.6 52.1 55.1 46.6 41.6 51.5 54.2 52.6 55.8
80 CA-San Diego 14,362 608 13,754 56.0 54.8 57.2 46.1 40.7 51.4 56.4 55.2 57.7
81 CA-San Francisco 6,597 554 6,043 60.5 58.7 62.4 55.6 49.4 61.8 61.0 59.0 63.0
82 CA-San Jose 6,696 61.4 59.5 63.3
83 CA-San Luis Obispo 2,220 69.3 65.9 72.8
85 CA-San Mateo County 3,543 70.6 67.9 73.4
86 CA-Santa Barbara 3,018 65.8 62.9 68.7
87 CA-Santa Cruz 1,573 64.1 60.1 68.0
89 CA-Santa Rosa 2,328 66.2 62.9 69.5
91 CA-Stockton 2,762 55.8 53.0 58.5
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-07) period (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 4,513 63.3 60.9 65.6
101 CO-Boulder 1,195 70.7 65.9 75.5
102 CO-Colorado Springs 5,789 58.4 56.5 60.4
103 CO-Denver 10,530 479 10,051 62.7 61.2 64.2 56.6 49.8 63.3 63.0 61.4 64.5
104 CO-Fort Collins 2,288 71.7 68.2 75.2
105 CO-Grand Junction 2,136 65.9 62.4 69.3
106 CO-Greeley 2,174 66.2 62.8 69.7
107 CO-Pueblo 1,443 64.0 59.8 68.1
109 CT-Bridgeport 4,895 516 4,379 64.9 62.6 67.2 52.9 46.6 59.2 66.3 63.9 68.7
110 CT-Hartford 11,932 748 11,184 70.1 68.6 71.6 65.2 59.5 71.0 70.5 68.9 72.0
111 CT-New Haven 10,753 744 10,009 67.9 66.4 69.5 63.2 57.5 68.9 68.3 66.7 69.9
112 DE-Wilmington 6,630 1,053 5,577 66.4 64.5 68.4 63.1 58.3 67.9 67.1 64.9 69.2
113 DC-Washington 17,525 5,007 12,518 62.4 61.2 63.6 55.9 53.8 58.0 65.0 63.6 66.4
115 FL-Bradenton 3,178 68.8 65.9 71.6
116 FL-Clearwater 4,217 70.4 67.9 72.9
118 FL-Fort Lauderdale 18,138 1,367 16,771 68.3 67.1 69.5 58.0 54.0 62.1 69.2 67.9 70.4
119 FL-Fort Myers 14,075 396 13,679 73.9 72.4 75.3 59.3 51.8 66.9 74.3 72.8 75.7
120 FL-Gainesville 5,279 608 4,671 65.3 63.1 67.5 67.1 60.6 73.6 65.1 62.8 67.4
122 FL-Hudson 4,055 73.4 70.8 76.0
123 FL-Jacksonville 12,163 1,862 10,301 64.3 62.9 65.8 63.2 59.6 66.8 64.6 63.0 66.1
124 FL-Lakeland 3,169 233 2,936 69.5 66.6 72.4 60.5 50.5 70.5 70.2 67.2 73.2
127 FL-Miami 12,459 1,414 11,045 54.3 53.0 55.6 47.5 43.9 51.1 55.1 53.7 56.5
129 FL-Ocala 9,329 344 8,985 71.8 70.1 73.5 68.9 60.1 77.7 71.9 70.1 73.6
130 FL-Orlando 30,181 2,242 27,939 65.4 64.5 66.3 56.7 53.6 59.8 66.1 65.1 67.0
131 FL-Ormond Beach 4,040 230 3,810 73.3 70.7 75.9 72.6 61.6 83.6 73.3 70.6 76.1
133 FL-Panama City 2,504 65.7 62.5 68.8
134 FL-Pensacola 8,281 721 7,560 66.2 64.5 68.0 63.8 58.0 69.6 66.4 64.6 68.3
137 FL-Sarasota 6,673 74.2 72.1 76.3
139 FL-St. Petersburg 3,254 306 2,948 65.2 62.4 68.0 61.1 52.4 69.9 65.6 62.7 68.6
140 FL-Tallahassee 5,993 1,431 4,562 64.4 62.3 66.4 59.3 55.3 63.3 66.0 63.6 68.3
141 FL-Tampa 7,065 619 6,446 64.4 62.5 66.2 58.3 52.3 64.3 65.0 63.0 66.9
142 GA-Albany 1,841 589 1,252 66.8 63.1 70.5 63.8 57.4 70.3 68.2 63.6 72.8
144 GA-Atlanta 36,823 6,708 30,115 62.3 61.5 63.1 55.0 53.3 56.8 64.0 63.1 64.9
145 GA-Augusta 6,023 1,570 4,453 61.4 59.5 63.4 51.9 48.3 55.4 64.8 62.5 67.2
146 GA-Columbus 2,964 913 2,051 60.1 57.3 62.9 56.0 51.1 60.8 61.9 58.5 65.3
147 GA-Macon 6,841 1,921 4,920 63.3 61.4 65.2 55.1 51.8 58.4 66.5 64.2 68.8
148 GA-Rome 2,971 62.1 59.2 64.9
149 GA-Savannah 7,760 1,660 6,100 67.0 65.2 68.8 62.2 58.4 66.0 68.3 66.2 70.4
150 HI-Honolulu 6,822 57.8 56.0 59.6
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-07) period (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 5,191 62.1 60.0 64.3
152 ID-Idaho Falls 1,517 58.7 54.9 62.6
154 IL-Aurora 1,669 65.4 61.5 69.3
155 IL-Blue Island 7,498 1,418 6,080 56.7 55.0 58.5 53.1 49.3 56.9 57.6 55.7 59.5
156 IL-Chicago 15,732 6,854 8,878 50.1 49.0 51.2 46.1 44.5 47.7 53.1 51.6 54.6
158 IL-Elgin 4,441 60.4 58.1 62.6
161 IL-Evanston 8,617 221 8,396 68.8 67.0 70.5 57.0 47.1 67.0 69.1 67.3 70.9
163 IL-Hinsdale 3,099 64.1 61.2 66.9
164 IL-Joliet 5,062 331 4,731 63.0 60.8 65.2 56.8 48.7 64.9 63.4 61.2 65.7
166 IL-Melrose Park 9,381 648 8,733 62.4 60.8 64.0 60.3 54.4 66.3 62.6 60.9 64.2
170 IL-Peoria 6,024 63.3 61.3 65.3
171 IL-Rockford 6,460 201 6,259 65.0 63.0 67.0 64.7 53.6 75.8 65.0 63.0 67.0
172 IL-Springfield 8,994 233 8,761 66.0 64.3 67.7 56.7 47.0 66.3 66.3 64.6 68.0
173 IL-Urbana 3,786 68.0 65.3 70.6
175 IL-Bloomington 1,401 72.3 67.9 76.8
179 IN-Evansville 7,061 63.9 62.1 65.8
180 IN-Fort Wayne 6,974 59.4 57.6 61.2
181 IN-Gary 4,891 918 3,973 55.4 53.3 57.4 52.7 48.0 57.4 56.0 53.6 58.3
183 IN-Indianapolis 23,928 1,650 22,278 63.6 62.6 64.6 56.7 53.1 60.4 64.1 63.0 65.1
184 IN-Lafayette 1,448 62.0 57.9 66.0
185 IN-Muncie 1,720 62.8 59.1 66.5
186 IN-Munster 2,783 348 2,435 56.3 53.6 59.1 54.3 46.6 62.1 56.6 53.6 59.6
187 IN-South Bend 5,798 251 5,547 62.1 60.1 64.2 55.8 46.5 65.0 62.4 60.3 64.5
188 IN-Terre Haute 1,898 54.9 51.6 58.2
190 IA-Cedar Rapids 2,489 69.5 66.2 72.8
191 IA-Davenport 4,873 68.6 66.3 70.9
192 IA-Des Moines 9,316 66.0 64.4 67.7
193 IA-Dubuque 1,121 74.3 69.3 79.4
194 IA-Iowa City 2,774 64.9 61.9 67.9
195 IA-Mason City 1,699 70.5 66.5 74.4
196 IA-Sioux City 2,384 62.0 58.8 65.2
197 IA-Waterloo 1,782 74.2 70.2 78.2
200 KS-Topeka 3,880 69.4 66.8 72.1
201 KS-Wichita 11,782 363 11,419 65.2 63.7 66.6 52.6 45.2 60.1 65.6 64.1 67.1
203 KY-Covington 3,001 60.1 57.3 62.8
204 KY-Lexington 14,384 495 13,889 58.8 57.6 60.1 60.0 53.2 66.8 58.8 57.5 60.1
205 KY-Louisville 15,899 1,130 14,769 62.9 61.6 64.1 64.8 60.1 69.5 62.7 61.4 64.0
207 KY-Owensboro 1,615 69.0 65.0 73.1
208 KY-Paducah 4,664 65.2 62.9 67.5
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-07) period (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 3,024 562 2,462 59.7 56.9 62.4 58.4 52.0 64.7 60.0 56.9 63.0
210 LA-Baton Rouge 5,630 1,586 4,044 61.1 59.1 63.1 55.8 52.1 59.5 63.2 60.7 65.6
212 LA-Houma 2,375 305 2,070 60.8 57.7 64.0 60.0 51.3 68.7 61.0 57.6 64.3
213 LA-Lafayette 5,621 1,248 4,373 59.1 57.1 61.1 53.7 49.6 57.8 60.7 58.4 63.0
214 LA-Lake Charles 2,516 414 2,102 60.2 57.1 63.2 53.4 46.3 60.4 61.5 58.2 64.9
216 LA-Metairie 2,889 349 2,540 62.3 59.4 65.2 47.6 40.3 54.8 64.3 61.2 67.5
217 LA-Monroe 2,795 610 2,185 57.4 54.5 60.2 45.7 40.4 51.1 60.6 57.3 63.9
218 LA-New Orleans 2,713 1,177 1,536 55.8 53.0 58.7 50.0 46.0 54.1 60.3 56.4 64.2
219 LA-Shreveport 6,692 1,738 4,954 60.8 59.0 62.7 58.0 54.4 61.6 61.8 59.6 64.0
220 LA-Slidell 1,425 59.4 55.4 63.4
221 ME-Bangor 4,889 72.5 70.1 74.9
222 ME-Portland 10,360 71.8 70.1 73.4
223 MD-Baltimore 19,678 4,927 14,751 63.7 62.6 64.8 62.2 60.0 64.4 64.2 62.9 65.5
225 MD-Salisbury 5,654 710 4,944 71.1 68.9 73.3 62.3 56.5 68.1 72.3 70.0 74.7
226 MD-Takoma Park 5,174 1,495 3,679 59.7 57.6 61.8 56.7 52.9 60.5 60.9 58.4 63.5
227 MA-Boston 31,269 1,430 29,839 71.3 70.3 72.2 70.9 66.6 75.3 71.3 70.3 72.2
230 MA-Springfield 4,928 251 4,677 73.5 71.2 75.9 67.3 57.2 77.5 73.9 71.4 76.3
231 MA-Worcester 3,224 65.4 62.6 68.2
232 MI-Ann Arbor 10,551 703 9,848 69.3 67.7 70.9 66.3 60.3 72.3 69.5 67.8 71.1
233 MI-Dearborn 4,380 63.3 60.9 65.6
234 MI-Detroit 15,182 5,353 9,829 63.0 61.7 64.3 58.8 56.7 60.8 65.3 63.7 66.9
235 MI-Flint 5,323 746 4,577 73.1 70.8 75.4 67.7 61.8 73.6 74.0 71.5 76.5
236 MI-Grand Rapids 8,829 291 8,538 71.5 69.8 73.3 62.9 53.8 72.0 71.8 70.0 73.6
238 MI-Kalamazoo 6,160 305 5,855 70.6 68.5 72.7 60.0 51.3 68.7 71.1 68.9 73.3
239 MI-Lansing 5,878 226 5,652 70.1 68.0 72.3 65.0 54.5 75.6 70.3 68.1 72.5
240 MI-Marquette 2,355 73.5 70.0 76.9
242 MI-Muskegon 2,521 75.7 72.3 79.1
243 MI-Petoskey 2,281 73.1 69.6 76.6
244 MI-Pontiac 3,443 278 3,165 68.0 65.2 70.7 60.4 51.3 69.6 68.6 65.7 71.5
245 MI-Royal Oak 5,945 632 5,313 66.9 64.9 69.0 63.8 57.5 70.0 67.3 65.1 69.5
246 MI-Saginaw 8,255 342 7,913 73.1 71.2 74.9 66.4 57.7 75.0 73.4 71.5 75.3
248 MI-St. Joseph 1,584 251 1,333 67.6 63.5 71.6 57.8 48.4 67.2 69.4 64.9 73.9
249 MI-Traverse City 3,059 76.1 73.0 79.2
250 MN-Duluth 3,421 71.6 68.7 74.4
251 MN-Minneapolis 19,024 214 18,810 70.6 69.4 71.8 58.9 48.6 69.2 70.7 69.5 71.9
253 MN-Rochester 3,767 74.8 72.1 77.6
254 MN-St. Cloud 1,705 74.8 70.7 79.0
256 MN-St. Paul 5,379 68.1 65.9 70.3
257 MS-Gulfport 1,817 211 1,606 54.3 50.9 57.7 54.5 44.5 64.5 54.2 50.6 57.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-07) period (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 3,180 605 2,575 54.9 52.4 57.5 51.9 46.2 57.6 55.7 52.8 58.5
259 MS-Jackson 10,026 3,285 6,741 56.3 54.9 57.8 47.6 45.3 50.0 60.6 58.7 62.4
260 MS-Meridian 2,060 585 1,475 58.7 55.4 62.1 51.1 45.3 56.9 61.8 57.8 65.8
261 MS-Oxford 1,496 359 1,137 53.1 49.5 56.8 44.3 37.4 51.2 55.9 51.6 60.3
262 MS-Tupelo 4,087 754 3,333 57.0 54.7 59.4 49.2 44.2 54.2 58.8 56.2 61.4
263 MO-Cape Girardeau 2,932 63.5 60.6 66.4
264 MO-Columbia 6,873 63.1 61.3 65.0
267 MO-Joplin 4,148 59.1 56.7 61.4
268 MO-Kansas City 17,334 1,345 15,989 62.4 61.2 63.6 59.5 55.4 63.6 62.6 61.4 63.9
270 MO-Springfield 8,297 60.3 58.6 61.9
273 MO-St. Louis 25,686 2,769 22,917 62.6 61.6 63.5 56.1 53.3 58.9 63.3 62.3 64.4
274 MT-Billings 5,317 64.7 62.6 66.9
275 MT-Great Falls 1,519 68.4 64.2 72.6
276 MT-Missoula 3,817 69.2 66.6 71.9
277 NE-Lincoln 5,138 67.2 65.0 69.5
278 NE-Omaha 10,356 354 10,002 63.4 61.8 64.9 51.4 43.9 58.9 63.8 62.2 65.4
279 NV-Las Vegas 9,717 742 8,975 57.0 55.5 58.5 59.6 54.0 65.1 56.7 55.2 58.3
280 NV-Reno 5,576 61.9 59.8 64.0
281 NH-Lebanon 4,291 68.5 66.1 71.0
282 NH-Manchester 7,094 71.6 69.7 73.6
283 NJ-Camden 24,300 2,358 21,942 59.8 58.8 60.7 51.5 48.6 54.4 60.7 59.6 61.7
284 NJ-Hackensack 9,346 574 8,772 57.6 56.0 59.1 49.8 44.1 55.6 58.1 56.5 59.7
285 NJ-Morristown 7,778 455 7,323 61.8 60.1 63.6 56.5 49.6 63.4 62.2 60.3 64.0
288 NJ-New Brunswick 6,845 472 6,373 58.5 56.7 60.3 59.8 52.8 66.7 58.4 56.5 60.3
289 NJ-Newark 9,598 2,903 6,695 53.6 52.1 55.0 51.7 49.1 54.3 54.4 52.6 56.2
291 NJ-Paterson 2,783 341 2,442 57.0 54.2 59.8 51.3 43.7 58.9 57.7 54.7 60.8
292 NJ-Ridgewood 3,084 62.2 59.4 65.0
293 NM-Albuquerque 10,717 55.9 54.5 57.4
295 NY-Albany 14,719 547 14,172 67.7 66.3 69.0 57.6 51.2 64.0 68.0 66.7 69.4
296 NY-Binghamton 4,042 68.8 66.2 71.3
297 NY-Bronx 5,927 1,972 3,955 51.2 49.4 53.0 48.9 45.8 52.0 52.3 50.1 54.6
299 NY-Buffalo 7,672 790 6,882 64.7 62.9 66.5 65.7 60.1 71.4 64.6 62.7 66.5
300 NY-Elmira 3,203 71.9 69.0 74.9
301 NY-East Long Island 29,421 3,163 26,258 56.8 55.9 57.7 48.5 46.0 50.9 57.8 56.9 58.7
303 NY-Manhattan 26,115 5,138 20,977 51.4 50.5 52.3 47.1 45.2 49.0 52.5 51.5 53.4
304 NY-Rochester 5,239 404 4,835 65.5 63.3 67.7 57.9 50.5 65.3 66.2 63.9 68.5
307 NY-Syracuse 9,379 301 9,078 71.7 70.0 73.4 68.8 59.4 78.1 71.8 70.1 73.6
308 NY-White Plains 8,360 1,031 7,329 62.1 60.4 63.8 55.4 50.8 59.9 63.0 61.2 64.8
309 NC-Asheville 8,071 65.6 63.8 67.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-07) period (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 18,078 2,725 15,353 62.4 61.2 63.5 54.3 51.5 57.1 63.8 62.5 65.0
312 NC-Durham 12,179 2,903 9,276 67.0 65.6 68.5 59.6 56.8 62.4 69.4 67.7 71.1
313 NC-Greensboro 4,052 671 3,381 68.4 65.9 71.0 58.0 52.2 63.7 70.5 67.7 73.3
314 NC-Greenville 8,419 2,143 6,276 69.0 67.2 70.8 60.1 56.8 63.4 72.1 70.0 74.2
315 NC-Hickory 3,029 64.7 61.9 67.6
318 NC-Raleigh 14,195 3,421 10,774 66.2 64.9 67.6 61.5 58.9 64.1 67.7 66.2 69.3
319 NC-Wilmington 4,938 794 4,144 72.6 70.3 75.0 64.1 58.5 69.7 74.3 71.7 76.9
320 NC-Winston-Salem 8,755 882 7,873 65.3 63.6 67.0 55.9 51.0 60.8 66.4 64.6 68.2
321 ND-Bismarck 2,144 67.0 63.5 70.4
322 ND-Fargo/Moorhead MN 4,586 73.8 71.3 76.2
323 ND-Grand Forks 1,421 72.9 68.5 77.4
324 ND-Minot 1,316 70.9 66.4 75.5
325 OH-Akron 4,805 427 4,378 66.9 64.6 69.2 62.1 54.6 69.5 67.4 64.9 69.8
326 OH-Canton 5,265 224 5,041 67.5 65.2 69.7 66.1 55.4 76.7 67.5 65.3 69.8
327 OH-Cincinnati 12,176 1,248 10,928 63.1 61.7 64.5 62.3 57.9 66.6 63.2 61.7 64.7
328 OH-Cleveland 17,604 2,506 15,098 67.5 66.3 68.7 62.2 59.1 65.3 68.4 67.0 69.7
329 OH-Columbus 24,322 1,396 22,926 64.6 63.6 65.6 61.0 56.9 65.1 64.8 63.8 65.8
330 OH-Dayton 10,297 1,003 9,294 63.3 61.8 64.9 64.7 59.7 69.7 63.2 61.6 64.8
331 OH-Elyria 2,413 70.7 67.4 74.1
332 OH-Kettering 3,540 64.7 62.0 67.3
334 OH-Toledo 8,546 516 8,030 63.9 62.2 65.6 64.7 57.8 71.7 63.9 62.1 65.6
335 OH-Youngstown 5,789 411 5,378 65.7 63.6 67.8 58.9 51.5 66.3 66.2 64.0 68.4
336 OK-Lawton 1,972 55.6 52.3 58.9
339 OK-Oklahoma City 16,396 737 15,659 57.7 56.6 58.9 54.1 48.8 59.5 57.9 56.7 59.1
340 OK-Tulsa 10,829 491 10,338 57.3 55.8 58.7 52.6 46.1 59.0 57.5 56.0 58.9
341 OR-Bend 1,673 64.2 60.4 68.0
342 OR-Eugene 5,355 67.4 65.2 69.6
343 OR-Medford 4,205 66.4 63.9 68.9
344 OR-Portland 11,053 64.0 62.5 65.5
345 OR-Salem 1,173 71.5 66.7 76.4
346 PA-Allentown 9,828 61.8 60.3 63.4
347 PA-Altoona 2,397 65.6 62.3 68.8
350 PA-Danville 4,780 71.0 68.6 73.4
351 PA-Erie 6,782 67.6 65.6 69.5
352 PA-Harrisburg 9,398 341 9,057 68.3 66.6 69.9 60.7 52.4 69.0 68.5 66.8 70.2
354 PA-Johnstown 1,177 60.4 56.0 64.9
355 PA-Lancaster 4,969 65.1 62.9 67.3
356 PA-Philadelphia 18,670 3,529 15,141 59.9 58.8 61.0 52.7 50.3 55.0 61.6 60.3 62.8
357 PA-Pittsburgh 15,388 894 14,494 60.7 59.4 61.9 52.4 47.6 57.1 61.2 59.9 62.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-07) period (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 4,460 61.5 59.2 63.8
359 PA-Sayre 2,232 68.6 65.2 72.0
360 PA-Scranton 3,179 64.0 61.2 66.7
362 PA-Wilkes-Barre 2,507 59.6 56.6 62.7
363 PA-York 4,003 70.9 68.3 73.5
364 RI-Providence 5,936 66.4 64.3 68.5
365 SC-Charleston 10,073 2,046 8,027 68.4 66.8 70.0 63.5 60.0 66.9 69.7 67.8 71.5
366 SC-Columbia 10,750 3,002 7,748 63.5 62.0 65.0 58.4 55.6 61.1 65.5 63.7 67.3
367 SC-Florence 3,727 1,371 2,356 61.6 59.0 64.1 56.8 52.8 60.7 64.4 61.1 67.6
368 SC-Greenville 8,531 896 7,635 66.0 64.3 67.7 63.4 58.2 68.6 66.3 64.5 68.1
369 SC-Spartanburg 3,577 473 3,104 60.0 57.4 62.5 52.2 45.7 58.7 61.2 58.4 63.9
370 SD-Rapid City 2,024 62.3 58.8 65.7
371 SD-Sioux Falls 7,583 69.5 67.6 71.4
373 TN-Chattanooga 6,826 488 6,338 62.3 60.5 64.2 63.9 56.8 71.0 62.2 60.3 64.1
374 TN-Jackson 3,819 426 3,393 60.4 58.0 62.9 52.4 45.5 59.2 61.5 58.8 64.1
375 TN-Johnson City 2,368 64.4 61.2 67.6
376 TN-Kingsport 4,714 62.2 60.0 64.5
377 TN-Knoxville 12,108 333 11,775 61.4 60.0 62.8 61.3 52.9 69.7 61.4 60.0 62.9
379 TN-Memphis 14,821 4,676 10,145 55.8 54.6 57.0 51.3 49.2 53.3 58.0 56.5 59.4
380 TN-Nashville 20,863 1,349 19,514 62.4 61.3 63.4 57.9 53.8 62.0 62.7 61.6 63.8
382 TX-Abilene 3,353 58.1 55.6 60.7
383 TX-Amarillo 4,122 56.4 54.1 58.7
385 TX-Austin 8,825 562 8,263 64.8 63.1 66.5 57.1 50.9 63.4 65.3 63.6 67.1
386 TX-Beaumont 4,369 786 3,583 58.9 56.6 61.2 53.9 48.8 59.1 60.0 57.4 62.5
388 TX-Bryan 1,507 200 1,307 64.5 60.5 68.6 55.5 45.2 65.8 65.9 61.5 70.3
390 TX-Corpus Christi 4,108 62.1 59.7 64.5
391 TX-Dallas 27,209 3,091 24,118 60.2 59.3 61.1 54.1 51.5 56.7 61.0 60.0 62.0
393 TX-El Paso 7,842 55.0 53.4 56.6
394 TX-Fort Worth 11,786 854 10,932 60.7 59.3 62.1 56.4 51.4 61.5 61.0 59.6 62.5
396 TX-Harlingen 3,888 53.6 51.3 55.9
397 TX-Houston 33,612 4,861 28,751 57.6 56.8 58.4 51.7 49.7 53.7 58.6 57.7 59.5
399 TX-Longview 2,131 261 1,870 64.3 60.9 67.7 55.2 46.2 64.2 65.6 61.9 69.2
400 TX-Lubbock 6,475 267 6,208 57.2 55.4 59.1 52.1 43.4 60.7 57.4 55.6 59.3
402 TX-McAllen 3,702 50.3 48.0 52.6
406 TX-Odessa 2,967 53.3 50.6 55.9
411 TX-San Angelo 1,656 60.2 56.5 64.0
412 TX-San Antonio 16,803 693 16,110 53.3 52.2 54.4 40.8 36.1 45.6 53.8 52.7 55.0
413 TX-Temple 2,215 282 1,933 60.7 57.5 64.0 50.4 42.1 58.6 62.2 58.7 65.8
416 TX-Tyler 6,310 613 5,697 62.1 60.1 64.0 57.6 51.6 63.6 62.6 60.5 64.6
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-07) period (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 1,643 58.1 54.4 61.8
418 TX-Waco 2,816 329 2,487 58.0 55.2 60.8 55.3 47.3 63.4 58.3 55.3 61.3
420 TX-Wichita Falls 2,327 59.0 55.8 62.1
421 UT-Ogden 2,524 62.8 59.7 65.9
422 UT-Provo 2,285 57.7 54.6 60.8
423 UT-Salt Lake City 11,335 60.4 58.9 61.8
424 VT-Burlington 6,160 69.1 67.0 71.2
426 VA-Arlington 10,328 806 9,522 58.4 57.0 59.9 47.2 42.4 51.9 59.4 57.8 60.9
427 VA-Charlottesville 5,347 459 4,888 65.9 63.7 68.0 65.8 58.4 73.2 65.9 63.6 68.1
428 VA-Lynchburg 2,651 453 2,198 59.2 56.3 62.1 53.6 46.9 60.4 60.3 57.1 63.6
429 VA-Newport News 5,203 1,260 3,943 69.2 67.0 71.5 63.0 58.6 67.4 71.2 68.6 73.8
430 VA-Norfolk 9,869 2,630 7,239 66.1 64.5 67.7 61.1 58.1 64.1 67.9 66.0 69.8
431 VA-Richmond 13,864 3,464 10,400 63.4 62.1 64.7 60.2 57.6 62.8 64.5 62.9 66.0
432 VA-Roanoke 7,811 444 7,367 64.2 62.4 66.0 58.1 51.0 65.2 64.6 62.8 66.4
435 VA-Winchester 3,994 63.0 60.5 65.5
437 WA-Everett 3,988 63.7 61.2 66.2
438 WA-Olympia 2,637 61.6 58.6 64.6
439 WA-Seattle 15,815 383 15,432 65.6 64.3 66.8 56.9 49.4 64.5 65.8 64.5 67.1
440 WA-Spokane 12,530 65.7 64.3 67.1
441 WA-Tacoma 4,893 66.3 64.0 68.6
442 WA-Yakima 2,113 62.1 58.7 65.5
443 WV-Charleston 9,585 230 9,355 63.0 61.4 64.6 60.9 50.8 71.0 63.1 61.4 64.7
444 WV-Huntington 4,388 59.9 57.7 62.2
445 WV-Morgantown 4,019 66.0 63.5 68.5
446 WI-Appleton 2,426 72.2 68.8 75.6
447 WI-Green Bay 4,553 70.3 67.8 72.7
448 WI-La Crosse 2,462 70.0 66.7 73.3
449 WI-Madison 7,884 69.3 67.4 71.1
450 WI-Marshfield 3,610 70.4 67.6 73.1
451 WI-Milwaukee 19,404 1,485 17,919 68.9 67.7 70.1 63.3 59.3 67.4 69.4 68.1 70.6
452 WI-Neenah 1,979 71.3 67.6 75.0
456 WI-Wausau 1,932 70.8 67.0 74.5
457 WY-Casper 2,121 60.4 57.1 63.7
999 US-United States 2,165,901 199,650 1,966,251 63.2 55.9 63.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (100%
Part A) (2003-07) Leg amputations per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 1,215,312 160,089 1,055,223 1.42 1.36 1.49 5.03 4.68 5.37 1.13 1.07 1.20
2 AL-Dothan 244,753 38,858 205,895 1.35 1.22 1.49 5.04 4.35 5.73 1.03 0.89 1.17
5 AL-Huntsville 339,329 29,120 310,209 1.33 1.20 1.45 4.21 3.46 4.96 1.09 0.97 1.21
6 AL-Mobile 405,850 65,344 340,506 1.44 1.34 1.55 5.80 5.22 6.38 1.01 0.91 1.12
7 AL-Montgomery 232,936 55,652 177,284 1.31 1.19 1.43 5.09 4.50 5.68 0.93 0.78 1.07
9 AL-Tuscaloosa 143,223 33,544 109,679 1.66 1.48 1.83 5.41 4.63 6.18 1.50 1.27 1.74
10 AK-Anchorage 206,164 4,583 201,581 0.88 0.74 1.03
11 AZ-Mesa 336,245 5,556 330,689 0.73 0.63 0.83
12 AZ-Phoenix 1,100,767 19,799 1,080,968 0.85 0.79 0.91 2.31 1.62 3.00 0.67 0.62 0.72
14 AZ-Sun City 233,406 2,755 230,651 0.40 0.31 0.49
15 AZ-Tucson 484,414 8,957 475,457 0.74 0.66 0.83 2.23 1.22 3.23 0.59 0.52 0.65
16 AR-Fort Smith 224,227 3,563 220,664 1.28 1.12 1.45 0.96 0.83 1.09
18 AR-Jonesboro 150,823 2,375 148,448 1.56 1.34 1.79 1.22 1.04 1.40
19 AR-Little Rock 985,972 107,256 878,716 1.24 1.18 1.31 5.03 4.62 5.45 0.90 0.84 0.97
21 AR-Springdale 252,603 603 252,000 1.17 1.02 1.32
22 AR-Texarkana 166,948 23,945 143,003 1.73 1.55 1.92 5.72 4.79 6.65 1.46 1.26 1.66
23 CA-Orange County 874,897 9,507 865,390 0.74 0.68 0.81 2.40 1.37 3.42 0.58 0.53 0.63
25 CA-Bakersfield 312,230 8,398 303,832 1.35 1.20 1.49 3.55 2.28 4.82 1.08 0.96 1.20
31 CA-Chico 206,213 1,404 204,809 0.74 0.61 0.87
33 CA-Contra Costa County 285,107 13,059 272,048 0.76 0.66 0.87 2.66 1.75 3.57 0.60 0.50 0.69
43 CA-Fresno 383,213 14,592 368,621 1.57 1.44 1.70 4.04 3.02 5.05 1.28 1.17 1.40
56 CA-Los Angeles 2,529,328 226,057 2,303,271 0.99 0.95 1.03 3.44 3.20 3.68 0.79 0.75 0.82
58 CA-Modesto 302,665 7,249 295,416 1.41 1.26 1.56 3.95 2.49 5.41 1.12 1.00 1.24
62 CA-Napa 155,929 1,736 154,193 1.03 0.86 1.21
65 CA-Alameda County 379,452 55,644 323,808 0.68 0.61 0.76 2.48 2.08 2.88 0.53 0.45 0.61
69 CA-Palm Springs/Rancho Mirage 190,471 2,683 187,788 0.55 0.44 0.67
73 CA-Redding 233,965 1,412 232,553 0.82 0.69 0.95
77 CA-Sacramento 799,543 30,026 769,517 0.94 0.87 1.01 3.06 2.43 3.70 0.74 0.68 0.80
78 CA-Salinas 179,854 5,972 173,882 1.02 0.86 1.18 0.83 0.69 0.96
79 CA-San Bernardino 544,805 40,924 503,881 1.20 1.10 1.29 3.48 2.89 4.07 1.00 0.91 1.09
80 CA-San Diego 970,108 33,637 936,471 0.93 0.86 0.99 2.40 1.86 2.94 0.75 0.70 0.81
81 CA-San Francisco 491,233 45,323 445,910 0.62 0.55 0.68 2.34 1.90 2.78 0.47 0.41 0.53
82 CA-San Jose 447,560 7,922 439,638 0.76 0.67 0.85
83 CA-San Luis Obispo 142,858 832 142,026 0.56 0.43 0.70
85 CA-San Mateo County 267,934 8,974 258,960 0.61 0.51 0.71 3.13 1.97 4.29 0.44 0.36 0.52
86 CA-Santa Barbara 196,470 3,478 192,992 0.83 0.69 0.97
87 CA-Santa Cruz 103,584 676 102,908 0.56 0.40 0.72
89 CA-Santa Rosa 186,318 1,524 184,794 0.56 0.44 0.68
91 CA-Stockton 189,696 10,802 178,894 1.28 1.11 1.44 3.04 2.00 4.08 1.09 0.94 1.24
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (100%
Part A) (2003-07) Leg amputations per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 299,211 4,608 294,603 0.90 0.78 1.02 0.70 0.61 0.80
101 CO-Boulder 85,216 473 84,743 0.60 0.42 0.79
102 CO-Colorado Springs 337,430 8,909 328,521 0.64 0.55 0.73 1.37 0.56 2.19 0.52 0.44 0.60
103 CO-Denver 714,350 28,246 686,104 0.61 0.55 0.67 1.59 1.11 2.06 0.50 0.44 0.55
104 CO-Fort Collins 143,837 967 142,870 0.62 0.47 0.76
105 CO-Grand Junction 184,307 0.46 0.35 0.57
106 CO-Greeley 159,140 224 158,916 0.70 0.55 0.85
107 CO-Pueblo 96,724 1,099 95,625 0.92 0.71 1.13
109 CT-Bridgeport 360,243 27,845 332,398 0.80 0.71 0.89 2.85 2.21 3.49 0.63 0.54 0.71
110 CT-Hartford 920,041 40,520 879,521 0.83 0.76 0.89 2.11 1.66 2.57 0.68 0.62 0.73
111 CT-New Haven 843,729 38,225 805,504 1.01 0.94 1.08 2.88 2.33 3.42 0.82 0.76 0.88
112 DE-Wilmington 419,364 53,985 365,379 0.96 0.87 1.05 3.15 2.67 3.63 0.79 0.70 0.89
113 DC-Washington 1,237,482 344,787 892,695 0.84 0.80 0.88 3.11 2.92 3.30 0.64 0.58 0.69
115 FL-Bradenton 223,639 6,484 217,155 0.74 0.62 0.86 0.58 0.48 0.68
116 FL-Clearwater 350,876 5,661 345,215 0.92 0.81 1.03 0.70 0.61 0.78
118 FL-Fort Lauderdale 1,475,337 69,443 1,405,894 0.66 0.61 0.70 3.37 2.92 3.82 0.47 0.43 0.50
119 FL-Fort Myers 926,517 23,386 903,131 0.64 0.58 0.69 2.60 1.93 3.26 0.49 0.44 0.53
120 FL-Gainesville 323,013 32,214 290,799 0.92 0.82 1.02 3.75 3.09 4.42 0.67 0.57 0.76
122 FL-Hudson 309,887 4,507 305,380 0.91 0.79 1.02 0.71 0.62 0.81
123 FL-Jacksonville 740,687 98,210 642,477 1.09 1.02 1.16 4.31 3.90 4.72 0.80 0.73 0.87
124 FL-Lakeland 203,822 13,204 190,618 0.90 0.76 1.03 3.60 2.57 4.63 0.67 0.56 0.79
127 FL-Miami 899,961 76,891 823,070 1.16 1.09 1.23 3.39 2.97 3.81 0.97 0.91 1.04
129 FL-Ocala 562,912 20,744 542,168 0.92 0.83 1.00 3.38 2.59 4.16 0.71 0.64 0.78
130 FL-Orlando 1,976,432 126,519 1,849,913 1.03 0.99 1.08 4.07 3.71 4.42 0.78 0.74 0.82
131 FL-Ormond Beach 261,215 13,765 247,450 0.74 0.63 0.84 2.80 1.90 3.70 0.56 0.47 0.66
133 FL-Panama City 133,511 9,147 124,364 1.28 1.08 1.48 3.99 2.70 5.27 1.04 0.86 1.23
134 FL-Pensacola 456,613 39,582 417,031 1.30 1.19 1.40 5.73 4.98 6.48 0.91 0.82 1.00
137 FL-Sarasota 472,798 8,195 464,603 0.52 0.45 0.59 3.30 2.05 4.54 0.38 0.33 0.44
139 FL-St. Petersburg 247,140 14,924 232,216 0.92 0.80 1.05 3.73 2.74 4.71 0.70 0.59 0.80
140 FL-Tallahassee 379,889 78,377 301,512 1.32 1.22 1.42 5.27 4.77 5.78 0.90 0.79 1.01
141 FL-Tampa 479,922 33,193 446,729 0.88 0.80 0.97 3.08 2.47 3.69 0.69 0.62 0.77
142 GA-Albany 108,458 34,460 73,998 1.65 1.46 1.83 6.00 5.19 6.80 1.30 1.03 1.56
144 GA-Atlanta 2,106,955 322,455 1,784,500 1.03 0.99 1.07 3.89 3.67 4.11 0.78 0.73 0.82
145 GA-Augusta 342,411 84,702 257,709 1.36 1.26 1.46 5.43 4.94 5.92 0.89 0.78 1.01
146 GA-Columbus 168,871 47,411 121,460 1.58 1.42 1.73 5.64 4.96 6.31 1.28 1.07 1.48
147 GA-Macon 379,847 92,494 287,353 1.57 1.47 1.68 5.79 5.30 6.28 1.21 1.08 1.33
148 GA-Rome 165,549 10,310 155,239 1.54 1.34 1.73 5.41 4.00 6.83 1.21 1.03 1.38
149 GA-Savannah 417,465 84,592 332,873 1.13 1.04 1.21 4.67 4.22 5.13 0.73 0.63 0.82
150 HI-Honolulu 682,504 3,931 678,573 0.85 0.77 0.93
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (100%
Part A) (2003-07) Leg amputations per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 351,830 735 351,095 0.60 0.50 0.69
152 ID-Idaho Falls 97,429 0.52 0.36 0.68
154 IL-Aurora 93,758 3,820 89,938 1.13 0.90 1.36 0.92 0.72 1.12
155 IL-Blue Island 496,629 75,028 421,601 0.99 0.91 1.07 3.19 2.77 3.60 0.83 0.75 0.92
156 IL-Chicago 1,025,933 378,087 647,846 0.94 0.89 0.98 2.93 2.76 3.11 1.01 0.93 1.08
158 IL-Elgin 296,093 2,926 293,167 0.90 0.78 1.03
161 IL-Evanston 631,193 11,395 619,798 0.65 0.58 0.72 1.86 1.07 2.66 0.52 0.46 0.57
163 IL-Hinsdale 204,278 4,570 199,708 0.71 0.58 0.84 0.55 0.45 0.65
164 IL-Joliet 311,636 15,688 295,948 1.04 0.92 1.16 3.97 2.96 4.97 0.80 0.70 0.90
166 IL-Melrose Park 661,433 30,667 630,766 0.96 0.88 1.04 4.26 3.50 5.02 0.71 0.64 0.77
170 IL-Peoria 425,395 9,648 415,747 1.08 0.97 1.19 4.12 2.85 5.40 0.83 0.75 0.92
171 IL-Rockford 428,043 10,509 417,534 0.96 0.86 1.06 2.68 1.67 3.70 0.76 0.68 0.85
172 IL-Springfield 615,085 13,520 601,565 1.08 0.99 1.17 4.80 3.63 5.97 0.81 0.74 0.89
173 IL-Urbana 249,162 8,664 240,498 0.97 0.84 1.10 4.51 3.09 5.92 0.71 0.61 0.82
175 IL-Bloomington 89,512 1,484 88,028 0.67 0.48 0.86
179 IN-Evansville 473,041 9,733 463,308 1.05 0.95 1.15 3.35 2.23 4.48 0.82 0.74 0.91
180 IN-Fort Wayne 480,260 11,106 469,154 1.14 1.03 1.24 4.25 3.01 5.49 0.88 0.79 0.96
181 IN-Gary 307,616 52,842 254,774 1.05 0.95 1.15 3.30 2.81 3.79 0.93 0.81 1.05
183 IN-Indianapolis 1,539,145 97,948 1,441,197 0.92 0.87 0.97 2.94 2.60 3.28 0.74 0.70 0.79
184 IN-Lafayette 117,132 625 116,507 1.11 0.90 1.33
185 IN-Muncie 115,967 3,500 112,467 1.24 1.02 1.46 0.97 0.79 1.16
186 IN-Munster 192,326 17,616 174,710 1.03 0.89 1.17 2.61 1.84 3.38 0.91 0.77 1.05
187 IN-South Bend 401,818 15,727 386,091 1.15 1.04 1.27 3.93 2.96 4.90 0.91 0.81 1.00
188 IN-Terre Haute 121,068 2,309 118,759 0.96 0.77 1.15
190 IA-Cedar Rapids 175,806 1,191 174,615 1.05 0.88 1.22
191 IA-Davenport 342,495 7,312 335,183 0.91 0.80 1.02 1.72 0.75 2.69 0.74 0.64 0.83
192 IA-Des Moines 670,845 7,218 663,627 0.69 0.63 0.76 2.31 1.21 3.41 0.54 0.49 0.60
193 IA-Dubuque 116,406 1.39 1.15 1.63
194 IA-Iowa City 200,878 1,074 199,804 0.87 0.73 1.02
195 IA-Mason City 124,454 0.64 0.49 0.80
196 IA-Sioux City 177,273 623 176,650 0.71 0.57 0.85
197 IA-Waterloo 152,919 3,913 149,006 0.83 0.67 0.98
200 KS-Topeka 276,927 8,948 267,979 0.92 0.80 1.04 2.53 1.50 3.57 0.74 0.64 0.84
201 KS-Wichita 834,119 19,255 814,864 0.88 0.81 0.95 2.25 1.58 2.92 0.70 0.65 0.76
203 KY-Covington 174,738 1,913 172,825 1.21 1.02 1.39
204 KY-Lexington 816,015 26,942 789,073 1.21 1.12 1.29 3.06 2.41 3.71 0.98 0.91 1.06
205 KY-Louisville 954,246 62,246 892,000 1.08 1.01 1.14 3.09 2.66 3.53 0.90 0.83 0.96
207 KY-Owensboro 94,558 1,931 92,627 0.97 0.75 1.19
208 KY-Paducah 282,598 9,065 273,533 1.25 1.11 1.39 5.45 3.97 6.93 0.94 0.82 1.05
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (100%
Part A) (2003-07) Leg amputations per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 173,927 30,987 142,940 1.49 1.33 1.65 4.72 3.96 5.48 1.33 1.14 1.52
210 LA-Baton Rouge 330,397 81,154 249,243 1.43 1.32 1.54 4.87 4.39 5.35 1.23 1.09 1.37
212 LA-Houma 132,688 15,194 117,494 1.70 1.48 1.91 6.77 5.45 8.09 1.24 1.04 1.45
213 LA-Lafayette 319,083 61,529 257,554 1.50 1.38 1.61 5.47 4.88 6.06 1.16 1.03 1.29
214 LA-Lake Charles 141,897 22,073 119,824 1.22 1.06 1.39 4.13 3.27 4.99 1.01 0.83 1.19
216 LA-Metairie 188,109 19,027 169,082 1.18 1.03 1.34 4.25 3.32 5.18 0.93 0.78 1.07
217 LA-Monroe 168,105 35,647 132,458 1.76 1.59 1.93 6.90 6.06 7.75 1.24 1.04 1.43
218 LA-New Orleans 193,062 66,162 126,900 1.39 1.26 1.51 5.04 4.50 5.59 1.09 0.91 1.27
219 LA-Shreveport 413,825 102,119 311,706 1.58 1.49 1.68 6.20 5.73 6.68 1.09 0.97 1.20
220 LA-Slidell 82,776 6,419 76,357 1.51 1.24 1.78 1.29 1.03 1.54
221 ME-Bangor 297,192 553 296,639 0.89 0.77 1.01
222 ME-Portland 704,019 1,435 702,584 0.92 0.84 1.00
223 MD-Baltimore 1,372,819 274,661 1,098,158 0.97 0.92 1.01 3.34 3.12 3.55 0.80 0.74 0.85
225 MD-Salisbury 329,346 38,472 290,874 1.08 0.98 1.19 3.99 3.37 4.62 0.84 0.73 0.94
226 MD-Takoma Park 387,499 91,853 295,646 0.68 0.61 0.75 2.51 2.18 2.84 0.52 0.44 0.60
227 MA-Boston 2,463,317 87,312 2,376,005 0.78 0.75 0.82 2.08 1.78 2.39 0.63 0.60 0.67
230 MA-Springfield 396,406 14,391 382,015 1.20 1.08 1.31 2.21 1.44 2.99 1.00 0.90 1.10
231 MA-Worcester 257,483 3,402 254,081 1.04 0.90 1.18
232 MI-Ann Arbor 707,665 38,587 669,078 0.80 0.73 0.87 2.72 2.20 3.24 0.63 0.57 0.69
233 MI-Dearborn 317,094 9,253 307,841 1.09 0.96 1.21 2.30 1.34 3.26 0.89 0.79 1.00
234 MI-Detroit 1,007,845 319,781 688,064 0.81 0.77 0.86 2.74 2.57 2.92 0.74 0.68 0.81
235 MI-Flint 313,274 36,614 276,660 0.83 0.73 0.93 2.81 2.26 3.36 0.67 0.57 0.77
236 MI-Grand Rapids 564,096 15,605 548,491 0.89 0.80 0.97 3.11 2.23 3.99 0.69 0.62 0.76
238 MI-Kalamazoo 389,543 16,359 373,184 0.84 0.75 0.94 2.74 1.94 3.55 0.67 0.59 0.75
239 MI-Lansing 364,688 10,953 353,735 0.87 0.76 0.97 2.71 1.72 3.69 0.69 0.60 0.77
240 MI-Marquette 154,810 1.45 1.24 1.66
242 MI-Muskegon 166,225 8,641 157,584 0.89 0.74 1.03 2.72 1.63 3.81 0.72 0.58 0.85
243 MI-Petoskey 138,379 0.82 0.64 0.99
244 MI-Pontiac 217,578 14,327 203,251 0.79 0.67 0.91 3.63 2.62 4.64 0.56 0.46 0.66
245 MI-Royal Oak 413,706 35,222 378,484 0.58 0.51 0.65 2.40 1.89 2.91 0.42 0.36 0.49
246 MI-Saginaw 499,603 16,761 482,842 1.00 0.91 1.10 3.03 2.19 3.87 0.80 0.72 0.88
248 MI-St. Joseph 98,149 10,579 87,570 0.89 0.71 1.07 2.80 1.80 3.80 0.75 0.57 0.93
249 MI-Traverse City 187,094 0.83 0.68 0.98
250 MN-Duluth 244,034 432 243,602 0.96 0.82 1.09
251 MN-Minneapolis 1,486,943 14,737 1,472,206 0.78 0.73 0.83 2.09 1.33 2.85 0.61 0.57 0.65
253 MN-Rochester 271,007 432 270,575 0.83 0.71 0.95
254 MN-St. Cloud 129,489 0.92 0.74 1.11
256 MN-St. Paul 424,576 6,616 417,960 0.77 0.67 0.86
257 MS-Gulfport 101,683 12,094 89,589 1.38 1.16 1.60 4.81 3.55 6.06 1.10 0.88 1.32
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (100%
Part A) (2003-07) Leg amputations per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 172,077 29,622 142,455 1.47 1.31 1.63 5.22 4.41 6.03 1.18 1.00 1.36
259 MS-Jackson 582,125 179,721 402,404 1.39 1.32 1.46 4.98 4.66 5.30 1.13 1.02 1.23
260 MS-Meridian 130,639 35,707 94,932 1.41 1.25 1.57 4.69 4.00 5.39 1.29 1.06 1.52
261 MS-Oxford 83,994 19,063 64,931 1.85 1.61 2.09 7.05 5.89 8.21 1.35 1.06 1.63
262 MS-Tupelo 233,269 37,233 196,036 1.82 1.66 1.97 6.56 5.75 7.38 1.43 1.26 1.60
263 MO-Cape Girardeau 186,121 8,959 177,162 1.40 1.22 1.58 4.93 3.51 6.36 1.09 0.94 1.25
264 MO-Columbia 444,559 10,074 434,485 1.25 1.14 1.36 4.01 2.80 5.23 0.98 0.89 1.07
267 MO-Joplin 251,771 1,394 250,377 1.07 0.93 1.22
268 MO-Kansas City 1,168,506 75,322 1,093,184 0.76 0.71 0.81 2.68 2.31 3.05 0.60 0.55 0.64
270 MO-Springfield 516,872 1,659 515,213 0.85 0.76 0.94
273 MO-St. Louis 1,691,870 153,561 1,538,309 1.25 1.20 1.31 4.50 4.16 4.83 0.98 0.93 1.03
274 MT-Billings 336,268 451 335,817 0.93 0.82 1.05
275 MT-Great Falls 99,319 0.89 0.68 1.09
276 MT-Missoula 235,160 214 234,946 0.63 0.52 0.75
277 NE-Lincoln 380,952 1,570 379,382 0.82 0.72 0.92
278 NE-Omaha 721,880 16,844 705,036 0.88 0.80 0.95 2.02 1.33 2.71 0.71 0.65 0.77
279 NV-Las Vegas 581,310 38,369 542,941 0.69 0.62 0.76 1.36 0.97 1.75 0.61 0.54 0.68
280 NV-Reno 353,139 3,390 349,749 0.76 0.66 0.86
281 NH-Lebanon 290,353 471 289,882 0.97 0.84 1.10
282 NH-Manchester 481,994 1,973 480,021 0.85 0.76 0.94
283 NJ-Camden 1,715,492 128,630 1,586,862 0.96 0.91 1.00 2.91 2.62 3.21 0.79 0.74 0.83
284 NJ-Hackensack 702,253 32,312 669,941 0.99 0.91 1.06 2.28 1.75 2.81 0.82 0.76 0.89
285 NJ-Morristown 547,049 26,747 520,302 0.81 0.73 0.89 2.73 2.10 3.36 0.64 0.57 0.70
288 NJ-New Brunswick 506,405 27,441 478,964 1.02 0.92 1.11 3.33 2.64 4.03 0.81 0.73 0.89
289 NJ-Newark 691,004 160,818 530,186 1.07 1.01 1.14 3.78 3.47 4.08 0.87 0.80 0.95
291 NJ-Paterson 196,899 17,022 179,877 1.12 0.97 1.26 4.71 3.63 5.79 0.81 0.68 0.94
292 NJ-Ridgewood 228,138 8,708 219,430 0.79 0.67 0.92 2.05 1.08 3.03 0.65 0.54 0.75
293 NM-Albuquerque 664,024 6,878 657,146 0.89 0.81 0.97
295 NY-Albany 1,071,405 29,429 1,041,976 0.71 0.65 0.76 2.36 1.80 2.92 0.55 0.51 0.60
296 NY-Binghamton 269,269 2,245 267,024 1.00 0.87 1.14
297 NY-Bronx 359,730 107,227 252,503 1.30 1.21 1.40 3.58 3.22 3.94 1.52 1.37 1.67
299 NY-Buffalo 612,050 45,007 567,043 0.99 0.91 1.07 1.79 1.40 2.18 0.91 0.83 0.99
300 NY-Elmira 236,261 4,311 231,950 1.12 0.98 1.27
301 NY-East Long Island 2,178,736 182,716 1,996,020 1.03 0.99 1.08 3.27 3.01 3.54 0.85 0.81 0.89
303 NY-Manhattan 1,785,763 306,793 1,478,970 1.08 1.04 1.13 3.54 3.33 3.75 0.93 0.88 0.98
304 NY-Rochester 495,462 22,987 472,475 1.02 0.93 1.11 4.66 3.76 5.56 0.75 0.67 0.82
307 NY-Syracuse 645,618 14,666 630,952 1.00 0.92 1.08 3.63 2.62 4.63 0.78 0.71 0.84
308 NY-White Plains 597,280 51,878 545,402 0.85 0.78 0.92 2.76 2.30 3.22 0.69 0.62 0.76
309 NC-Asheville 497,793 11,378 486,415 0.79 0.70 0.88 2.66 1.74 3.58 0.62 0.55 0.69
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (100%
Part A) (2003-07) Leg amputations per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 1,070,585 137,567 933,018 1.39 1.32 1.46 5.19 4.81 5.57 1.06 0.99 1.13
312 NC-Durham 735,962 156,869 579,093 1.33 1.26 1.40 5.02 4.67 5.36 0.99 0.91 1.07
313 NC-Greensboro 272,891 39,131 233,760 1.29 1.16 1.41 5.22 4.51 5.93 0.91 0.79 1.03
314 NC-Greenville 468,744 116,969 351,775 1.27 1.18 1.35 4.75 4.36 5.14 0.95 0.84 1.05
315 NC-Hickory 178,209 7,418 170,791 1.56 1.36 1.75 5.06 3.45 6.67 1.24 1.06 1.41
318 NC-Raleigh 786,838 179,383 607,455 1.32 1.25 1.39 5.14 4.80 5.47 0.93 0.85 1.01
319 NC-Wilmington 260,047 42,149 217,898 1.35 1.22 1.48 5.60 4.89 6.31 0.91 0.78 1.04
320 NC-Winston-Salem 538,926 47,223 491,703 1.36 1.26 1.46 5.20 4.56 5.85 1.03 0.94 1.12
321 ND-Bismarck 157,952 1.00 0.83 1.18
322 ND-Fargo/Moorhead MN 335,351 294 335,057 1.02 0.89 1.14
323 ND-Grand Forks 108,763 0.97 0.76 1.17
324 ND-Minot 91,445 1.16 0.91 1.40
325 OH-Akron 347,338 26,158 321,180 0.82 0.73 0.92 2.58 1.97 3.19 0.67 0.59 0.76
326 OH-Canton 348,511 11,364 337,147 1.14 1.02 1.26 3.74 2.62 4.85 0.90 0.80 1.00
327 OH-Cincinnati 779,507 67,513 711,994 0.97 0.90 1.03 3.33 2.89 3.76 0.77 0.70 0.83
328 OH-Cleveland 1,278,433 172,039 1,106,394 0.93 0.88 0.98 2.96 2.71 3.22 0.79 0.74 0.84
329 OH-Columbus 1,470,200 79,239 1,390,961 0.99 0.94 1.04 2.65 2.29 3.01 0.82 0.77 0.87
330 OH-Dayton 642,347 56,586 585,761 1.10 1.02 1.18 3.21 2.74 3.67 0.93 0.85 1.01
331 OH-Elyria 146,414 6,992 139,422 1.10 0.92 1.28 3.93 2.45 5.41 0.86 0.71 1.01
332 OH-Kettering 230,044 7,363 222,681 1.04 0.90 1.18 3.70 2.33 5.07 0.81 0.69 0.93
334 OH-Toledo 542,986 29,516 513,470 0.98 0.89 1.07 3.74 3.04 4.44 0.75 0.68 0.83
335 OH-Youngstown 405,044 26,013 379,031 1.13 1.03 1.24 3.68 2.94 4.41 0.91 0.81 1.01
336 OK-Lawton 120,100 6,857 113,243 1.23 1.03 1.44 1.02 0.83 1.20
339 OK-Oklahoma City 1,007,255 42,368 964,887 1.06 0.99 1.13 2.78 2.28 3.28 0.87 0.81 0.93
340 OK-Tulsa 675,850 30,109 645,741 1.05 0.97 1.13 3.94 3.24 4.63 0.81 0.74 0.88
341 OR-Bend 100,341 0.86 0.66 1.07
342 OR-Eugene 425,519 1,061 424,458 0.67 0.58 0.75
343 OR-Medford 328,474 764 327,710 0.92 0.81 1.04
344 OR-Portland 767,485 9,769 757,716 0.82 0.75 0.89 2.71 1.67 3.75 0.64 0.58 0.69
345 OR-Salem 86,867 315 86,552 0.81 0.59 1.02
346 PA-Allentown 720,779 10,430 710,349 1.24 1.15 1.33 3.55 2.38 4.73 0.98 0.90 1.05
347 PA-Altoona 167,837 903 166,934 1.25 1.06 1.44
350 PA-Danville 324,059 1,593 322,466 1.49 1.34 1.64
351 PA-Erie 463,752 5,762 457,990 1.25 1.14 1.36 1.00 0.90 1.09
352 PA-Harrisburg 632,251 19,647 612,604 1.09 1.00 1.17 3.47 2.65 4.30 0.86 0.78 0.93
354 PA-Johnstown 115,396 1,136 114,260 2.00 1.71 2.28 1.49 1.27 1.71
355 PA-Lancaster 375,027 8,557 366,470 1.06 0.95 1.17 2.98 1.83 4.12 0.84 0.75 0.93
356 PA-Philadelphia 1,607,636 239,632 1,368,004 0.96 0.92 1.00 3.38 3.15 3.61 0.77 0.72 0.81
357 PA-Pittsburgh 1,388,793 66,429 1,322,364 1.25 1.19 1.31 2.57 2.20 2.95 1.07 1.01 1.12
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (100%
Part A) (2003-07) Leg amputations per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 345,144 5,643 339,501 1.43 1.29 1.57 1.13 1.01 1.24
359 PA-Sayre 137,626 609 137,017 1.19 0.99 1.40
360 PA-Scranton 234,067 1,127 232,940 1.76 1.57 1.95
362 PA-Wilkes-Barre 191,986 929 191,057 1.55 1.35 1.75
363 PA-York 263,550 4,539 259,011 1.13 0.99 1.27 0.86 0.74 0.97
364 RI-Providence 506,327 11,530 494,797 0.84 0.75 0.93 2.29 1.41 3.17 0.67 0.60 0.74
365 SC-Charleston 546,548 105,837 440,711 1.33 1.24 1.41 5.55 5.10 6.00 0.85 0.76 0.94
366 SC-Columbia 618,045 158,084 459,961 1.54 1.46 1.62 5.80 5.42 6.17 1.14 1.04 1.24
367 SC-Florence 206,039 67,930 138,109 1.86 1.72 2.01 6.82 6.20 7.43 1.45 1.24 1.66
368 SC-Greenville 487,274 46,016 441,258 1.31 1.21 1.41 5.02 4.37 5.67 0.99 0.89 1.08
369 SC-Spartanburg 216,197 25,169 191,028 1.42 1.26 1.57 4.91 4.05 5.77 1.13 0.98 1.29
370 SD-Rapid City 129,106 0.83 0.65 1.01
371 SD-Sioux Falls 560,976 608 560,368 0.91 0.83 1.00
373 TN-Chattanooga 397,536 27,915 369,621 1.17 1.06 1.28 3.25 2.59 3.92 0.99 0.89 1.09
374 TN-Jackson 229,203 25,296 203,907 1.36 1.22 1.51 4.85 4.01 5.68 1.08 0.93 1.22
375 TN-Johnson City 150,295 1,958 148,337 1.27 1.06 1.47
376 TN-Kingsport 289,024 3,229 285,795 1.28 1.13 1.42
377 TN-Knoxville 737,013 20,917 716,096 1.35 1.26 1.45 4.05 3.21 4.89 1.08 1.00 1.16
379 TN-Memphis 875,888 240,685 635,203 1.30 1.24 1.36 4.94 4.66 5.22 0.94 0.86 1.02
380 TN-Nashville 1,234,501 84,963 1,149,538 1.30 1.23 1.36 4.35 3.91 4.79 1.04 0.98 1.10
382 TX-Abilene 211,155 4,724 206,431 1.17 1.01 1.33 0.86 0.73 0.98
383 TX-Amarillo 259,509 5,499 254,010 0.63 0.53 0.74
385 TX-Austin 542,474 31,479 510,995 1.22 1.13 1.32 3.84 3.15 4.53 0.99 0.90 1.07
386 TX-Beaumont 262,235 39,882 222,353 1.23 1.11 1.35 4.22 3.58 4.85 1.01 0.88 1.14
388 TX-Bryan 108,097 12,907 95,190 1.40 1.19 1.61 5.00 3.82 6.18 1.11 0.89 1.32
390 TX-Corpus Christi 251,121 6,137 244,984 3.00 2.77 3.24 2.46 2.26 2.66
391 TX-Dallas 1,615,351 153,343 1,462,008 1.04 0.99 1.09 3.92 3.60 4.24 0.80 0.75 0.84
393 TX-El Paso 475,353 9,806 465,547 1.42 1.30 1.54 2.23 1.28 3.19 1.16 1.06 1.26
394 TX-Fort Worth 710,877 43,886 666,991 1.06 0.98 1.14 3.45 2.89 4.02 0.85 0.77 0.92
396 TX-Harlingen 230,500 682 229,818 2.76 2.52 3.00
397 TX-Houston 2,046,702 267,097 1,779,605 1.13 1.09 1.18 3.48 3.26 3.71 0.98 0.94 1.03
399 TX-Longview 124,781 16,191 108,590 1.26 1.07 1.44 5.16 4.09 6.23 0.88 0.70 1.06
400 TX-Lubbock 384,043 13,909 370,134 1.52 1.39 1.65 4.12 3.06 5.18 1.23 1.12 1.35
402 TX-McAllen 222,460 597 221,863 3.29 3.02 3.56
406 TX-Odessa 177,540 7,490 170,050 1.13 0.96 1.30 3.57 2.22 4.91 0.90 0.76 1.04
411 TX-San Angelo 105,854 2,179 103,675 1.52 1.26 1.78
412 TX-San Antonio 1,017,107 38,397 978,710 1.95 1.86 2.04 4.16 3.51 4.81 1.63 1.55 1.71
413 TX-Temple 190,147 14,973 175,174 1.43 1.26 1.61 4.26 3.19 5.33 1.19 1.03 1.36
416 TX-Tyler 373,694 37,935 335,759 1.47 1.35 1.59 5.13 4.43 5.83 1.17 1.05 1.29
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Number of Medicare beneficiaries (100%
Part A) (2003-07) Leg amputations per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 101,335 5,585 95,750 2.02 1.73 2.30 1.87 1.59 2.14
418 TX-Waco 205,032 20,336 184,696 1.26 1.11 1.41 4.31 3.42 5.19 1.01 0.87 1.15
420 TX-Wichita Falls 139,515 6,170 133,345 1.07 0.89 1.25 0.82 0.67 0.98
421 UT-Ogden 162,917 1,529 161,388 0.55 0.42 0.67
422 UT-Provo 152,659 0.33 0.23 0.43
423 UT-Salt Lake City 754,328 2,333 751,995 0.49 0.43 0.54
424 VT-Burlington 383,563 1,187 382,376 0.96 0.85 1.07
426 VA-Arlington 731,195 52,607 678,588 0.72 0.66 0.78 2.87 2.41 3.34 0.54 0.48 0.60
427 VA-Charlottesville 340,638 25,290 315,348 1.03 0.92 1.13 3.53 2.80 4.26 0.81 0.71 0.91
428 VA-Lynchburg 168,113 24,823 143,290 1.27 1.12 1.43 4.57 3.74 5.40 1.00 0.83 1.16
429 VA-Newport News 306,463 68,123 238,340 1.10 1.00 1.20 3.95 3.48 4.42 0.87 0.75 0.99
430 VA-Norfolk 615,408 149,676 465,732 1.06 0.99 1.12 3.97 3.65 4.28 0.78 0.70 0.86
431 VA-Richmond 866,975 196,418 670,557 1.07 1.01 1.12 3.87 3.59 4.14 0.84 0.77 0.91
432 VA-Roanoke 491,945 28,144 463,801 1.00 0.91 1.09 3.09 2.46 3.72 0.81 0.73 0.89
435 VA-Winchester 238,857 7,363 231,494 1.22 1.06 1.37 3.60 2.24 4.96 0.97 0.84 1.10
437 WA-Everett 240,092 1,162 238,930 1.00 0.86 1.14
438 WA-Olympia 176,349 1,150 175,199 1.08 0.91 1.25
439 WA-Seattle 1,101,449 26,361 1,075,088 0.89 0.83 0.95 2.39 1.80 2.98 0.71 0.66 0.76
440 WA-Spokane 829,341 3,638 825,703 0.89 0.81 0.96 0.69 0.63 0.74
441 WA-Tacoma 303,981 12,058 291,923 0.72 0.62 0.82 2.24 1.38 3.10 0.58 0.49 0.66
442 WA-Yakima 144,552 993 143,559 0.94 0.76 1.12
443 WV-Charleston 605,857 15,235 590,622 1.36 1.26 1.46 3.06 2.21 3.90 1.11 1.02 1.19
444 WV-Huntington 248,085 3,377 244,708 1.19 1.04 1.34
445 WV-Morgantown 258,473 2,753 255,720 1.27 1.12 1.42
446 WI-Appleton 172,156 1.33 1.14 1.52
447 WI-Green Bay 311,224 324 310,900 1.48 1.33 1.63
448 WI-La Crosse 186,888 283 186,605 1.04 0.88 1.21
449 WI-Madison 592,372 5,476 586,896 0.96 0.87 1.05 0.75 0.68 0.82
450 WI-Marshfield 240,637 1.03 0.88 1.17
451 WI-Milwaukee 1,355,638 75,645 1,279,993 1.09 1.03 1.15 3.61 3.17 4.05 0.87 0.82 0.92
452 WI-Neenah 136,221 222 135,999 1.68 1.44 1.93
456 WI-Wausau 127,516 0.81 0.63 0.98
457 WY-Casper 122,774 252 122,522 0.85 0.67 1.04
999 US-United States 143,287,860 11,186,884 132,100,976 1.06 3.87 0.82
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 94.0 93.5 94.6 96.0 94.5 97.5 96.1 95.5 96.7
2 AL-Dothan 104.0 102.7 105.2 105.1 102.0 108.3 108.0 106.6 109.5
5 AL-Huntsville 89.9 88.8 90.9 94.5 91.0 98.1 89.9 88.8 91.0
6 AL-Mobile 89.5 88.6 90.4 111.3 108.7 113.8 88.7 87.6 89.7
7 AL-Montgomery 91.0 89.8 92.2 108.5 105.8 111.2 92.8 91.3 94.2
9 AL-Tuscaloosa 93.2 91.6 94.7 116.6 113.0 120.2 93.2 91.3 95.0
10 AK-Anchorage 61.8 60.6 62.9 45.6 39.2 52.0 60.9 59.7 62.0
11 AZ-Mesa 51.1 50.3 51.9 64.5 57.4 71.5 49.7 49.0 50.5
12 AZ-Phoenix 59.6 59.2 60.1 74.9 70.9 78.8 58.0 57.5 58.5
14 AZ-Sun City 50.4 49.5 51.3 49.0 40.6 57.4 49.1 48.2 50.0
15 AZ-Tucson 54.0 53.3 54.7 62.6 57.2 68.0 52.6 52.0 53.3
16 AR-Fort Smith 97.7 96.4 99.0 100.6 90.3 110.8 95.4 94.1 96.7
18 AR-Jonesboro 108.2 106.5 109.9 136.1 121.4 150.8 105.2 103.6 106.9
19 AR-Little Rock 90.5 89.9 91.1 100.1 98.2 101.9 90.7 90.1 91.4
21 AR-Springdale 78.9 77.8 80.1 53.7 35.4 72.0 76.8 75.7 77.9
22 AR-Texarkana 111.3 109.7 112.9 119.6 115.3 123.8 113.4 111.6 115.2
23 CA-Orange County 58.5 57.9 59.0 73.2 67.5 78.9 56.8 56.3 57.3
25 CA-Bakersfield 80.6 79.5 81.6 106.0 99.0 112.9 78.3 77.3 79.3
31 CA-Chico 66.6 65.4 67.7 113.6 95.9 131.3 64.5 63.4 65.6
33 CA-Contra Costa County 53.9 53.1 54.8 70.2 65.5 74.9 52.5 51.6 53.3
43 CA-Fresno 67.0 66.2 67.8 91.8 86.9 96.7 65.0 64.1 65.8
56 CA-Los Angeles 73.8 73.5 74.1 115.1 113.7 116.5 70.1 69.7 70.4
58 CA-Modesto 68.0 67.1 69.0 73.9 67.6 80.3 66.5 65.5 67.4
62 CA-Napa 53.1 51.9 54.2 53.6 42.8 64.4 51.7 50.6 52.9
65 CA-Alameda County 60.5 59.7 61.2 87.9 85.5 90.3 57.5 56.7 58.4
69 CA-Palm Springs/Rancho Mirage 50.9 49.8 51.9 83.7 72.4 95.0 49.2 48.2 50.2
73 CA-Redding 55.7 54.8 56.7 45.9 34.8 57.0 54.3 53.4 55.3
77 CA-Sacramento 57.0 56.4 57.5 74.2 71.0 77.3 55.4 54.9 55.9
78 CA-Salinas 54.2 53.1 55.3 60.3 54.0 66.5 53.0 52.0 54.1
79 CA-San Bernardino 79.9 79.1 80.7 110.6 107.3 114.0 77.3 76.5 78.1
80 CA-San Diego 56.1 55.7 56.6 80.0 76.9 83.1 54.4 53.9 54.8
81 CA-San Francisco 51.4 50.8 52.0 84.5 81.9 87.2 48.3 47.7 49.0
82 CA-San Jose 50.8 50.2 51.5 58.5 53.0 64.0 49.6 48.9 50.2
83 CA-San Luis Obispo 43.4 42.4 44.5 69.2 51.4 87.0 42.1 41.1 43.2
85 CA-San Mateo County 43.2 42.4 44.0 60.3 55.2 65.4 41.8 41.1 42.6
86 CA-Santa Barbara 44.0 43.1 44.9 55.9 47.8 64.0 42.8 41.9 43.7
87 CA-Santa Cruz 53.2 51.8 54.6 55.1 36.3 73.9 51.8 50.4 53.2
89 CA-Santa Rosa 45.0 44.1 46.0 72.5 58.8 86.1 43.6 42.7 44.5
91 CA-Stockton 72.0 70.8 73.2 109.4 103.1 115.6 69.1 67.9 70.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 51.1 50.2 51.9 59.6 52.4 66.9 49.7 48.9 50.5
101 CO-Boulder 56.7 55.1 58.4 42.8 23.6 62.1 55.3 53.7 56.9
102 CO-Colorado Springs 58.0 57.1 58.8 57.0 51.7 62.3 56.8 56.0 57.7
103 CO-Denver 59.7 59.1 60.3 64.0 61.0 67.0 58.6 58.0 59.2
104 CO-Fort Collins 54.6 53.4 55.8 48.3 34.3 62.3 53.2 52.0 54.4
105 CO-Grand Junction 46.0 45.0 47.0
106 CO-Greeley 62.4 61.1 63.6 60.6 59.4 61.8
107 CO-Pueblo 56.1 54.5 57.6 60.1 45.6 74.5 54.6 53.1 56.1
109 CT-Bridgeport 57.6 56.9 58.4 77.3 74.0 80.7 56.0 55.2 56.8
110 CT-Hartford 64.0 63.5 64.5 71.3 68.7 74.0 62.8 62.3 63.3
111 CT-New Haven 70.7 70.2 71.3 94.6 91.5 97.8 68.7 68.2 69.3
112 DE-Wilmington 77.2 76.4 78.1 99.6 96.9 102.3 75.6 74.7 76.5
113 DC-Washington 65.8 65.3 66.2 89.2 88.2 90.1 63.5 63.0 64.0
115 FL-Bradenton 55.9 54.9 56.9 85.0 77.8 92.3 54.0 53.1 55.0
116 FL-Clearwater 65.8 65.0 66.6 116.2 107.2 125.3 63.5 62.7 64.3
118 FL-Fort Lauderdale 58.5 58.1 58.9 91.2 88.8 93.5 56.3 55.9 56.6
119 FL-Fort Myers 55.2 54.7 55.7 75.4 71.8 79.0 53.6 53.1 54.1
120 FL-Gainesville 82.6 81.6 83.6 104.3 100.8 107.8 81.0 79.9 82.0
122 FL-Hudson 75.9 74.9 76.8 79.4 71.2 87.7 74.0 73.1 74.9
123 FL-Jacksonville 83.3 82.7 84.0 106.6 104.6 108.7 81.7 81.0 82.4
124 FL-Lakeland 73.6 72.4 74.8 98.3 92.9 103.7 71.5 70.3 72.8
127 FL-Miami 92.3 91.7 92.9 110.9 108.5 113.3 90.7 90.1 91.4
129 FL-Ocala 55.6 55.0 56.3 64.3 60.9 67.7 54.4 53.8 55.1
130 FL-Orlando 71.9 71.5 72.3 94.0 92.3 95.7 70.0 69.6 70.4
131 FL-Ormond Beach 54.9 54.0 55.8 68.3 63.8 72.7 53.6 52.6 54.5
133 FL-Panama City 87.9 86.2 89.5 97.7 91.4 104.1 86.9 85.2 88.6
134 FL-Pensacola 83.1 82.2 84.0 95.9 92.8 98.9 82.3 81.4 83.2
137 FL-Sarasota 39.2 38.6 39.7 69.6 63.9 75.3 37.8 37.2 38.3
139 FL-St. Petersburg 69.9 68.9 70.9 97.1 92.1 102.1 67.7 66.7 68.7
140 FL-Tallahassee 78.3 77.4 79.2 87.2 85.1 89.2 80.9 79.9 81.9
141 FL-Tampa 68.7 68.0 69.5 84.8 81.6 88.0 67.3 66.5 68.0
142 GA-Albany 74.4 72.8 75.9 90.1 86.9 93.2 77.0 74.9 79.0
144 GA-Atlanta 74.8 74.4 75.1 87.6 86.5 88.6 74.9 74.5 75.4
145 GA-Augusta 75.0 74.1 75.9 92.8 90.7 94.8 75.5 74.4 76.6
146 GA-Columbus 61.3 60.1 62.4 69.6 67.3 72.0 64.6 63.1 66.0
147 GA-Macon 92.1 91.2 93.1 102.7 100.7 104.8 96.5 95.4 97.7
148 GA-Rome 88.5 87.0 90.0 87.7 81.9 93.4 88.1 86.6 89.6
149 GA-Savannah 75.4 74.5 76.2 88.1 86.1 90.1 76.8 75.8 77.7
150 HI-Honolulu 30.7 30.2 31.1 39.4 33.0 45.8 29.8 29.4 30.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 48.9 48.2 49.7 47.3 31.2 63.5 47.6 46.8 48.3
152 ID-Idaho Falls 54.1 52.6 55.6
154 IL-Aurora 71.9 70.1 73.7 102.9 92.4 113.5 69.5 67.8 71.3
155 IL-Blue Island 92.5 91.6 93.3 141.2 138.4 143.9 87.0 86.1 87.8
156 IL-Chicago 93.4 92.8 94.0 130.3 129.1 131.4 87.8 87.1 88.5
158 IL-Elgin 81.2 80.1 82.2 98.7 86.8 110.6 78.9 77.9 80.0
161 IL-Evanston 66.0 65.4 66.7 102.6 96.7 108.5 63.9 63.3 64.5
163 IL-Hinsdale 70.7 69.5 71.9 114.0 103.9 124.1 68.3 67.1 69.4
164 IL-Joliet 100.9 99.8 102.1 153.1 146.9 159.4 97.1 96.0 98.2
166 IL-Melrose Park 76.8 76.1 77.4 117.9 114.0 121.9 73.9 73.2 74.5
170 IL-Peoria 86.5 85.6 87.4 109.3 102.7 115.8 84.2 83.3 85.0
171 IL-Rockford 79.7 78.8 80.5 118.0 111.3 124.7 77.1 76.3 78.0
172 IL-Springfield 90.0 89.3 90.8 100.1 94.8 105.5 87.9 87.1 88.6
173 IL-Urbana 91.4 90.2 92.6 102.9 96.1 109.6 89.4 88.3 90.6
175 IL-Bloomington 60.0 58.4 61.6 74.5 60.6 88.3 58.4 56.8 60.0
179 IN-Evansville 91.8 91.0 92.7 89.1 83.3 94.9 89.9 89.1 90.8
180 IN-Fort Wayne 70.1 69.3 70.8 92.8 87.0 98.6 68.1 67.3 68.8
181 IN-Gary 95.2 94.1 96.3 126.8 123.8 129.9 92.6 91.4 93.8
183 IN-Indianapolis 78.7 78.3 79.2 82.5 80.7 84.3 78.0 77.6 78.5
184 IN-Lafayette 68.5 67.0 70.0 89.6 66.1 113.0 66.5 65.1 68.0
185 IN-Muncie 81.9 80.2 83.5 75.0 66.1 83.9 80.7 79.0 82.3
186 IN-Munster 97.5 96.1 98.9 150.8 145.0 156.6 92.7 91.3 94.2
187 IN-South Bend 64.9 64.1 65.7 83.6 79.1 88.1 63.2 62.4 63.9
188 IN-Terre Haute 101.7 99.9 103.5 129.4 114.9 143.8 99.0 97.2 100.7
190 IA-Cedar Rapids 56.3 55.2 57.4 77.9 62.1 93.6 54.7 53.6 55.7
191 IA-Davenport 72.5 71.6 73.5 109.9 102.1 117.7 70.2 69.3 71.1
192 IA-Des Moines 69.8 69.1 70.4 84.4 77.7 91.0 67.9 67.2 68.5
193 IA-Dubuque 63.3 61.8 64.7
194 IA-Iowa City 66.0 64.9 67.2 81.3 64.5 98.1 64.2 63.1 65.3
195 IA-Mason City 56.0 54.8 57.3
196 IA-Sioux City 72.5 71.3 73.7 84.8 61.8 107.9 70.5 69.3 71.7
197 IA-Waterloo 66.3 65.0 67.6 92.7 83.1 102.3 64.3 63.1 65.6
200 KS-Topeka 68.0 67.1 69.0 69.5 64.0 74.9 66.8 65.8 67.7
201 KS-Wichita 80.0 79.4 80.6 82.0 78.0 86.1 78.3 77.7 78.9
203 KY-Covington 88.1 86.7 89.6 113.2 97.8 128.5 85.7 84.3 87.1
204 KY-Lexington 124.0 123.2 124.8 89.5 85.9 93.0 123.3 122.5 124.1
205 KY-Louisville 92.8 92.2 93.5 98.1 95.7 100.6 92.1 91.4 92.7
207 KY-Owensboro 83.2 81.4 85.1 88.2 75.1 101.3 81.4 79.5 83.2
208 KY-Paducah 110.7 109.5 111.9 128.1 121.0 135.3 108.2 107.0 109.5
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 132.7 131.0 134.4 137.1 133.0 141.2 138.4 136.4 140.4
210 LA-Baton Rouge 86.9 85.9 87.9 111.5 109.2 113.8 86.1 84.9 87.2
212 LA-Houma 101.1 99.4 102.9 124.4 118.8 130.1 99.7 97.8 101.5
213 LA-Lafayette 103.8 102.7 104.9 121.1 118.3 123.9 105.2 103.9 106.5
214 LA-Lake Charles 105.5 103.8 107.2 120.1 115.4 124.7 106.5 104.6 108.4
216 LA-Metairie 97.3 95.9 98.7 127.1 122.1 132.2 94.9 93.4 96.3
217 LA-Monroe 135.0 133.3 136.7 157.1 153.1 161.1 138.1 136.0 140.1
218 LA-New Orleans 97.5 96.2 98.9 120.5 117.9 123.2 99.8 98.1 101.5
219 LA-Shreveport 103.2 102.3 104.2 120.3 118.2 122.4 106.5 105.4 107.7
220 LA-Slidell 128.4 125.9 131.0 137.6 128.4 146.8 127.8 125.1 130.4
221 ME-Bangor 77.6 76.5 78.6 65.9 44.1 87.7 75.4 74.4 76.4
222 ME-Portland 60.5 59.9 61.0 54.1 42.0 66.1 58.8 58.2 59.3
223 MD-Baltimore 80.9 80.4 81.4 110.0 108.7 111.2 78.2 77.7 78.7
225 MD-Salisbury 74.4 73.5 75.4 95.7 92.6 98.7 72.9 71.9 73.9
226 MD-Takoma Park 55.9 55.2 56.6 76.8 75.0 78.7 53.7 52.9 54.5
227 MA-Boston 80.0 79.7 80.4 97.5 95.4 99.6 78.1 77.7 78.4
230 MA-Springfield 69.6 68.8 70.4 75.9 71.3 80.4 68.2 67.4 69.0
231 MA-Worcester 86.2 85.0 87.3 92.9 82.4 103.5 83.9 82.8 85.1
232 MI-Ann Arbor 77.0 76.4 77.7 110.6 107.2 113.9 74.4 73.7 75.0
233 MI-Dearborn 101.7 100.6 102.8 133.3 125.9 140.6 98.8 97.7 99.9
234 MI-Detroit 86.6 86.0 87.1 115.1 113.9 116.2 84.5 83.8 85.2
235 MI-Flint 76.4 75.4 77.4 106.0 102.6 109.4 73.8 72.7 74.8
236 MI-Grand Rapids 60.8 60.2 61.5 87.2 82.6 91.9 58.9 58.3 59.5
238 MI-Kalamazoo 75.4 74.5 76.2 97.8 93.0 102.6 73.3 72.5 74.2
239 MI-Lansing 73.7 72.8 74.6 97.8 91.9 103.7 71.6 70.8 72.5
240 MI-Marquette 69.5 68.2 70.8
242 MI-Muskegon 49.9 48.9 51.0 62.8 57.6 68.1 48.7 47.6 49.8
243 MI-Petoskey 57.4 56.1 58.7
244 MI-Pontiac 81.3 80.1 82.6 133.9 127.8 140.0 77.3 76.0 78.5
245 MI-Royal Oak 69.4 68.7 70.2 94.9 91.7 98.1 67.3 66.5 68.1
246 MI-Saginaw 82.8 81.9 83.6 124.9 119.5 130.3 79.9 79.1 80.7
248 MI-St. Joseph 60.1 58.6 61.6 78.8 73.5 84.1 58.6 57.0 60.2
249 MI-Traverse City 53.2 52.1 54.3
250 MN-Duluth 65.3 64.3 66.3 59.4 36.1 82.7 63.4 62.5 64.4
251 MN-Minneapolis 61.6 61.2 62.0 80.9 76.2 85.7 59.8 59.4 60.2
253 MN-Rochester 65.5 64.6 66.5 82.7 55.3 110.1 63.7 62.7 64.6
254 MN-St. Cloud 73.1 71.6 74.6
256 MN-St. Paul 56.7 56.0 57.5 68.4 62.0 74.8 55.2 54.5 55.9
257 MS-Gulfport 108.7 106.6 110.8 131.6 125.0 138.2 107.6 105.3 109.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 97.2 95.7 98.7 110.3 106.6 114.1 98.9 97.3 100.6
259 MS-Jackson 109.5 108.7 110.4 134.7 133.0 136.4 112.1 111.0 113.1
260 MS-Meridian 104.2 102.5 105.9 114.3 110.9 117.8 111.2 109.1 113.4
261 MS-Oxford 111.9 109.7 114.2 125.1 120.2 130.0 116.6 114.0 119.3
262 MS-Tupelo 91.1 89.9 92.3 91.9 88.8 94.9 94.5 93.1 95.8
263 MO-Cape Girardeau 95.5 94.1 96.9 139.9 132.3 147.5 92.2 90.7 93.6
264 MO-Columbia 85.9 85.0 86.7 100.2 94.1 106.2 83.7 82.9 84.6
267 MO-Joplin 98.1 96.8 99.3 70.5 57.0 84.0 95.6 94.4 96.8
268 MO-Kansas City 82.8 82.2 83.3 95.2 93.0 97.4 81.4 80.9 82.0
270 MO-Springfield 66.6 65.9 67.4 65.0 53.0 77.0 64.8 64.1 65.5
273 MO-St. Louis 88.8 88.3 89.2 113.7 112.1 115.4 86.7 86.3 87.2
274 MT-Billings 68.8 67.9 69.7 88.7 60.9 116.5 66.8 66.0 67.7
275 MT-Great Falls 80.1 78.3 81.9
276 MT-Missoula 62.2 61.1 63.2 60.4 59.4 61.4
277 NE-Lincoln 67.8 66.9 68.6 52.8 41.5 64.1 66.0 65.2 66.8
278 NE-Omaha 74.4 73.7 75.0 90.0 85.4 94.6 72.4 71.8 73.1
279 NV-Las Vegas 67.0 66.3 67.7 78.0 75.1 81.0 65.9 65.1 66.6
280 NV-Reno 54.3 53.5 55.1 61.1 52.5 69.6 52.9 52.1 53.6
281 NH-Lebanon 58.5 57.6 59.4 51.0 30.6 71.3 56.9 56.0 57.7
282 NH-Manchester 61.9 61.2 62.6 71.8 59.5 84.0 60.2 59.5 60.9
283 NJ-Camden 80.5 80.1 80.9 104.8 103.0 106.6 78.4 78.0 78.8
284 NJ-Hackensack 78.3 77.6 78.9 91.7 88.3 95.0 76.6 76.0 77.3
285 NJ-Morristown 70.0 69.3 70.7 103.9 100.1 107.8 67.5 66.8 68.2
288 NJ-New Brunswick 77.7 77.0 78.5 95.0 91.3 98.7 76.0 75.2 76.8
289 NJ-Newark 92.9 92.2 93.6 140.7 138.8 142.5 85.7 84.9 86.5
291 NJ-Paterson 83.9 82.6 85.2 137.1 131.3 142.9 79.4 78.1 80.7
292 NJ-Ridgewood 66.4 65.4 67.5 77.2 71.2 83.2 65.0 63.9 66.0
293 NM-Albuquerque 59.4 58.8 60.0 52.8 47.2 58.3 58.0 57.4 58.6
295 NY-Albany 73.8 73.3 74.3 94.9 91.3 98.5 71.8 71.3 72.3
296 NY-Binghamton 72.7 71.7 73.7 96.5 83.7 109.2 70.6 69.6 71.6
297 NY-Bronx 99.6 98.6 100.5 109.4 107.4 111.4 106.7 105.5 108.0
299 NY-Buffalo 74.9 74.2 75.5 92.8 90.0 95.6 73.3 72.6 74.0
300 NY-Elmira 89.5 88.3 90.7 124.1 113.6 134.7 86.8 85.7 88.0
301 NY-East Long Island 73.5 73.1 73.8 95.2 93.8 96.7 71.6 71.3 72.0
303 NY-Manhattan 81.0 80.6 81.4 111.1 109.9 112.3 78.2 77.7 78.6
304 NY-Rochester 70.6 69.9 71.3 89.3 85.3 93.2 68.8 68.1 69.5
307 NY-Syracuse 77.5 76.8 78.2 89.1 84.2 94.1 75.6 74.9 76.2
308 NY-White Plains 70.1 69.4 70.7 93.1 90.4 95.8 68.1 67.4 68.8
309 NC-Asheville 57.5 56.8 58.2 69.2 64.5 73.9 56.1 55.4 56.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 72.7 72.2 73.2 87.9 86.4 89.5 72.0 71.5 72.6
312 NC-Durham 70.8 70.2 71.4 87.2 85.8 88.7 70.9 70.2 71.6
313 NC-Greensboro 68.5 67.6 69.5 80.1 77.3 82.9 68.5 67.5 69.6
314 NC-Greenville 85.4 84.6 86.2 101.4 99.6 103.2 87.7 86.7 88.7
315 NC-Hickory 63.8 62.6 65.0 66.1 60.2 71.9 62.8 61.6 64.1
318 NC-Raleigh 74.1 73.5 74.7 91.0 89.6 92.4 74.6 73.9 75.3
319 NC-Wilmington 73.9 72.8 75.0 87.2 84.4 90.0 74.3 73.1 75.5
320 NC-Winston-Salem 81.9 81.1 82.7 99.8 97.0 102.6 80.5 79.7 81.3
321 ND-Bismarck 75.0 73.7 76.4
322 ND-Fargo/Moorhead MN 63.7 62.8 64.5 79.5 48.3 110.6 61.9 61.0 62.7
323 ND-Grand Forks 80.4 78.8 82.1
324 ND-Minot 71.7 70.0 73.4
325 OH-Akron 84.9 84.0 85.9 103.1 99.3 107.0 83.4 82.4 84.4
326 OH-Canton 80.4 79.4 81.3 109.9 103.9 116.0 78.0 77.0 78.9
327 OH-Cincinnati 80.0 79.4 80.6 99.0 96.6 101.3 78.5 77.8 79.1
328 OH-Cleveland 85.9 85.4 86.4 116.1 114.5 117.7 83.2 82.7 83.8
329 OH-Columbus 91.1 90.6 91.6 99.7 97.5 102.0 89.8 89.3 90.3
330 OH-Dayton 76.4 75.8 77.1 89.6 87.2 92.1 75.5 74.8 76.2
331 OH-Elyria 96.1 94.5 97.7 144.4 135.4 153.5 92.6 91.0 94.2
332 OH-Kettering 62.4 61.3 63.4 61.9 56.3 67.5 61.3 60.3 62.4
334 OH-Toledo 85.4 84.7 86.2 121.0 117.0 125.0 82.6 81.8 83.4
335 OH-Youngstown 84.5 83.6 85.4 117.1 112.9 121.3 81.8 80.9 82.7
336 OK-Lawton 86.5 84.8 88.2 93.1 85.7 100.5 85.4 83.7 87.1
339 OK-Oklahoma City 91.1 90.5 91.7 92.8 89.9 95.7 89.7 89.1 90.4
340 OK-Tulsa 87.9 87.1 88.6 98.0 94.5 101.5 86.3 85.6 87.0
341 OR-Bend 43.8 42.4 45.1
342 OR-Eugene 51.8 51.1 52.4 43.8 31.2 56.5 50.3 49.6 51.0
343 OR-Medford 53.6 52.8 54.4 56.5 39.4 73.6 52.1 51.3 52.9
344 OR-Portland 51.6 51.1 52.1 63.0 57.9 68.1 50.2 49.7 50.7
345 OR-Salem 41.3 39.9 42.6 55.8 28.4 83.1 40.1 38.7 41.4
346 PA-Allentown 79.9 79.2 80.5 95.6 89.5 101.8 77.7 77.1 78.4
347 PA-Altoona 86.2 84.8 87.6 119.5 97.6 141.4 83.7 82.4 85.1
350 PA-Danville 74.7 73.7 75.6 89.2 74.5 104.0 72.6 71.7 73.5
351 PA-Erie 81.4 80.6 82.2 85.4 77.8 92.9 79.3 78.5 80.1
352 PA-Harrisburg 65.3 64.7 66.0 81.6 77.6 85.6 63.6 63.0 64.3
354 PA-Johnstown 87.1 85.5 88.8 115.5 95.8 135.1 84.7 83.0 86.3
355 PA-Lancaster 59.3 58.6 60.1 89.4 83.1 95.7 57.4 56.7 58.2
356 PA-Philadelphia 85.2 84.7 85.6 121.0 119.6 122.4 81.6 81.1 82.0
357 PA-Pittsburgh 102.2 101.6 102.7 127.2 124.6 129.9 99.7 99.2 100.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 75.0 74.1 75.9 97.0 88.8 105.3 72.9 72.0 73.8
359 PA-Sayre 90.1 88.5 91.7 100.1 75.2 125.1 87.6 86.0 89.2
360 PA-Scranton 83.9 82.7 85.0 117.7 97.6 137.9 81.4 80.3 82.6
362 PA-Wilkes-Barre 74.3 73.1 75.5 66.8 49.9 83.7 72.3 71.2 73.5
363 PA-York 57.9 57.0 58.8 89.3 80.4 98.1 56.1 55.1 57.0
364 RI-Providence 77.1 76.4 77.9 97.7 91.9 103.4 75.0 74.3 75.8
365 SC-Charleston 75.7 75.0 76.5 89.9 88.1 91.7 76.6 75.7 77.4
366 SC-Columbia 70.9 70.3 71.6 82.7 81.3 84.1 73.3 72.5 74.1
367 SC-Florence 104.7 103.3 106.0 116.8 114.2 119.3 114.2 112.4 116.1
368 SC-Greenville 62.6 61.9 63.3 76.7 74.1 79.2 61.6 60.8 62.3
369 SC-Spartanburg 81.8 80.6 83.0 94.8 91.0 98.6 81.5 80.2 82.8
370 SD-Rapid City 59.4 58.0 60.7
371 SD-Sioux Falls 73.7 73.0 74.4 63.5 43.8 83.2 71.6 70.9 72.3
373 TN-Chattanooga 83.7 82.8 84.6 76.0 72.8 79.2 84.2 83.3 85.2
374 TN-Jackson 98.5 97.2 99.8 110.3 106.3 114.3 98.6 97.2 99.9
375 TN-Johnson City 98.7 97.1 100.3 97.7 84.2 111.2 96.4 94.7 98.0
376 TN-Kingsport 122.5 121.2 123.8 94.4 84.2 104.6 119.8 118.5 121.1
377 TN-Knoxville 97.5 96.8 98.2 105.1 100.8 109.4 95.5 94.8 96.2
379 TN-Memphis 92.3 91.7 92.9 113.5 112.2 114.8 93.6 92.9 94.4
380 TN-Nashville 108.2 107.6 108.8 110.8 108.5 113.0 107.7 107.1 108.4
382 TX-Abilene 103.9 102.5 105.3 114.9 105.1 124.7 101.5 100.1 102.8
383 TX-Amarillo 82.5 81.4 83.7 89.7 81.9 97.5 80.6 79.5 81.7
385 TX-Austin 68.7 68.0 69.4 96.7 93.3 100.2 66.4 65.7 67.2
386 TX-Beaumont 97.8 96.6 99.0 127.2 123.7 130.6 95.7 94.4 97.0
388 TX-Bryan 76.2 74.6 77.8 92.6 87.5 97.7 75.4 73.6 77.2
390 TX-Corpus Christi 102.2 100.9 103.5 106.5 98.4 114.7 100.1 98.8 101.3
391 TX-Dallas 84.5 84.0 84.9 100.5 98.9 102.1 83.4 82.9 83.9
393 TX-El Paso 72.5 71.7 73.3 66.2 60.9 71.4 71.1 70.3 71.8
394 TX-Fort Worth 79.0 78.4 79.7 101.7 98.7 104.8 77.0 76.4 77.7
396 TX-Harlingen 99.9 98.6 101.3 86.4 63.7 109.0 97.2 95.9 98.5
397 TX-Houston 85.6 85.2 86.0 104.3 103.1 105.6 84.8 84.3 85.2
399 TX-Longview 89.1 87.4 90.8 98.4 93.7 103.1 90.0 88.2 91.8
400 TX-Lubbock 99.1 98.1 100.1 118.1 112.5 123.8 96.9 95.8 97.9
402 TX-McAllen 100.9 99.6 102.3 88.2 63.8 112.7 98.2 96.8 99.5
406 TX-Odessa 89.7 88.3 91.1 86.7 80.1 93.4 88.7 87.2 90.1
411 TX-San Angelo 88.6 86.8 90.4 100.7 87.5 113.8 86.5 84.7 88.3
412 TX-San Antonio 76.2 75.7 76.8 80.7 77.9 83.6 74.9 74.3 75.4
413 TX-Temple 79.0 77.7 80.3 81.3 76.7 86.0 78.8 77.4 80.1
416 TX-Tyler 89.2 88.2 90.2 99.8 96.8 102.9 89.1 88.1 90.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 113.0 110.9 115.0 141.1 131.5 150.6 110.3 108.2 112.5
418 TX-Waco 80.1 78.9 81.3 94.9 90.8 99.1 79.2 77.9 80.5
420 TX-Wichita Falls 101.6 99.9 103.3 94.6 86.9 102.2 100.6 98.9 102.3
421 UT-Ogden 43.1 42.1 44.2 52.8 41.3 64.2 41.9 40.9 43.0
422 UT-Provo 51.2 50.0 52.3
423 UT-Salt Lake City 48.4 47.9 48.9 73.0 62.1 84.0 47.0 46.5 47.5
424 VT-Burlington 71.7 70.8 72.5 69.1 53.9 84.2 69.7 68.9 70.5
426 VA-Arlington 53.9 53.4 54.4 75.6 73.3 78.0 52.1 51.5 52.6
427 VA-Charlottesville 68.6 67.7 69.5 84.4 80.8 88.0 67.2 66.3 68.1
428 VA-Lynchburg 65.2 64.0 66.4 83.4 79.8 86.9 64.0 62.7 65.3
429 VA-Newport News 51.5 50.7 52.3 63.5 61.6 65.4 51.6 50.7 52.6
430 VA-Norfolk 63.9 63.3 64.5 79.8 78.4 81.2 64.0 63.3 64.7
431 VA-Richmond 64.2 63.7 64.8 84.8 83.5 86.0 62.8 62.2 63.4
432 VA-Roanoke 86.9 86.0 87.7 93.5 90.1 97.0 85.9 85.0 86.7
435 VA-Winchester 88.1 86.9 89.4 93.4 86.4 100.3 86.5 85.2 87.7
437 WA-Everett 41.2 40.3 42.0 42.1 29.7 54.6 40.0 39.2 40.9
438 WA-Olympia 52.6 51.5 53.7 51.5 37.5 65.5 51.2 50.1 52.2
439 WA-Seattle 46.8 46.4 47.3 67.6 64.4 70.7 45.4 45.0 45.8
440 WA-Spokane 51.1 50.6 51.6 52.2 44.8 59.7 49.7 49.2 50.2
441 WA-Tacoma 52.1 51.3 53.0 53.6 49.3 57.8 51.3 50.5 52.1
442 WA-Yakima 55.6 54.4 56.9 60.9 45.7 76.0 54.1 52.9 55.3
443 WV-Charleston 118.0 117.2 118.9 121.2 115.8 126.5 115.7 114.8 116.6
444 WV-Huntington 118.1 116.7 119.5 99.3 88.9 109.7 115.6 114.2 117.0
445 WV-Morgantown 103.7 102.5 105.0 111.9 99.9 123.9 101.1 99.8 102.3
446 WI-Appleton 50.5 49.5 51.6
447 WI-Green Bay 55.0 54.2 55.9 46.7 23.1 70.4 53.5 52.7 54.3
448 WI-La Crosse 57.0 55.9 58.1 45.1 20.6 69.6 55.4 54.4 56.4
449 WI-Madison 60.5 59.8 61.1 69.2 62.1 76.2 58.8 58.2 59.4
450 WI-Marshfield 65.2 64.2 66.3
451 WI-Milwaukee 66.6 66.2 67.0 100.6 98.2 102.9 64.1 63.6 64.5
452 WI-Neenah 56.7 55.4 58.0 55.0 53.8 56.3
456 WI-Wausau 70.5 69.1 72.0
457 WY-Casper 71.0 69.4 72.5 69.0 67.5 70.5
999 US-United States 76.0 101.8 73.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
HRR ID HRR Name
1 AL-Birmingham
2 AL-Dothan
5 AL-Huntsville
6 AL-Mobile
7 AL-Montgomery
9 AL-Tuscaloosa
10 AK-Anchorage
11 AZ-Mesa
12 AZ-Phoenix
14 AZ-Sun City
15 AZ-Tucson
16 AR-Fort Smith
18 AR-Jonesboro
19 AR-Little Rock
21 AR-Springdale
22 AR-Texarkana
23 CA-Orange County
25 CA-Bakersfield
31 CA-Chico
33 CA-Contra Costa County
43 CA-Fresno
56 CA-Los Angeles
58 CA-Modesto
62 CA-Napa
65 CA-Alameda County
69 CA-Palm Springs/Rancho Mirage
73 CA-Redding
77 CA-Sacramento
78 CA-Salinas
79 CA-San Bernardino
80 CA-San Diego
81 CA-San Francisco
82 CA-San Jose
83 CA-San Luis Obispo
85 CA-San Mateo County
86 CA-Santa Barbara
87 CA-Santa Cruz
89 CA-Santa Rosa
91 CA-Stockton
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
HRR ID HRR Name
96 CA-Ventura
101 CO-Boulder
102 CO-Colorado Springs
103 CO-Denver
104 CO-Fort Collins
105 CO-Grand Junction
106 CO-Greeley
107 CO-Pueblo
109 CT-Bridgeport
110 CT-Hartford
111 CT-New Haven
112 DE-Wilmington
113 DC-Washington
115 FL-Bradenton
116 FL-Clearwater
118 FL-Fort Lauderdale
119 FL-Fort Myers
120 FL-Gainesville
122 FL-Hudson
123 FL-Jacksonville
124 FL-Lakeland
127 FL-Miami
129 FL-Ocala
130 FL-Orlando
131 FL-Ormond Beach
133 FL-Panama City
134 FL-Pensacola
137 FL-Sarasota
139 FL-St. Petersburg
140 FL-Tallahassee
141 FL-Tampa
142 GA-Albany
144 GA-Atlanta
145 GA-Augusta
146 GA-Columbus
147 GA-Macon
148 GA-Rome
149 GA-Savannah
150 HI-Honolulu
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
HRR ID HRR Name
151 ID-Boise
152 ID-Idaho Falls
154 IL-Aurora
155 IL-Blue Island
156 IL-Chicago
158 IL-Elgin
161 IL-Evanston
163 IL-Hinsdale
164 IL-Joliet
166 IL-Melrose Park
170 IL-Peoria
171 IL-Rockford
172 IL-Springfield
173 IL-Urbana
175 IL-Bloomington
179 IN-Evansville
180 IN-Fort Wayne
181 IN-Gary
183 IN-Indianapolis
184 IN-Lafayette
185 IN-Muncie
186 IN-Munster
187 IN-South Bend
188 IN-Terre Haute
190 IA-Cedar Rapids
191 IA-Davenport
192 IA-Des Moines
193 IA-Dubuque
194 IA-Iowa City
195 IA-Mason City
196 IA-Sioux City
197 IA-Waterloo
200 KS-Topeka
201 KS-Wichita
203 KY-Covington
204 KY-Lexington
205 KY-Louisville
207 KY-Owensboro
208 KY-Paducah
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
HRR ID HRR Name
209 LA-Alexandria
210 LA-Baton Rouge
212 LA-Houma
213 LA-Lafayette
214 LA-Lake Charles
216 LA-Metairie
217 LA-Monroe
218 LA-New Orleans
219 LA-Shreveport
220 LA-Slidell
221 ME-Bangor
222 ME-Portland
223 MD-Baltimore
225 MD-Salisbury
226 MD-Takoma Park
227 MA-Boston
230 MA-Springfield
231 MA-Worcester
232 MI-Ann Arbor
233 MI-Dearborn
234 MI-Detroit
235 MI-Flint
236 MI-Grand Rapids
238 MI-Kalamazoo
239 MI-Lansing
240 MI-Marquette
242 MI-Muskegon
243 MI-Petoskey
244 MI-Pontiac
245 MI-Royal Oak
246 MI-Saginaw
248 MI-St. Joseph
249 MI-Traverse City
250 MN-Duluth
251 MN-Minneapolis
253 MN-Rochester
254 MN-St. Cloud
256 MN-St. Paul
257 MS-Gulfport
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
HRR ID HRR Name
258 MS-Hattiesburg
259 MS-Jackson
260 MS-Meridian
261 MS-Oxford
262 MS-Tupelo
263 MO-Cape Girardeau
264 MO-Columbia
267 MO-Joplin
268 MO-Kansas City
270 MO-Springfield
273 MO-St. Louis
274 MT-Billings
275 MT-Great Falls
276 MT-Missoula
277 NE-Lincoln
278 NE-Omaha
279 NV-Las Vegas
280 NV-Reno
281 NH-Lebanon
282 NH-Manchester
283 NJ-Camden
284 NJ-Hackensack
285 NJ-Morristown
288 NJ-New Brunswick
289 NJ-Newark
291 NJ-Paterson
292 NJ-Ridgewood
293 NM-Albuquerque
295 NY-Albany
296 NY-Binghamton
297 NY-Bronx
299 NY-Buffalo
300 NY-Elmira
301 NY-East Long Island
303 NY-Manhattan
304 NY-Rochester
307 NY-Syracuse
308 NY-White Plains
309 NC-Asheville
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
HRR ID HRR Name
311 NC-Charlotte
312 NC-Durham
313 NC-Greensboro
314 NC-Greenville
315 NC-Hickory
318 NC-Raleigh
319 NC-Wilmington
320 NC-Winston-Salem
321 ND-Bismarck
322 ND-Fargo/Moorhead MN
323 ND-Grand Forks
324 ND-Minot
325 OH-Akron
326 OH-Canton
327 OH-Cincinnati
328 OH-Cleveland
329 OH-Columbus
330 OH-Dayton
331 OH-Elyria
332 OH-Kettering
334 OH-Toledo
335 OH-Youngstown
336 OK-Lawton
339 OK-Oklahoma City
340 OK-Tulsa
341 OR-Bend
342 OR-Eugene
343 OR-Medford
344 OR-Portland
345 OR-Salem
346 PA-Allentown
347 PA-Altoona
350 PA-Danville
351 PA-Erie
352 PA-Harrisburg
354 PA-Johnstown
355 PA-Lancaster
356 PA-Philadelphia
357 PA-Pittsburgh
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
HRR ID HRR Name
358 PA-Reading
359 PA-Sayre
360 PA-Scranton
362 PA-Wilkes-Barre
363 PA-York
364 RI-Providence
365 SC-Charleston
366 SC-Columbia
367 SC-Florence
368 SC-Greenville
369 SC-Spartanburg
370 SD-Rapid City
371 SD-Sioux Falls
373 TN-Chattanooga
374 TN-Jackson
375 TN-Johnson City
376 TN-Kingsport
377 TN-Knoxville
379 TN-Memphis
380 TN-Nashville
382 TX-Abilene
383 TX-Amarillo
385 TX-Austin
386 TX-Beaumont
388 TX-Bryan
390 TX-Corpus Christi
391 TX-Dallas
393 TX-El Paso
394 TX-Fort Worth
396 TX-Harlingen
397 TX-Houston
399 TX-Longview
400 TX-Lubbock
402 TX-McAllen
406 TX-Odessa
411 TX-San Angelo
412 TX-San Antonio
413 TX-Temple
416 TX-Tyler
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
HRR ID HRR Name
417 TX-Victoria
418 TX-Waco
420 TX-Wichita Falls
421 UT-Ogden
422 UT-Provo
423 UT-Salt Lake City
424 VT-Burlington
426 VA-Arlington
427 VA-Charlottesville
428 VA-Lynchburg
429 VA-Newport News
430 VA-Norfolk
431 VA-Richmond
432 VA-Roanoke
435 VA-Winchester
437 WA-Everett
438 WA-Olympia
439 WA-Seattle
440 WA-Spokane
441 WA-Tacoma
442 WA-Yakima
443 WV-Charleston
444 WV-Huntington
445 WV-Morgantown
446 WI-Appleton
447 WI-Green Bay
448 WI-La Crosse
449 WI-Madison
450 WI-Marshfield
451 WI-Milwaukee
452 WI-Neenah
456 WI-Wausau
457 WY-Casper
999 US-United States
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2006-07) (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 90,222 11,473 78,749 83.0 82.4 83.6 77.4 75.8 79.0 83.3 82.6 83.9
2 AL-Dothan 18,869 2,913 15,956 83.4 82.1 84.7 76.4 73.2 79.6 83.9 82.5 85.4
5 AL-Huntsville 25,901 2,069 23,832 84.3 83.2 85.4 76.1 72.3 79.8 85.0 83.8 86.2
6 AL-Mobile 30,490 4,767 25,723 78.8 77.8 79.8 76.3 73.8 78.8 78.5 77.4 79.6
7 AL-Montgomery 16,479 3,713 12,766 83.7 82.3 85.1 76.9 74.0 79.7 84.1 82.5 85.6
9 AL-Tuscaloosa 11,014 2,570 8,444 82.8 81.1 84.5 78.3 74.8 81.7 82.5 80.6 84.5
10 AK-Anchorage 16,206 339 15,867 70.3 69.0 71.6 63.3 54.7 71.8 70.8 69.5 72.1
11 AZ-Mesa 25,175 458 24,717 79.8 78.7 80.9 75.3 67.3 83.2 80.4 79.3 81.5
12 AZ-Phoenix 80,960 1,467 79,493 76.6 76.0 77.2 71.0 66.7 75.4 77.1 76.5 77.7
14 AZ-Sun City 17,380 225 17,155 84.4 83.0 85.8 81.5 69.6 93.3 85.0 83.6 86.3
15 AZ-Tucson 35,077 628 34,449 76.8 75.9 77.8 67.1 60.6 73.6 77.5 76.5 78.4
16 AR-Fort Smith 16,126 245 15,881 78.3 76.9 79.6 75.2 64.4 86.0 78.8 77.4 80.2
18 AR-Jonesboro 10,900 84.5 82.8 86.2
19 AR-Little Rock 73,145 7,344 65,801 81.8 81.1 82.4 76.8 74.8 78.8 82.1 81.4 82.8
21 AR-Springdale 17,656 77.9 76.6 79.2
22 AR-Texarkana 12,362 1,648 10,714 81.2 79.7 82.8 76.6 72.3 80.8 81.4 79.7 83.1
23 CA-Orange County 64,335 664 63,671 72.9 72.3 73.6 62.2 56.2 68.2 73.5 72.8 74.2
25 CA-Bakersfield 24,133 588 23,545 75.1 74.0 76.2 69.0 62.3 75.7 75.6 74.5 76.7
31 CA-Chico 15,945 84.2 82.8 85.6
33 CA-Contra Costa County 20,268 979 19,289 68.5 67.4 69.6 51.6 47.0 56.1 69.5 68.4 70.7
43 CA-Fresno 29,475 1,140 28,335 76.6 75.6 77.6 72.2 67.2 77.1 77.0 76.0 78.1
56 CA-Los Angeles 202,048 15,842 186,206 68.6 68.3 69.0 55.5 54.3 56.6 69.7 69.3 70.1
58 CA-Modesto 23,597 560 23,037 80.0 78.9 81.2 73.9 66.8 81.0 80.6 79.4 81.8
62 CA-Napa 11,566 78.6 77.0 80.2
65 CA-Alameda County 28,226 3,719 24,507 70.2 69.2 71.2 61.8 59.3 64.3 71.0 69.9 72.1
69 CA-Palm Springs/Rancho Mirage 14,819 211 14,608 72.4 71.1 73.8 69.9 58.6 81.3 72.9 71.5 74.3
73 CA-Redding 17,973 78.4 77.1 79.7
77 CA-Sacramento 60,595 2,047 58,548 79.2 78.5 79.9 67.8 64.2 71.4 80.0 79.2 80.7
78 CA-Salinas 13,454 478 12,976 75.9 74.4 77.4 74.8 67.1 82.6 76.2 74.7 77.7
79 CA-San Bernardino 41,134 2,860 38,274 68.6 67.8 69.4 60.2 57.3 63.0 69.2 68.4 70.1
80 CA-San Diego 74,914 2,420 72,494 68.0 67.4 68.6 63.0 59.8 66.1 68.5 67.9 69.1
81 CA-San Francisco 35,871 2,746 33,125 68.2 67.3 69.0 54.5 51.7 57.3 69.3 68.4 70.2
82 CA-San Jose 35,154 583 34,571 72.6 71.7 73.5 63.1 56.6 69.6 73.1 72.2 74.0
83 CA-San Luis Obispo 11,321 82.0 80.3 83.6
85 CA-San Mateo County 18,248 535 17,713 69.4 68.2 70.6 61.0 54.3 67.6 69.9 68.7 71.2
86 CA-Santa Barbara 14,945 270 14,675 75.4 74.0 76.8 73.8 63.5 84.1 75.9 74.5 77.3
87 CA-Santa Cruz 7,955 74.5 72.6 76.4
89 CA-Santa Rosa 13,316 81.2 79.6 82.7
91 CA-Stockton 14,002 782 13,220 76.9 75.5 78.4 70.5 64.6 76.4 77.5 76.0 79.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2006-07) (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 22,913 361 22,552 70.0 68.9 71.0 65.9 57.5 74.3 70.4 69.3 71.5
101 CO-Boulder 5,948 76.5 74.3 78.7
102 CO-Colorado Springs 24,982 694 24,288 73.0 72.0 74.1 59.1 53.4 64.9 73.8 72.7 74.8
103 CO-Denver 51,887 1,895 49,992 77.5 76.7 78.2 69.8 66.1 73.6 78.1 77.3 78.9
104 CO-Fort Collins 10,968 79.5 77.8 81.1
105 CO-Grand Junction 9,793 77.8 76.0 79.5
106 CO-Greeley 11,532 82.4 80.8 84.1
107 CO-Pueblo 6,877 82.6 80.5 84.8
109 CT-Bridgeport 25,843 2,068 23,775 73.8 72.8 74.9 66.1 62.6 69.6 74.4 73.3 75.5
110 CT-Hartford 66,779 2,902 63,877 79.1 78.4 79.8 71.5 68.4 74.5 79.7 79.0 80.4
111 CT-New Haven 60,891 2,660 58,231 78.4 77.7 79.1 71.7 68.5 74.9 78.9 78.2 79.7
112 DE-Wilmington 32,296 4,321 27,975 80.7 79.7 81.7 78.1 75.4 80.7 80.5 79.5 81.6
113 DC-Washington 83,924 21,640 62,284 70.7 70.1 71.3 60.0 59.0 61.1 72.7 72.0 73.4
115 FL-Bradenton 15,552 427 15,125 82.3 80.9 83.7 75.1 66.8 83.3 82.9 81.5 84.4
116 FL-Clearwater 23,692 367 23,325 79.1 78.0 80.3 69.0 60.5 77.5 79.8 78.6 80.9
118 FL-Fort Lauderdale 108,188 4,999 103,189 76.4 75.9 76.9 66.8 64.5 69.1 77.1 76.5 77.6
119 FL-Fort Myers 68,371 1,619 66,752 81.6 80.9 82.3 75.1 70.8 79.3 82.2 81.5 82.9
120 FL-Gainesville 24,391 2,399 21,992 78.4 77.3 79.5 75.8 72.3 79.3 78.5 77.3 79.6
122 FL-Hudson 21,399 338 21,061 80.7 79.5 81.9 80.1 70.5 89.7 81.2 79.9 82.4
123 FL-Jacksonville 55,992 6,902 49,090 79.5 78.8 80.3 73.2 71.2 75.3 80.0 79.2 80.8
124 FL-Lakeland 13,636 775 12,861 80.2 78.7 81.7 75.2 69.1 81.3 80.7 79.1 82.2
127 FL-Miami 65,951 5,622 60,329 65.5 64.9 66.1 59.7 57.6 61.7 65.9 65.3 66.6
129 FL-Ocala 43,107 1,394 41,713 83.4 82.6 84.3 78.9 74.3 83.6 83.9 83.0 84.8
130 FL-Orlando 141,590 8,438 133,152 79.3 78.9 79.8 74.2 72.3 76.0 79.8 79.3 80.3
131 FL-Ormond Beach 19,658 1,050 18,608 83.2 81.9 84.5 80.8 75.3 86.3 83.5 82.2 84.8
133 FL-Panama City 10,622 690 9,932 81.6 79.9 83.4 72.9 66.5 79.2 82.3 80.5 84.1
134 FL-Pensacola 34,996 2,915 32,081 81.6 80.6 82.5 79.7 76.5 82.9 81.7 80.7 82.7
137 FL-Sarasota 34,313 576 33,737 82.8 81.9 83.8 75.2 68.1 82.3 83.4 82.5 84.4
139 FL-St. Petersburg 16,740 959 15,781 73.9 72.6 75.2 69.0 63.7 74.2 74.4 73.0 75.7
140 FL-Tallahassee 26,937 5,488 21,449 80.6 79.5 81.7 74.6 72.3 76.9 80.8 79.6 82.0
141 FL-Tampa 33,839 2,183 31,656 76.2 75.2 77.1 70.1 66.6 73.6 76.7 75.7 77.6
142 GA-Albany 8,207 2,391 5,816 84.8 82.8 86.8 82.4 78.8 86.0 83.3 80.9 85.6
144 GA-Atlanta 159,152 23,697 135,455 78.9 78.5 79.4 70.3 69.3 71.4 79.8 79.3 80.2
145 GA-Augusta 25,613 5,794 19,819 73.4 72.4 74.5 71.0 68.8 73.1 72.7 71.5 73.9
146 GA-Columbus 12,350 3,117 9,233 81.5 79.9 83.1 77.4 74.3 80.5 80.9 79.1 82.8
147 GA-Macon 28,437 6,554 21,883 81.0 80.0 82.1 74.2 72.1 76.3 81.5 80.3 82.7
148 GA-Rome 12,263 738 11,525 83.5 81.9 85.1 78.5 72.1 84.9 84.0 82.3 85.7
149 GA-Savannah 32,638 6,264 26,374 80.4 79.4 81.3 74.0 71.9 76.2 80.7 79.6 81.8
150 HI-Honolulu 34,642 241 34,401 75.8 74.9 76.7 62.9 52.7 73.0 76.4 75.5 77.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2006-07) (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 25,053 77.4 76.3 78.4
152 ID-Idaho Falls 7,440 78.5 76.5 80.5
154 IL-Aurora 7,334 319 7,015 75.7 73.7 77.6 73.5 64.1 82.9 76.0 74.0 78.0
155 IL-Blue Island 36,572 5,646 30,926 75.3 74.4 76.1 65.3 63.2 67.4 76.4 75.4 77.3
156 IL-Chicago 73,314 26,220 47,094 67.7 67.1 68.3 59.5 58.6 60.5 69.3 68.5 70.0
158 IL-Elgin 23,027 221 22,806 77.2 76.1 78.4 63.9 53.3 74.5 77.9 76.7 79.0
161 IL-Evanston 47,049 833 46,216 76.3 75.5 77.1 65.5 60.0 71.0 76.9 76.1 77.7
163 IL-Hinsdale 15,570 359 15,211 74.4 73.0 75.7 68.6 60.0 77.1 74.9 73.5 76.3
164 IL-Joliet 24,098 1,268 22,830 76.2 75.1 77.3 70.0 65.4 74.6 76.7 75.5 77.8
166 IL-Melrose Park 47,971 2,223 45,748 74.8 74.1 75.6 68.6 65.1 72.0 75.4 74.6 76.2
170 IL-Peoria 31,375 722 30,653 79.7 78.7 80.7 74.5 68.2 80.9 80.2 79.2 81.2
171 IL-Rockford 31,464 696 30,768 81.0 80.0 82.0 80.2 73.5 86.8 81.4 80.4 82.4
172 IL-Springfield 46,310 1,035 45,275 84.8 83.9 85.6 79.0 73.6 84.4 85.3 84.5 86.2
173 IL-Urbana 18,063 613 17,450 80.8 79.5 82.1 78.4 71.3 85.4 81.2 79.9 82.6
175 IL-Bloomington 6,901 83.4 81.2 85.5
179 IN-Evansville 33,540 602 32,938 83.3 82.3 84.3 74.6 67.7 81.5 83.9 82.9 84.9
180 IN-Fort Wayne 32,877 751 32,126 79.8 78.9 80.8 72.5 66.4 78.6 80.4 79.4 81.4
181 IN-Gary 23,298 3,932 19,366 79.1 77.9 80.2 72.9 70.2 75.5 79.4 78.2 80.7
183 IN-Indianapolis 112,146 6,810 105,336 81.0 80.5 81.6 73.9 71.9 76.0 81.6 81.1 82.2
184 IN-Lafayette 7,250 80.3 78.2 82.3
185 IN-Muncie 8,757 253 8,504 84.3 82.4 86.2 75.6 64.8 86.3 85.0 83.0 86.9
186 IN-Munster 14,169 1,397 12,772 73.4 72.0 74.8 68.6 64.3 73.0 73.8 72.3 75.3
187 IN-South Bend 28,204 1,058 27,146 81.0 80.0 82.1 77.6 72.3 82.9 81.5 80.4 82.5
188 IN-Terre Haute 8,882 81.7 79.9 83.6
190 IA-Cedar Rapids 12,435 82.0 80.4 83.6
191 IA-Davenport 23,716 471 23,245 79.9 78.8 81.1 71.7 64.0 79.3 80.6 79.4 81.7
192 IA-Des Moines 48,262 495 47,767 82.3 81.5 83.1 74.2 66.6 81.8 82.9 82.1 83.7
193 IA-Dubuque 5,156 81.1 78.7 83.6
194 IA-Iowa City 14,061 82.8 81.3 84.3
195 IA-Mason City 9,298 83.3 81.4 85.1
196 IA-Sioux City 12,418 84.2 82.6 85.8
197 IA-Waterloo 9,506 224 9,282 86.8 84.9 88.7 89.3 77.0 101.6 87.2 85.3 89.1
200 KS-Topeka 20,550 595 19,955 84.5 83.3 85.8 77.4 70.4 84.5 85.1 83.8 86.4
201 KS-Wichita 61,152 1,361 59,791 85.8 85.1 86.6 78.0 73.3 82.7 86.5 85.7 87.2
203 KY-Covington 12,985 81.8 80.2 83.3
204 KY-Lexington 61,068 1,922 59,146 81.6 80.9 82.3 75.5 71.6 79.4 82.2 81.4 82.9
205 KY-Louisville 70,690 4,354 66,336 82.0 81.3 82.7 77.6 75.0 80.3 82.4 81.7 83.1
207 KY-Owensboro 7,274 86.3 84.2 88.5
208 KY-Paducah 21,543 677 20,866 82.6 81.3 83.8 79.7 73.0 86.4 83.0 81.8 84.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2006-07) (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 13,259 2,403 10,856 78.3 76.8 79.8 77.1 73.6 80.7 77.5 75.9 79.2
210 LA-Baton Rouge 24,214 5,844 18,370 78.7 77.6 79.9 74.9 72.7 77.1 78.3 77.0 79.5
212 LA-Houma 9,545 1,016 8,529 76.3 74.5 78.1 72.9 67.7 78.2 76.4 74.6 78.3
213 LA-Lafayette 24,574 4,826 19,748 78.7 77.6 79.9 78.7 76.2 81.2 77.6 76.4 78.8
214 LA-Lake Charles 10,778 1,715 9,063 82.1 80.4 83.8 80.8 76.5 85.0 81.6 79.7 83.4
216 LA-Metairie 13,597 1,389 12,208 71.8 70.4 73.2 67.2 62.9 71.5 72.1 70.6 73.6
217 LA-Monroe 12,738 2,753 9,985 84.1 82.5 85.7 84.0 80.5 87.4 82.6 80.9 84.4
218 LA-New Orleans 11,011 3,682 7,329 67.8 66.2 69.3 61.7 59.2 64.2 68.2 66.3 70.1
219 LA-Shreveport 30,457 7,320 23,137 79.7 78.7 80.7 73.0 71.0 74.9 80.2 79.0 81.3
220 LA-Slidell 5,865 446 5,419 73.0 70.8 75.2 73.4 65.4 81.3 72.9 70.7 75.2
221 ME-Bangor 23,311 81.9 80.7 83.1
222 ME-Portland 52,970 78.6 77.9 79.4
223 MD-Baltimore 96,420 18,971 77,449 79.8 79.2 80.4 71.6 70.4 72.8 80.6 80.0 81.2
225 MD-Salisbury 25,714 2,907 22,807 83.0 81.9 84.1 79.4 76.2 82.7 83.1 81.9 84.3
226 MD-Takoma Park 25,242 5,874 19,368 68.6 67.6 69.7 61.3 59.3 63.3 69.5 68.3 70.7
227 MA-Boston 177,286 6,141 171,145 74.9 74.5 75.3 71.9 69.8 74.0 75.3 74.9 75.8
230 MA-Springfield 29,036 1,104 27,932 82.2 81.2 83.2 77.4 72.2 82.6 82.7 81.6 83.8
231 MA-Worcester 18,098 246 17,852 77.2 75.9 78.5 72.1 61.5 82.8 77.7 76.4 79.0
232 MI-Ann Arbor 51,539 2,989 48,550 81.1 80.3 81.9 74.6 71.5 77.7 81.6 80.8 82.4
233 MI-Dearborn 22,764 670 22,094 82.3 81.2 83.5 68.0 61.8 74.2 83.2 82.0 84.4
234 MI-Detroit 71,235 22,292 48,943 79.2 78.5 79.8 70.6 69.5 71.7 80.4 79.6 81.2
235 MI-Flint 23,757 2,749 21,008 83.7 82.6 84.9 82.0 78.6 85.4 83.6 82.4 84.8
236 MI-Grand Rapids 37,097 986 36,111 82.7 81.8 83.7 77.3 71.8 82.8 83.3 82.3 84.2
238 MI-Kalamazoo 27,422 1,114 26,308 81.8 80.7 82.9 79.2 74.0 84.5 82.2 81.1 83.3
239 MI-Lansing 26,549 837 25,712 82.9 81.8 84.0 78.0 72.0 84.0 83.4 82.3 84.5
240 MI-Marquette 10,932 78.8 77.1 80.5
242 MI-Muskegon 11,289 587 10,702 85.8 84.1 87.5 83.6 76.3 91.0 86.1 84.3 87.9
243 MI-Petoskey 10,315 85.3 83.5 87.1
244 MI-Pontiac 16,435 1,083 15,352 79.1 77.8 80.5 73.1 68.0 78.2 79.6 78.2 81.0
245 MI-Royal Oak 29,924 2,597 27,327 80.7 79.7 81.7 74.3 71.0 77.6 81.2 80.2 82.3
246 MI-Saginaw 37,821 1,352 36,469 81.9 81.0 82.8 83.1 78.2 87.9 82.1 81.2 83.1
248 MI-St. Joseph 7,149 764 6,385 80.9 78.8 83.0 78.2 72.0 84.5 80.9 78.7 83.2
249 MI-Traverse City 13,937 86.8 85.2 88.3
250 MN-Duluth 16,246 79.6 78.2 81.0
251 MN-Minneapolis 86,754 798 85,956 77.3 76.7 77.8 72.7 66.7 78.6 77.8 77.2 78.4
253 MN-Rochester 18,850 78.9 77.6 80.1
254 MN-St. Cloud 7,726 78.6 76.6 80.6
256 MN-St. Paul 24,402 379 24,023 76.5 75.4 77.5 73.2 64.5 81.9 77.0 75.9 78.1
257 MS-Gulfport 7,113 893 6,220 70.3 68.4 72.3 71.4 65.8 76.9 69.8 67.7 71.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2006-07) (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 13,265 2,230 11,035 84.2 82.6 85.8 81.4 77.7 85.2 83.8 82.1 85.5
259 MS-Jackson 41,677 11,971 29,706 82.4 81.5 83.3 78.0 76.4 79.6 81.7 80.7 82.8
260 MS-Meridian 9,614 2,508 7,106 79.7 77.9 81.5 77.9 74.4 81.3 78.3 76.3 80.4
261 MS-Oxford 6,167 1,376 4,791 83.5 81.2 85.8 82.3 77.5 87.0 82.4 79.8 84.9
262 MS-Tupelo 17,048 2,337 14,711 83.6 82.3 85.0 79.8 76.2 83.5 83.7 82.2 85.1
263 MO-Cape Girardeau 14,089 639 13,450 86.2 84.7 87.7 84.5 77.4 91.6 86.5 85.0 88.1
264 MO-Columbia 33,424 745 32,679 80.3 79.4 81.3 75.6 69.4 81.8 80.9 79.9 81.8
267 MO-Joplin 19,130 83.1 81.8 84.4
268 MO-Kansas City 86,474 5,380 81,094 81.9 81.3 82.5 73.8 71.5 76.1 82.5 81.9 83.1
270 MO-Springfield 38,105 83.9 83.0 84.8
273 MO-St. Louis 125,475 10,672 114,803 80.2 79.7 80.7 70.4 68.8 72.0 81.0 80.5 81.5
274 MT-Billings 25,205 80.4 79.3 81.5
275 MT-Great Falls 7,099 82.4 80.3 84.6
276 MT-Missoula 17,291 74.6 73.4 75.9
277 NE-Lincoln 27,562 86.5 85.4 87.6
278 NE-Omaha 53,196 1,218 51,978 83.0 82.3 83.8 74.4 69.6 79.3 83.7 82.9 84.5
279 NV-Las Vegas 43,023 2,900 40,123 73.5 72.7 74.3 69.0 65.9 72.0 73.9 73.0 74.7
280 NV-Reno 26,489 256 26,233 74.6 73.6 75.6 70.0 59.7 80.4 75.1 74.1 76.2
281 NH-Lebanon 22,110 73.9 72.8 75.0
282 NH-Manchester 36,036 76.9 76.0 77.8
283 NJ-Camden 128,437 9,686 118,751 75.7 75.2 76.1 69.8 68.1 71.4 76.1 75.6 76.6
284 NJ-Hackensack 51,944 2,413 49,531 63.4 62.8 64.1 60.7 57.6 63.8 63.8 63.1 64.5
285 NJ-Morristown 41,568 2,001 39,567 70.0 69.2 70.8 62.4 59.0 65.9 70.6 69.7 71.4
288 NJ-New Brunswick 38,289 2,053 36,236 66.3 65.5 67.1 65.9 62.3 69.4 66.5 65.7 67.3
289 NJ-Newark 50,692 11,648 39,044 65.3 64.6 66.0 60.9 59.5 62.3 65.3 64.5 66.1
291 NJ-Paterson 15,184 1,278 13,906 67.9 66.6 69.2 62.4 58.1 66.7 68.3 67.0 69.7
292 NJ-Ridgewood 16,775 704 16,071 67.8 66.5 69.0 61.4 55.6 67.2 68.3 67.0 69.5
293 NM-Albuquerque 48,846 495 48,351 76.3 75.6 77.1 71.2 63.7 78.6 76.9 76.1 77.7
295 NY-Albany 78,680 2,058 76,622 78.0 77.4 78.6 68.5 64.9 72.1 78.7 78.0 79.3
296 NY-Binghamton 19,849 79.5 78.3 80.8
297 NY-Bronx 25,144 7,218 17,926 60.6 59.7 61.6 53.7 52.0 55.4 61.7 60.5 62.8
299 NY-Buffalo 38,775 2,959 35,816 77.5 76.7 78.4 66.0 63.1 68.9 78.5 77.6 79.4
300 NY-Elmira 16,552 332 16,220 80.5 79.1 81.8 73.2 64.0 82.5 81.1 79.7 82.5
301 NY-East Long Island 158,830 12,692 146,138 69.5 69.1 69.9 57.5 56.2 58.8 70.5 70.1 70.9
303 NY-Manhattan 132,267 20,296 111,971 62.7 62.3 63.2 52.7 51.7 53.7 64.0 63.5 64.4
304 NY-Rochester 29,380 1,544 27,836 80.4 79.4 81.4 74.8 70.5 79.1 80.9 79.9 82.0
307 NY-Syracuse 46,072 1,126 44,946 82.2 81.4 83.0 78.0 72.8 83.1 82.7 81.9 83.6
308 NY-White Plains 43,415 3,772 39,643 64.3 63.6 65.1 62.9 60.4 65.4 64.4 63.6 65.2
309 NC-Asheville 36,963 750 36,213 81.9 81.0 82.8 72.0 65.9 78.1 82.6 81.6 83.5
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2006-07) (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 81,234 10,143 71,091 83.7 83.1 84.3 79.4 77.6 81.1 83.9 83.2 84.5
312 NC-Durham 53,247 10,455 42,792 84.0 83.2 84.8 79.4 77.7 81.1 83.9 83.0 84.8
313 NC-Greensboro 19,046 2,495 16,551 80.8 79.5 82.1 72.7 69.3 76.0 81.5 80.2 82.9
314 NC-Greenville 36,503 8,895 27,608 86.0 85.1 87.0 83.2 81.3 85.1 85.1 84.0 86.2
315 NC-Hickory 13,236 523 12,713 84.6 83.1 86.2 81.6 73.9 89.4 85.1 83.5 86.7
318 NC-Raleigh 60,017 12,789 47,228 83.2 82.4 83.9 78.6 77.0 80.1 83.0 82.2 83.8
319 NC-Wilmington 20,616 3,083 17,533 88.0 86.7 89.3 85.2 81.9 88.4 87.8 86.4 89.2
320 NC-Winston-Salem 38,506 3,024 35,482 81.9 81.0 82.8 71.0 68.0 74.0 82.8 81.8 83.7
321 ND-Bismarck 11,435 80.9 79.3 82.6
322 ND-Fargo/Moorhead MN 22,814 85.1 83.9 86.3
323 ND-Grand Forks 7,511 84.1 82.1 86.2
324 ND-Minot 6,634 83.5 81.4 85.7
325 OH-Akron 24,349 1,769 22,580 81.0 79.8 82.1 74.0 70.0 78.0 81.5 80.3 82.7
326 OH-Canton 25,310 835 24,475 78.7 77.7 79.8 76.0 70.1 81.9 79.2 78.1 80.3
327 OH-Cincinnati 57,034 4,819 52,215 81.1 80.4 81.9 75.1 72.7 77.6 81.6 80.8 82.4
328 OH-Cleveland 87,684 10,649 77,035 78.2 77.6 78.8 72.5 70.9 74.1 78.6 78.0 79.2
329 OH-Columbus 110,415 5,675 104,740 81.7 81.2 82.3 78.3 76.0 80.6 82.1 81.6 82.7
330 OH-Dayton 47,100 4,046 43,054 80.7 79.9 81.5 73.8 71.2 76.5 81.3 80.4 82.1
331 OH-Elyria 11,356 487 10,869 76.1 74.5 77.7 66.1 58.9 73.3 76.8 75.2 78.5
332 OH-Kettering 17,076 550 16,526 82.0 80.7 83.4 77.4 70.1 84.8 82.5 81.1 83.9
334 OH-Toledo 41,363 2,221 39,142 81.1 80.2 81.9 76.3 72.7 80.0 81.5 80.6 82.4
335 OH-Youngstown 29,567 1,812 27,755 83.2 82.1 84.2 77.8 73.7 81.9 83.6 82.5 84.7
336 OK-Lawton 8,652 507 8,145 77.4 75.5 79.2 71.5 64.1 78.9 77.9 75.9 79.8
339 OK-Oklahoma City 73,377 2,795 70,582 78.0 77.4 78.7 67.0 64.0 70.0 78.8 78.1 79.4
340 OK-Tulsa 49,124 2,031 47,093 80.5 79.7 81.3 71.3 67.6 75.0 81.1 80.3 81.9
341 OR-Bend 7,682 79.1 77.1 81.0
342 OR-Eugene 25,026 77.3 76.2 78.4
343 OR-Medford 20,373 82.4 81.2 83.7
344 OR-Portland 53,660 628 53,032 77.4 76.6 78.1 69.3 62.7 75.8 77.9 77.2 78.7
345 OR-Salem 5,721 79.1 76.8 81.4
346 PA-Allentown 54,072 798 53,274 80.5 79.8 81.3 74.2 68.2 80.2 81.1 80.3 81.8
347 PA-Altoona 11,718 79.7 78.1 81.3
350 PA-Danville 23,096 82.5 81.4 83.7
351 PA-Erie 33,208 377 32,831 79.8 78.9 80.8 73.3 64.6 81.9 80.4 79.4 81.4
352 PA-Harrisburg 45,786 1,323 44,463 83.7 82.8 84.5 77.6 72.8 82.3 84.2 83.4 85.1
354 PA-Johnstown 6,596 80.1 77.9 82.2
355 PA-Lancaster 27,069 609 26,460 82.1 81.1 83.2 66.6 60.1 73.1 82.9 81.8 84.0
356 PA-Philadelphia 109,809 16,054 93,755 73.1 72.6 73.6 61.9 60.6 63.1 74.4 73.8 74.9
357 PA-Pittsburgh 84,885 3,773 81,112 73.6 73.0 74.2 62.0 59.5 64.5 74.3 73.8 74.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2006-07) (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 24,541 384 24,157 80.7 79.6 81.9 74.2 65.6 82.8 81.3 80.2 82.5
359 PA-Sayre 10,190 82.1 80.3 83.8
360 PA-Scranton 17,002 79.4 78.1 80.8
362 PA-Wilkes-Barre 13,796 77.6 76.2 79.1
363 PA-York 19,092 326 18,766 86.1 84.8 87.4 76.5 66.9 86.1 86.8 85.5 88.1
364 RI-Providence 35,251 870 34,381 79.0 78.1 79.9 73.2 67.5 78.9 79.5 78.6 80.5
365 SC-Charleston 43,353 7,888 35,465 85.0 84.2 85.9 80.3 78.3 82.2 85.0 84.0 86.0
366 SC-Columbia 46,394 11,375 35,019 83.9 83.1 84.8 80.5 78.9 82.2 83.2 82.2 84.1
367 SC-Florence 15,964 5,302 10,662 88.3 86.9 89.8 83.8 81.4 86.3 87.2 85.5 89.0
368 SC-Greenville 36,422 3,157 33,265 84.3 83.4 85.3 77.8 74.7 80.8 84.8 83.8 85.8
369 SC-Spartanburg 15,645 1,595 14,050 81.3 79.9 82.7 74.4 70.2 78.6 81.9 80.4 83.4
370 SD-Rapid City 9,564 79.4 77.6 81.2
371 SD-Sioux Falls 41,463 84.0 83.1 84.9
373 TN-Chattanooga 28,828 1,794 27,034 82.8 81.7 83.8 78.0 73.9 82.1 83.2 82.1 84.3
374 TN-Jackson 17,314 1,811 15,503 84.0 82.6 85.4 81.1 77.0 85.3 84.0 82.6 85.5
375 TN-Johnson City 10,957 77.5 75.8 79.1
376 TN-Kingsport 20,225 202 20,023 83.2 81.9 84.4 78.3 66.1 90.6 83.8 82.5 85.0
377 TN-Knoxville 52,710 1,324 51,386 82.6 81.8 83.4 80.9 76.1 85.8 83.1 82.3 83.8
379 TN-Memphis 62,341 15,619 46,722 79.5 78.8 80.3 74.7 73.4 76.1 79.3 78.5 80.1
380 TN-Nashville 91,798 5,767 86,031 81.9 81.3 82.4 74.0 71.8 76.3 82.5 81.9 83.1
382 TX-Abilene 15,720 373 15,347 81.9 80.5 83.3 75.1 66.3 83.9 82.5 81.1 83.9
383 TX-Amarillo 19,251 337 18,914 77.0 75.8 78.2 77.6 68.2 86.9 77.4 76.2 78.7
385 TX-Austin 40,064 2,086 37,978 79.6 78.7 80.4 73.1 69.5 76.8 80.1 79.2 81.0
386 TX-Beaumont 19,497 2,789 16,708 82.2 81.0 83.5 80.9 77.5 84.2 81.8 80.5 83.2
388 TX-Bryan 7,505 908 6,597 82.0 80.0 84.1 76.7 71.0 82.4 82.3 80.1 84.5
390 TX-Corpus Christi 17,841 428 17,413 80.6 79.3 81.9 70.6 62.5 78.6 81.3 79.9 82.6
391 TX-Dallas 121,127 10,971 110,156 79.3 78.8 79.8 72.6 71.0 74.2 79.8 79.3 80.3
393 TX-El Paso 32,699 730 31,969 70.2 69.3 71.1 60.8 55.1 66.5 70.8 69.9 71.7
394 TX-Fort Worth 51,833 3,091 48,742 80.2 79.4 81.0 73.3 70.3 76.3 80.8 80.0 81.6
396 TX-Harlingen 17,067 80.1 78.7 81.4
397 TX-Houston 147,562 18,182 129,380 74.6 74.2 75.1 70.0 68.8 71.2 74.9 74.4 75.4
399 TX-Longview 9,308 1,067 8,241 85.6 83.8 87.5 81.4 76.0 86.8 85.8 83.8 87.8
400 TX-Lubbock 28,422 1,047 27,375 76.1 75.1 77.1 71.2 66.1 76.3 76.6 75.5 77.6
402 TX-McAllen 17,168 81.5 80.1 82.8
406 TX-Odessa 13,170 484 12,686 73.5 72.0 74.9 65.8 58.6 73.1 74.1 72.6 75.6
411 TX-San Angelo 7,930 82.4 80.4 84.4
412 TX-San Antonio 76,002 2,893 73,109 73.4 72.8 74.1 63.2 60.3 66.1 74.1 73.5 74.8
413 TX-Temple 9,818 996 8,822 77.3 75.6 79.0 71.4 66.1 76.7 77.7 75.9 79.6
416 TX-Tyler 28,725 2,779 25,946 82.5 81.5 83.6 78.5 75.2 81.9 82.8 81.7 83.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2006-07) (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 7,846 412 7,434 83.8 81.8 85.8 79.8 71.2 88.4 84.2 82.1 86.3
418 TX-Waco 13,491 1,384 12,107 80.4 78.9 81.9 76.0 71.4 80.5 80.7 79.1 82.3
420 TX-Wichita Falls 10,922 460 10,462 81.9 80.3 83.6 74.9 67.0 82.8 82.5 80.8 84.3
421 UT-Ogden 11,039 81.0 79.3 82.7
422 UT-Provo 9,973 77.2 75.5 78.9
423 UT-Salt Lake City 50,802 76.7 75.9 77.4
424 VT-Burlington 29,592 81.1 80.1 82.1
426 VA-Arlington 51,334 3,597 47,737 72.3 71.6 73.1 65.8 63.1 68.4 72.9 72.1 73.6
427 VA-Charlottesville 25,533 1,855 23,678 82.8 81.7 83.9 78.6 74.5 82.6 83.1 82.0 84.3
428 VA-Lynchburg 12,187 1,641 10,546 85.3 83.7 87.0 80.5 76.2 84.9 85.5 83.7 87.3
429 VA-Newport News 22,429 4,597 17,832 82.7 81.5 83.9 73.3 70.8 75.7 83.8 82.5 85.2
430 VA-Norfolk 44,515 9,992 34,523 86.2 85.4 87.1 82.3 80.5 84.1 85.8 84.8 86.7
431 VA-Richmond 63,784 13,589 50,195 82.4 81.7 83.1 76.6 75.1 78.0 82.6 81.8 83.4
432 VA-Roanoke 35,550 1,845 33,705 80.6 79.7 81.6 76.1 72.2 80.1 81.1 80.1 82.0
435 VA-Winchester 17,848 533 17,315 77.8 76.5 79.1 74.5 67.1 81.8 78.3 77.0 79.6
437 WA-Everett 18,647 81.1 79.8 82.4
438 WA-Olympia 13,535 79.6 78.1 81.1
439 WA-Seattle 82,950 1,892 81,058 77.4 76.8 78.0 69.5 65.7 73.2 78.0 77.4 78.6
440 WA-Spokane 60,943 264 60,679 81.4 80.7 82.1 76.9 66.2 87.6 82.0 81.3 82.7
441 WA-Tacoma 23,225 923 22,302 74.3 73.2 75.4 55.9 51.0 60.7 75.3 74.2 76.4
442 WA-Yakima 10,403 83.4 81.7 85.2
443 WV-Charleston 40,761 884 39,877 81.6 80.7 82.5 75.9 70.2 81.7 82.2 81.3 83.1
444 WV-Huntington 17,771 209 17,562 77.9 76.6 79.2 72.4 60.9 83.9 78.5 77.2 79.8
445 WV-Morgantown 17,955 80.3 79.0 81.6
446 WI-Appleton 10,681 79.1 77.4 80.7
447 WI-Green Bay 21,445 78.9 77.7 80.0
448 WI-La Crosse 13,030 82.7 81.2 84.3
449 WI-Madison 40,127 356 39,771 81.5 80.6 82.4 81.9 72.5 91.3 82.0 81.2 82.9
450 WI-Marshfield 16,621 79.1 77.7 80.4
451 WI-Milwaukee 95,217 5,258 89,959 80.4 79.8 81.0 76.3 73.9 78.6 80.8 80.2 81.4
452 WI-Neenah 8,540 70.4 68.6 72.2
456 WI-Wausau 8,893 81.9 80.0 83.8
457 WY-Casper 9,601 77.3 75.6 79.1
999 US-United States 10,395,111 780,253 9,614,858 78.2 71.1 78.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of diabetic Medicare enrollees age
65-75 (2006-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 11,597 2,203 9,394 80.2 78.6 81.8 78.9 75.1 82.6 80.5 78.7 82.3
2 AL-Dothan 2,654 580 2,074 82.6 79.1 86.0 84.7 77.2 92.2 82.0 78.1 85.9
5 AL-Huntsville 3,434 468 2,966 80.5 77.5 83.5 76.5 68.6 84.4 81.1 77.9 84.3
6 AL-Mobile 3,806 938 2,868 77.1 74.3 79.9 74.5 69.0 80.0 77.9 74.7 81.2
7 AL-Montgomery 2,188 778 1,410 78.1 74.4 81.8 77.9 71.7 84.1 78.2 73.6 82.8
9 AL-Tuscaloosa 1,444 503 941 76.1 71.6 80.6 80.1 72.3 87.9 74.0 68.5 79.5
10 AK-Anchorage 1,720 69.4 65.4 73.3
11 AZ-Mesa 2,515 80.8 77.3 84.3
12 AZ-Phoenix 7,706 255 7,451 73.7 71.8 75.6 74.9 64.3 85.5 73.7 71.7 75.6
14 AZ-Sun City 1,451 83.7 79.0 88.5
15 AZ-Tucson 2,973 77.4 74.3 80.6
16 AR-Fort Smith 1,845 72.5 68.6 76.4
18 AR-Jonesboro 1,342 77.1 72.4 81.8
19 AR-Little Rock 7,879 1,292 6,587 79.4 77.5 81.4 78.6 73.7 83.4 79.6 77.5 81.8
21 AR-Springdale 1,645 78.2 73.9 82.5
22 AR-Texarkana 1,367 261 1,106 76.3 71.7 80.9 71.3 61.0 81.5 77.5 72.3 82.7
23 CA-Orange County 6,086 80.0 77.7 82.2
25 CA-Bakersfield 3,143 77.5 74.4 80.6
31 CA-Chico 1,624 80.3 75.9 84.7
33 CA-Contra Costa County 1,797 77.0 72.9 81.0
43 CA-Fresno 3,625 216 3,409 79.7 76.8 82.6 76.9 65.2 88.5 79.9 76.9 82.9
56 CA-Los Angeles 21,271 2,430 18,841 72.6 71.4 73.7 67.6 64.3 70.8 73.2 72.0 74.4
58 CA-Modesto 2,823 74.3 71.1 77.5
62 CA-Napa 1,004 80.5 74.9 86.0
65 CA-Alameda County 2,678 559 2,119 76.5 73.2 79.8 64.2 57.6 70.9 79.8 76.0 83.6
69 CA-Palm Springs/Rancho Mirage 1,157 77.6 72.5 82.7
73 CA-Redding 1,619 78.9 74.6 83.2
77 CA-Sacramento 5,303 311 4,992 81.6 79.2 84.0 78.5 68.6 88.3 81.8 79.3 84.3
78 CA-Salinas 1,513 82.0 77.5 86.6
79 CA-San Bernardino 4,787 497 4,290 73.6 71.2 76.0 66.4 59.2 73.6 74.4 71.9 77.0
80 CA-San Diego 7,129 392 6,737 79.3 77.3 81.4 73.0 64.5 81.4 79.7 77.6 81.8
81 CA-San Francisco 2,837 362 2,475 78.9 75.7 82.2 76.5 67.5 85.5 79.3 75.8 82.8
82 CA-San Jose 3,272 81.0 77.9 84.1
83 CA-San Luis Obispo 932 86.9 80.9 92.9
85 CA-San Mateo County 1,250 79.3 74.3 84.2
86 CA-Santa Barbara 1,289 84.3 79.3 89.3
87 CA-Santa Cruz 670 74.3 67.8 80.9
89 CA-Santa Rosa 929 80.7 75.0 86.5
91 CA-Stockton 1,456 71.7 67.4 76.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of diabetic Medicare enrollees age
65-75 (2006-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 2,191 79.7 76.0 83.5
101 CO-Boulder 366 84.4 75.0 93.8
102 CO-Colorado Springs 2,262 74.1 70.5 77.6
103 CO-Denver 4,035 282 3,753 81.5 78.7 84.3 75.9 65.7 86.1 81.9 79.0 84.8
104 CO-Fort Collins 796 82.3 76.0 88.6
105 CO-Grand Junction 698 82.1 75.4 88.8
106 CO-Greeley 1,020 82.9 77.4 88.5
107 CO-Pueblo 746 84.5 77.9 91.0
109 CT-Bridgeport 2,206 404 1,802 81.8 78.1 85.6 80.2 71.5 88.9 82.2 78.0 86.4
110 CT-Hartford 6,615 640 5,975 86.1 83.8 88.3 83.4 76.4 90.5 86.4 84.0 88.7
111 CT-New Haven 5,874 609 5,265 82.6 80.3 85.0 78.3 71.3 85.4 83.1 80.7 85.6
112 DE-Wilmington 4,029 928 3,101 79.1 76.3 81.8 77.7 72.0 83.4 79.5 76.3 82.6
113 DC-Washington 9,482 3,602 5,880 80.9 79.1 82.7 76.4 73.6 79.3 83.6 81.3 86.0
115 FL-Bradenton 1,341 82.1 77.3 87.0
116 FL-Clearwater 1,822 84.9 80.6 89.1
118 FL-Fort Lauderdale 8,512 1,004 7,508 84.8 82.8 86.7 82.9 77.2 88.5 85.0 82.9 87.1
119 FL-Fort Myers 6,139 315 5,824 84.2 81.9 86.5 81.6 71.6 91.6 84.3 82.0 86.7
120 FL-Gainesville 3,085 500 2,585 78.8 75.6 81.9 76.6 68.9 84.3 79.2 75.8 82.6
122 FL-Hudson 2,194 84.0 80.1 87.8
123 FL-Jacksonville 7,101 1,383 5,718 79.7 77.6 81.7 78.4 73.7 83.1 80.0 77.6 82.3
124 FL-Lakeland 1,766 84.0 79.8 88.3
127 FL-Miami 7,645 1,088 6,557 80.8 78.8 82.8 75.5 70.3 80.6 81.7 79.5 83.8
129 FL-Ocala 5,098 268 4,830 85.4 82.9 88.0 82.1 71.2 92.9 85.6 83.0 88.2
130 FL-Orlando 16,892 1,853 15,039 82.0 80.6 83.3 79.6 75.5 83.6 82.3 80.8 83.7
131 FL-Ormond Beach 2,104 229 1,875 83.5 79.6 87.4 85.6 73.6 97.6 83.2 79.1 87.3
133 FL-Panama City 1,367 75.0 70.4 79.6
134 FL-Pensacola 4,699 667 4,032 80.6 78.1 83.2 83.5 76.6 90.5 80.2 77.4 82.9
137 FL-Sarasota 2,467 84.5 80.9 88.1
139 FL-St. Petersburg 1,545 205 1,340 80.7 76.2 85.2 83.9 71.4 96.4 80.2 75.4 85.0
140 FL-Tallahassee 3,558 1,055 2,503 81.1 78.2 84.1 80.4 75.0 85.8 81.4 77.9 85.0
141 FL-Tampa 3,700 460 3,240 81.4 78.5 84.3 76.3 68.3 84.3 82.2 79.0 85.3
142 GA-Albany 1,093 417 676 76.1 71.0 81.3 74.6 66.3 82.9 77.1 70.5 83.7
144 GA-Atlanta 19,088 4,270 14,818 83.1 81.8 84.4 81.4 78.7 84.1 83.6 82.1 85.0
145 GA-Augusta 3,373 1,108 2,265 78.1 75.1 81.0 75.9 70.8 81.0 79.1 75.5 82.8
146 GA-Columbus 1,714 614 1,100 77.3 73.1 81.4 78.2 71.2 85.2 76.7 71.6 81.9
147 GA-Macon 4,239 1,303 2,936 80.0 77.3 82.7 78.7 73.8 83.5 80.6 77.4 83.9
148 GA-Rome 1,649 84.2 79.8 88.7
149 GA-Savannah 4,072 1,277 2,795 82.4 79.6 85.2 81.9 77.0 86.9 82.6 79.2 86.0
150 HI-Honolulu 4,032 82.2 79.4 85.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of diabetic Medicare enrollees age
65-75 (2006-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 2,277 81.2 77.5 84.9
152 ID-Idaho Falls 849 77.7 71.8 83.7
154 IL-Aurora 922 85.3 79.3 91.2
155 IL-Blue Island 3,915 1,132 2,783 77.1 74.4 79.9 73.9 68.8 78.9 78.4 75.2 81.7
156 IL-Chicago 8,707 4,223 4,484 70.6 68.8 72.4 65.2 62.8 67.7 75.7 73.1 78.2
158 IL-Elgin 2,459 81.9 78.3 85.5
161 IL-Evanston 3,374 83.4 80.4 86.5
163 IL-Hinsdale 1,356 83.1 78.3 88.0
164 IL-Joliet 2,753 272 2,481 80.1 76.8 83.5 76.5 66.1 86.9 80.5 77.0 84.1
166 IL-Melrose Park 4,610 473 4,137 79.3 76.7 81.9 74.6 66.8 82.4 79.8 77.1 82.5
170 IL-Peoria 3,146 83.6 80.4 86.8
171 IL-Rockford 3,358 84.1 81.0 87.2
172 IL-Springfield 4,794 83.5 80.9 86.1
173 IL-Urbana 1,941 83.8 79.8 87.9
175 IL-Bloomington 691 88.9 81.8 95.9
179 IN-Evansville 3,960 80.9 78.1 83.7
180 IN-Fort Wayne 3,411 83.9 80.8 86.9
181 IN-Gary 2,971 711 2,260 75.4 72.3 78.5 67.5 61.5 73.6 77.9 74.2 81.5
183 IN-Indianapolis 13,564 1,352 12,212 82.0 80.5 83.6 76.0 71.3 80.6 82.7 81.1 84.3
184 IN-Lafayette 786 83.5 77.1 89.9
185 IN-Muncie 1,075 83.1 77.6 88.5
186 IN-Munster 1,682 274 1,408 74.3 70.1 78.4 69.3 59.5 79.2 75.2 70.7 79.7
187 IN-South Bend 2,885 82.1 78.8 85.4
188 IN-Terre Haute 1,044 79.2 73.8 84.6
190 IA-Cedar Rapids 1,198 89.3 84.0 94.7
191 IA-Davenport 2,366 87.0 83.3 90.8
192 IA-Des Moines 4,351 85.6 82.9 88.4
193 IA-Dubuque 468 91.7 83.0 100.3
194 IA-Iowa City 1,351 83.9 79.1 88.8
195 IA-Mason City 785 86.0 79.5 92.5
196 IA-Sioux City 1,184 83.8 78.6 89.0
197 IA-Waterloo 924 80.2 74.4 86.0
200 KS-Topeka 1,999 85.4 81.4 89.5
201 KS-Wichita 5,905 276 5,629 84.7 82.3 87.0 81.9 71.2 92.6 84.8 82.4 87.2
203 KY-Covington 1,664 81.0 76.7 85.3
204 KY-Lexington 8,418 344 8,074 81.6 79.7 83.6 86.1 76.3 95.9 81.5 79.5 83.4
205 KY-Louisville 8,371 818 7,553 82.3 80.4 84.3 83.7 77.5 90.0 82.2 80.1 84.2
207 KY-Owensboro 869 85.2 79.0 91.3
208 KY-Paducah 2,607 80.1 76.6 83.5
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of diabetic Medicare enrollees age
65-75 (2006-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 1,792 443 1,349 76.5 72.5 80.6 77.2 69.0 85.4 76.3 71.6 80.9
210 LA-Baton Rouge 3,248 1,260 1,988 77.8 74.8 80.8 77.4 72.5 82.2 78.1 74.2 82.0
212 LA-Houma 1,398 242 1,156 81.0 76.3 85.7 74.4 63.5 85.3 82.4 77.1 87.6
213 LA-Lafayette 3,223 977 2,246 76.2 73.2 79.2 70.8 65.6 76.1 78.5 74.8 82.2
214 LA-Lake Charles 1,542 344 1,198 80.8 76.3 85.3 79.1 69.7 88.5 81.3 76.2 86.4
216 LA-Metairie 1,529 304 1,225 76.4 72.0 80.8 71.4 61.9 80.9 77.6 72.7 82.6
217 LA-Monroe 1,676 553 1,123 73.3 69.2 77.4 73.6 66.5 80.8 73.1 68.1 78.1
218 LA-New Orleans 1,383 697 686 76.3 71.7 80.9 73.5 67.1 79.8 79.2 72.5 85.8
219 LA-Shreveport 3,766 1,266 2,500 77.6 74.8 80.4 77.0 72.2 81.8 77.9 74.5 81.4
220 LA-Slidell 720 78.5 72.0 84.9
221 ME-Bangor 2,813 86.1 82.7 89.5
222 ME-Portland 5,184 88.5 85.9 91.0
223 MD-Baltimore 10,708 3,359 7,349 81.0 79.3 82.7 78.4 75.4 81.4 82.1 80.1 84.2
225 MD-Salisbury 3,505 637 2,868 81.9 78.9 84.9 79.0 72.1 85.9 82.6 79.3 85.9
226 MD-Takoma Park 2,656 994 1,662 80.4 77.0 83.8 77.6 72.1 83.1 82.1 77.8 86.5
227 MA-Boston 16,367 1,214 15,153 86.2 84.8 87.7 83.8 78.6 88.9 86.4 85.0 87.9
230 MA-Springfield 2,859 86.9 83.4 90.3
231 MA-Worcester 1,700 85.5 81.1 89.9
232 MI-Ann Arbor 5,679 592 5,087 84.3 81.9 86.7 81.1 73.8 88.3 84.7 82.1 87.2
233 MI-Dearborn 2,864 75.6 72.4 78.7
234 MI-Detroit 9,483 3,920 5,563 77.2 75.4 79.0 73.4 70.7 76.1 79.9 77.5 82.2
235 MI-Flint 3,331 645 2,686 84.5 81.4 87.7 79.7 72.8 86.6 85.7 82.2 89.2
236 MI-Grand Rapids 3,924 207 3,717 86.9 84.0 89.9 85.0 72.5 97.6 87.0 84.0 90.0
238 MI-Kalamazoo 3,223 212 3,011 83.5 80.3 86.6 82.1 69.9 94.3 83.6 80.3 86.9
239 MI-Lansing 3,071 86.3 83.0 89.6
240 MI-Marquette 1,216 85.0 79.8 90.1
242 MI-Muskegon 1,214 85.8 80.5 91.0
243 MI-Petoskey 1,254 84.3 79.2 89.4
244 MI-Pontiac 1,866 250 1,616 82.9 78.7 87.0 73.6 63.0 84.2 84.3 79.8 88.8
245 MI-Royal Oak 3,184 507 2,677 82.8 79.6 85.9 82.1 74.2 89.9 82.9 79.4 86.3
246 MI-Saginaw 4,687 301 4,386 84.1 81.5 86.8 81.4 71.2 91.6 84.3 81.6 87.0
248 MI-St. Joseph 897 201 696 83.3 77.3 89.3 83.6 70.9 96.2 83.2 76.4 90.0
249 MI-Traverse City 1,591 87.9 83.3 92.5
250 MN-Duluth 1,552 89.1 84.4 93.8
251 MN-Minneapolis 7,200 87.5 85.3 89.6
253 MN-Rochester 1,489 89.1 84.3 93.9
254 MN-St. Cloud 532 86.3 78.4 94.2
256 MN-St. Paul 2,078 89.0 85.0 93.1
257 MS-Gulfport 898 68.3 62.9 73.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of diabetic Medicare enrollees age
65-75 (2006-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 1,789 449 1,340 79.3 75.2 83.5 82.0 73.6 90.3 78.4 73.7 83.2
259 MS-Jackson 5,123 2,100 3,023 77.5 75.1 79.9 75.3 71.6 79.0 79.0 75.8 82.1
260 MS-Meridian 1,292 461 831 78.7 73.9 83.6 81.1 72.9 89.4 77.4 71.4 83.4
261 MS-Oxford 713 244 469 80.2 73.7 86.8 83.2 71.8 94.7 78.7 70.7 86.7
262 MS-Tupelo 2,094 430 1,664 83.6 79.7 87.5 85.4 76.6 94.1 83.1 78.7 87.5
263 MO-Cape Girardeau 1,798 84.4 80.2 88.7
264 MO-Columbia 3,738 82.5 79.6 85.4
267 MO-Joplin 2,110 79.6 75.8 83.4
268 MO-Kansas City 9,357 1,063 8,294 82.7 80.9 84.6 77.7 72.4 83.0 83.4 81.4 85.3
270 MO-Springfield 4,097 84.2 81.4 87.0
273 MO-St. Louis 14,245 2,077 12,168 81.5 80.0 83.0 76.0 72.2 79.7 82.5 80.8 84.1
274 MT-Billings 2,101 78.0 74.2 81.7
275 MT-Great Falls 676 73.8 67.3 80.3
276 MT-Missoula 1,423 79.1 74.4 83.7
277 NE-Lincoln 2,301 83.6 79.9 87.4
278 NE-Omaha 4,895 232 4,663 84.5 81.9 87.1 81.0 69.5 92.6 84.7 82.1 87.3
279 NV-Las Vegas 5,454 596 4,858 75.1 72.8 77.4 72.7 65.8 79.5 75.4 72.9 77.8
280 NV-Reno 2,279 76.0 72.4 79.6
281 NH-Lebanon 2,070 88.1 84.0 92.1
282 NH-Manchester 3,522 88.3 85.2 91.4
283 NJ-Camden 14,088 1,909 12,179 79.6 78.1 81.0 76.6 72.7 80.6 80.0 78.4 81.6
284 NJ-Hackensack 4,992 439 4,553 78.4 76.0 80.9 77.0 68.8 85.2 78.5 76.0 81.1
285 NJ-Morristown 3,824 365 3,459 80.0 77.2 82.9 77.5 68.5 86.6 80.3 77.3 83.3
288 NJ-New Brunswick 3,903 414 3,489 81.1 78.3 84.0 78.5 70.0 87.0 81.5 78.5 84.5
289 NJ-Newark 6,204 2,334 3,870 74.2 72.1 76.3 70.2 66.8 73.6 76.6 73.8 79.4
291 NJ-Paterson 1,593 257 1,336 77.3 73.0 81.7 73.2 62.7 83.6 78.1 73.4 82.9
292 NJ-Ridgewood 1,507 80.8 76.3 85.4
293 NM-Albuquerque 5,298 66.6 64.4 68.8
295 NY-Albany 7,806 470 7,336 86.1 84.1 88.2 82.6 74.3 90.8 86.3 84.2 88.5
296 NY-Binghamton 1,948 85.0 80.9 89.1
297 NY-Bronx 3,470 1,224 2,246 74.7 71.8 77.6 73.1 68.3 77.9 75.6 72.0 79.2
299 NY-Buffalo 3,909 553 3,356 83.5 80.7 86.4 81.9 74.4 89.5 83.8 80.7 86.9
300 NY-Elmira 1,833 85.5 81.3 89.7
301 NY-East Long Island 14,787 2,141 12,646 81.4 80.0 82.9 75.3 71.7 79.0 82.4 80.9 84.0
303 NY-Manhattan 13,406 3,145 10,261 79.3 77.8 80.8 74.7 71.7 77.7 80.7 78.9 82.4
304 NY-Rochester 2,849 355 2,494 86.7 83.3 90.1 84.2 74.7 93.8 87.1 83.4 90.7
307 NY-Syracuse 5,064 233 4,831 86.4 83.8 89.0 85.4 73.5 97.3 86.4 83.8 89.1
308 NY-White Plains 3,929 759 3,170 80.3 77.5 83.1 78.1 71.8 84.4 80.8 77.6 83.9
309 NC-Asheville 3,609 86.8 83.8 89.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of diabetic Medicare enrollees age
65-75 (2006-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 10,556 2,095 8,461 85.1 83.4 86.9 83.2 79.3 87.1 85.6 83.6 87.6
312 NC-Durham 6,742 2,086 4,656 85.7 83.5 87.9 84.5 80.5 88.4 86.3 83.6 89.0
313 NC-Greensboro 2,075 425 1,650 85.6 81.7 89.6 86.1 77.3 94.9 85.5 81.1 90.0
314 NC-Greenville 5,553 1,961 3,592 84.8 82.3 87.2 85.5 81.4 89.6 84.4 81.4 87.4
315 NC-Hickory 1,811 86.7 82.4 91.0
318 NC-Raleigh 8,388 2,693 5,695 84.3 82.3 86.2 83.9 80.4 87.3 84.4 82.0 86.8
319 NC-Wilmington 2,893 670 2,223 89.6 86.2 93.1 90.0 82.8 97.2 89.5 85.5 93.4
320 NC-Winston-Salem 4,647 606 4,041 85.4 82.7 88.1 82.3 75.1 89.6 85.9 83.0 88.7
321 ND-Bismarck 1,022 82.3 76.7 87.9
322 ND-Fargo/Moorhead MN 2,087 86.8 82.8 90.8
323 ND-Grand Forks 712 85.7 78.9 92.5
324 ND-Minot 642 82.4 75.4 89.4
325 OH-Akron 2,791 340 2,451 82.1 78.8 85.5 81.2 71.6 90.8 82.3 78.7 85.8
326 OH-Canton 2,835 85.4 82.0 88.8
327 OH-Cincinnati 6,475 963 5,512 84.3 82.0 86.5 82.9 77.1 88.6 84.5 82.1 86.9
328 OH-Cleveland 9,427 1,899 7,528 82.3 80.4 84.1 78.4 74.4 82.3 83.2 81.2 85.3
329 OH-Columbus 14,312 1,145 13,167 83.1 81.6 84.6 83.2 78.0 88.5 83.1 81.6 84.7
330 OH-Dayton 5,778 782 4,996 82.9 80.6 85.3 78.1 71.9 84.3 83.7 81.1 86.2
331 OH-Elyria 1,464 81.2 76.5 85.8
332 OH-Kettering 1,943 85.4 81.3 89.5
334 OH-Toledo 4,940 456 4,484 82.1 79.6 84.7 75.4 67.5 83.4 82.8 80.2 85.5
335 OH-Youngstown 3,585 410 3,175 82.6 79.6 85.6 75.4 67.0 83.8 83.5 80.4 86.7
336 OK-Lawton 1,078 70.1 65.1 75.1
339 OK-Oklahoma City 7,898 495 7,403 77.0 75.0 78.9 80.6 72.7 88.5 76.7 74.7 78.7
340 OK-Tulsa 5,274 322 4,952 75.8 73.5 78.2 77.6 68.0 87.3 75.7 73.3 78.1
341 OR-Bend 632 84.3 77.2 91.5
342 OR-Eugene 2,477 84.7 81.1 88.3
343 OR-Medford 1,937 83.7 79.6 87.8
344 OR-Portland 4,864 85.3 82.7 87.9
345 OR-Salem 570 85.6 78.0 93.2
346 PA-Allentown 5,645 82.5 80.2 84.9
347 PA-Altoona 1,327 84.0 79.0 88.9
350 PA-Danville 2,668 88.1 84.6 91.7
351 PA-Erie 3,718 83.2 80.2 86.1
352 PA-Harrisburg 5,439 264 5,175 85.3 82.8 87.7 75.8 65.3 86.3 85.8 83.3 88.3
354 PA-Johnstown 701 84.5 77.7 91.3
355 PA-Lancaster 2,741 86.8 83.3 90.3
356 PA-Philadelphia 9,876 2,485 7,391 81.7 79.9 83.5 75.4 72.0 78.8 83.8 81.7 85.9
357 PA-Pittsburgh 7,337 505 6,832 79.9 77.9 82.0 71.3 63.9 78.7 80.6 78.4 82.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of diabetic Medicare enrollees age
65-75 (2006-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 2,493 87.5 83.8 91.2
359 PA-Sayre 1,216 84.0 78.8 89.1
360 PA-Scranton 1,812 80.3 76.2 84.4
362 PA-Wilkes-Barre 1,365 79.4 74.7 84.1
363 PA-York 2,229 89.9 86.0 93.9
364 RI-Providence 3,027 82.5 79.3 85.8
365 SC-Charleston 5,885 1,686 4,199 82.6 80.3 84.9 81.6 77.2 85.9 83.0 80.3 85.8
366 SC-Columbia 6,511 2,354 4,157 78.6 76.4 80.7 77.2 73.6 80.7 79.4 76.7 82.1
367 SC-Florence 2,602 1,096 1,506 78.6 75.1 82.0 80.2 74.9 85.5 77.4 72.9 81.8
368 SC-Greenville 4,537 639 3,898 81.5 78.9 84.1 80.8 73.8 87.7 81.6 78.8 84.5
369 SC-Spartanburg 1,875 276 1,599 82.3 78.2 86.4 81.2 70.5 91.8 82.5 78.0 86.9
370 SD-Rapid City 816 78.2 72.1 84.3
371 SD-Sioux Falls 3,155 87.1 83.8 90.4
373 TN-Chattanooga 3,656 389 3,267 83.5 80.6 86.5 82.5 73.5 91.6 83.6 80.5 86.8
374 TN-Jackson 2,157 343 1,814 84.5 80.6 88.4 84.8 75.1 94.6 84.4 80.2 88.6
375 TN-Johnson City 1,391 83.2 78.4 88.0
376 TN-Kingsport 2,913 85.8 82.5 89.2
377 TN-Knoxville 6,751 263 6,488 85.5 83.3 87.7 85.6 74.4 96.7 85.5 83.3 87.8
379 TN-Memphis 7,943 2,926 5,017 78.5 76.6 80.5 75.3 72.1 78.4 80.4 77.9 82.9
380 TN-Nashville 11,141 1,103 10,038 83.0 81.4 84.7 79.8 74.5 85.1 83.4 81.6 85.2
382 TX-Abilene 1,650 77.4 73.2 81.6
383 TX-Amarillo 1,781 78.9 74.8 83.0
385 TX-Austin 4,430 452 3,978 81.9 79.2 84.5 81.6 73.3 90.0 81.9 79.1 84.7
386 TX-Beaumont 2,561 610 1,951 79.9 76.4 83.3 78.9 71.8 85.9 80.2 76.2 84.1
388 TX-Bryan 819 78.5 72.4 84.6
390 TX-Corpus Christi 2,683 81.3 77.8 84.7
391 TX-Dallas 13,933 2,160 11,773 81.2 79.7 82.7 79.5 75.7 83.3 81.5 79.9 83.2
393 TX-El Paso 4,492 74.2 71.7 76.7
394 TX-Fort Worth 6,170 667 5,503 82.0 79.7 84.2 79.9 73.1 86.7 82.2 79.8 84.6
396 TX-Harlingen 3,090 80.3 77.1 83.5
397 TX-Houston 17,368 3,538 13,830 78.2 76.9 79.5 77.3 74.4 80.2 78.4 76.9 79.9
399 TX-Longview 1,209 218 991 81.3 76.2 86.4 83.5 71.4 95.6 80.8 75.2 86.4
400 TX-Lubbock 3,351 207 3,144 77.4 74.4 80.3 75.4 63.5 87.2 77.5 74.4 80.6
402 TX-McAllen 3,111 77.4 74.3 80.5
406 TX-Odessa 1,517 75.1 70.7 79.4
411 TX-San Angelo 856 85.2 79.0 91.3
412 TX-San Antonio 10,430 555 9,875 78.2 76.5 79.9 71.7 64.7 78.8 78.6 76.8 80.3
413 TX-Temple 1,332 205 1,127 79.4 74.6 84.2 80.5 68.2 92.8 79.2 74.0 84.4
416 TX-Tyler 3,359 506 2,853 81.9 78.8 84.9 80.8 73.0 88.7 82.1 78.7 85.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of diabetic Medicare enrollees age
65-75 (2006-07) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 1,047 83.6 78.0 89.1
418 TX-Waco 1,393 213 1,180 80.5 75.8 85.2 80.8 68.7 92.8 80.4 75.3 85.5
420 TX-Wichita Falls 1,327 77.7 73.0 82.4
421 UT-Ogden 1,191 83.5 78.3 88.7
422 UT-Provo 970 82.5 76.8 88.2
423 UT-Salt Lake City 4,944 80.6 78.1 83.1
424 VT-Burlington 3,260 87.5 84.2 90.7
426 VA-Arlington 4,565 656 3,909 82.7 80.1 85.3 78.7 71.9 85.5 83.4 80.5 86.2
427 VA-Charlottesville 3,028 426 2,602 86.5 83.2 89.8 88.3 79.3 97.2 86.2 82.6 89.8
428 VA-Lynchburg 1,528 306 1,222 83.2 78.6 87.8 80.1 70.0 90.1 84.0 78.8 89.1
429 VA-Newport News 2,858 947 1,911 81.3 78.0 84.6 75.6 70.1 81.2 84.1 80.0 88.2
430 VA-Norfolk 6,217 2,171 4,046 80.7 78.4 82.9 78.2 74.5 81.9 82.0 79.2 84.8
431 VA-Richmond 7,954 2,634 5,320 84.1 82.1 86.1 83.1 79.6 86.6 84.6 82.1 87.1
432 VA-Roanoke 4,350 345 4,005 84.1 81.4 86.8 82.3 72.8 91.9 84.2 81.4 87.1
435 VA-Winchester 2,365 85.4 81.7 89.1
437 WA-Everett 1,858 88.2 83.9 92.4
438 WA-Olympia 1,322 82.2 77.3 87.0
439 WA-Seattle 6,895 248 6,647 87.2 85.0 89.4 77.4 66.5 88.4 87.5 85.3 89.8
440 WA-Spokane 5,861 85.7 83.3 88.0
441 WA-Tacoma 2,267 84.0 80.2 87.8
442 WA-Yakima 1,014 86.4 80.7 92.1
443 WV-Charleston 6,080 82.2 79.9 84.5
444 WV-Huntington 2,484 80.8 77.3 84.3
445 WV-Morgantown 2,453 83.0 79.4 86.6
446 WI-Appleton 1,005 90.4 84.5 96.2
447 WI-Green Bay 2,060 88.4 84.3 92.4
448 WI-La Crosse 1,132 89.1 83.6 94.6
449 WI-Madison 3,621 89.5 86.4 92.5
450 WI-Marshfield 1,685 90.3 85.8 94.9
451 WI-Milwaukee 9,386 1,124 8,262 86.5 84.6 88.4 84.1 78.7 89.4 86.8 84.8 88.8
452 WI-Neenah 739 90.0 83.2 96.8
456 WI-Wausau 886 90.3 84.0 96.6
457 WY-Casper 810 69.0 63.3 74.7
999 US-United States 1,136,795 147,344 989,451 81.6 77.9 82.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 62.7 61.3 64.2 60.3 57.0 63.5 63.3 61.7 64.9
2 AL-Dothan 70.5 67.3 73.7 67.2 60.6 73.9 71.4 67.7 75.0
5 AL-Huntsville 62.4 59.8 65.1 56.8 50.0 63.7 63.3 60.4 66.1
6 AL-Mobile 64.2 61.7 66.8 60.1 55.2 65.1 65.6 62.6 68.5
7 AL-Montgomery 70.5 67.0 74.0 65.3 59.6 71.0 73.4 68.9 77.9
9 AL-Tuscaloosa 63.7 59.6 67.8 64.8 57.8 71.9 63.1 58.0 68.2
10 AK-Anchorage 56.7 53.2 60.3
11 AZ-Mesa 67.3 64.1 70.5
12 AZ-Phoenix 63.8 62.0 65.6 61.6 51.9 71.2 63.9 62.1 65.7
14 AZ-Sun City 72.0 67.7 76.4
15 AZ-Tucson 71.4 68.4 74.5
16 AR-Fort Smith 64.4 60.7 68.1
18 AR-Jonesboro 70.9 66.4 75.4
19 AR-Little Rock 69.3 67.5 71.2 65.5 61.1 69.9 70.1 68.1 72.1
21 AR-Springdale 67.9 63.9 71.9
22 AR-Texarkana 61.9 57.7 66.1 56.7 47.6 65.8 63.1 58.4 67.8
23 CA-Orange County 65.6 63.6 67.6
25 CA-Bakersfield 63.4 60.7 66.2
31 CA-Chico 69.5 65.4 73.5
33 CA-Contra Costa County 67.5 63.7 71.3
43 CA-Fresno 66.7 64.0 69.3 63.0 52.4 73.5 66.9 64.2 69.7
56 CA-Los Angeles 66.9 65.8 68.0 60.8 57.7 63.9 67.6 66.5 68.8
58 CA-Modesto 66.0 63.0 69.0
62 CA-Napa 67.6 62.5 72.7
65 CA-Alameda County 66.3 63.2 69.4 65.3 58.6 72.0 66.5 63.1 70.0
69 CA-Palm Springs/Rancho Mirage 66.6 61.9 71.3
73 CA-Redding 72.8 68.7 77.0
77 CA-Sacramento 66.4 64.2 68.6 69.5 60.2 78.7 66.3 64.0 68.5
78 CA-Salinas 64.4 60.4 68.5
79 CA-San Bernardino 59.9 57.7 62.0 58.4 51.6 65.1 60.0 57.7 62.3
80 CA-San Diego 65.7 63.8 67.6 60.0 52.3 67.6 66.0 64.1 68.0
81 CA-San Francisco 67.9 64.8 70.9 62.4 54.3 70.6 68.7 65.4 71.9
82 CA-San Jose 68.9 66.1 71.7
83 CA-San Luis Obispo 69.9 64.5 75.2
85 CA-San Mateo County 71.8 67.1 76.5
86 CA-Santa Barbara 71.6 67.0 76.2
87 CA-Santa Cruz 66.4 60.3 72.6
89 CA-Santa Rosa 68.6 63.3 73.9
91 CA-Stockton 62.8 58.7 66.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 65.3 61.9 68.7
101 CO-Boulder 75.4 66.5 84.3
102 CO-Colorado Springs 67.3 64.0 70.7
103 CO-Denver 63.7 61.2 66.1 59.6 50.6 68.6 64.0 61.4 66.5
104 CO-Fort Collins 69.6 63.8 75.4
105 CO-Grand Junction 66.5 60.4 72.5
106 CO-Greeley 69.6 64.5 74.7
107 CO-Pueblo 64.1 58.3 69.8
109 CT-Bridgeport 71.3 67.8 74.8 65.6 57.7 73.5 72.6 68.7 76.5
110 CT-Hartford 75.3 73.2 77.4 73.4 66.8 80.1 75.5 73.3 77.7
111 CT-New Haven 74.7 72.5 76.9 70.6 63.9 77.3 75.2 72.8 77.5
112 DE-Wilmington 72.1 69.5 74.7 68.0 62.7 73.3 73.3 70.3 76.3
113 DC-Washington 65.7 64.0 67.3 62.7 60.2 65.3 67.4 65.3 69.5
115 FL-Bradenton 72.5 67.9 77.0
116 FL-Clearwater 72.6 68.7 76.5
118 FL-Fort Lauderdale 73.1 71.3 75.0 63.4 58.4 68.3 74.4 72.5 76.4
119 FL-Fort Myers 72.4 70.3 74.5 67.0 57.9 76.0 72.7 70.5 74.9
120 FL-Gainesville 68.4 65.4 71.3 71.2 63.8 78.6 67.8 64.6 71.0
122 FL-Hudson 72.2 68.6 75.8
123 FL-Jacksonville 67.0 65.1 68.9 67.0 62.7 71.3 67.0 64.8 69.1
124 FL-Lakeland 72.5 68.5 76.5
127 FL-Miami 68.5 66.6 70.3 63.4 58.7 68.2 69.3 67.3 71.3
129 FL-Ocala 71.8 69.5 74.1 69.0 59.1 79.0 72.0 69.6 74.4
130 FL-Orlando 68.3 67.0 69.5 65.3 61.6 69.0 68.6 67.3 70.0
131 FL-Ormond Beach 71.4 67.8 75.0 74.2 63.1 85.4 71.0 67.2 74.9
133 FL-Panama City 68.8 64.4 73.2
134 FL-Pensacola 68.5 66.1 70.8 67.0 60.8 73.2 68.7 66.1 71.3
137 FL-Sarasota 72.7 69.4 76.1
139 FL-St. Petersburg 69.6 65.5 73.8 72.2 60.6 83.8 69.3 64.8 73.7
140 FL-Tallahassee 67.4 64.7 70.1 65.6 60.7 70.5 68.1 64.9 71.4
141 FL-Tampa 67.2 64.6 69.9 65.7 58.3 73.1 67.4 64.6 70.3
142 GA-Albany 67.9 63.0 72.8 66.7 58.8 74.5 68.6 62.4 74.9
144 GA-Atlanta 61.6 60.5 62.7 53.7 51.5 55.9 63.9 62.6 65.2
145 GA-Augusta 70.1 67.3 72.9 64.8 60.1 69.5 72.7 69.2 76.2
146 GA-Columbus 66.6 62.7 70.4 65.2 58.8 71.5 67.4 62.5 72.2
147 GA-Macon 65.3 62.9 67.8 62.7 58.4 67.0 66.5 63.5 69.4
148 GA-Rome 61.3 57.5 65.0
149 GA-Savannah 68.8 66.2 71.3 64.5 60.1 68.9 70.8 67.7 73.9
150 HI-Honolulu 67.9 65.3 70.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 63.7 60.4 67.0
152 ID-Idaho Falls 63.1 57.8 68.5
154 IL-Aurora 70.5 65.1 75.9
155 IL-Blue Island 61.7 59.2 64.2 57.2 52.8 61.6 63.5 60.6 66.5
156 IL-Chicago 56.4 54.8 58.0 52.7 50.5 54.9 59.9 57.6 62.2
158 IL-Elgin 64.5 61.3 67.7
161 IL-Evanston 72.1 69.2 75.0
163 IL-Hinsdale 65.8 61.5 70.1
164 IL-Joliet 60.7 57.8 63.6 56.3 47.3 65.2 61.2 58.1 64.3
166 IL-Melrose Park 64.7 62.4 67.0 60.5 53.5 67.5 65.2 62.7 67.7
170 IL-Peoria 70.4 67.5 73.3
171 IL-Rockford 67.1 64.3 69.8
172 IL-Springfield 67.6 65.3 69.9
173 IL-Urbana 64.2 60.6 67.8
175 IL-Bloomington 72.8 66.4 79.2
179 IN-Evansville 66.7 64.2 69.3
180 IN-Fort Wayne 64.7 62.0 67.4
181 IN-Gary 59.8 57.0 62.6 56.8 51.3 62.4 60.7 57.5 63.9
183 IN-Indianapolis 62.7 61.3 64.0 64.4 60.1 68.6 62.5 61.1 63.9
184 IN-Lafayette 62.0 56.5 67.5
185 IN-Muncie 64.6 59.8 69.4
186 IN-Munster 63.1 59.3 66.9 61.3 52.0 70.6 63.4 59.3 67.6
187 IN-South Bend 64.8 61.8 67.7
188 IN-Terre Haute 60.3 55.6 65.1
190 IA-Cedar Rapids 80.3 75.2 85.4
191 IA-Davenport 70.0 66.6 73.4
192 IA-Des Moines 75.8 73.2 78.4
193 IA-Dubuque 79.9 71.8 88.0
194 IA-Iowa City 77.6 72.9 82.3
195 IA-Mason City 78.7 72.5 84.9
196 IA-Sioux City 70.6 65.8 75.4
197 IA-Waterloo 77.7 72.0 83.4
200 KS-Topeka 73.8 70.0 77.6
201 KS-Wichita 76.1 73.9 78.4 67.0 57.4 76.7 76.6 74.3 78.9
203 KY-Covington 62.0 58.2 65.7
204 KY-Lexington 59.0 57.4 60.7 59.6 51.4 67.8 59.0 57.3 60.7
205 KY-Louisville 66.7 64.9 68.4 68.3 62.7 74.0 66.5 64.7 68.4
207 KY-Owensboro 69.4 63.9 74.9
208 KY-Paducah 65.2 62.1 68.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 64.1 60.4 67.8 62.1 54.7 69.4 64.8 60.5 69.1
210 LA-Baton Rouge 64.0 61.3 66.8 59.1 54.9 63.4 67.1 63.5 70.7
212 LA-Houma 58.8 54.8 62.8 50.0 41.1 58.9 60.6 56.2 65.1
213 LA-Lafayette 56.7 54.1 59.3 49.9 45.4 54.3 59.6 56.4 62.8
214 LA-Lake Charles 64.5 60.5 68.5 64.2 55.8 72.7 64.5 60.0 69.1
216 LA-Metairie 67.2 63.1 71.3 55.3 46.9 63.6 70.1 65.4 74.8
217 LA-Monroe 60.0 56.3 63.7 57.0 50.7 63.3 61.5 56.9 66.1
218 LA-New Orleans 61.9 57.7 66.0 60.8 55.0 66.6 63.0 57.0 68.9
219 LA-Shreveport 65.3 62.7 67.9 62.4 58.1 66.8 66.8 63.6 70.0
220 LA-Slidell 65.6 59.7 71.5
221 ME-Bangor 81.1 77.7 84.4
222 ME-Portland 79.3 76.9 81.7
223 MD-Baltimore 65.3 63.8 66.9 58.7 56.1 61.2 68.4 66.5 70.3
225 MD-Salisbury 74.1 71.2 76.9 70.0 63.5 76.5 75.0 71.8 78.2
226 MD-Takoma Park 67.7 64.5 70.8 62.4 57.5 67.3 70.8 66.8 74.9
227 MA-Boston 75.3 73.9 76.6 73.4 68.6 78.2 75.4 74.0 76.8
230 MA-Springfield 77.9 74.7 81.1
231 MA-Worcester 76.3 72.1 80.4
232 MI-Ann Arbor 68.7 66.5 70.8 64.4 57.9 70.8 69.2 66.9 71.5
233 MI-Dearborn 62.2 59.3 65.1
234 MI-Detroit 60.5 58.9 62.1 59.3 56.9 61.7 61.4 59.3 63.4
235 MI-Flint 63.6 60.8 66.3 64.5 58.3 70.7 63.3 60.3 66.3
236 MI-Grand Rapids 71.7 69.1 74.4 68.6 57.3 79.9 71.9 69.2 74.6
238 MI-Kalamazoo 66.7 63.9 69.5 61.3 50.8 71.9 67.1 64.1 70.0
239 MI-Lansing 63.3 60.5 66.1
240 MI-Marquette 68.5 63.9 73.2
242 MI-Muskegon 71.5 66.7 76.3
243 MI-Petoskey 61.6 57.3 66.0
244 MI-Pontiac 63.6 59.9 67.2 58.4 48.9 67.9 64.4 60.5 68.3
245 MI-Royal Oak 66.1 63.3 68.9 64.9 57.9 71.9 66.3 63.2 69.4
246 MI-Saginaw 63.4 61.1 65.7 56.5 48.0 65.0 63.9 61.5 66.2
248 MI-St. Joseph 68.2 62.8 73.6 60.7 49.9 71.5 70.4 64.2 76.6
249 MI-Traverse City 66.7 62.7 70.7
250 MN-Duluth 75.4 71.1 79.7
251 MN-Minneapolis 75.9 73.9 78.0
253 MN-Rochester 75.3 70.9 79.7
254 MN-St. Cloud 76.1 68.7 83.5
256 MN-St. Paul 74.8 71.1 78.6
257 MS-Gulfport 69.3 63.8 74.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 61.9 58.2 65.5 57.9 50.9 65.0 63.2 59.0 67.5
259 MS-Jackson 62.5 60.3 64.6 57.0 53.7 60.2 66.3 63.4 69.2
260 MS-Meridian 69.4 64.9 74.0 65.3 57.9 72.7 71.7 66.0 77.5
261 MS-Oxford 66.6 60.6 72.6 61.1 51.3 70.9 69.5 62.0 77.1
262 MS-Tupelo 67.1 63.6 70.7 62.6 55.1 70.0 68.3 64.4 72.3
263 MO-Cape Girardeau 66.9 63.1 70.7
264 MO-Columbia 66.9 64.3 69.6
267 MO-Joplin 68.1 64.5 71.6
268 MO-Kansas City 70.8 69.1 72.5 66.2 61.3 71.1 71.3 69.5 73.2
270 MO-Springfield 69.3 66.7 71.8
273 MO-St. Louis 65.4 64.1 66.7 60.7 57.4 64.1 66.2 64.8 67.7
274 MT-Billings 70.2 66.6 73.8
275 MT-Great Falls 66.3 60.1 72.4
276 MT-Missoula 70.8 66.5 75.2
277 NE-Lincoln 70.1 66.7 73.6
278 NE-Omaha 73.6 71.2 76.0 73.3 62.3 84.3 73.6 71.1 76.0
279 NV-Las Vegas 61.2 59.2 63.3 62.6 56.2 68.9 61.1 58.9 63.3
280 NV-Reno 57.9 54.8 61.0
281 NH-Lebanon 74.7 71.0 78.5
282 NH-Manchester 77.8 74.9 80.7
283 NJ-Camden 69.7 68.4 71.1 64.9 61.3 68.5 70.5 69.0 72.0
284 NJ-Hackensack 68.9 66.6 71.2 59.7 52.5 66.9 69.8 67.3 72.2
285 NJ-Morristown 69.1 66.4 71.7 63.3 55.1 71.5 69.7 66.9 72.5
288 NJ-New Brunswick 65.8 63.3 68.3 64.0 56.3 71.7 66.0 63.3 68.7
289 NJ-Newark 64.3 62.3 66.3 62.7 59.5 65.9 65.3 62.7 67.8
291 NJ-Paterson 66.5 62.5 70.5 61.5 51.9 71.1 67.4 63.0 71.8
292 NJ-Ridgewood 68.4 64.2 72.6
293 NM-Albuquerque 64.9 62.8 67.1
295 NY-Albany 70.9 69.0 72.7 72.1 64.5 79.8 70.8 68.8 72.7
296 NY-Binghamton 67.2 63.6 70.8
297 NY-Bronx 65.2 62.5 67.9 63.6 59.1 68.0 66.1 62.7 69.4
299 NY-Buffalo 68.3 65.7 70.9 62.2 55.6 68.8 69.3 66.5 72.1
300 NY-Elmira 75.1 71.1 79.0
301 NY-East Long Island 70.7 69.3 72.0 64.2 60.8 67.6 71.8 70.3 73.3
303 NY-Manhattan 68.6 67.2 70.0 60.5 57.8 63.3 71.0 69.4 72.6
304 NY-Rochester 66.9 63.9 69.9 57.5 49.6 65.4 68.3 65.0 71.5
307 NY-Syracuse 73.5 71.2 75.9 71.7 60.8 82.5 73.6 71.2 76.0
308 NY-White Plains 67.6 65.1 70.2 67.6 61.7 73.4 67.6 64.8 70.5
309 NC-Asheville 69.4 66.7 72.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 69.5 67.9 71.1 65.9 62.4 69.4 70.4 68.6 72.2
312 NC-Durham 70.5 68.5 72.5 69.3 65.8 72.9 71.0 68.5 73.4
313 NC-Greensboro 69.1 65.5 72.6 67.5 59.7 75.3 69.5 65.4 73.5
314 NC-Greenville 69.6 67.5 71.8 68.9 65.2 72.6 70.0 67.3 72.8
315 NC-Hickory 68.6 64.8 72.5
318 NC-Raleigh 70.4 68.6 72.2 70.1 67.0 73.3 70.6 68.4 72.8
319 NC-Wilmington 74.9 71.8 78.1 72.4 66.0 78.8 75.7 72.0 79.3
320 NC-Winston-Salem 70.6 68.2 73.1 67.7 61.1 74.2 71.1 68.5 73.7
321 ND-Bismarck 75.0 69.6 80.3
322 ND-Fargo/Moorhead MN 77.9 74.1 81.7
323 ND-Grand Forks 78.9 72.4 85.5
324 ND-Minot 78.7 71.8 85.5
325 OH-Akron 67.4 64.3 70.4 58.8 50.7 67.0 68.5 65.3 71.8
326 OH-Canton 67.3 64.3 70.4
327 OH-Cincinnati 64.7 62.8 66.7 58.3 53.4 63.1 65.9 63.7 68.0
328 OH-Cleveland 67.2 65.5 68.8 66.0 62.3 69.6 67.5 65.6 69.3
329 OH-Columbus 65.5 64.2 66.8 61.1 56.6 65.7 65.9 64.5 67.3
330 OH-Dayton 64.5 62.4 66.5 66.0 60.3 71.7 64.2 62.0 66.5
331 OH-Elyria 67.6 63.3 71.8
332 OH-Kettering 63.8 60.3 67.4
334 OH-Toledo 64.6 62.4 66.9 59.2 52.2 66.3 65.2 62.8 67.6
335 OH-Youngstown 60.6 58.1 63.2 56.8 49.5 64.1 61.1 58.4 63.8
336 OK-Lawton 56.4 51.9 60.9
339 OK-Oklahoma City 65.1 63.3 66.9 62.2 55.3 69.2 65.3 63.4 67.1
340 OK-Tulsa 67.1 64.9 69.3 62.7 54.1 71.4 67.4 65.1 69.7
341 OR-Bend 69.2 62.7 75.6
342 OR-Eugene 69.8 66.5 73.1
343 OR-Medford 69.7 66.0 73.4
344 OR-Portland 67.9 65.6 70.2
345 OR-Salem 69.3 62.5 76.1
346 PA-Allentown 69.5 67.3 71.6
347 PA-Altoona 65.6 61.2 69.9
350 PA-Danville 67.1 64.0 70.2
351 PA-Erie 66.8 64.2 69.5
352 PA-Harrisburg 71.9 69.6 74.1 64.8 55.1 74.5 72.3 69.9 74.6
354 PA-Johnstown 61.2 55.4 67.0
355 PA-Lancaster 74.8 71.6 78.1
356 PA-Philadelphia 68.0 66.4 69.6 61.9 58.8 64.9 70.1 68.2 72.0
357 PA-Pittsburgh 63.8 61.9 65.6 59.0 52.3 65.7 64.1 62.2 66.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 70.4 67.2 73.7
359 PA-Sayre 68.4 63.8 73.1
360 PA-Scranton 66.9 63.1 70.7
362 PA-Wilkes-Barre 62.8 58.6 67.0
363 PA-York 75.7 72.1 79.3
364 RI-Providence 75.8 72.7 78.9
365 SC-Charleston 69.7 67.6 71.9 68.7 64.8 72.7 70.1 67.6 72.7
366 SC-Columbia 69.9 67.9 71.9 67.5 64.2 70.8 71.2 68.7 73.8
367 SC-Florence 62.4 59.4 65.5 62.4 57.7 67.1 62.4 58.4 66.4
368 SC-Greenville 69.5 67.0 71.9 70.3 63.8 76.8 69.3 66.7 72.0
369 SC-Spartanburg 64.8 61.2 68.4 59.8 50.7 68.9 65.7 61.7 69.6
370 SD-Rapid City 71.6 65.8 77.4
371 SD-Sioux Falls 71.5 68.6 74.5
373 TN-Chattanooga 63.2 60.6 65.7 64.0 56.1 72.0 63.1 60.3 65.8
374 TN-Jackson 63.6 60.2 66.9 55.1 47.2 63.0 65.2 61.5 68.9
375 TN-Johnson City 60.1 56.0 64.2
376 TN-Kingsport 62.6 59.7 65.5
377 TN-Knoxville 63.5 61.6 65.4 62.0 52.5 71.5 63.6 61.6 65.5
379 TN-Memphis 60.4 58.7 62.1 56.9 54.1 59.6 62.5 60.3 64.7
380 TN-Nashville 64.1 62.6 65.6 63.8 59.1 68.5 64.1 62.5 65.7
382 TX-Abilene 65.0 61.1 68.9
383 TX-Amarillo 63.0 59.3 66.7
385 TX-Austin 65.0 62.6 67.3 64.2 56.8 71.5 65.1 62.6 67.6
386 TX-Beaumont 64.0 60.9 67.1 62.8 56.5 69.1 64.4 60.8 67.9
388 TX-Bryan 64.1 58.6 69.6
390 TX-Corpus Christi 66.2 63.2 69.3
391 TX-Dallas 64.6 63.3 65.9 60.6 57.3 63.8 65.3 63.9 66.8
393 TX-El Paso 64.5 62.2 66.9
394 TX-Fort Worth 65.9 63.9 67.9 67.0 60.8 73.2 65.8 63.6 67.9
396 TX-Harlingen 70.3 67.3 73.3
397 TX-Houston 63.1 62.0 64.3 58.5 55.9 61.0 64.3 63.0 65.7
399 TX-Longview 65.8 61.2 70.3 55.1 45.2 64.9 68.1 63.0 73.3
400 TX-Lubbock 64.1 61.4 66.8 63.3 52.5 74.1 64.2 61.4 67.0
402 TX-McAllen 66.5 63.6 69.3
406 TX-Odessa 64.9 60.9 69.0
411 TX-San Angelo 67.6 62.1 73.2
412 TX-San Antonio 61.7 60.2 63.3 53.5 47.4 59.6 62.2 60.7 63.8
413 TX-Temple 64.3 60.0 68.7 61.5 50.7 72.2 64.9 60.2 69.6
416 TX-Tyler 68.6 65.8 71.4 62.9 55.9 69.8 69.6 66.5 72.6
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 58.4 53.7 63.0
418 TX-Waco 62.5 58.3 66.6 55.4 45.4 65.4 63.7 59.2 68.3
420 TX-Wichita Falls 71.4 66.9 76.0
421 UT-Ogden 68.8 64.1 73.5
422 UT-Provo 67.4 62.3 72.6
423 UT-Salt Lake City 66.6 64.3 68.9
424 VT-Burlington 72.3 69.4 75.2
426 VA-Arlington 66.3 63.9 68.6 59.8 53.8 65.7 67.4 64.8 69.9
427 VA-Charlottesville 69.6 66.6 72.6 57.3 50.1 64.5 71.6 68.4 74.9
428 VA-Lynchburg 73.9 69.6 78.2 59.5 50.8 68.1 77.5 72.6 82.4
429 VA-Newport News 73.0 69.9 76.1 67.9 62.7 73.2 75.5 71.6 79.4
430 VA-Norfolk 70.9 68.8 73.0 69.2 65.7 72.7 71.8 69.2 74.4
431 VA-Richmond 68.3 66.5 70.1 66.3 63.2 69.4 69.3 67.1 71.5
432 VA-Roanoke 67.9 65.5 70.4 64.1 55.6 72.5 68.2 65.7 70.8
435 VA-Winchester 66.4 63.2 69.7
437 WA-Everett 70.5 66.6 74.3
438 WA-Olympia 66.7 62.3 71.1
439 WA-Seattle 70.1 68.1 72.1 59.7 50.1 69.3 70.5 68.5 72.5
440 WA-Spokane 71.2 69.1 73.4
441 WA-Tacoma 66.0 62.6 69.3
442 WA-Yakima 71.8 66.6 77.0
443 WV-Charleston 62.9 60.9 64.8
444 WV-Huntington 65.7 62.5 68.9
445 WV-Morgantown 64.9 61.7 68.1
446 WI-Appleton 73.8 68.5 79.1
447 WI-Green Bay 70.6 67.0 74.2
448 WI-La Crosse 71.3 66.4 76.2
449 WI-Madison 72.7 69.9 75.4
450 WI-Marshfield 77.8 73.6 82.0
451 WI-Milwaukee 67.7 66.0 69.4 64.2 59.5 68.9 68.2 66.4 69.9
452 WI-Neenah 69.3 63.3 75.3
456 WI-Wausau 72.5 66.9 78.1
457 WY-Casper 62.7 57.3 68.2
999 US-United States 67.4 62.7 68.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 75.2 73.6 76.8 70.1 66.6 73.6 76.4 74.7 78.2
2 AL-Dothan 77.3 73.9 80.6 72.4 65.5 79.3 78.6 74.8 82.5
5 AL-Huntsville 74.6 71.7 77.5 66.9 59.5 74.3 75.8 72.7 78.9
6 AL-Mobile 74.2 71.4 76.9 66.3 61.1 71.5 76.7 73.5 80.0
7 AL-Montgomery 74.0 70.4 77.6 69.0 63.2 74.9 76.7 72.2 81.3
9 AL-Tuscaloosa 78.3 73.8 82.9 78.3 70.6 86.1 78.3 72.7 84.0
10 AK-Anchorage 63.7 60.0 67.5
11 AZ-Mesa 79.7 76.2 83.2
12 AZ-Phoenix 70.9 69.0 72.7 71.8 61.4 82.2 70.8 68.9 72.7
14 AZ-Sun City 82.3 77.6 87.0
15 AZ-Tucson 75.1 72.0 78.2
16 AR-Fort Smith 68.6 64.8 72.3
18 AR-Jonesboro 72.7 68.1 77.2
19 AR-Little Rock 73.9 72.0 75.8 66.6 62.1 71.0 75.3 73.2 77.4
21 AR-Springdale 73.1 69.0 77.3
22 AR-Texarkana 71.5 67.1 76.0 66.3 56.4 76.2 72.8 67.8 77.8
23 CA-Orange County 81.6 79.4 83.9
25 CA-Bakersfield 77.5 74.4 80.6
31 CA-Chico 80.3 75.9 84.7
33 CA-Contra Costa County 75.5 71.4 79.5
43 CA-Fresno 77.1 74.2 79.9 77.8 66.0 89.5 77.0 74.1 80.0
56 CA-Los Angeles 75.9 74.8 77.1 68.9 65.6 72.2 76.9 75.6 78.1
58 CA-Modesto 79.0 75.7 82.3
62 CA-Napa 76.7 71.3 82.1
65 CA-Alameda County 75.9 72.6 79.2 66.6 59.8 73.3 78.3 74.6 82.1
69 CA-Palm Springs/Rancho Mirage 81.2 76.0 86.4
73 CA-Redding 75.8 71.6 80.0
77 CA-Sacramento 79.6 77.2 82.0 71.1 61.7 80.4 80.1 77.7 82.6
78 CA-Salinas 81.5 76.9 86.0
79 CA-San Bernardino 73.5 71.0 75.9 67.8 60.6 75.1 74.1 71.5 76.7
80 CA-San Diego 79.0 77.0 81.1 73.0 64.5 81.4 79.4 77.3 81.5
81 CA-San Francisco 74.3 71.2 77.5 64.9 56.6 73.2 75.7 72.3 79.2
82 CA-San Jose 81.1 78.1 84.2
83 CA-San Luis Obispo 82.3 76.5 88.1
85 CA-San Mateo County 81.8 76.8 86.8
86 CA-Santa Barbara 81.2 76.3 86.2
87 CA-Santa Cruz 75.1 68.5 81.6
89 CA-Santa Rosa 82.2 76.4 88.1
91 CA-Stockton 80.1 75.5 84.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 80.4 76.7 84.2
101 CO-Boulder 78.1 69.1 87.2
102 CO-Colorado Springs 68.1 64.7 71.5
103 CO-Denver 76.1 73.4 78.8 75.2 65.1 85.3 76.2 73.4 79.0
104 CO-Fort Collins 77.1 71.0 83.2
105 CO-Grand Junction 72.4 66.0 78.7
106 CO-Greeley 75.4 70.1 80.7
107 CO-Pueblo 78.4 72.1 84.8
109 CT-Bridgeport 81.4 77.6 85.2 72.3 64.0 80.6 83.5 79.2 87.7
110 CT-Hartford 83.2 81.0 85.4 76.4 69.6 83.2 84.0 81.7 86.3
111 CT-New Haven 79.7 77.5 82.0 66.7 60.2 73.2 81.3 78.8 83.7
112 DE-Wilmington 81.1 78.3 83.8 76.6 71.0 82.3 82.4 79.2 85.6
113 DC-Washington 79.5 77.7 81.3 74.0 71.2 76.8 82.9 80.6 85.2
115 FL-Bradenton 82.9 78.0 87.7
116 FL-Clearwater 87.7 83.4 92.0
118 FL-Fort Lauderdale 85.8 83.8 87.8 79.5 74.0 85.0 86.6 84.5 88.8
119 FL-Fort Myers 85.5 83.2 87.9 80.6 70.7 90.6 85.8 83.4 88.2
120 FL-Gainesville 80.3 77.2 83.5 76.4 68.7 84.1 81.1 77.6 84.6
122 FL-Hudson 87.2 83.3 91.1
123 FL-Jacksonville 81.5 79.4 83.6 76.4 71.8 81.0 82.7 80.3 85.0
124 FL-Lakeland 85.6 81.3 89.9
127 FL-Miami 85.3 83.2 87.3 75.1 69.9 80.2 87.0 84.7 89.2
129 FL-Ocala 86.6 84.0 89.1 85.1 74.0 96.1 86.7 84.0 89.3
130 FL-Orlando 85.0 83.6 86.4 79.9 75.9 84.0 85.6 84.1 87.1
131 FL-Ormond Beach 86.7 82.7 90.7 86.5 74.4 98.5 86.7 82.5 90.9
133 FL-Panama City 76.4 71.7 81.0
134 FL-Pensacola 80.7 78.2 83.3 75.9 69.3 82.5 81.5 78.7 84.3
137 FL-Sarasota 85.9 82.3 89.6
139 FL-St. Petersburg 83.6 79.1 88.2 84.9 72.3 97.5 83.4 78.5 88.3
140 FL-Tallahassee 79.4 76.4 82.3 72.8 67.7 78.0 82.1 78.6 85.7
141 FL-Tampa 82.7 79.8 85.6 75.0 67.1 82.9 83.8 80.7 87.0
142 GA-Albany 74.6 69.5 79.7 66.9 59.1 74.8 79.3 72.6 86.0
144 GA-Atlanta 79.5 78.3 80.8 74.2 71.6 76.8 81.1 79.6 82.5
145 GA-Augusta 74.5 71.6 77.4 69.0 64.2 73.9 77.2 73.6 80.8
146 GA-Columbus 74.0 69.9 78.1 70.2 63.6 76.8 76.1 70.9 81.2
147 GA-Macon 74.9 72.3 77.5 71.1 66.5 75.7 76.6 73.4 79.7
148 GA-Rome 76.2 72.0 80.4
149 GA-Savannah 78.2 75.5 80.9 73.5 68.8 78.2 80.3 77.0 83.6
150 HI-Honolulu 83.3 80.4 86.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 74.0 70.5 77.6
152 ID-Idaho Falls 70.4 64.8 76.1
154 IL-Aurora 82.4 76.6 88.3
155 IL-Blue Island 76.8 74.1 79.6 69.3 64.4 74.1 79.9 76.6 83.2
156 IL-Chicago 70.9 69.2 72.7 65.6 63.1 68.0 76.0 73.5 78.6
158 IL-Elgin 81.3 77.8 84.9
161 IL-Evanston 81.5 78.4 84.5
163 IL-Hinsdale 82.0 77.2 86.8
164 IL-Joliet 77.8 74.5 81.1 70.2 60.3 80.2 78.6 75.1 82.1
166 IL-Melrose Park 78.1 75.6 80.7 72.7 65.0 80.4 78.8 76.1 81.5
170 IL-Peoria 81.2 78.0 84.3
171 IL-Rockford 78.8 75.8 81.8
172 IL-Springfield 77.6 75.1 80.1
173 IL-Urbana 79.6 75.6 83.5
175 IL-Bloomington 86.7 79.8 93.6
179 IN-Evansville 78.0 75.2 80.7
180 IN-Fort Wayne 76.5 73.6 79.5
181 IN-Gary 70.8 67.8 73.9 65.0 59.1 70.9 72.7 69.1 76.2
183 IN-Indianapolis 76.0 74.5 77.5 62.4 58.2 66.6 77.5 75.9 79.0
184 IN-Lafayette 81.3 75.0 87.6
185 IN-Muncie 76.6 71.3 81.8
186 IN-Munster 75.6 71.4 79.7 64.6 55.1 74.1 77.7 73.1 82.3
187 IN-South Bend 78.9 75.7 82.1
188 IN-Terre Haute 75.8 70.5 81.1
190 IA-Cedar Rapids 82.0 76.8 87.1
191 IA-Davenport 82.3 78.6 85.9
192 IA-Des Moines 77.6 75.0 80.2
193 IA-Dubuque 82.7 74.5 90.9
194 IA-Iowa City 75.5 70.9 80.1
195 IA-Mason City 75.3 69.2 81.4
196 IA-Sioux City 69.5 64.8 74.3
197 IA-Waterloo 73.2 67.6 78.7
200 KS-Topeka 74.4 70.7 78.2
201 KS-Wichita 70.9 68.7 73.0 59.4 50.3 68.5 71.5 69.2 73.7
203 KY-Covington 80.1 75.8 84.4
204 KY-Lexington 78.7 76.8 80.6 72.4 63.4 81.4 78.9 77.0 80.9
205 KY-Louisville 79.0 77.1 80.9 74.9 69.0 80.9 79.5 77.4 81.5
207 KY-Owensboro 82.1 76.0 88.1
208 KY-Paducah 76.6 73.3 80.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 74.3 70.3 78.3 73.6 65.6 81.6 74.6 70.0 79.2
210 LA-Baton Rouge 76.5 73.5 79.5 73.0 68.3 77.7 78.7 74.8 82.6
212 LA-Houma 79.2 74.5 83.8 71.5 60.8 82.1 80.8 75.6 86.0
213 LA-Lafayette 73.0 70.1 76.0 66.6 61.5 71.8 75.8 72.2 79.4
214 LA-Lake Charles 78.9 74.5 83.4 74.7 65.6 83.8 80.1 75.1 85.2
216 LA-Metairie 77.0 72.6 81.4 72.0 62.5 81.6 78.2 73.3 83.2
217 LA-Monroe 71.2 67.2 75.3 72.2 65.1 79.2 70.8 65.9 75.7
218 LA-New Orleans 74.3 69.7 78.8 69.7 63.5 75.9 78.9 72.2 85.5
219 LA-Shreveport 71.8 69.1 74.5 67.5 63.0 72.1 73.9 70.6 77.3
220 LA-Slidell 75.0 68.7 81.3
221 ME-Bangor 81.0 77.6 84.3
222 ME-Portland 82.9 80.4 85.4
223 MD-Baltimore 79.3 77.6 81.0 75.4 72.5 78.4 81.1 79.1 83.2
225 MD-Salisbury 81.5 78.6 84.5 73.6 67.0 80.3 83.3 80.0 86.6
226 MD-Takoma Park 80.3 76.9 83.7 73.8 68.5 79.2 84.1 79.7 88.5
227 MA-Boston 81.6 80.2 83.0 70.9 66.2 75.7 82.4 81.0 83.9
230 MA-Springfield 81.2 77.9 84.5
231 MA-Worcester 81.7 77.4 86.0
232 MI-Ann Arbor 79.8 77.5 82.2 71.6 64.8 78.4 80.8 78.3 83.3
233 MI-Dearborn 72.8 69.7 76.0
234 MI-Detroit 69.0 67.3 70.6 59.0 56.6 61.4 76.0 73.7 78.3
235 MI-Flint 81.1 78.1 84.2 78.1 71.3 85.0 81.8 78.4 85.3
236 MI-Grand Rapids 82.3 79.5 85.2 78.3 66.2 90.3 82.5 79.6 85.5
238 MI-Kalamazoo 79.7 76.7 82.8 69.3 58.1 80.6 80.5 77.3 83.7
239 MI-Lansing 82.0 78.8 85.2
240 MI-Marquette 79.4 74.4 84.4
242 MI-Muskegon 80.4 75.4 85.4
243 MI-Petoskey 74.0 69.2 78.8
244 MI-Pontiac 71.2 67.3 75.0 58.4 48.9 67.9 73.1 69.0 77.3
245 MI-Royal Oak 81.3 78.2 84.4 72.4 65.0 79.8 83.0 79.6 86.5
246 MI-Saginaw 76.4 73.9 78.9 73.8 64.1 83.5 76.6 74.0 79.2
248 MI-St. Joseph 79.8 74.0 85.7 75.6 63.6 87.6 81.0 74.3 87.7
249 MI-Traverse City 84.9 80.4 89.5
250 MN-Duluth 82.4 77.9 86.9
251 MN-Minneapolis 80.9 78.9 83.0
253 MN-Rochester 84.3 79.6 88.9
254 MN-St. Cloud 78.0 70.5 85.5
256 MN-St. Paul 82.4 78.5 86.3
257 MS-Gulfport 67.3 61.9 72.6
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 72.1 68.2 76.1 72.4 64.5 80.3 72.0 67.5 76.6
259 MS-Jackson 67.9 65.7 70.2 62.3 59.0 65.7 71.8 68.8 74.8
260 MS-Meridian 69.0 64.5 73.6 67.0 59.6 74.5 70.2 64.5 75.9
261 MS-Oxford 65.9 60.0 71.9 63.9 53.9 74.0 67.0 59.5 74.4
262 MS-Tupelo 74.2 70.5 77.9 68.8 61.0 76.7 75.6 71.4 79.8
263 MO-Cape Girardeau 75.0 71.0 79.0
264 MO-Columbia 73.0 70.3 75.8
267 MO-Joplin 73.4 69.8 77.1
268 MO-Kansas City 77.9 76.1 79.6 71.4 66.3 76.5 78.7 76.8 80.6
270 MO-Springfield 79.8 77.0 82.5
273 MO-St. Louis 76.2 74.7 77.6 66.0 62.5 69.5 77.9 76.3 79.5
274 MT-Billings 68.4 64.9 72.0
275 MT-Great Falls 65.1 59.0 71.2
276 MT-Missoula 74.1 69.6 78.5
277 NE-Lincoln 73.7 70.2 77.2
278 NE-Omaha 74.1 71.7 76.6 65.5 55.1 75.9 74.6 72.1 77.1
279 NV-Las Vegas 76.3 74.0 78.6 75.0 68.1 82.0 76.5 74.0 78.9
280 NV-Reno 73.8 70.2 77.3
281 NH-Lebanon 80.3 76.5 84.2
282 NH-Manchester 85.9 82.8 89.0
283 NJ-Camden 81.0 79.5 82.5 75.4 71.5 79.3 81.9 80.3 83.5
284 NJ-Hackensack 84.2 81.7 86.8 80.0 71.6 88.3 84.6 82.0 87.3
285 NJ-Morristown 83.2 80.3 86.1 79.5 70.3 88.6 83.6 80.6 86.7
288 NJ-New Brunswick 83.5 80.7 86.4 75.9 67.5 84.2 84.4 81.4 87.5
289 NJ-Newark 79.2 77.0 81.5 72.6 69.2 76.1 83.2 80.4 86.1
291 NJ-Paterson 80.2 75.8 84.6 73.5 63.1 84.0 81.4 76.6 86.3
292 NJ-Ridgewood 83.8 79.2 88.4
293 NM-Albuquerque 62.0 59.8 64.1
295 NY-Albany 84.8 82.7 86.8 77.0 69.1 85.0 85.3 83.2 87.4
296 NY-Binghamton 80.0 76.1 84.0
297 NY-Bronx 70.7 67.9 73.5 68.1 63.4 72.7 72.2 68.7 75.7
299 NY-Buffalo 81.9 79.1 84.8 73.2 66.1 80.4 83.3 80.3 86.4
300 NY-Elmira 79.4 75.3 83.5
301 NY-East Long Island 84.5 83.0 86.0 73.9 70.3 77.5 86.3 84.7 87.9
303 NY-Manhattan 81.1 79.6 82.6 72.1 69.1 75.0 83.9 82.1 85.6
304 NY-Rochester 82.3 78.9 85.6 75.8 66.7 84.8 83.2 79.6 86.8
307 NY-Syracuse 83.8 81.3 86.3 81.1 69.6 92.7 83.9 81.4 86.5
308 NY-White Plains 80.8 78.0 83.6 72.9 66.8 78.9 82.7 79.5 85.8
309 NC-Asheville 77.8 75.0 80.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 80.5 78.8 82.2 75.5 71.8 79.2 81.8 79.8 83.7
312 NC-Durham 79.9 77.8 82.1 75.2 71.5 78.9 82.0 79.4 84.6
313 NC-Greensboro 78.4 74.6 82.2 70.4 62.4 78.3 80.4 76.1 84.8
314 NC-Greenville 76.0 73.7 78.3 72.4 68.6 76.1 78.0 75.1 80.9
315 NC-Hickory 82.6 78.4 86.8
318 NC-Raleigh 77.2 75.3 79.1 73.2 70.0 76.4 79.1 76.7 81.4
319 NC-Wilmington 86.8 83.4 90.2 81.2 74.4 88.0 88.4 84.5 92.4
320 NC-Winston-Salem 81.7 79.1 84.3 76.9 69.9 83.9 82.4 79.6 85.2
321 ND-Bismarck 73.6 68.3 78.8
322 ND-Fargo/Moorhead MN 81.0 77.1 84.8
323 ND-Grand Forks 80.1 73.5 86.6
324 ND-Minot 77.7 70.9 84.6
325 OH-Akron 79.4 76.1 82.7 75.6 66.4 84.8 79.9 76.4 83.4
326 OH-Canton 84.1 80.7 87.4
327 OH-Cincinnati 80.1 78.0 82.3 75.1 69.6 80.6 81.0 78.6 83.4
328 OH-Cleveland 78.8 77.1 80.6 71.7 67.9 75.5 80.7 78.6 82.7
329 OH-Columbus 79.7 78.2 81.2 74.7 69.7 79.7 80.1 78.6 81.7
330 OH-Dayton 79.7 77.4 82.0 75.5 69.4 81.5 80.4 77.9 82.9
331 OH-Elyria 82.9 78.3 87.6
332 OH-Kettering 86.2 82.1 90.3
334 OH-Toledo 76.6 74.2 79.1 67.5 60.0 75.1 77.6 75.0 80.1
335 OH-Youngstown 81.0 78.1 84.0 72.2 64.0 80.4 82.2 79.0 85.3
336 OK-Lawton 67.4 62.5 72.3
339 OK-Oklahoma City 72.1 70.3 74.0 67.3 60.0 74.5 72.5 70.5 74.4
340 OK-Tulsa 71.0 68.7 73.3 65.8 57.0 74.7 71.3 69.0 73.7
341 OR-Bend 77.7 70.8 84.6
342 OR-Eugene 79.4 75.9 82.9
343 OR-Medford 79.6 75.6 83.5
344 OR-Portland 79.6 77.1 82.1
345 OR-Salem 83.3 75.8 90.8
346 PA-Allentown 80.0 77.7 82.4
347 PA-Altoona 78.2 73.5 83.0
350 PA-Danville 83.8 80.3 87.2
351 PA-Erie 77.2 74.4 80.0
352 PA-Harrisburg 79.1 76.8 81.5 66.7 56.8 76.5 79.8 77.3 82.2
354 PA-Johnstown 78.9 72.3 85.5
355 PA-Lancaster 85.8 82.3 89.2
356 PA-Philadelphia 79.6 77.8 81.3 71.6 68.3 74.9 82.2 80.2 84.3
357 PA-Pittsburgh 78.0 76.0 80.0 62.6 55.7 69.5 79.1 77.0 81.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 84.7 81.1 88.3
359 PA-Sayre 75.3 70.4 80.1
360 PA-Scranton 78.0 73.9 82.1
362 PA-Wilkes-Barre 79.7 75.0 84.5
363 PA-York 85.6 81.8 89.5
364 RI-Providence 81.2 78.0 84.5
365 SC-Charleston 80.1 77.9 82.4 73.9 69.8 78.0 82.6 79.9 85.4
366 SC-Columbia 77.1 75.0 79.3 74.6 71.1 78.1 78.5 75.9 81.2
367 SC-Florence 74.4 71.1 77.7 70.7 65.7 75.7 77.0 72.6 81.5
368 SC-Greenville 79.3 76.7 81.9 78.3 71.4 85.1 79.5 76.7 82.3
369 SC-Spartanburg 76.6 72.6 80.6 72.1 62.1 82.1 77.4 73.1 81.7
370 SD-Rapid City 70.6 64.8 76.4
371 SD-Sioux Falls 76.0 73.0 79.1
373 TN-Chattanooga 78.6 75.7 81.5 73.0 64.5 81.5 79.3 76.2 82.3
374 TN-Jackson 76.1 72.4 79.8 69.1 60.3 77.9 77.4 73.4 81.5
375 TN-Johnson City 79.8 75.1 84.5
376 TN-Kingsport 80.7 77.4 83.9
377 TN-Knoxville 81.2 79.1 83.4 74.1 63.7 84.6 81.5 79.3 83.7
379 TN-Memphis 72.9 71.0 74.7 66.7 63.7 69.6 76.5 74.0 78.9
380 TN-Nashville 78.8 77.1 80.4 70.0 65.1 74.9 79.7 78.0 81.5
382 TX-Abilene 74.9 70.7 79.1
383 TX-Amarillo 78.2 74.1 82.3
385 TX-Austin 81.1 78.4 83.7 78.3 70.2 86.5 81.4 78.6 84.2
386 TX-Beaumont 79.7 76.2 83.2 76.2 69.3 83.2 80.8 76.8 84.8
388 TX-Bryan 78.0 72.0 84.1
390 TX-Corpus Christi 83.5 80.0 87.0
391 TX-Dallas 80.5 79.0 82.0 75.1 71.5 78.8 81.4 79.8 83.1
393 TX-El Paso 75.5 72.9 78.0
394 TX-Fort Worth 78.7 76.5 80.9 74.8 68.3 81.4 79.2 76.8 81.5
396 TX-Harlingen 83.1 79.9 86.3
397 TX-Houston 77.6 76.3 78.9 73.9 71.1 76.8 78.5 77.0 80.0
399 TX-Longview 79.2 74.1 84.2 74.8 63.3 86.3 80.1 74.6 85.7
400 TX-Lubbock 77.0 74.0 80.0 65.2 54.2 76.2 77.8 74.7 80.9
402 TX-McAllen 85.0 81.8 88.3
406 TX-Odessa 72.5 68.2 76.8
411 TX-San Angelo 77.7 71.8 83.6
412 TX-San Antonio 78.2 76.5 79.9 71.5 64.5 78.6 78.6 76.8 80.3
413 TX-Temple 76.9 72.2 81.6 68.8 57.4 80.1 78.4 73.2 83.5
416 TX-Tyler 80.0 76.9 83.0 74.3 66.8 81.8 81.0 77.7 84.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 78.9 73.5 84.3
418 TX-Waco 75.3 70.8 79.9 69.5 58.3 80.7 76.4 71.4 81.4
420 TX-Wichita Falls 76.3 71.6 81.0
421 UT-Ogden 71.7 66.9 76.5
422 UT-Provo 68.7 63.5 73.9
423 UT-Salt Lake City 71.7 69.3 74.0
424 VT-Burlington 83.1 79.9 86.2
426 VA-Arlington 80.9 78.2 83.5 71.8 65.3 78.3 82.4 79.5 85.2
427 VA-Charlottesville 82.0 78.8 85.2 73.5 65.3 81.6 83.4 79.9 86.9
428 VA-Lynchburg 81.8 77.3 86.4 74.2 64.5 83.8 83.7 78.6 88.9
429 VA-Newport News 77.0 73.8 80.2 70.8 65.4 76.1 80.1 76.1 84.1
430 VA-Norfolk 77.2 75.0 79.3 72.6 69.0 76.2 79.6 76.9 82.4
431 VA-Richmond 80.2 78.2 82.2 76.3 72.9 79.6 82.2 79.7 84.6
432 VA-Roanoke 79.1 76.4 81.7 75.9 66.7 85.1 79.3 76.6 82.1
435 VA-Winchester 81.8 78.1 85.4
437 WA-Everett 80.9 76.8 85.0
438 WA-Olympia 74.1 69.5 78.8
439 WA-Seattle 81.4 79.3 83.5 64.5 54.5 74.5 82.0 79.8 84.2
440 WA-Spokane 78.8 76.5 81.0
441 WA-Tacoma 78.6 74.9 82.2
442 WA-Yakima 78.2 72.8 83.7
443 WV-Charleston 80.0 77.8 82.3
444 WV-Huntington 76.6 73.2 80.1
445 WV-Morgantown 79.2 75.7 82.7
446 WI-Appleton 87.6 81.8 93.4
447 WI-Green Bay 83.8 79.8 87.7
448 WI-La Crosse 81.7 76.4 87.0
449 WI-Madison 81.8 78.8 84.7
450 WI-Marshfield 85.3 80.9 89.7
451 WI-Milwaukee 80.8 79.0 82.7 71.8 66.9 76.8 82.1 80.1 84.0
452 WI-Neenah 84.6 77.9 91.2
456 WI-Wausau 83.4 77.4 89.4
457 WY-Casper 51.7 46.8 56.7
999 US-United States 78.7 71.9 79.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2006-07) period (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 7,949 1,113 6,836 60.9 59.2 62.6 60.2 55.6 64.8 61.0 59.2 62.9
2 AL-Dothan 1,706 268 1,438 65.2 61.4 69.1 59.7 50.5 69.0 66.3 62.1 70.5
5 AL-Huntsville 2,340 224 2,116 62.5 59.3 65.7 57.6 47.7 67.5 63.0 59.6 66.4
6 AL-Mobile 2,839 467 2,372 64.8 61.8 67.7 55.9 49.1 62.7 66.5 63.3 69.8
7 AL-Montgomery 1,322 322 1,000 64.3 60.0 68.6 56.8 48.6 65.1 66.7 61.6 71.8
9 AL-Tuscaloosa 939 206 733 63.8 58.7 68.9 61.7 50.9 72.4 64.4 58.6 70.2
10 AK-Anchorage 1,557 55.0 51.3 58.7
11 AZ-Mesa 2,340 64.8 61.6 68.1
12 AZ-Phoenix 7,191 61.1 59.3 62.9
14 AZ-Sun City 1,183 76.3 71.4 81.3
15 AZ-Tucson 2,911 65.4 62.5 68.4
16 AR-Fort Smith 1,511 57.3 53.4 61.1
18 AR-Jonesboro 1,007 56.5 51.9 61.1
19 AR-Little Rock 6,500 667 5,833 61.6 59.7 63.5 52.2 46.7 57.7 62.7 60.7 64.7
21 AR-Springdale 1,550 57.3 53.5 61.1
22 AR-Texarkana 1,103 55.0 50.7 59.4
23 CA-Orange County 5,457 62.9 60.8 65.0
25 CA-Bakersfield 2,050 57.4 54.1 60.7
31 CA-Chico 1,334 66.1 61.8 70.5
33 CA-Contra Costa County 1,549 61.2 57.3 65.1
43 CA-Fresno 2,384 58.5 55.5 61.6
56 CA-Los Angeles 16,378 1,486 14,892 52.7 51.6 53.8 43.3 39.9 46.6 53.6 52.4 54.8
58 CA-Modesto 1,964 61.1 57.6 64.5
62 CA-Napa 893 64.2 58.9 69.4
65 CA-Alameda County 2,189 324 1,865 60.2 57.0 63.5 51.9 44.0 59.7 61.7 58.1 65.2
69 CA-Palm Springs/Rancho Mirage 1,242 70.7 66.0 75.4
73 CA-Redding 1,556 66.1 62.0 70.1
77 CA-Sacramento 5,186 208 4,978 63.5 61.4 65.7 57.2 46.9 67.5 63.8 61.6 66.0
78 CA-Salinas 1,010 65.4 60.4 70.3
79 CA-San Bernardino 3,779 302 3,477 52.1 49.8 54.4 43.4 36.0 50.8 52.8 50.4 55.2
80 CA-San Diego 6,118 286 5,832 58.1 56.2 60.0 46.9 38.9 54.8 58.7 56.7 60.7
81 CA-San Francisco 2,675 232 2,443 61.5 58.6 64.5 54.3 44.8 63.8 62.2 59.1 65.4
82 CA-San Jose 2,853 60.7 57.9 63.6
83 CA-San Luis Obispo 909 69.8 64.3 75.2
85 CA-San Mateo County 1,423 70.1 65.8 74.5
86 CA-Santa Barbara 1,180 66.7 62.0 71.4
87 CA-Santa Cruz 675 66.1 59.9 72.2
89 CA-Santa Rosa 983 68.4 63.2 73.5
91 CA-Stockton 1,129 54.0 49.7 58.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2006-07) period (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 1,898 63.7 60.1 67.2
101 CO-Boulder 485 70.9 63.4 78.4
102 CO-Colorado Springs 2,286 59.8 56.7 63.0
103 CO-Denver 4,295 63.5 61.1 65.8
104 CO-Fort Collins 867 71.1 65.4 76.7
105 CO-Grand Junction 855 70.2 64.6 75.8
106 CO-Greeley 878 65.4 60.0 70.7
107 CO-Pueblo 592 66.9 60.3 73.5
109 CT-Bridgeport 1,890 67.3 63.6 71.0
110 CT-Hartford 4,546 289 4,257 69.9 67.4 72.3 65.1 55.8 74.4 70.2 67.7 72.7
111 CT-New Haven 4,235 329 3,906 68.4 65.9 70.9 65.7 56.9 74.4 68.7 66.1 71.3
112 DE-Wilmington 2,696 450 2,246 66.9 63.8 70.0 64.7 57.2 72.1 67.3 63.9 70.7
113 DC-Washington 7,178 1,997 5,181 62.7 60.9 64.6 57.1 53.8 60.4 64.9 62.7 67.1
115 FL-Bradenton 1,151 67.3 62.6 72.1
116 FL-Clearwater 1,610 71.6 67.5 75.7
118 FL-Fort Lauderdale 7,317 564 6,753 67.3 65.4 69.2 57.8 51.5 64.1 68.1 66.1 70.0
119 FL-Fort Myers 5,571 74.4 72.1 76.7
120 FL-Gainesville 2,167 248 1,919 64.6 61.2 67.9 72.6 62.0 83.2 63.5 60.0 67.1
122 FL-Hudson 1,438 72.9 68.5 77.3
123 FL-Jacksonville 5,071 764 4,307 65.0 62.8 67.3 65.7 60.0 71.5 64.9 62.5 67.3
124 FL-Lakeland 1,064 68.6 63.6 73.6
127 FL-Miami 5,191 578 4,613 53.7 51.7 55.7 44.3 38.9 49.7 54.9 52.8 57.0
129 FL-Ocala 3,787 73.5 70.8 76.2
130 FL-Orlando 11,509 793 10,716 65.6 64.1 67.0 58.9 53.6 64.2 66.0 64.5 67.6
131 FL-Ormond Beach 1,671 73.9 69.7 78.0
133 FL-Panama City 974 63.4 58.4 68.4
134 FL-Pensacola 3,190 282 2,908 65.7 62.9 68.5 63.8 54.5 73.2 65.9 62.9 68.8
137 FL-Sarasota 2,558 74.8 71.5 78.2
139 FL-St. Petersburg 1,234 65.2 60.7 69.7
140 FL-Tallahassee 2,365 550 1,815 63.9 60.7 67.1 58.0 51.6 64.4 65.7 61.9 69.4
141 FL-Tampa 2,823 236 2,587 64.2 61.3 67.2 58.1 48.3 67.8 64.8 61.7 67.9
142 GA-Albany 710 227 483 61.7 55.9 67.5 60.8 50.7 70.9 62.1 55.1 69.1
144 GA-Atlanta 15,074 2,750 12,324 62.3 61.0 63.5 55.2 52.5 58.0 63.8 62.4 65.2
145 GA-Augusta 2,292 525 1,767 64.8 61.5 68.1 57.9 51.4 64.4 66.8 63.0 70.7
146 GA-Columbus 1,105 314 791 60.7 56.1 65.3 57.0 48.7 65.4 62.2 56.7 67.7
147 GA-Macon 2,657 732 1,925 61.8 58.8 64.8 55.3 49.9 60.7 64.2 60.6 67.8
148 GA-Rome 1,220 60.5 56.1 64.9
149 GA-Savannah 3,133 672 2,461 68.3 65.4 71.2 63.0 57.0 69.0 69.8 66.5 73.1
150 HI-Honolulu 2,722 58.1 55.2 60.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2006-07) period (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 2,014 63.9 60.4 67.3
152 ID-Idaho Falls 599 58.3 52.2 64.4
154 IL-Aurora 683 66.6 60.5 72.7
155 IL-Blue Island 2,914 600 2,314 57.8 55.0 60.6 54.7 48.8 60.6 58.6 55.5 61.7
156 IL-Chicago 6,046 2,567 3,479 52.3 50.5 54.1 50.4 47.6 53.1 53.7 51.3 56.2
158 IL-Elgin 1,983 61.7 58.3 65.2
161 IL-Evanston 3,427 69.6 66.8 72.4
163 IL-Hinsdale 1,272 64.9 60.4 69.3
164 IL-Joliet 2,050 63.6 60.2 67.1
166 IL-Melrose Park 3,693 257 3,436 64.6 62.1 67.2 64.6 54.8 74.4 64.6 62.0 67.3
170 IL-Peoria 2,335 63.3 60.0 66.5
171 IL-Rockford 2,488 65.4 62.2 68.6
172 IL-Springfield 3,573 66.6 63.9 69.2
173 IL-Urbana 1,521 68.9 64.7 73.1
175 IL-Bloomington 548 73.5 66.4 80.7
179 IN-Evansville 2,812 64.6 61.6 67.6
180 IN-Fort Wayne 2,423 59.6 56.5 62.7
181 IN-Gary 2,066 370 1,696 54.7 51.5 57.8 54.9 47.3 62.4 54.6 51.1 58.1
183 IN-Indianapolis 9,573 677 8,896 62.9 61.3 64.5 56.7 51.1 62.4 63.4 61.7 65.0
184 IN-Lafayette 573 63.4 56.8 69.9
185 IN-Muncie 703 60.5 54.7 66.2
186 IN-Munster 1,107 54.2 49.9 58.5
187 IN-South Bend 2,185 60.4 57.2 63.7
188 IN-Terre Haute 725 56.8 51.3 62.3
190 IA-Cedar Rapids 900 68.0 62.6 73.4
191 IA-Davenport 1,833 69.9 66.1 73.7
192 IA-Des Moines 3,529 66.0 63.3 68.7
193 IA-Dubuque 385 76.1 67.4 84.8
194 IA-Iowa City 1,051 65.7 60.8 70.6
195 IA-Mason City 687 73.7 67.2 80.1
196 IA-Sioux City 808 62.8 57.3 68.2
197 IA-Waterloo 682 74.8 68.3 81.3
200 KS-Topeka 1,550 71.0 66.8 75.2
201 KS-Wichita 4,425 64.9 62.5 67.3
203 KY-Covington 1,237 60.5 56.1 64.8
204 KY-Lexington 5,708 58.8 56.8 60.8
205 KY-Louisville 6,230 422 5,808 63.2 61.3 65.2 64.2 56.6 71.9 63.2 61.1 65.2
207 KY-Owensboro 674 69.4 63.2 75.7
208 KY-Paducah 1,935 65.0 61.4 68.6
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2006-07) period (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 1,230 216 1,014 60.2 55.8 64.5 60.7 50.3 71.0 60.1 55.3 64.8
210 LA-Baton Rouge 2,253 641 1,612 63.0 59.8 66.3 58.8 52.9 64.8 64.7 60.8 68.6
212 LA-Houma 895 57.2 52.3 62.2
213 LA-Lafayette 2,198 499 1,699 58.5 55.3 61.7 53.5 47.1 59.9 59.9 56.2 63.6
214 LA-Lake Charles 995 60.4 55.6 65.2
216 LA-Metairie 1,109 60.0 55.4 64.5
217 LA-Monroe 1,087 219 868 55.6 51.1 60.0 45.2 36.3 54.1 58.2 53.1 63.3
218 LA-New Orleans 840 342 498 56.0 50.9 61.0 46.5 39.3 53.7 62.5 55.5 69.4
219 LA-Shreveport 2,663 696 1,967 60.2 57.3 63.2 58.9 53.2 64.6 60.7 57.3 64.1
220 LA-Slidell 540 56.7 50.3 63.0
221 ME-Bangor 1,975 71.2 67.5 75.0
222 ME-Portland 4,144 71.8 69.2 74.4
223 MD-Baltimore 7,779 1,881 5,898 63.2 61.5 65.0 61.7 58.2 65.3 63.7 61.7 65.8
225 MD-Salisbury 2,397 286 2,111 71.8 68.4 75.2 65.4 56.0 74.8 72.6 69.0 76.3
226 MD-Takoma Park 2,065 639 1,426 61.5 58.1 64.9 59.5 53.5 65.5 62.4 58.3 66.5
227 MA-Boston 13,143 567 12,576 72.2 70.8 73.7 69.3 62.5 76.2 72.4 70.9 73.9
230 MA-Springfield 2,079 75.0 71.3 78.8
231 MA-Worcester 1,405 68.4 64.1 72.7
232 MI-Ann Arbor 4,058 321 3,737 69.2 66.7 71.8 67.6 58.6 76.6 69.4 66.7 72.0
233 MI-Dearborn 1,594 65.1 61.1 69.0
234 MI-Detroit 5,702 2,025 3,677 62.6 60.6 64.7 58.5 55.1 61.8 64.9 62.3 67.5
235 MI-Flint 2,131 299 1,832 72.7 69.1 76.3 64.2 55.1 73.3 74.1 70.1 78.0
236 MI-Grand Rapids 2,818 70.4 67.3 73.5
238 MI-Kalamazoo 2,256 69.4 66.0 72.9
239 MI-Lansing 2,199 68.9 65.4 72.4
240 MI-Marquette 879 74.1 68.4 79.8
242 MI-Muskegon 887 75.2 69.5 80.9
243 MI-Petoskey 851 72.7 67.0 78.5
244 MI-Pontiac 1,370 65.9 61.6 70.2
245 MI-Royal Oak 2,304 259 2,045 65.1 61.8 68.4 65.6 55.8 75.5 65.0 61.5 68.5
246 MI-Saginaw 3,162 73.2 70.2 76.2
248 MI-St. Joseph 593 68.1 61.5 74.8
249 MI-Traverse City 1,174 75.4 70.4 80.4
250 MN-Duluth 1,222 73.7 68.8 78.5
251 MN-Minneapolis 6,607 71.7 69.7 73.8
253 MN-Rochester 1,430 74.9 70.4 79.4
254 MN-St. Cloud 565 77.7 70.4 85.0
256 MN-St. Paul 1,943 69.9 66.2 73.7
257 MS-Gulfport 744 57.5 52.1 63.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2006-07) period (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 1,354 271 1,083 54.1 50.2 58.1 49.5 41.1 57.8 55.3 50.9 59.7
259 MS-Jackson 3,881 1,193 2,688 56.5 54.1 58.8 46.9 43.0 50.7 60.8 57.8 63.7
260 MS-Meridian 778 217 561 58.2 52.9 63.6 49.3 40.0 58.7 61.7 55.2 68.2
261 MS-Oxford 548 57.9 51.5 64.2
262 MS-Tupelo 1,580 224 1,356 56.1 52.4 59.8 47.8 38.7 56.8 57.5 53.4 61.5
263 MO-Cape Girardeau 1,176 63.4 58.8 67.9
264 MO-Columbia 2,828 62.6 59.7 65.5
267 MO-Joplin 1,733 58.6 55.0 62.2
268 MO-Kansas City 7,058 503 6,555 63.0 61.1 64.8 61.8 55.0 68.7 63.0 61.1 65.0
270 MO-Springfield 3,150 61.5 58.8 64.2
273 MO-St. Louis 10,466 1,034 9,432 62.9 61.3 64.4 54.3 49.8 58.8 63.8 62.2 65.4
274 MT-Billings 2,087 64.4 60.9 67.8
275 MT-Great Falls 537 67.8 60.8 74.7
276 MT-Missoula 1,486 68.6 64.4 72.9
277 NE-Lincoln 1,964 66.9 63.2 70.5
278 NE-Omaha 3,972 64.5 62.0 67.0
279 NV-Las Vegas 4,167 329 3,838 56.1 53.9 58.4 59.6 51.2 67.9 55.8 53.5 58.2
280 NV-Reno 2,368 61.6 58.5 64.8
281 NH-Lebanon 1,735 68.2 64.4 72.1
282 NH-Manchester 2,949 72.5 69.4 75.5
283 NJ-Camden 9,657 965 8,692 60.5 58.9 62.0 51.0 46.5 55.5 61.5 59.9 63.2
284 NJ-Hackensack 3,656 221 3,435 58.2 55.7 60.6 49.3 40.1 58.6 58.7 56.2 61.3
285 NJ-Morristown 3,223 62.0 59.2 64.7
288 NJ-New Brunswick 2,662 58.6 55.7 61.6
289 NJ-Newark 3,691 1,133 2,558 53.1 50.8 55.5 51.2 47.0 55.4 54.0 51.1 56.8
291 NJ-Paterson 1,162 59.0 54.5 63.4
292 NJ-Ridgewood 1,262 63.1 58.7 67.5
293 NM-Albuquerque 4,322 55.8 53.6 58.0
295 NY-Albany 5,874 221 5,653 68.3 66.2 70.5 61.1 50.8 71.4 68.6 66.5 70.8
296 NY-Binghamton 1,428 68.6 64.3 72.9
297 NY-Bronx 2,152 719 1,433 53.8 50.7 56.9 52.0 46.8 57.3 54.7 50.9 58.5
299 NY-Buffalo 2,662 292 2,370 63.5 60.4 66.5 68.5 59.0 78.0 62.8 59.6 66.0
300 NY-Elmira 1,177 72.8 67.9 77.7
301 NY-East Long Island 11,586 1,248 10,338 57.7 56.3 59.1 51.0 47.0 54.9 58.5 57.0 60.0
303 NY-Manhattan 9,937 1,866 8,071 53.8 52.4 55.3 51.0 47.7 54.2 54.5 52.9 56.1
304 NY-Rochester 1,941 66.5 62.8 70.1
307 NY-Syracuse 3,422 71.3 68.5 74.1
308 NY-White Plains 3,251 415 2,836 62.9 60.2 65.6 58.3 51.0 65.7 63.6 60.7 66.5
309 NC-Asheville 2,990 66.2 63.2 69.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2006-07) period (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 7,213 1,054 6,159 63.1 61.3 64.9 55.3 50.8 59.8 64.4 62.4 66.4
312 NC-Durham 4,492 994 3,498 68.2 65.8 70.7 61.0 56.1 65.8 70.3 67.5 73.1
313 NC-Greensboro 1,452 243 1,209 71.8 67.4 76.1 60.9 51.1 70.7 74.0 69.1 78.8
314 NC-Greenville 3,298 832 2,466 70.2 67.3 73.1 63.2 57.8 68.6 72.6 69.2 75.9
315 NC-Hickory 1,147 67.0 62.3 71.8
318 NC-Raleigh 5,678 1,295 4,383 65.8 63.7 67.9 62.2 57.9 66.5 66.9 64.5 69.3
319 NC-Wilmington 2,001 294 1,707 72.5 68.7 76.2 68.0 58.6 77.5 73.2 69.2 77.3
320 NC-Winston-Salem 3,255 287 2,968 66.1 63.3 68.9 59.9 51.0 68.9 66.7 63.7 69.6
321 ND-Bismarck 792 66.5 60.9 72.2
322 ND-Fargo/Moorhead MN 1,604 76.1 71.8 80.3
323 ND-Grand Forks 550 73.6 66.5 80.8
324 ND-Minot 502 73.5 66.0 81.0
325 OH-Akron 1,836 67.2 63.5 71.0
326 OH-Canton 2,071 67.7 64.2 71.2
327 OH-Cincinnati 4,827 474 4,353 63.6 61.3 65.8 59.7 52.7 66.7 64.0 61.6 66.4
328 OH-Cleveland 7,004 944 6,060 68.0 66.1 69.9 64.9 59.8 70.1 68.5 66.4 70.6
329 OH-Columbus 9,690 518 9,172 64.7 63.1 66.3 63.1 56.3 70.0 64.8 63.2 66.5
330 OH-Dayton 3,895 372 3,523 62.8 60.3 65.3 62.6 54.6 70.7 62.8 60.2 65.4
331 OH-Elyria 1,017 73.2 67.9 78.4
332 OH-Kettering 1,437 65.7 61.5 69.9
334 OH-Toledo 3,457 216 3,241 63.4 60.8 66.1 69.4 58.3 80.6 63.0 60.3 65.7
335 OH-Youngstown 2,287 65.4 62.1 68.7
336 OK-Lawton 747 54.2 48.9 59.5
339 OK-Oklahoma City 6,583 324 6,259 57.0 55.2 58.9 53.7 45.7 61.7 57.2 55.3 59.1
340 OK-Tulsa 4,526 57.6 55.4 59.9
341 OR-Bend 687 62.7 56.8 68.7
342 OR-Eugene 2,249 69.2 65.8 72.7
343 OR-Medford 1,763 65.3 61.6 69.1
344 OR-Portland 4,460 62.3 59.9 64.6
345 OR-Salem 437 70.9 63.0 78.8
346 PA-Allentown 3,926 62.1 59.6 64.5
347 PA-Altoona 947 65.2 60.0 70.3
350 PA-Danville 1,790 71.1 67.2 75.0
351 PA-Erie 2,620 68.5 65.3 71.7
352 PA-Harrisburg 3,582 68.3 65.6 71.0
354 PA-Johnstown 430 61.9 54.4 69.3
355 PA-Lancaster 1,865 68.7 65.0 72.5
356 PA-Philadelphia 7,263 1,398 5,865 61.3 59.5 63.1 53.8 50.0 57.6 63.1 61.0 65.1
357 PA-Pittsburgh 5,388 276 5,112 61.3 59.2 63.4 52.9 44.3 61.5 61.8 59.6 63.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2006-07) period (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 1,672 61.3 57.6 65.1
359 PA-Sayre 832 72.5 66.7 78.3
360 PA-Scranton 1,276 64.0 59.6 68.3
362 PA-Wilkes-Barre 983 60.0 55.2 64.9
363 PA-York 1,486 69.7 65.5 74.0
364 RI-Providence 2,279 69.1 65.7 72.5
365 SC-Charleston 4,211 814 3,397 66.9 64.4 69.3 63.1 57.7 68.6 67.7 65.0 70.5
366 SC-Columbia 4,153 1,071 3,082 64.6 62.1 67.0 58.7 54.1 63.3 66.6 63.7 69.5
367 SC-Florence 1,556 572 984 62.1 58.2 66.0 58.2 52.0 64.5 64.3 59.3 69.3
368 SC-Greenville 3,180 293 2,887 65.7 62.8 68.5 65.2 55.9 74.4 65.7 62.8 68.7
369 SC-Spartanburg 1,330 64.0 59.7 68.3
370 SD-Rapid City 788 59.6 54.3 65.0
371 SD-Sioux Falls 3,005 71.0 67.9 74.0
373 TN-Chattanooga 2,579 62.4 59.3 65.4
374 TN-Jackson 1,523 61.1 57.2 65.1
375 TN-Johnson City 937 64.7 59.5 69.8
376 TN-Kingsport 1,770 62.2 58.5 65.9
377 TN-Knoxville 4,472 61.0 58.7 63.3
379 TN-Memphis 5,666 1,649 4,017 55.3 53.3 57.2 52.6 49.1 56.1 56.4 54.0 58.7
380 TN-Nashville 8,303 491 7,812 62.3 60.6 64.0 60.5 53.6 67.4 62.4 60.6 64.1
382 TX-Abilene 1,302 58.4 54.2 62.5
383 TX-Amarillo 1,550 54.9 51.2 58.6
385 TX-Austin 3,587 203 3,384 65.2 62.5 67.8 55.7 45.4 65.9 65.7 63.0 68.5
386 TX-Beaumont 1,715 290 1,425 58.7 55.1 62.4 51.4 43.1 59.6 60.2 56.2 64.2
388 TX-Bryan 617 66.3 59.9 72.7
390 TX-Corpus Christi 1,500 61.9 58.0 65.9
391 TX-Dallas 11,012 1,160 9,852 59.4 58.0 60.9 54.9 50.7 59.2 60.0 58.5 61.5
393 TX-El Paso 2,693 55.1 52.3 57.9
394 TX-Fort Worth 4,686 320 4,366 60.4 58.2 62.6 60.3 51.8 68.8 60.4 58.1 62.7
396 TX-Harlingen 1,492 53.2 49.5 56.9
397 TX-Houston 12,985 1,769 11,216 58.8 57.4 60.1 53.4 50.0 56.8 59.6 58.2 61.0
399 TX-Longview 801 61.9 56.5 67.4
400 TX-Lubbock 2,493 56.0 53.1 59.0
402 TX-McAllen 1,402 50.2 46.5 53.9
406 TX-Odessa 1,110 53.5 49.2 57.8
411 TX-San Angelo 627 59.2 53.2 65.2
412 TX-San Antonio 6,685 270 6,415 55.8 54.1 57.6 44.4 36.5 52.4 56.3 54.5 58.2
413 TX-Temple 926 61.7 56.6 66.7
416 TX-Tyler 2,494 206 2,288 61.2 58.1 64.3 59.2 48.7 69.7 61.4 58.2 64.6
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2006-07) period (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 683 60.8 54.9 66.6
418 TX-Waco 1,078 56.5 52.0 61.0
420 TX-Wichita Falls 888 59.5 54.4 64.5
421 UT-Ogden 887 61.2 56.1 66.4
422 UT-Provo 827 56.6 51.5 61.7
423 UT-Salt Lake City 4,191 61.0 58.7 63.4
424 VT-Burlington 2,462 71.0 67.6 74.3
426 VA-Arlington 4,334 338 3,996 58.9 56.6 61.2 47.9 40.6 55.3 59.8 57.4 62.2
427 VA-Charlottesville 2,166 65.4 62.0 68.8
428 VA-Lynchburg 1,018 58.0 53.3 62.6
429 VA-Newport News 2,044 441 1,603 70.2 66.5 73.8 61.5 54.1 68.8 72.6 68.4 76.7
430 VA-Norfolk 3,812 906 2,906 66.6 64.0 69.2 61.6 56.5 66.7 68.1 65.1 71.1
431 VA-Richmond 5,479 1,281 4,198 63.8 61.6 65.9 60.7 56.4 64.9 64.7 62.3 67.1
432 VA-Roanoke 3,044 65.1 62.3 68.0
435 VA-Winchester 1,608 63.6 59.7 67.5
437 WA-Everett 1,636 65.3 61.4 69.2
438 WA-Olympia 1,119 61.5 56.9 66.1
439 WA-Seattle 6,539 65.6 63.6 67.5
440 WA-Spokane 5,007 66.3 64.0 68.6
441 WA-Tacoma 2,009 66.1 62.5 69.6
442 WA-Yakima 791 65.7 60.1 71.4
443 WV-Charleston 3,580 62.6 60.0 65.2
444 WV-Huntington 1,655 60.7 56.9 64.4
445 WV-Morgantown 1,563 65.6 61.6 69.7
446 WI-Appleton 803 73.9 67.9 79.8
447 WI-Green Bay 1,578 71.1 66.9 75.3
448 WI-La Crosse 872 69.5 64.0 75.0
449 WI-Madison 3,033 70.6 67.6 73.6
450 WI-Marshfield 1,313 71.4 66.9 76.0
451 WI-Milwaukee 7,164 502 6,662 69.0 67.1 70.9 63.0 56.0 69.9 69.5 67.5 71.5
452 WI-Neenah 670 73.6 67.1 80.1
456 WI-Wausau 674 71.2 64.9 77.6
457 WY-Casper 817 61.6 56.2 67.0
999 US-United States 851,064 76,014 775,050 63.5 57.0 64.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (100%
Part A) (2006-07) Leg amputations per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 475,689 59,752 415,937 1.23 1.14 1.32 4.43 3.90 4.95 0.97 0.87 1.07
2 AL-Dothan 97,786 14,665 83,121 1.14 0.95 1.33 4.31 3.27 5.35 0.86 0.66 1.06
5 AL-Huntsville 137,988 11,273 126,715 1.19 1.00 1.37 4.03 2.85 5.21 0.95 0.78 1.13
6 AL-Mobile 158,015 24,077 133,938 1.36 1.20 1.53 5.05 4.16 5.94 1.05 0.88 1.23
7 AL-Montgomery 88,421 19,290 69,131 1.20 1.01 1.40 4.42 3.50 5.35 0.93 0.70 1.16
9 AL-Tuscaloosa 57,017 12,939 44,078 1.51 1.24 1.77 4.87 3.69 6.05 1.38 1.03 1.73
10 AK-Anchorage 87,721 1,925 85,796 0.86 0.64 1.07
11 AZ-Mesa 136,018 2,440 133,578 0.56 0.42 0.70
12 AZ-Phoenix 435,074 7,862 427,212 0.75 0.66 0.84 0.60 0.53 0.68
14 AZ-Sun City 91,394 1,227 90,167 0.41 0.27 0.55
15 AZ-Tucson 189,061 3,586 185,475 0.61 0.49 0.73
16 AR-Fort Smith 86,451 1,285 85,166 1.05 0.81 1.29
18 AR-Jonesboro 58,787 870 57,917 1.56 1.20 1.92
19 AR-Little Rock 388,048 38,861 349,187 1.14 1.03 1.24 4.82 4.15 5.50 0.81 0.71 0.90
21 AR-Springdale 96,194 256 95,938 1.06 0.82 1.29
22 AR-Texarkana 65,512 8,973 56,539 1.43 1.17 1.70 4.89 3.47 6.30 1.18 0.89 1.46
23 CA-Orange County 355,936 4,011 351,925 0.62 0.53 0.71
25 CA-Bakersfield 125,208 3,295 121,913 1.28 1.07 1.50
31 CA-Chico 82,329 572 81,757 0.67 0.47 0.86
33 CA-Contra Costa County 115,482 5,582 109,900 0.59 0.45 0.74
43 CA-Fresno 153,255 5,717 147,538 1.68 1.47 1.90 1.39 1.20 1.58
56 CA-Los Angeles 1,025,848 89,732 936,116 0.93 0.87 0.99 3.09 2.73 3.45 0.76 0.70 0.81
58 CA-Modesto 122,246 2,945 119,301 1.10 0.90 1.30
62 CA-Napa 62,544 708 61,836 0.93 0.67 1.19
65 CA-Alameda County 151,567 21,686 129,881 0.61 0.50 0.72 2.40 1.77 3.04 0.45 0.33 0.56
69 CA-Palm Springs/Rancho Mirage 78,964 1,178 77,786 0.49 0.32 0.65
73 CA-Redding 94,550 569 93,981 0.74 0.55 0.94
77 CA-Sacramento 323,578 12,305 311,273 0.73 0.63 0.83 2.68 1.75 3.61 0.57 0.49 0.65
78 CA-Salinas 72,024 2,393 69,631 0.91 0.67 1.14
79 CA-San Bernardino 222,247 16,966 205,281 1.04 0.91 1.18 3.24 2.36 4.12 0.86 0.73 0.99
80 CA-San Diego 399,323 13,895 385,428 0.84 0.74 0.93 1.80 1.08 2.52 0.70 0.61 0.78
81 CA-San Francisco 193,650 17,455 176,195 0.51 0.41 0.60 1.76 1.15 2.36 0.41 0.31 0.50
82 CA-San Jose 185,533 3,377 182,156 0.71 0.57 0.84
83 CA-San Luis Obispo 57,977 348 57,629 0.51 0.31 0.71
85 CA-San Mateo County 102,333 3,203 99,130 0.53 0.38 0.69
86 CA-Santa Barbara 79,297 1,425 77,872 0.85 0.63 1.07
87 CA-Santa Cruz 42,196 287 41,909 0.42 0.20 0.63
89 CA-Santa Rosa 73,333 609 72,724 0.49 0.32 0.67
91 CA-Stockton 74,270 4,329 69,941 1.16 0.91 1.41 0.99 0.75 1.22
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (100%
Part A) (2006-07) Leg amputations per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 123,976 1,924 122,052 0.83 0.65 1.01
101 CO-Boulder 35,436
102 CO-Colorado Springs 136,396 3,722 132,674 0.59 0.45 0.73
103 CO-Denver 291,306 11,197 280,109 0.53 0.44 0.62 1.20 0.55 1.84 0.44 0.36 0.52
104 CO-Fort Collins 58,348 377 57,971 0.41 0.23 0.59
105 CO-Grand Junction 74,131 0.46 0.29 0.64
106 CO-Greeley 64,127 0.46 0.27 0.64
107 CO-Pueblo 39,405 427 38,978 0.70 0.41 0.99
109 CT-Bridgeport 141,092 11,184 129,908 0.55 0.43 0.67 1.96 1.12 2.80 0.43 0.32 0.54
110 CT-Hartford 358,936 15,797 343,139 0.74 0.65 0.83 1.37 0.78 1.95 0.63 0.55 0.72
111 CT-New Haven 333,917 15,310 318,607 0.94 0.83 1.05 3.10 2.20 4.00 0.75 0.66 0.84
112 DE-Wilmington 170,862 22,691 148,171 0.84 0.71 0.96 2.60 1.92 3.27 0.72 0.58 0.86
113 DC-Washington 503,793 139,744 364,049 0.76 0.70 0.82 2.73 2.45 3.00 0.61 0.53 0.69
115 FL-Bradenton 82,936 2,391 80,545 0.43 0.28 0.58
116 FL-Clearwater 130,177 2,074 128,103 0.89 0.72 1.06
118 FL-Fort Lauderdale 582,235 29,387 552,848 0.57 0.51 0.63 2.93 2.29 3.57 0.40 0.35 0.45
119 FL-Fort Myers 364,376 9,007 355,369 0.51 0.43 0.58 2.15 1.18 3.12 0.39 0.32 0.45
120 FL-Gainesville 131,906 12,887 119,019 0.79 0.64 0.94 3.81 2.76 4.87 0.51 0.38 0.64
122 FL-Hudson 113,221 1,730 111,491 0.77 0.59 0.94
123 FL-Jacksonville 299,256 37,823 261,433 0.95 0.85 1.06 3.81 3.19 4.42 0.70 0.59 0.80
124 FL-Lakeland 74,028 4,259 69,769 0.81 0.60 1.02
127 FL-Miami 366,128 32,540 333,588 1.09 0.99 1.20 3.35 2.70 3.99 0.91 0.81 1.01
129 FL-Ocala 227,372 7,734 219,638 0.89 0.76 1.02 3.41 2.13 4.70 0.69 0.58 0.80
130 FL-Orlando 766,495 47,856 718,639 0.89 0.82 0.96 3.31 2.79 3.84 0.69 0.63 0.75
131 FL-Ormond Beach 104,285 5,667 98,618 0.51 0.37 0.65 0.33 0.22 0.44
133 FL-Panama City 54,109 3,589 50,520 0.87 0.62 1.13 0.70 0.46 0.93
134 FL-Pensacola 182,242 15,493 166,749 1.21 1.05 1.37 5.06 3.94 6.18 0.89 0.74 1.03
137 FL-Sarasota 182,977 3,142 179,835 0.34 0.25 0.43
139 FL-St. Petersburg 91,777 5,389 86,388 1.10 0.88 1.32 0.82 0.63 1.00
140 FL-Tallahassee 143,379 28,083 115,296 1.19 1.04 1.34 4.85 4.04 5.65 0.80 0.64 0.97
141 FL-Tampa 187,691 12,660 175,031 0.73 0.61 0.86 2.95 1.99 3.92 0.55 0.44 0.66
142 GA-Albany 41,907 12,460 29,447 1.67 1.36 1.97 6.04 4.69 7.39
144 GA-Atlanta 859,696 129,292 730,404 0.87 0.81 0.93 3.27 2.95 3.59 0.66 0.60 0.72
145 GA-Augusta 132,393 30,023 102,370 1.17 1.02 1.33 4.98 4.19 5.78 0.71 0.54 0.87
146 GA-Columbus 63,952 16,594 47,358 1.22 1.00 1.44 4.09 3.12 5.07 1.09 0.79 1.39
147 GA-Macon 148,089 34,098 113,991 1.26 1.11 1.41 4.79 4.05 5.52 0.93 0.75 1.11
148 GA-Rome 65,736 3,912 61,824 1.57 1.25 1.88 1.26 0.97 1.54
149 GA-Savannah 168,149 31,829 136,320 0.93 0.81 1.06 4.04 3.34 4.73 0.58 0.45 0.70
150 HI-Honolulu 273,332 1,630 271,702 0.75 0.64 0.86
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (100%
Part A) (2006-07) Leg amputations per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 136,193 313 135,880 0.56 0.42 0.70
152 ID-Idaho Falls 38,388 0.47 0.22 0.71
154 IL-Aurora 39,418 1,703 37,715 1.38 0.99 1.77
155 IL-Blue Island 197,618 32,006 165,612 0.84 0.72 0.96 2.87 2.27 3.48 0.69 0.56 0.82
156 IL-Chicago 400,951 146,205 254,746 0.84 0.78 0.91 2.65 2.39 2.92 0.91 0.79 1.02
158 IL-Elgin 125,399 1,274 124,125 0.84 0.66 1.02
161 IL-Evanston 253,421 4,532 248,889 0.52 0.42 0.62
163 IL-Hinsdale 85,354 2,101 83,253 0.60 0.42 0.78
164 IL-Joliet 129,028 6,377 122,651 0.98 0.80 1.16 0.69 0.54 0.84
166 IL-Melrose Park 263,446 12,849 250,597 0.92 0.80 1.04 4.27 3.10 5.44 0.68 0.57 0.78
170 IL-Peoria 163,755 3,781 159,974 1.06 0.89 1.23 0.83 0.69 0.97
171 IL-Rockford 164,324 3,991 160,333 0.83 0.68 0.98 0.65 0.52 0.77
172 IL-Springfield 242,375 5,322 237,053 0.98 0.84 1.11 0.74 0.63 0.85
173 IL-Urbana 97,504 3,421 94,083 0.75 0.57 0.94 0.55 0.40 0.70
175 IL-Bloomington 35,474 615 34,859 0.60 0.33 0.88
179 IN-Evansville 183,974 3,617 180,357 0.87 0.72 1.02
180 IN-Fort Wayne 174,140 3,904 170,236 1.17 0.99 1.34 0.93 0.78 1.07
181 IN-Gary 124,034 21,064 102,970 0.86 0.71 1.01 3.15 2.40 3.90 0.67 0.51 0.83
183 IN-Indianapolis 611,696 38,918 572,778 0.76 0.69 0.83 2.50 2.00 3.00 0.61 0.54 0.67
184 IN-Lafayette 47,161 276 46,885 1.09 0.76 1.43
185 IN-Muncie 46,145 1,339 44,806 1.06 0.74 1.38
186 IN-Munster 75,974 7,427 68,547 0.81 0.62 1.01 0.72 0.52 0.93
187 IN-South Bend 152,214 5,762 146,452 1.02 0.85 1.19 0.79 0.65 0.94
188 IN-Terre Haute 47,807 896 46,911 0.81 0.53 1.09
190 IA-Cedar Rapids 67,108 465 66,643 0.97 0.71 1.22
191 IA-Davenport 133,313 2,942 130,371 0.82 0.66 0.99
192 IA-Des Moines 259,337 2,647 256,690 0.62 0.51 0.72
193 IA-Dubuque 46,645 1.20 0.85 1.56
194 IA-Iowa City 78,194 426 77,768 0.83 0.61 1.06
195 IA-Mason City 48,948 0.50 0.28 0.72
196 IA-Sioux City 66,136 226 65,910 0.79 0.55 1.03
197 IA-Waterloo 59,027 1,524 57,503 0.79 0.55 1.04
200 KS-Topeka 110,459 3,540 106,919 0.74 0.57 0.92 0.56 0.42 0.70
201 KS-Wichita 323,996 7,052 316,944 0.78 0.68 0.89 0.63 0.55 0.72
203 KY-Covington 69,013 728 68,285 1.11 0.83 1.40
204 KY-Lexington 320,720 9,999 310,721 1.04 0.92 1.16 2.21 1.30 3.11 0.86 0.76 0.97
205 KY-Louisville 372,585 22,723 349,862 0.88 0.78 0.98 2.84 2.15 3.52 0.71 0.62 0.80
207 KY-Owensboro 37,374 760 36,614 1.10 0.73 1.48
208 KY-Paducah 112,449 3,504 108,945 1.21 0.99 1.43 0.96 0.78 1.15
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (100%
Part A) (2006-07) Leg amputations per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 69,494 12,318 57,176 1.30 1.06 1.54 4.01 2.90 5.12 1.18 0.89 1.47
210 LA-Baton Rouge 129,384 31,386 97,998 1.28 1.12 1.44 4.39 3.65 5.12 1.09 0.88 1.30
212 LA-Houma 49,839 5,275 44,564 1.47 1.14 1.79 1.13 0.82 1.45
213 LA-Lafayette 128,449 24,824 103,625 1.14 0.98 1.30 4.33 3.50 5.15 0.85 0.67 1.03
214 LA-Lake Charles 56,400 8,759 47,641 1.22 0.95 1.48 4.42 3.01 5.82 0.96 0.67 1.24
216 LA-Metairie 71,889 7,559 64,330 1.10 0.87 1.34 0.92 0.69 1.16
217 LA-Monroe 66,882 13,960 52,922 1.52 1.27 1.77 6.02 4.76 7.27 1.05 0.77 1.33
218 LA-New Orleans 60,270 20,434 39,836 0.96 0.78 1.15 3.30 2.50 4.09 0.87 0.58 1.16
219 LA-Shreveport 161,585 39,258 122,327 1.26 1.12 1.40 5.13 4.44 5.83 0.81 0.65 0.97
220 LA-Slidell 32,103 2,568 29,535 1.22 0.83 1.60
221 ME-Bangor 120,593 241 120,352 0.76 0.58 0.93
222 ME-Portland 283,287 605 282,682 0.74 0.63 0.86
223 MD-Baltimore 547,142 109,253 437,889 0.76 0.70 0.83 2.61 2.30 2.91 0.64 0.57 0.71
225 MD-Salisbury 136,134 15,497 120,637 0.88 0.73 1.03 3.30 2.40 4.19 0.67 0.52 0.82
226 MD-Takoma Park 157,503 39,428 118,075 0.60 0.50 0.70 2.12 1.66 2.59 0.49 0.37 0.62
227 MA-Boston 989,614 35,597 954,017 0.67 0.62 0.73 1.77 1.33 2.21 0.55 0.50 0.60
230 MA-Springfield 158,407 5,956 152,451 1.06 0.89 1.22
231 MA-Worcester 104,122 1,395 102,727 0.91 0.71 1.12
232 MI-Ann Arbor 274,594 16,028 258,566 0.75 0.65 0.86 2.62 1.83 3.41 0.60 0.50 0.69
233 MI-Dearborn 120,419 3,819 116,600 1.03 0.84 1.23
234 MI-Detroit 382,401 120,906 261,495 0.75 0.68 0.81 2.48 2.20 2.75 0.70 0.60 0.80
235 MI-Flint 124,215 14,646 109,569 0.68 0.54 0.82 2.10 1.35 2.85 0.59 0.44 0.73
236 MI-Grand Rapids 193,908 5,410 188,498 0.75 0.62 0.88
238 MI-Kalamazoo 144,999 5,987 139,012 0.71 0.57 0.86 0.55 0.42 0.67
239 MI-Lansing 140,043 4,400 135,643 0.71 0.56 0.86
240 MI-Marquette 57,950 1.44 1.09 1.78
242 MI-Muskegon 59,864 3,018 56,846 0.82 0.58 1.05
243 MI-Petoskey 53,264 0.82 0.54 1.09
244 MI-Pontiac 86,866 5,852 81,014 0.76 0.57 0.94 0.54 0.38 0.70
245 MI-Royal Oak 159,097 14,640 144,457 0.44 0.34 0.53 1.83 1.14 2.52 0.32 0.23 0.41
246 MI-Saginaw 196,137 6,721 189,416 0.97 0.82 1.12 0.82 0.69 0.95
248 MI-St. Joseph 37,055 3,949 33,106 0.90 0.61 1.20
249 MI-Traverse City 73,342 0.59 0.39 0.79
250 MN-Duluth 89,231 0.85 0.64 1.06
251 MN-Minneapolis 564,092 5,582 558,510 0.62 0.54 0.69
253 MN-Rochester 100,970 0.73 0.55 0.92
254 MN-St. Cloud 46,633 0.56 0.32 0.80
256 MN-St. Paul 168,812 2,552 166,260 0.73 0.59 0.88
257 MS-Gulfport 38,710 4,784 33,926 1.26 0.92 1.60
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (100%
Part A) (2006-07) Leg amputations per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 69,772 11,747 58,025 1.36 1.11 1.60 4.74 3.51 5.97 1.11 0.83 1.38
259 MS-Jackson 223,913 65,265 158,648 1.18 1.07 1.29 4.64 4.12 5.15 0.78 0.64 0.92
260 MS-Meridian 50,851 13,211 37,640 1.47 1.21 1.74 4.57 3.44 5.69 1.46 1.07 1.85
261 MS-Oxford 32,227 6,735 25,492 1.50 1.14 1.85
262 MS-Tupelo 90,925 13,269 77,656 1.96 1.70 2.22 7.53 6.07 8.99 1.47 1.19 1.74
263 MO-Cape Girardeau 73,040 3,266 69,774 1.34 1.06 1.62 1.08 0.84 1.33
264 MO-Columbia 177,322 3,876 173,446 1.16 0.99 1.34 0.92 0.78 1.06
267 MO-Joplin 100,279 542 99,737 1.06 0.84 1.29
268 MO-Kansas City 466,016 29,828 436,188 0.71 0.63 0.79 2.50 1.93 3.07 0.56 0.49 0.63
270 MO-Springfield 201,322 650 200,672 0.79 0.66 0.93
273 MO-St. Louis 675,528 59,753 615,775 1.13 1.05 1.21 4.33 3.80 4.86 0.86 0.79 0.93
274 MT-Billings 132,263 0.95 0.77 1.14
275 MT-Great Falls 37,361 0.67 0.37 0.96
276 MT-Missoula 91,867 0.62 0.44 0.80
277 NE-Lincoln 148,132 624 147,508 0.79 0.63 0.94
278 NE-Omaha 284,251 6,706 277,545 0.83 0.72 0.95
279 NV-Las Vegas 242,541 16,979 225,562 0.62 0.51 0.72 1.30 0.73 1.87 0.55 0.45 0.65
280 NV-Reno 145,603 1,416 144,187 0.73 0.57 0.88
281 NH-Lebanon 117,962 0.79 0.61 0.97
282 NH-Manchester 197,035 853 196,182 0.82 0.67 0.96
283 NJ-Camden 688,509 52,668 635,841 0.84 0.77 0.91 2.27 1.86 2.68 0.72 0.65 0.78
284 NJ-Hackensack 278,945 13,344 265,601 0.83 0.72 0.94 1.94 1.18 2.70 0.70 0.60 0.80
285 NJ-Morristown 220,921 10,839 210,082 0.75 0.63 0.87 2.32 1.41 3.23 0.60 0.50 0.71
288 NJ-New Brunswick 205,017 11,500 193,517 0.97 0.83 1.11 2.79 1.81 3.77 0.80 0.68 0.93
289 NJ-Newark 268,806 63,329 205,477 0.99 0.89 1.09 3.26 2.81 3.71 0.88 0.75 1.00
291 NJ-Paterson 79,822 6,964 72,858 0.84 0.64 1.04 0.60 0.42 0.77
292 NJ-Ridgewood 92,184 3,756 88,428 0.66 0.49 0.84
293 NM-Albuquerque 268,085 2,795 265,290 0.75 0.64 0.87
295 NY-Albany 422,336 11,832 410,504 0.63 0.55 0.71 1.63 0.90 2.36 0.51 0.44 0.58
296 NY-Binghamton 103,325 936 102,389 0.81 0.62 1.01
297 NY-Bronx 139,214 41,908 97,306 1.14 1.00 1.27 3.10 2.57 3.63 1.35 1.12 1.58
299 NY-Buffalo 221,343 16,778 204,565 0.82 0.70 0.94 1.66 1.05 2.27 0.75 0.63 0.86
300 NY-Elmira 87,135 1,604 85,531 1.14 0.90 1.38
301 NY-East Long Island 871,236 74,315 796,921 0.95 0.89 1.02 3.25 2.84 3.66 0.76 0.70 0.82
303 NY-Manhattan 725,466 120,279 605,187 0.96 0.89 1.02 3.24 2.92 3.56 0.80 0.73 0.87
304 NY-Rochester 174,855 8,730 166,125 0.87 0.73 1.01 4.01 2.66 5.36 0.64 0.52 0.75
307 NY-Syracuse 247,218 5,845 241,373 0.87 0.75 1.00 0.68 0.58 0.78
308 NY-White Plains 240,061 21,382 218,679 0.82 0.71 0.93 2.48 1.80 3.15 0.69 0.58 0.80
309 NC-Asheville 193,177 4,066 189,111 0.55 0.43 0.66
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (100%
Part A) (2006-07) Leg amputations per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 431,312 53,880 377,432 1.20 1.10 1.30 4.60 4.02 5.18 0.90 0.81 1.00
312 NC-Durham 281,709 55,540 226,169 1.17 1.06 1.28 4.40 3.85 4.94 0.88 0.76 1.00
313 NC-Greensboro 101,074 13,824 87,250 1.00 0.82 1.18 4.79 3.65 5.94 0.60 0.44 0.76
314 NC-Greenville 190,258 46,173 144,085 1.06 0.93 1.18 3.92 3.35 4.49 0.80 0.65 0.95
315 NC-Hickory 69,932 2,747 67,185 1.34 1.05 1.63 1.01 0.77 1.26
318 NC-Raleigh 315,448 68,537 246,911 1.18 1.08 1.28 4.78 4.27 5.30 0.79 0.67 0.90
319 NC-Wilmington 105,451 16,060 89,391 1.22 1.03 1.41 5.15 4.05 6.25 0.82 0.63 1.01
320 NC-Winston-Salem 204,564 16,747 187,817 1.15 1.01 1.30 4.48 3.47 5.48 0.88 0.74 1.01
321 ND-Bismarck 61,410 0.79 0.54 1.04
322 ND-Fargo/Moorhead MN 124,538 0.92 0.74 1.11
323 ND-Grand Forks 40,584 0.73 0.44 1.02
324 ND-Minot 35,278 1.08 0.70 1.46
325 OH-Akron 136,039 10,128 125,911 0.70 0.56 0.84 2.60 1.62 3.58 0.54 0.41 0.67
326 OH-Canton 133,986 4,271 129,715 0.90 0.73 1.07 0.67 0.53 0.81
327 OH-Cincinnati 304,398 25,699 278,699 0.84 0.73 0.94 2.65 2.02 3.28 0.69 0.59 0.79
328 OH-Cleveland 503,473 67,330 436,143 0.79 0.72 0.86 2.55 2.17 2.92 0.67 0.59 0.75
329 OH-Columbus 581,918 31,449 550,469 0.90 0.82 0.98 2.51 1.96 3.07 0.75 0.67 0.82
330 OH-Dayton 249,199 21,611 227,588 0.95 0.83 1.07 2.55 1.88 3.22 0.83 0.71 0.95
331 OH-Elyria 59,481 2,823 56,658 1.13 0.85 1.41
332 OH-Kettering 91,320 2,895 88,425 0.68 0.50 0.86
334 OH-Toledo 215,793 11,972 203,821 0.99 0.85 1.13 4.10 2.95 5.25 0.74 0.63 0.86
335 OH-Youngstown 155,793 9,813 145,980 1.05 0.89 1.21 3.86 2.63 5.09 0.82 0.67 0.96
336 OK-Lawton 47,190 2,729 44,461 0.99 0.69 1.28
339 OK-Oklahoma City 400,669 16,436 384,233 0.96 0.86 1.06 2.50 1.73 3.26 0.79 0.70 0.88
340 OK-Tulsa 269,862 11,449 258,413 0.92 0.80 1.05 3.66 2.57 4.76 0.71 0.60 0.81
341 OR-Bend 41,241 0.84 0.53 1.16
342 OR-Eugene 164,917 431 164,486 0.66 0.52 0.80
343 OR-Medford 127,417 303 127,114 0.82 0.65 1.00
344 OR-Portland 302,601 3,737 298,864 0.70 0.60 0.81
345 OR-Salem 32,778
346 PA-Allentown 285,406 4,523 280,883 1.05 0.92 1.18 0.84 0.73 0.94
347 PA-Altoona 64,133 356 63,777 1.01 0.73 1.28
350 PA-Danville 123,541 642 122,899 1.19 0.98 1.40
351 PA-Erie 176,048 2,144 173,904 1.15 0.98 1.33
352 PA-Harrisburg 245,667 7,360 238,307 0.92 0.79 1.05 0.73 0.62 0.84
354 PA-Johnstown 42,250 430 41,820 1.37 0.99 1.75
355 PA-Lancaster 145,397 3,297 142,100 0.87 0.71 1.03
356 PA-Philadelphia 628,362 92,129 536,233 0.83 0.77 0.90 3.04 2.69 3.39 0.65 0.58 0.72
357 PA-Pittsburgh 496,608 22,129 474,479 1.06 0.97 1.15 2.59 1.94 3.23 0.89 0.81 0.97
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (100%
Part A) (2006-07) Leg amputations per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 132,633 2,109 130,524 1.29 1.08 1.50 0.98 0.82 1.15
359 PA-Sayre 52,915 229 52,686 1.26 0.92 1.60
360 PA-Scranton 91,694 467 91,227 1.53 1.24 1.81
362 PA-Wilkes-Barre 74,064 404 73,660 1.14 0.87 1.41
363 PA-York 100,785 1,755 99,030 1.11 0.89 1.34
364 RI-Providence 199,599 4,572 195,027 0.67 0.55 0.79
365 SC-Charleston 224,177 41,121 183,056 1.15 1.03 1.28 5.02 4.33 5.71 0.71 0.59 0.84
366 SC-Columbia 241,709 58,588 183,121 1.37 1.24 1.49 5.22 4.63 5.80 1.00 0.85 1.14
367 SC-Florence 82,672 26,514 56,158 1.64 1.43 1.85 5.67 4.76 6.57 1.45 1.13 1.77
368 SC-Greenville 189,130 15,799 173,331 1.07 0.93 1.22 4.55 3.50 5.60 0.78 0.65 0.91
369 SC-Spartanburg 81,954 8,473 73,481 1.15 0.92 1.37 4.21 2.83 5.58 0.89 0.67 1.11
370 SD-Rapid City 51,367 0.77 0.50 1.04
371 SD-Sioux Falls 218,431 244 218,187 0.78 0.65 0.91
373 TN-Chattanooga 155,640 9,933 145,707 1.01 0.85 1.18 2.59 1.59 3.59 0.87 0.72 1.03
374 TN-Jackson 90,997 9,634 81,363 1.20 0.99 1.42 4.47 3.17 5.78 0.93 0.72 1.14
375 TN-Johnson City 58,015 739 57,276 1.16 0.85 1.47
376 TN-Kingsport 109,765 1,154 108,611 1.21 0.97 1.44
377 TN-Knoxville 282,615 7,638 274,977 1.10 0.97 1.24 2.99 1.79 4.18 0.89 0.78 1.00
379 TN-Memphis 337,714 86,363 251,351 1.18 1.09 1.28 4.42 3.98 4.86 0.89 0.77 1.01
380 TN-Nashville 493,685 32,316 461,369 1.12 1.03 1.22 3.76 3.09 4.43 0.90 0.81 0.99
382 TX-Abilene 82,494 1,842 80,652 0.97 0.74 1.20 0.66 0.48 0.84
383 TX-Amarillo 102,667 2,125 100,542 0.56 0.40 0.72
385 TX-Austin 224,073 12,012 212,061 1.07 0.93 1.21 3.69 2.60 4.78 0.84 0.72 0.97
386 TX-Beaumont 100,806 14,785 86,021 1.19 1.00 1.38 3.50 2.55 4.45 1.08 0.86 1.30
388 TX-Bryan 44,275 4,993 39,282 1.13 0.83 1.42 0.88 0.58 1.17
390 TX-Corpus Christi 94,630 2,236 92,394 2.65 2.29 3.01 2.08 1.78 2.38
391 TX-Dallas 653,238 60,168 593,070 0.89 0.81 0.96 3.32 2.85 3.79 0.68 0.62 0.75
393 TX-El Paso 173,977 3,905 170,072 1.40 1.21 1.60 1.14 0.98 1.31
394 TX-Fort Worth 283,217 17,420 265,797 0.96 0.84 1.08 3.85 2.91 4.79 0.73 0.62 0.83
396 TX-Harlingen 89,340 267 89,073 2.41 2.05 2.78
397 TX-Houston 803,629 98,808 704,821 0.93 0.87 0.99 2.79 2.46 3.12 0.81 0.75 0.88
399 TX-Longview 48,831 5,972 42,859 1.00 0.74 1.26 0.60 0.36 0.83
400 TX-Lubbock 150,469 5,278 145,191 1.30 1.10 1.49 1.06 0.90 1.23
402 TX-McAllen 89,215 230 88,985 2.95 2.55 3.36
406 TX-Odessa 69,785 2,823 66,962 0.79 0.57 1.01
411 TX-San Angelo 41,925 829 41,096 1.31 0.93 1.69
412 TX-San Antonio 409,913 15,764 394,149 1.56 1.43 1.69 2.76 1.94 3.59 1.33 1.22 1.45
413 TX-Temple 78,025 6,256 71,769 1.28 1.02 1.53 0.92 0.70 1.15
416 TX-Tyler 149,328 14,423 134,905 1.39 1.20 1.57 5.10 3.97 6.23 1.08 0.90 1.26
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Number of Medicare beneficiaries (100%
Part A) (2006-07) Leg amputations per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 40,301 2,114 38,187 1.95 1.50 2.39
418 TX-Waco 79,885 7,432 72,453 1.06 0.84 1.28 3.24 1.97 4.50 0.90 0.68 1.11
420 TX-Wichita Falls 55,054 2,347 52,707 0.67 0.44 0.90
421 UT-Ogden 60,823 583 60,240 0.55 0.34 0.76
422 UT-Provo 56,803 0.27 0.12 0.42
423 UT-Salt Lake City 281,011 920 280,091 0.37 0.29 0.45
424 VT-Burlington 154,578 493 154,085 0.88 0.72 1.05
426 VA-Arlington 305,960 22,236 283,724 0.61 0.52 0.70 2.65 1.96 3.33 0.44 0.37 0.52
427 VA-Charlottesville 136,500 9,762 126,738 0.85 0.70 1.01 3.13 2.03 4.24 0.66 0.52 0.80
428 VA-Lynchburg 65,127 8,992 56,135 1.34 1.08 1.59 4.66 3.27 6.05 1.08 0.81 1.35
429 VA-Newport News 121,429 25,117 96,312 1.05 0.89 1.20 3.94 3.17 4.72 0.79 0.61 0.97
430 VA-Norfolk 239,511 54,853 184,658 0.98 0.88 1.09 3.76 3.25 4.27 0.71 0.59 0.84
431 VA-Richmond 342,824 73,594 269,230 0.90 0.81 0.98 3.34 2.93 3.76 0.68 0.58 0.78
432 VA-Roanoke 191,678 10,485 181,193 1.00 0.85 1.14 3.13 2.09 4.17 0.81 0.68 0.94
435 VA-Winchester 95,787 2,932 92,855 1.06 0.84 1.29 0.82 0.64 1.01
437 WA-Everett 100,976 521 100,455 0.99 0.77 1.21
438 WA-Olympia 73,444 517 72,927 1.25 0.96 1.53
439 WA-Seattle 453,323 10,850 442,473 0.87 0.77 0.96 1.93 1.10 2.75 0.71 0.63 0.78
440 WA-Spokane 327,179 1,410 325,769 0.75 0.64 0.85
441 WA-Tacoma 125,805 5,088 120,717 0.76 0.59 0.92 0.60 0.46 0.73
442 WA-Yakima 56,639 379 56,260 0.91 0.64 1.19
443 WV-Charleston 228,442 5,464 222,978 1.34 1.17 1.50 1.11 0.97 1.25
444 WV-Huntington 94,407 1,233 93,174 1.10 0.86 1.33
445 WV-Morgantown 98,885 1,065 97,820 1.25 1.01 1.50
446 WI-Appleton 57,111 1.10 0.80 1.40
447 WI-Green Bay 113,182 1.44 1.19 1.69
448 WI-La Crosse 69,252 1.05 0.78 1.32
449 WI-Madison 232,916 2,235 230,681 0.92 0.79 1.06
450 WI-Marshfield 88,470 0.71 0.51 0.90
451 WI-Milwaukee 512,533 28,570 483,963 0.94 0.85 1.02 3.09 2.43 3.75 0.75 0.67 0.83
452 WI-Neenah 45,932 1.29 0.93 1.66
456 WI-Wausau 47,291 0.74 0.47 1.02
457 WY-Casper 49,328 0.68 0.42 0.93
999 US-United States 56,423,925 4,320,002 52,103,923 0.93 3.39 0.72
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 87.4 86.6 88.3 85.9 83.6 88.2 89.7 88.8 90.7
2 AL-Dothan 95.9 94.0 97.9 93.4 88.6 98.3 100.0 97.8 102.2
5 AL-Huntsville 85.9 84.3 87.5 91.1 85.5 96.7 85.8 84.1 87.5
6 AL-Mobile 86.3 84.8 87.7 107.1 102.9 111.2 85.4 83.8 87.0
7 AL-Montgomery 86.3 84.4 88.2 102.4 97.9 106.8 87.7 85.5 89.9
9 AL-Tuscaloosa 91.7 89.2 94.1 115.7 110.0 121.5 91.2 88.4 94.1
10 AK-Anchorage 59.6 57.8 61.3 41.5 32.1 50.9 58.8 57.1 60.5
11 AZ-Mesa 47.9 46.7 49.1 52.5 42.9 62.0 46.8 45.6 48.0
12 AZ-Phoenix 55.3 54.5 56.0 63.2 57.4 69.0 53.9 53.2 54.7
14 AZ-Sun City 48.4 47.0 49.8 38.9 27.5 50.3 47.4 46.0 48.8
15 AZ-Tucson 49.9 48.9 51.0 49.7 42.2 57.3 48.9 47.8 49.9
16 AR-Fort Smith 92.1 90.1 94.2 100.3 83.2 117.5 89.9 87.9 92.0
18 AR-Jonesboro 99.4 96.8 102.0 118.7 95.9 141.5 96.9 94.3 99.4
19 AR-Little Rock 85.1 84.2 86.0 93.1 90.1 96.1 85.2 84.2 86.2
21 AR-Springdale 77.4 75.6 79.2 75.4 73.6 77.2
22 AR-Texarkana 107.3 104.8 109.8 123.8 116.7 130.9 107.7 104.9 110.4
23 CA-Orange County 53.8 53.0 54.6 71.8 63.1 80.5 52.3 51.5 53.1
25 CA-Bakersfield 78.6 77.0 80.2 105.0 93.8 116.2 76.4 74.8 78.0
31 CA-Chico 64.6 62.9 66.4 116.0 88.0 144.0 62.6 60.9 64.3
33 CA-Contra Costa County 54.0 52.6 55.3 71.3 64.1 78.5 52.5 51.2 53.9
43 CA-Fresno 64.2 62.9 65.5 95.1 87.1 103.0 62.1 60.8 63.3
56 CA-Los Angeles 69.5 69.0 70.1 109.5 107.4 111.7 66.0 65.5 66.5
58 CA-Modesto 66.6 65.1 68.1 71.5 61.8 81.3 65.2 63.7 66.6
62 CA-Napa 51.1 49.3 52.8 55.5 38.3 72.7 49.8 48.1 51.5
65 CA-Alameda County 58.7 57.5 59.9 91.5 87.6 95.5 54.8 53.6 56.1
69 CA-Palm Springs/Rancho Mirage 49.1 47.6 50.7 79.9 63.2 96.6 47.6 46.0 49.1
73 CA-Redding 52.8 51.3 54.3 48.2 30.3 66.0 51.5 50.0 52.9
77 CA-Sacramento 54.3 53.5 55.1 72.8 67.9 77.7 52.8 52.0 53.6
78 CA-Salinas 49.1 47.5 50.7 53.8 44.5 63.1 48.1 46.5 49.7
79 CA-San Bernardino 74.6 73.4 75.7 103.0 98.0 108.0 72.2 71.0 73.4
80 CA-San Diego 53.0 52.2 53.7 75.1 70.4 79.7 51.3 50.6 52.1
81 CA-San Francisco 49.4 48.4 50.4 82.5 78.3 86.7 46.4 45.4 47.4
82 CA-San Jose 48.8 47.8 49.8 54.8 46.6 63.0 47.6 46.6 48.7
83 CA-San Luis Obispo 41.8 40.1 43.5 74.6 45.9 103.3 40.5 38.9 42.2
85 CA-San Mateo County 39.5 38.3 40.8 55.3 47.0 63.6 38.4 37.1 39.6
86 CA-Santa Barbara 41.7 40.3 43.1 52.6 40.4 64.7 40.6 39.2 42.0
87 CA-Santa Cruz 52.8 50.6 55.0 51.4 49.2 53.6
89 CA-Santa Rosa 42.9 41.4 44.4 78.2 55.9 100.6 41.6 40.1 43.0
91 CA-Stockton 66.9 65.1 68.8 98.5 89.2 107.9 64.5 62.6 66.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 46.3 45.1 47.5 50.8 40.5 61.1 45.2 44.0 46.4
101 CO-Boulder 54.8 52.3 57.3
102 CO-Colorado Springs 55.8 54.5 57.1 54.3 46.4 62.2 54.8 53.5 56.1
103 CO-Denver 57.5 56.6 58.4 56.6 52.1 61.1 56.7 55.8 57.6
104 CO-Fort Collins 54.1 52.1 56.0 50.9 28.0 73.8 52.7 50.8 54.6
105 CO-Grand Junction 43.7 42.1 45.2
106 CO-Greeley 60.5 58.6 62.5
107 CO-Pueblo 51.6 49.3 53.9 53.2 31.5 75.0 50.3 48.1 52.6
109 CT-Bridgeport 55.6 54.4 56.8 73.0 67.9 78.1 54.1 52.9 55.4
110 CT-Hartford 64.8 64.0 65.6 74.0 69.7 78.3 63.5 62.7 64.4
111 CT-New Haven 70.4 69.6 71.3 97.6 92.6 102.6 68.3 67.4 69.2
112 DE-Wilmington 74.4 73.1 75.7 95.0 90.9 99.1 73.0 71.6 74.3
113 DC-Washington 62.5 61.8 63.2 85.0 83.4 86.5 60.2 59.4 61.0
115 FL-Bradenton 55.7 54.1 57.2 94.6 82.0 107.2 53.5 52.0 55.1
116 FL-Clearwater 62.1 60.8 63.4 103.9 89.8 118.1 60.1 58.8 61.4
118 FL-Fort Lauderdale 55.1 54.5 55.7 85.5 82.0 88.9 53.1 52.5 53.6
119 FL-Fort Myers 53.5 52.7 54.2 71.3 65.7 76.9 52.0 51.2 52.7
120 FL-Gainesville 77.7 76.1 79.2 99.8 94.3 105.2 76.0 74.4 77.6
122 FL-Hudson 70.5 69.0 72.0 70.0 57.6 82.4 68.9 67.4 70.4
123 FL-Jacksonville 80.3 79.2 81.3 103.9 100.6 107.1 78.5 77.4 79.6
124 FL-Lakeland 68.4 66.5 70.3 92.6 83.4 101.8 66.4 64.5 68.3
127 FL-Miami 87.7 86.7 88.6 107.9 104.2 111.5 86.1 85.1 87.0
129 FL-Ocala 53.8 52.8 54.8 62.7 57.2 68.3 52.7 51.7 53.7
130 FL-Orlando 68.3 67.7 68.8 90.2 87.5 92.9 66.4 65.8 67.0
131 FL-Ormond Beach 52.9 51.5 54.3 66.8 59.9 73.6 51.6 50.2 53.1
133 FL-Panama City 84.0 81.5 86.5 86.2 76.7 95.7 83.7 81.1 86.3
134 FL-Pensacola 78.8 77.4 80.1 91.2 86.4 96.0 77.9 76.6 79.3
137 FL-Sarasota 36.8 36.0 37.7 54.9 46.7 63.1 35.7 34.9 36.6
139 FL-St. Petersburg 68.1 66.4 69.7 96.0 87.7 104.3 65.9 64.2 67.5
140 FL-Tallahassee 74.0 72.6 75.4 85.0 81.7 88.4 75.5 73.9 77.1
141 FL-Tampa 67.0 65.9 68.2 84.1 78.9 89.2 65.6 64.4 66.8
142 GA-Albany 69.8 67.3 72.2 83.9 78.9 89.0 72.0 68.9 75.1
144 GA-Atlanta 68.5 67.9 69.1 80.2 78.6 81.7 68.6 68.0 69.3
145 GA-Augusta 71.4 70.0 72.8 88.1 84.8 91.5 71.7 70.0 73.3
146 GA-Columbus 59.2 57.3 61.0 62.3 58.5 66.1 63.6 61.3 65.9
147 GA-Macon 87.9 86.4 89.4 97.0 93.7 100.3 91.8 90.0 93.6
148 GA-Rome 89.9 87.5 92.3 92.1 82.5 101.6 89.3 86.8 91.7
149 GA-Savannah 70.7 69.5 72.0 81.9 78.7 85.0 71.9 70.5 73.4
150 HI-Honolulu 28.9 28.3 29.6 38.1 28.4 47.9 28.1 27.5 28.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 46.5 45.3 47.7 60.0 32.3 87.7 45.2 44.1 46.4
152 ID-Idaho Falls 49.0 46.7 51.3
154 IL-Aurora 72.5 69.7 75.3 88.6 73.9 103.3 70.8 68.1 73.6
155 IL-Blue Island 89.6 88.3 90.8 139.3 135.1 143.6 83.6 82.2 84.9
156 IL-Chicago 90.2 89.3 91.1 127.1 125.3 129.0 83.9 82.8 85.0
158 IL-Elgin 78.5 76.8 80.1 97.9 79.9 116.0 76.3 74.8 77.9
161 IL-Evanston 62.9 61.9 63.9 97.4 88.3 106.5 60.9 60.0 61.9
163 IL-Hinsdale 69.7 67.9 71.4 108.7 94.0 123.4 67.4 65.6 69.1
164 IL-Joliet 99.6 97.8 101.3 149.8 140.1 159.5 96.0 94.2 97.7
166 IL-Melrose Park 74.2 73.2 75.3 104.9 99.1 110.7 71.9 70.9 72.9
170 IL-Peoria 84.2 82.8 85.6 110.9 100.3 121.5 81.9 80.6 83.3
171 IL-Rockford 77.3 76.0 78.7 118.1 107.3 128.9 74.8 73.5 76.2
172 IL-Springfield 88.2 87.0 89.4 92.1 84.0 100.3 86.3 85.1 87.5
173 IL-Urbana 86.8 85.0 88.7 91.6 81.5 101.8 85.3 83.5 87.1
175 IL-Bloomington 59.8 57.3 62.3 85.9 63.0 108.8 58.1 55.6 60.5
179 IN-Evansville 94.1 92.7 95.5 105.2 94.8 115.6 91.9 90.5 93.3
180 IN-Fort Wayne 69.2 68.0 70.5 84.9 75.6 94.2 67.5 66.3 68.7
181 IN-Gary 91.3 89.7 93.0 119.8 115.2 124.5 89.2 87.4 91.1
183 IN-Indianapolis 74.4 73.7 75.1 80.1 77.3 82.9 73.7 73.0 74.4
184 IN-Lafayette 65.5 63.2 67.8 63.7 61.4 66.0
185 IN-Muncie 79.8 77.2 82.4 66.2 52.7 79.6 78.9 76.3 81.5
186 IN-Munster 91.6 89.5 93.7 140.8 132.1 149.5 87.1 85.0 89.3
187 IN-South Bend 62.5 61.2 63.7 76.8 69.7 83.9 61.0 59.8 62.2
188 IN-Terre Haute 100.5 97.7 103.4 112.1 90.6 133.7 98.2 95.3 101.0
190 IA-Cedar Rapids 58.1 56.3 59.9 73.1 48.9 97.4 56.5 54.8 58.3
191 IA-Davenport 71.7 70.3 73.2 102.8 90.9 114.7 69.6 68.2 71.0
192 IA-Des Moines 68.1 67.1 69.1 76.9 66.4 87.5 66.3 65.3 67.3
193 IA-Dubuque 59.7 57.5 61.9
194 IA-Iowa City 64.7 63.0 66.5 84.5 57.3 111.7 63.0 61.2 64.7
195 IA-Mason City 60.5 58.4 62.6
196 IA-Sioux City 71.1 69.1 73.1 69.2 67.3 71.1
197 IA-Waterloo 67.6 65.6 69.7 85.2 70.5 99.8 65.9 63.8 67.9
200 KS-Topeka 67.1 65.6 68.6 73.3 64.5 82.2 65.8 64.3 67.3
201 KS-Wichita 78.5 77.5 79.4 79.6 73.0 86.3 76.8 75.9 77.8
203 KY-Covington 88.4 86.1 90.7 97.5 74.3 120.7 86.2 84.0 88.4
204 KY-Lexington 118.8 117.5 120.0 89.1 83.4 94.9 117.9 116.7 119.2
205 KY-Louisville 86.0 85.0 86.9 88.5 84.6 92.3 85.4 84.4 86.3
207 KY-Owensboro 74.0 71.2 76.8 92.3 71.0 113.7 72.1 69.3 74.9
208 KY-Paducah 109.7 107.7 111.6 129.3 117.6 140.9 107.2 105.2 109.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 127.5 124.8 130.1 131.9 125.6 138.3 132.8 129.7 135.9
210 LA-Baton Rouge 81.6 80.0 83.1 102.8 99.3 106.4 81.3 79.5 83.1
212 LA-Houma 91.4 88.7 94.1 112.4 103.3 121.6 90.0 87.2 92.9
213 LA-Lafayette 99.8 98.1 101.5 114.1 109.9 118.3 101.8 99.8 103.7
214 LA-Lake Charles 93.6 91.0 96.1 106.7 99.8 113.6 94.5 91.6 97.3
216 LA-Metairie 88.3 86.1 90.4 115.4 107.7 123.1 86.1 83.9 88.4
217 LA-Monroe 131.1 128.4 133.8 148.7 142.5 154.9 135.0 131.8 138.2
218 LA-New Orleans 74.8 72.7 76.9 88.9 84.8 93.0 78.1 75.4 80.8
219 LA-Shreveport 99.2 97.7 100.7 118.6 115.3 122.0 101.2 99.4 103.0
220 LA-Slidell 115.7 111.9 119.6 129.6 115.5 143.8 114.8 110.8 118.8
221 ME-Bangor 75.7 74.1 77.3 73.7 72.2 75.3
222 ME-Portland 58.0 57.1 58.9 46.3 29.2 63.5 56.5 55.6 57.4
223 MD-Baltimore 78.4 77.7 79.1 108.8 106.9 110.8 75.2 74.4 76.0
225 MD-Salisbury 67.0 65.6 68.4 88.6 83.9 93.2 65.3 63.8 66.8
226 MD-Takoma Park 53.7 52.6 54.8 75.2 72.4 78.0 51.1 49.8 52.4
227 MA-Boston 78.1 77.5 78.6 94.4 91.2 97.7 76.2 75.7 76.8
230 MA-Springfield 68.5 67.3 69.8 78.8 71.6 86.0 67.1 65.8 68.3
231 MA-Worcester 83.3 81.5 85.1 91.3 75.0 107.6 81.2 79.5 83.0
232 MI-Ann Arbor 75.6 74.5 76.6 107.6 102.5 112.7 73.1 72.0 74.1
233 MI-Dearborn 98.8 97.1 100.6 136.5 125.0 148.1 95.9 94.2 97.7
234 MI-Detroit 85.8 84.9 86.7 114.0 112.2 115.9 83.6 82.6 84.7
235 MI-Flint 71.0 69.5 72.5 101.8 96.6 107.0 68.1 66.5 69.6
236 MI-Grand Rapids 60.7 59.6 61.8 81.1 73.5 88.7 59.0 57.9 60.1
238 MI-Kalamazoo 73.4 72.0 74.8 94.9 87.1 102.7 71.5 70.1 72.9
239 MI-Lansing 70.8 69.4 72.3 99.1 89.8 108.5 68.7 67.3 70.1
240 MI-Marquette 67.7 65.6 69.8
242 MI-Muskegon 49.1 47.3 50.9 56.1 47.7 64.4 48.2 46.4 50.0
243 MI-Petoskey 55.4 53.3 57.4
244 MI-Pontiac 78.6 76.7 80.5 127.3 118.0 136.5 74.8 72.9 76.7
245 MI-Royal Oak 66.7 65.5 67.9 92.3 87.4 97.2 64.5 63.3 65.8
246 MI-Saginaw 81.9 80.6 83.2 126.8 118.3 135.4 79.0 77.7 80.2
248 MI-St. Joseph 54.0 51.7 56.3 71.7 63.4 80.0 52.6 50.1 55.0
249 MI-Traverse City 50.8 49.2 52.5
250 MN-Duluth 59.6 58.0 61.2
251 MN-Minneapolis 57.7 57.1 58.4 71.3 64.1 78.6 56.2 55.6 56.8
253 MN-Rochester 62.0 60.4 63.5
254 MN-St. Cloud 68.4 66.0 70.7
256 MN-St. Paul 52.4 51.3 53.5 68.2 57.9 78.6 50.9 49.9 52.0
257 MS-Gulfport 99.9 96.7 103.2 116.6 106.7 126.5 99.6 96.1 103.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 86.4 84.2 88.6 99.7 94.1 105.4 87.5 85.0 90.0
259 MS-Jackson 105.2 103.9 106.5 132.3 129.6 135.1 105.8 104.1 107.4
260 MS-Meridian 97.0 94.4 99.6 105.2 99.8 110.6 103.3 100.0 106.5
261 MS-Oxford 107.8 104.3 111.3 128.6 120.3 136.9 109.2 105.1 113.4
262 MS-Tupelo 86.9 85.0 88.8 91.1 86.1 96.2 88.9 86.8 91.1
263 MO-Cape Girardeau 93.0 90.8 95.2 134.8 122.4 147.2 89.9 87.7 92.1
264 MO-Columbia 80.8 79.5 82.2 96.1 86.5 105.6 78.9 77.6 80.2
267 MO-Joplin 92.5 90.6 94.4 84.3 60.4 108.1 90.2 88.3 92.0
268 MO-Kansas City 79.1 78.3 79.9 87.1 83.8 90.5 78.1 77.3 79.0
270 MO-Springfield 61.8 60.6 62.9 70.0 50.2 89.7 60.1 59.0 61.2
273 MO-St. Louis 84.2 83.6 84.9 108.5 105.9 111.2 82.3 81.6 83.0
274 MT-Billings 67.6 66.2 69.0
275 MT-Great Falls 79.2 76.3 82.0
276 MT-Missoula 61.0 59.4 62.6
277 NE-Lincoln 68.4 67.1 69.7 68.9 48.3 89.5 66.6 65.3 67.9
278 NE-Omaha 73.2 72.2 74.2 83.7 76.6 90.7 71.5 70.5 72.5
279 NV-Las Vegas 63.7 62.7 64.8 77.4 73.0 81.9 62.6 61.5 63.7
280 NV-Reno 53.5 52.2 54.7 65.4 51.8 79.0 52.0 50.8 53.3
281 NH-Lebanon 57.7 56.4 59.1
282 NH-Manchester 61.8 60.6 62.9 92.1 70.9 113.2 60.0 58.9 61.1
283 NJ-Camden 77.0 76.3 77.6 98.8 96.1 101.5 75.2 74.5 75.8
284 NJ-Hackensack 76.0 75.0 77.0 82.0 77.1 86.9 74.8 73.8 75.8
285 NJ-Morristown 66.9 65.8 68.0 98.1 92.2 104.0 64.6 63.5 65.7
288 NJ-New Brunswick 74.9 73.7 76.1 97.1 91.3 102.9 73.0 71.8 74.2
289 NJ-Newark 85.4 84.3 86.4 130.3 127.5 133.1 78.4 77.2 79.6
291 NJ-Paterson 80.6 78.6 82.5 136.5 127.5 145.6 75.9 73.9 77.8
292 NJ-Ridgewood 66.4 64.7 68.0 71.1 62.4 79.8 65.2 63.6 66.9
293 NM-Albuquerque 57.8 56.8 58.7 48.2 39.9 56.5 56.5 55.5 57.4
295 NY-Albany 72.0 71.2 72.8 94.7 89.1 100.3 70.1 69.3 70.9
296 NY-Binghamton 68.1 66.5 69.7 77.7 59.9 95.5 66.3 64.7 67.9
297 NY-Bronx 97.1 95.5 98.6 107.2 104.1 110.3 103.8 101.8 105.8
299 NY-Buffalo 73.3 72.2 74.4 91.9 87.3 96.5 71.7 70.6 72.8
300 NY-Elmira 87.6 85.7 89.5 91.4 76.6 106.3 85.6 83.7 87.5
301 NY-East Long Island 71.5 71.0 72.1 92.1 89.9 94.3 69.8 69.3 70.4
303 NY-Manhattan 76.3 75.7 76.9 104.5 102.7 106.3 73.7 73.0 74.3
304 NY-Rochester 70.0 68.8 71.2 86.3 80.0 92.5 68.4 67.2 69.6
307 NY-Syracuse 76.3 75.3 77.4 94.2 86.2 102.3 74.4 73.3 75.4
308 NY-White Plains 67.8 66.8 68.8 90.9 86.8 95.0 65.9 64.8 66.9
309 NC-Asheville 53.4 52.3 54.4 64.5 56.9 72.1 52.0 51.0 53.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 67.7 66.9 68.5 82.3 79.9 84.7 67.0 66.2 67.9
312 NC-Durham 68.7 67.7 69.6 85.5 83.1 87.9 68.4 67.3 69.5
313 NC-Greensboro 63.3 61.8 64.8 78.2 73.6 82.9 62.6 60.9 64.2
314 NC-Greenville 78.3 77.0 79.5 91.6 88.8 94.3 80.7 79.2 82.2
315 NC-Hickory 59.3 57.5 61.2 69.7 60.0 79.4 58.1 56.2 60.0
318 NC-Raleigh 69.2 68.3 70.2 86.5 84.3 88.7 69.1 68.0 70.2
319 NC-Wilmington 66.6 65.0 68.1 76.3 72.1 80.6 67.2 65.4 69.0
320 NC-Winston-Salem 78.5 77.3 79.8 92.5 87.9 97.0 77.5 76.2 78.8
321 ND-Bismarck 73.7 71.6 75.8
322 ND-Fargo/Moorhead MN 61.6 60.3 63.0
323 ND-Grand Forks 78.1 75.4 80.7
324 ND-Minot 72.0 69.2 74.7
325 OH-Akron 83.6 82.1 85.1 104.2 98.0 110.5 81.9 80.3 83.5
326 OH-Canton 72.2 70.8 73.6 94.1 84.9 103.2 70.3 68.8 71.7
327 OH-Cincinnati 74.6 73.7 75.6 92.1 88.4 95.8 73.3 72.3 74.3
328 OH-Cleveland 82.6 81.8 83.4 113.5 110.9 116.0 79.8 79.0 80.6
329 OH-Columbus 88.9 88.1 89.6 99.1 95.6 102.6 87.5 86.8 88.3
330 OH-Dayton 73.8 72.7 74.9 86.2 82.3 90.1 72.9 71.8 74.0
331 OH-Elyria 93.0 90.5 95.4 147.1 132.8 161.4 89.2 86.8 91.7
332 OH-Kettering 57.9 56.3 59.5 54.6 46.3 63.0 57.1 55.5 58.6
334 OH-Toledo 83.1 81.9 84.3 121.5 115.3 127.8 80.2 79.0 81.4
335 OH-Youngstown 78.3 76.9 79.6 106.2 99.8 112.7 76.0 74.6 77.4
336 OK-Lawton 79.4 76.9 82.0 82.4 71.4 93.5 78.7 76.0 81.3
339 OK-Oklahoma City 87.1 86.2 88.1 85.0 80.5 89.5 86.1 85.1 87.0
340 OK-Tulsa 85.6 84.4 86.7 96.8 91.2 102.5 84.0 82.9 85.1
341 OR-Bend 40.4 38.3 42.4
342 OR-Eugene 45.8 44.8 46.9 30.9 14.1 47.7 44.6 43.6 45.7
343 OR-Medford 50.1 48.8 51.3 53.5 27.3 79.7 48.7 47.5 49.9
344 OR-Portland 49.0 48.2 49.8 53.8 46.2 61.4 47.8 47.0 48.6
345 OR-Salem 38.2 36.0 40.3
346 PA-Allentown 76.2 75.2 77.2 101.8 92.2 111.4 74.0 73.1 75.0
347 PA-Altoona 78.1 75.9 80.3 124.3 88.8 159.9 75.8 73.7 77.9
350 PA-Danville 70.3 68.8 71.8 97.2 73.0 121.4 68.3 66.9 69.8
351 PA-Erie 77.1 75.8 78.4 79.9 68.0 91.8 75.2 73.9 76.5
352 PA-Harrisburg 61.0 60.0 62.0 75.8 69.5 82.1 59.5 58.5 60.5
354 PA-Johnstown 76.9 74.4 79.4 106.2 75.5 136.9 74.7 72.2 77.2
355 PA-Lancaster 56.8 55.6 58.0 84.0 74.2 93.9 55.1 53.9 56.2
356 PA-Philadelphia 80.5 79.8 81.2 113.2 111.0 115.3 77.3 76.6 78.0
357 PA-Pittsburgh 94.4 93.5 95.2 111.3 107.1 115.6 92.4 91.6 93.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 70.0 68.6 71.4 78.3 66.2 90.4 68.3 66.9 69.7
359 PA-Sayre 85.9 83.4 88.4 83.5 81.0 86.0
360 PA-Scranton 81.0 79.2 82.9 131.2 98.0 164.4 78.7 76.9 80.4
362 PA-Wilkes-Barre 71.1 69.2 73.0 64.3 39.1 89.5 69.3 67.4 71.1
363 PA-York 56.1 54.6 57.5 90.9 76.6 105.3 54.2 52.8 55.7
364 RI-Providence 76.3 75.1 77.5 90.7 81.9 99.5 74.4 73.2 75.6
365 SC-Charleston 70.6 69.5 71.7 82.2 79.4 84.9 71.6 70.3 72.9
366 SC-Columbia 66.9 65.9 67.9 77.7 75.4 79.9 68.9 67.7 70.1
367 SC-Florence 94.4 92.4 96.5 107.0 103.1 111.0 101.6 98.9 104.4
368 SC-Greenville 57.2 56.1 58.3 71.1 67.0 75.3 56.1 54.9 57.2
369 SC-Spartanburg 76.1 74.2 78.0 89.0 82.7 95.3 75.5 73.5 77.6
370 SD-Rapid City 54.6 52.5 56.6
371 SD-Sioux Falls 69.4 68.3 70.4 67.4 66.4 68.5
373 TN-Chattanooga 74.6 73.2 76.0 68.4 63.3 73.5 74.8 73.3 76.2
374 TN-Jackson 93.9 91.9 95.8 104.2 97.9 110.5 93.9 91.8 96.1
375 TN-Johnson City 97.3 94.7 100.0 111.6 88.0 135.2 94.9 92.3 97.5
376 TN-Kingsport 118.5 116.3 120.6 78.3 62.6 94.0 116.1 114.0 118.2
377 TN-Knoxville 91.7 90.6 92.8 93.1 86.4 99.8 90.0 88.9 91.2
379 TN-Memphis 90.0 89.0 90.9 109.6 107.4 111.8 91.2 90.0 92.4
380 TN-Nashville 102.3 101.4 103.2 104.5 101.0 108.1 101.8 100.9 102.7
382 TX-Abilene 100.1 97.9 102.3 123.0 106.8 139.1 97.5 95.4 99.7
383 TX-Amarillo 79.6 77.9 81.4 83.4 71.2 95.5 77.9 76.2 79.6
385 TX-Austin 65.5 64.5 66.6 94.0 88.5 99.5 63.3 62.2 64.4
386 TX-Beaumont 88.8 87.0 90.7 114.0 108.6 119.4 87.2 85.2 89.2
388 TX-Bryan 69.1 66.6 71.5 81.7 74.0 89.4 68.6 66.0 71.3
390 TX-Corpus Christi 90.9 88.9 92.9 95.6 82.8 108.4 89.0 87.1 91.0
391 TX-Dallas 79.7 79.0 80.4 93.6 91.1 96.1 78.8 78.0 79.5
393 TX-El Paso 66.2 64.9 67.4 66.7 58.4 75.0 64.8 63.6 66.1
394 TX-Fort Worth 75.5 74.5 76.6 94.2 89.5 98.8 73.9 72.8 75.0
396 TX-Harlingen 90.5 88.5 92.6 88.2 86.2 90.2
397 TX-Houston 80.5 79.8 81.1 98.2 96.2 100.1 79.6 78.9 80.3
399 TX-Longview 84.9 82.3 87.5 88.5 81.2 95.8 86.4 83.5 89.2
400 TX-Lubbock 96.3 94.7 97.9 110.3 101.4 119.2 94.3 92.7 95.9
402 TX-McAllen 92.0 89.9 94.1 89.5 87.5 91.5
406 TX-Odessa 85.2 83.0 87.4 78.2 68.0 88.4 84.4 82.2 86.7
411 TX-San Angelo 86.2 83.3 89.0 91.0 70.8 111.2 84.3 81.4 87.1
412 TX-San Antonio 70.9 70.1 71.7 75.2 70.8 79.5 69.7 68.9 70.6
413 TX-Temple 74.2 72.2 76.1 72.5 65.6 79.3 74.4 72.3 76.4
416 TX-Tyler 83.0 81.5 84.5 94.1 89.2 99.0 82.7 81.1 84.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2006-07
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2006-07)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 111.4 108.1 114.7 138.9 123.5 154.3 108.9 105.5 112.2
418 TX-Waco 78.2 76.3 80.1 91.0 84.2 97.7 77.5 75.4 79.5
420 TX-Wichita Falls 93.2 90.6 95.8 78.6 67.3 89.9 92.7 90.1 95.4
421 UT-Ogden 38.0 36.4 39.6 41.6 25.3 57.9 37.0 35.5 38.6
422 UT-Provo 47.2 45.4 49.1
423 UT-Salt Lake City 45.0 44.2 45.8 78.9 60.8 97.0 43.7 42.9 44.4
424 VT-Burlington 71.0 69.7 72.4 58.6 37.3 79.9 69.2 67.8 70.5
426 VA-Arlington 49.0 48.2 49.8 69.3 65.8 72.8 47.3 46.5 48.2
427 VA-Charlottesville 64.5 63.1 65.8 82.7 77.0 88.4 62.9 61.5 64.3
428 VA-Lynchburg 61.3 59.4 63.2 80.0 74.2 85.8 59.9 57.9 62.0
429 VA-Newport News 47.6 46.4 48.8 59.8 56.8 62.8 47.3 45.9 48.7
430 VA-Norfolk 58.6 57.6 59.5 74.1 71.8 76.3 58.2 57.1 59.4
431 VA-Richmond 58.5 57.7 59.3 75.1 73.1 77.1 57.7 56.8 58.6
432 VA-Roanoke 81.8 80.5 83.1 86.6 81.2 92.1 81.0 79.6 82.3
435 VA-Winchester 82.7 80.8 84.6 87.1 76.5 97.8 81.2 79.3 83.1
437 WA-Everett 39.5 38.2 40.8 30.2 14.4 46.0 38.5 37.3 39.7
438 WA-Olympia 51.9 50.2 53.6 51.6 30.5 72.7 50.6 48.9 52.2
439 WA-Seattle 44.5 43.9 45.1 64.7 59.9 69.5 43.1 42.5 43.7
440 WA-Spokane 50.0 49.2 50.8 47.8 36.5 59.2 48.7 47.9 49.5
441 WA-Tacoma 51.3 50.1 52.6 51.3 45.0 57.7 50.6 49.3 51.9
442 WA-Yakima 56.3 54.3 58.2 77.2 49.6 104.9 54.7 52.8 56.6
443 WV-Charleston 113.1 111.6 114.5 117.2 108.5 126.0 110.8 109.4 112.2
444 WV-Huntington 108.9 106.8 111.1 94.3 77.6 111.0 106.7 104.5 108.8
445 WV-Morgantown 98.4 96.4 100.4 118.0 98.2 137.9 95.8 93.9 97.8
446 WI-Appleton 52.1 50.2 53.9
447 WI-Green Bay 54.6 53.3 56.0
448 WI-La Crosse 54.9 53.1 56.6
449 WI-Madison 58.2 57.2 59.2 67.3 56.4 78.2 56.7 55.7 57.7
450 WI-Marshfield 63.2 61.6 64.9
451 WI-Milwaukee 64.6 63.9 65.2 94.4 90.8 98.1 62.3 61.6 63.0
452 WI-Neenah 58.0 55.8 60.2
456 WI-Wausau 70.9 68.4 73.3
457 WY-Casper 68.8 66.4 71.2
999 US-United States 72.4 96.7 70.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
HRR ID HRR Name
1 AL-Birmingham
2 AL-Dothan
5 AL-Huntsville
6 AL-Mobile
7 AL-Montgomery
9 AL-Tuscaloosa
10 AK-Anchorage
11 AZ-Mesa
12 AZ-Phoenix
14 AZ-Sun City
15 AZ-Tucson
16 AR-Fort Smith
18 AR-Jonesboro
19 AR-Little Rock
21 AR-Springdale
22 AR-Texarkana
23 CA-Orange County
25 CA-Bakersfield
31 CA-Chico
33 CA-Contra Costa County
43 CA-Fresno
56 CA-Los Angeles
58 CA-Modesto
62 CA-Napa
65 CA-Alameda County
69 CA-Palm Springs/Rancho Mirage
73 CA-Redding
77 CA-Sacramento
78 CA-Salinas
79 CA-San Bernardino
80 CA-San Diego
81 CA-San Francisco
82 CA-San Jose
83 CA-San Luis Obispo
85 CA-San Mateo County
86 CA-Santa Barbara
87 CA-Santa Cruz
89 CA-Santa Rosa
91 CA-Stockton
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
HRR ID HRR Name
96 CA-Ventura
101 CO-Boulder
102 CO-Colorado Springs
103 CO-Denver
104 CO-Fort Collins
105 CO-Grand Junction
106 CO-Greeley
107 CO-Pueblo
109 CT-Bridgeport
110 CT-Hartford
111 CT-New Haven
112 DE-Wilmington
113 DC-Washington
115 FL-Bradenton
116 FL-Clearwater
118 FL-Fort Lauderdale
119 FL-Fort Myers
120 FL-Gainesville
122 FL-Hudson
123 FL-Jacksonville
124 FL-Lakeland
127 FL-Miami
129 FL-Ocala
130 FL-Orlando
131 FL-Ormond Beach
133 FL-Panama City
134 FL-Pensacola
137 FL-Sarasota
139 FL-St. Petersburg
140 FL-Tallahassee
141 FL-Tampa
142 GA-Albany
144 GA-Atlanta
145 GA-Augusta
146 GA-Columbus
147 GA-Macon
148 GA-Rome
149 GA-Savannah
150 HI-Honolulu
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
HRR ID HRR Name
151 ID-Boise
152 ID-Idaho Falls
154 IL-Aurora
155 IL-Blue Island
156 IL-Chicago
158 IL-Elgin
161 IL-Evanston
163 IL-Hinsdale
164 IL-Joliet
166 IL-Melrose Park
170 IL-Peoria
171 IL-Rockford
172 IL-Springfield
173 IL-Urbana
175 IL-Bloomington
179 IN-Evansville
180 IN-Fort Wayne
181 IN-Gary
183 IN-Indianapolis
184 IN-Lafayette
185 IN-Muncie
186 IN-Munster
187 IN-South Bend
188 IN-Terre Haute
190 IA-Cedar Rapids
191 IA-Davenport
192 IA-Des Moines
193 IA-Dubuque
194 IA-Iowa City
195 IA-Mason City
196 IA-Sioux City
197 IA-Waterloo
200 KS-Topeka
201 KS-Wichita
203 KY-Covington
204 KY-Lexington
205 KY-Louisville
207 KY-Owensboro
208 KY-Paducah
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
HRR ID HRR Name
209 LA-Alexandria
210 LA-Baton Rouge
212 LA-Houma
213 LA-Lafayette
214 LA-Lake Charles
216 LA-Metairie
217 LA-Monroe
218 LA-New Orleans
219 LA-Shreveport
220 LA-Slidell
221 ME-Bangor
222 ME-Portland
223 MD-Baltimore
225 MD-Salisbury
226 MD-Takoma Park
227 MA-Boston
230 MA-Springfield
231 MA-Worcester
232 MI-Ann Arbor
233 MI-Dearborn
234 MI-Detroit
235 MI-Flint
236 MI-Grand Rapids
238 MI-Kalamazoo
239 MI-Lansing
240 MI-Marquette
242 MI-Muskegon
243 MI-Petoskey
244 MI-Pontiac
245 MI-Royal Oak
246 MI-Saginaw
248 MI-St. Joseph
249 MI-Traverse City
250 MN-Duluth
251 MN-Minneapolis
253 MN-Rochester
254 MN-St. Cloud
256 MN-St. Paul
257 MS-Gulfport
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
HRR ID HRR Name
258 MS-Hattiesburg
259 MS-Jackson
260 MS-Meridian
261 MS-Oxford
262 MS-Tupelo
263 MO-Cape Girardeau
264 MO-Columbia
267 MO-Joplin
268 MO-Kansas City
270 MO-Springfield
273 MO-St. Louis
274 MT-Billings
275 MT-Great Falls
276 MT-Missoula
277 NE-Lincoln
278 NE-Omaha
279 NV-Las Vegas
280 NV-Reno
281 NH-Lebanon
282 NH-Manchester
283 NJ-Camden
284 NJ-Hackensack
285 NJ-Morristown
288 NJ-New Brunswick
289 NJ-Newark
291 NJ-Paterson
292 NJ-Ridgewood
293 NM-Albuquerque
295 NY-Albany
296 NY-Binghamton
297 NY-Bronx
299 NY-Buffalo
300 NY-Elmira
301 NY-East Long Island
303 NY-Manhattan
304 NY-Rochester
307 NY-Syracuse
308 NY-White Plains
309 NC-Asheville
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
HRR ID HRR Name
311 NC-Charlotte
312 NC-Durham
313 NC-Greensboro
314 NC-Greenville
315 NC-Hickory
318 NC-Raleigh
319 NC-Wilmington
320 NC-Winston-Salem
321 ND-Bismarck
322 ND-Fargo/Moorhead MN
323 ND-Grand Forks
324 ND-Minot
325 OH-Akron
326 OH-Canton
327 OH-Cincinnati
328 OH-Cleveland
329 OH-Columbus
330 OH-Dayton
331 OH-Elyria
332 OH-Kettering
334 OH-Toledo
335 OH-Youngstown
336 OK-Lawton
339 OK-Oklahoma City
340 OK-Tulsa
341 OR-Bend
342 OR-Eugene
343 OR-Medford
344 OR-Portland
345 OR-Salem
346 PA-Allentown
347 PA-Altoona
350 PA-Danville
351 PA-Erie
352 PA-Harrisburg
354 PA-Johnstown
355 PA-Lancaster
356 PA-Philadelphia
357 PA-Pittsburgh
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
HRR ID HRR Name
358 PA-Reading
359 PA-Sayre
360 PA-Scranton
362 PA-Wilkes-Barre
363 PA-York
364 RI-Providence
365 SC-Charleston
366 SC-Columbia
367 SC-Florence
368 SC-Greenville
369 SC-Spartanburg
370 SD-Rapid City
371 SD-Sioux Falls
373 TN-Chattanooga
374 TN-Jackson
375 TN-Johnson City
376 TN-Kingsport
377 TN-Knoxville
379 TN-Memphis
380 TN-Nashville
382 TX-Abilene
383 TX-Amarillo
385 TX-Austin
386 TX-Beaumont
388 TX-Bryan
390 TX-Corpus Christi
391 TX-Dallas
393 TX-El Paso
394 TX-Fort Worth
396 TX-Harlingen
397 TX-Houston
399 TX-Longview
400 TX-Lubbock
402 TX-McAllen
406 TX-Odessa
411 TX-San Angelo
412 TX-San Antonio
413 TX-Temple
416 TX-Tyler
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
HRR ID HRR Name
417 TX-Victoria
418 TX-Waco
420 TX-Wichita Falls
421 UT-Ogden
422 UT-Provo
423 UT-Salt Lake City
424 VT-Burlington
426 VA-Arlington
427 VA-Charlottesville
428 VA-Lynchburg
429 VA-Newport News
430 VA-Norfolk
431 VA-Richmond
432 VA-Roanoke
435 VA-Winchester
437 WA-Everett
438 WA-Olympia
439 WA-Seattle
440 WA-Spokane
441 WA-Tacoma
442 WA-Yakima
443 WV-Charleston
444 WV-Huntington
445 WV-Morgantown
446 WI-Appleton
447 WI-Green Bay
448 WI-La Crosse
449 WI-Madison
450 WI-Marshfield
451 WI-Milwaukee
452 WI-Neenah
456 WI-Wausau
457 WY-Casper
999 US-United States
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-05) (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 141,256 19,108 122,148 81.9 81.4 82.3 76.3 75.1 77.6 82.2 81.7 82.7
2 AL-Dothan 28,272 4,683 23,589 81.8 80.7 82.9 74.2 71.7 76.7 82.4 81.3 83.6
5 AL-Huntsville 38,317 3,230 35,087 83.5 82.6 84.4 74.5 71.5 77.5 84.2 83.3 85.2
6 AL-Mobile 47,966 8,084 39,882 77.7 76.9 78.5 76.3 74.4 78.2 77.2 76.3 78.0
7 AL-Montgomery 27,326 7,071 20,255 83.7 82.6 84.8 77.1 75.1 79.2 83.9 82.6 85.2
9 AL-Tuscaloosa 16,791 4,143 12,648 83.1 81.7 84.5 79.4 76.7 82.1 82.4 80.8 84.0
10 AK-Anchorage 22,235 465 21,770 67.8 66.7 68.9 61.9 54.7 69.1 68.3 67.2 69.4
11 AZ-Mesa 37,539 583 36,956 78.8 77.9 79.7 72.0 65.0 78.9 79.4 78.5 80.3
12 AZ-Phoenix 124,840 2,202 122,638 75.7 75.2 76.2 71.1 67.5 74.6 76.3 75.8 76.7
14 AZ-Sun City 27,190 289 26,901 83.4 82.3 84.5 83.9 73.2 94.5 84.0 82.9 85.1
15 AZ-Tucson 55,608 966 54,642 75.4 74.7 76.2 65.8 60.6 71.0 76.1 75.3 76.8
16 AR-Fort Smith 26,121 423 25,698 78.6 77.6 79.7 71.1 63.1 79.1 79.2 78.2 80.3
18 AR-Jonesboro 17,106 291 16,815 82.5 81.2 83.9 78.2 68.1 88.3 83.1 81.7 84.5
19 AR-Little Rock 113,832 13,017 100,815 81.1 80.5 81.6 76.5 75.0 78.0 81.3 80.7 81.9
21 AR-Springdale 29,090 77.1 76.1 78.1
22 AR-Texarkana 19,485 2,794 16,691 78.7 77.4 79.9 75.1 71.9 78.3 78.7 77.3 80.0
23 CA-Orange County 95,677 953 94,724 71.4 70.9 72.0 61.7 56.7 66.8 72.0 71.5 72.6
25 CA-Bakersfield 36,367 973 35,394 73.7 72.8 74.6 65.6 60.5 70.7 74.3 73.4 75.2
31 CA-Chico 24,070 83.0 81.9 84.2
33 CA-Contra Costa County 30,026 1,317 28,709 66.3 65.4 67.2 46.5 42.8 50.2 67.4 66.5 68.4
43 CA-Fresno 44,464 1,786 42,678 77.0 76.2 77.9 73.1 69.1 77.1 77.5 76.7 78.3
56 CA-Los Angeles 300,187 24,440 275,747 68.6 68.3 68.9 56.1 55.2 57.1 69.7 69.3 70.0
58 CA-Modesto 35,064 848 34,216 79.6 78.6 80.5 77.3 71.3 83.2 80.1 79.1 81.0
62 CA-Napa 17,293 212 17,081 78.3 76.9 79.6 78.1 66.1 90.1 78.8 77.5 80.1
65 CA-Alameda County 42,467 5,648 36,819 69.3 68.5 70.1 60.5 58.4 62.5 70.2 69.3 71.1
69 CA-Palm Springs/Rancho Mirage 21,160 258 20,902 72.1 71.0 73.3 66.8 56.7 76.9 72.7 71.5 73.8
73 CA-Redding 26,628 80.2 79.1 81.3
77 CA-Sacramento 88,504 2,896 85,608 78.7 78.1 79.3 67.6 64.6 70.6 79.5 78.9 80.1
78 CA-Salinas 20,279 673 19,606 75.2 74.0 76.4 75.9 69.2 82.5 75.5 74.3 76.7
79 CA-San Bernardino 60,545 4,052 56,493 67.9 67.3 68.6 61.7 59.3 64.1 68.4 67.8 69.1
80 CA-San Diego 108,701 3,463 105,238 66.7 66.2 67.2 61.9 59.3 64.6 67.2 66.7 67.7
81 CA-San Francisco 55,653 4,372 51,281 67.4 66.7 68.1 54.3 52.1 56.5 68.5 67.8 69.2
82 CA-San Jose 50,614 819 49,795 71.2 70.5 71.9 58.1 52.9 63.4 71.9 71.1 72.6
83 CA-San Luis Obispo 16,510 80.9 79.5 82.2
85 CA-San Mateo County 30,253 971 29,282 70.1 69.1 71.0 60.7 55.8 65.6 70.7 69.7 71.7
86 CA-Santa Barbara 22,384 406 21,978 74.9 73.8 76.0 72.7 64.3 81.1 75.4 74.2 76.5
87 CA-Santa Cruz 11,598 74.7 73.1 76.2
89 CA-Santa Rosa 20,735 80.9 79.7 82.2
91 CA-Stockton 22,112 1,211 20,901 76.9 75.8 78.1 72.1 67.3 76.9 77.4 76.2 78.6
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-05) (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 32,722 520 32,202 69.4 68.5 70.3 62.5 55.7 69.4 69.9 69.0 70.8
101 CO-Boulder 8,526 75.2 73.3 77.0
102 CO-Colorado Springs 36,999 989 36,010 73.6 72.8 74.5 56.6 51.8 61.3 74.5 73.6 75.4
103 CO-Denver 76,528 2,851 73,677 77.0 76.4 77.6 69.5 66.4 72.5 77.6 77.0 78.2
104 CO-Fort Collins 16,309 78.0 76.7 79.4
105 CO-Grand Junction 14,680 77.2 75.8 78.6
106 CO-Greeley 17,517 81.7 80.3 83.0
107 CO-Pueblo 10,145 83.3 81.5 85.0
109 CT-Bridgeport 40,853 3,142 37,711 72.7 71.8 73.5 65.8 62.9 68.6 73.2 72.4 74.1
110 CT-Hartford 105,723 4,578 101,145 77.7 77.1 78.2 68.7 66.3 71.1 78.3 77.8 78.9
111 CT-New Haven 94,710 4,060 90,650 77.0 76.4 77.5 68.8 66.2 71.3 77.6 77.0 78.2
112 DE-Wilmington 47,598 5,996 41,602 79.8 79.0 80.6 76.0 73.8 78.2 79.9 79.0 80.8
113 DC-Washington 125,184 32,548 92,636 68.8 68.4 69.3 57.2 56.4 58.0 71.2 70.7 71.7
115 FL-Bradenton 27,046 756 26,290 81.7 80.6 82.7 74.8 68.6 81.0 82.3 81.2 83.4
116 FL-Clearwater 40,864 619 40,245 78.2 77.3 79.0 69.3 62.7 75.8 78.8 78.0 79.7
118 FL-Fort Lauderdale 168,365 7,141 161,224 75.0 74.6 75.4 65.1 63.2 66.9 75.7 75.3 76.1
119 FL-Fort Myers 106,656 2,680 103,976 81.1 80.6 81.7 74.5 71.2 77.8 81.7 81.2 82.3
120 FL-Gainesville 35,861 3,751 32,110 76.6 75.7 77.5 73.8 71.0 76.5 76.7 75.7 77.6
122 FL-Hudson 37,920 546 37,374 79.5 78.6 80.3 72.8 65.6 80.0 80.1 79.2 81.0
123 FL-Jacksonville 83,965 11,402 72,563 78.0 77.4 78.6 72.0 70.4 73.6 78.4 77.8 79.0
124 FL-Lakeland 24,333 1,751 22,582 77.8 76.7 78.9 72.3 68.3 76.3 78.3 77.1 79.4
127 FL-Miami 99,233 7,829 91,404 64.5 64.0 65.0 58.1 56.4 59.8 65.0 64.5 65.6
129 FL-Ocala 64,288 2,479 61,809 81.1 80.4 81.8 75.7 72.3 79.1 81.6 80.9 82.3
130 FL-Orlando 227,818 14,452 213,366 77.3 76.9 77.6 71.7 70.3 73.1 77.8 77.4 78.2
131 FL-Ormond Beach 29,947 1,532 28,415 81.2 80.2 82.2 74.8 70.4 79.1 81.8 80.7 82.8
133 FL-Panama City 15,634 1,066 14,568 79.0 77.6 80.4 68.4 63.5 73.4 79.8 78.4 81.3
134 FL-Pensacola 53,260 4,586 48,674 80.2 79.4 81.0 76.7 74.2 79.2 80.4 79.6 81.2
137 FL-Sarasota 54,891 943 53,948 81.1 80.3 81.8 73.8 68.3 79.3 81.7 81.0 82.5
139 FL-St. Petersburg 28,824 1,703 27,121 73.6 72.6 74.6 70.3 66.3 74.2 74.0 72.9 75.0
140 FL-Tallahassee 41,929 9,299 32,630 78.3 77.5 79.2 72.8 71.1 74.5 78.5 77.5 79.4
141 FL-Tampa 53,703 3,724 49,979 74.9 74.2 75.6 69.4 66.8 72.1 75.4 74.6 76.1
142 GA-Albany 13,127 4,236 8,891 85.8 84.2 87.4 82.8 80.1 85.5 84.2 82.3 86.1
144 GA-Atlanta 234,205 36,029 198,176 77.1 76.8 77.5 69.9 69.0 70.8 77.8 77.4 78.2
145 GA-Augusta 40,674 10,435 30,239 71.9 71.1 72.8 71.0 69.3 72.6 70.5 69.6 71.5
146 GA-Columbus 20,379 5,854 14,525 79.7 78.5 80.9 75.2 73.0 77.4 79.2 77.7 80.6
147 GA-Macon 44,660 11,201 33,459 80.0 79.2 80.8 73.0 71.4 74.6 80.5 79.5 81.5
148 GA-Rome 18,909 1,241 17,668 82.3 81.1 83.6 75.0 70.2 79.8 83.0 81.6 84.3
149 GA-Savannah 48,350 10,352 37,998 78.4 77.6 79.2 74.2 72.5 75.8 78.1 77.3 79.0
150 HI-Honolulu 52,824 350 52,474 75.8 75.1 76.6 65.3 56.7 73.8 76.4 75.7 77.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-05) (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 40,214 76.6 75.8 77.5
152 ID-Idaho Falls 11,302 78.7 77.1 80.3
154 IL-Aurora 10,403 409 9,994 69.4 67.8 71.0 64.9 57.1 72.7 69.9 68.2 71.5
155 IL-Blue Island 56,263 7,682 48,581 72.8 72.0 73.5 62.3 60.5 64.1 73.9 73.1 74.7
156 IL-Chicago 115,625 41,479 74,146 65.4 64.9 65.9 56.3 55.6 57.0 67.6 67.1 68.2
158 IL-Elgin 31,672 283 31,389 73.8 72.8 74.7 54.2 45.6 62.9 74.5 73.5 75.4
161 IL-Evanston 71,482 1,253 70,229 74.4 73.8 75.1 64.5 60.1 69.0 75.1 74.4 75.7
163 IL-Hinsdale 21,770 434 21,336 74.2 73.1 75.4 72.1 64.1 80.0 74.7 73.6 75.9
164 IL-Joliet 34,431 1,772 32,659 73.7 72.8 74.6 70.6 66.7 74.5 74.1 73.1 75.0
166 IL-Melrose Park 73,891 3,159 70,732 73.0 72.4 73.6 65.0 62.2 67.8 73.7 73.0 74.3
170 IL-Peoria 50,463 1,135 49,328 77.9 77.1 78.7 75.5 70.5 80.6 78.4 77.6 79.2
171 IL-Rockford 50,516 1,199 49,317 79.8 79.0 80.6 79.9 74.8 84.9 80.3 79.5 81.0
172 IL-Springfield 71,425 1,596 69,829 82.9 82.2 83.5 77.1 72.8 81.5 83.5 82.8 84.1
173 IL-Urbana 28,021 929 27,092 78.7 77.7 79.8 74.4 68.9 80.0 79.2 78.2 80.3
175 IL-Bloomington 10,499 81.1 79.4 82.8
179 IN-Evansville 53,087 1,056 52,031 81.6 80.8 82.3 70.2 65.1 75.3 82.3 81.5 83.1
180 IN-Fort Wayne 58,378 1,358 57,020 79.6 78.9 80.4 70.8 66.3 75.3 80.3 79.6 81.0
181 IN-Gary 34,868 6,031 28,837 77.9 76.9 78.8 74.1 71.9 76.3 77.8 76.7 78.8
183 IN-Indianapolis 171,141 10,332 160,809 80.1 79.6 80.5 71.3 69.7 72.9 80.8 80.3 81.2
184 IN-Lafayette 11,191 77.8 76.1 79.4
185 IN-Muncie 13,129 418 12,711 81.9 80.4 83.5 72.5 64.3 80.7 82.6 81.0 84.2
186 IN-Munster 21,876 2,003 19,873 72.4 71.2 73.5 67.9 64.3 71.5 72.7 71.5 73.9
187 IN-South Bend 46,843 1,867 44,976 79.5 78.7 80.3 74.4 70.5 78.3 80.1 79.2 80.9
188 IN-Terre Haute 13,734 233 13,501 79.2 77.7 80.7 77.9 66.6 89.2 79.7 78.2 81.2
190 IA-Cedar Rapids 20,281 81.2 79.9 82.4
191 IA-Davenport 37,327 697 36,630 77.9 77.0 78.8 73.6 67.2 79.9 78.5 77.6 79.4
192 IA-Des Moines 77,689 852 76,837 82.4 81.7 83.0 69.5 63.9 75.1 83.1 82.4 83.7
193 IA-Dubuque 8,385 81.0 79.1 82.9
194 IA-Iowa City 22,239 82.0 80.8 83.2
195 IA-Mason City 14,477 84.4 82.9 85.9
196 IA-Sioux City 21,151 85.5 84.3 86.8
197 IA-Waterloo 15,036 362 14,674 85.6 84.2 87.1 88.3 78.7 97.9 86.0 84.5 87.5
200 KS-Topeka 31,321 939 30,382 81.8 80.8 82.8 73.5 68.0 79.0 82.5 81.4 83.5
201 KS-Wichita 97,693 2,339 95,354 84.8 84.2 85.4 79.2 75.6 82.8 85.4 84.8 86.0
203 KY-Covington 20,148 226 19,922 80.6 79.4 81.9 76.6 65.2 88.1 81.2 80.0 82.5
204 KY-Lexington 94,167 3,313 90,854 80.1 79.5 80.7 74.8 71.8 77.7 80.7 80.1 81.2
205 KY-Louisville 111,162 7,637 103,525 81.1 80.5 81.6 76.9 75.0 78.9 81.4 80.9 82.0
207 KY-Owensboro 11,196 212 10,984 84.1 82.4 85.8 73.5 61.9 85.1 84.8 83.1 86.6
208 KY-Paducah 32,380 1,055 31,325 80.5 79.5 81.5 74.6 69.4 79.8 81.1 80.1 82.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-05) (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 20,099 3,776 16,323 75.5 74.3 76.7 75.4 72.6 78.1 74.5 73.2 75.8
210 LA-Baton Rouge 38,138 9,442 28,696 78.9 78.0 79.8 75.4 73.6 77.1 78.3 77.2 79.3
212 LA-Houma 16,313 1,913 14,400 77.4 76.1 78.8 76.3 72.3 80.2 77.2 75.8 78.7
213 LA-Lafayette 37,320 7,357 29,963 77.1 76.2 78.0 78.0 76.0 80.0 75.7 74.7 76.7
214 LA-Lake Charles 16,408 2,659 13,749 79.3 77.9 80.6 77.9 74.5 81.2 78.7 77.3 80.2
216 LA-Metairie 22,032 2,147 19,885 72.7 71.6 73.9 67.7 64.2 71.2 73.1 71.9 74.3
217 LA-Monroe 19,635 4,367 15,268 81.2 80.0 82.5 80.7 78.0 83.3 79.9 78.4 81.3
218 LA-New Orleans 24,753 8,412 16,341 64.7 63.6 65.7 57.8 56.2 59.5 65.6 64.3 66.8
219 LA-Shreveport 48,101 11,913 36,188 78.1 77.3 78.9 71.7 70.2 73.2 78.4 77.5 79.3
220 LA-Slidell 9,488 767 8,721 73.7 72.0 75.4 76.0 69.9 82.2 73.5 71.7 75.3
221 ME-Bangor 34,215 83.8 82.9 84.8
222 ME-Portland 79,623 79.1 78.5 79.7
223 MD-Baltimore 148,413 29,456 118,957 78.0 77.6 78.5 68.6 67.7 69.6 79.2 78.7 79.7
225 MD-Salisbury 36,804 4,275 32,529 81.5 80.6 82.5 77.4 74.8 80.1 81.7 80.7 82.7
226 MD-Takoma Park 37,818 7,986 29,832 67.5 66.6 68.3 59.3 57.7 61.0 68.5 67.6 69.4
227 MA-Boston 267,941 8,993 258,948 72.7 72.4 73.0 69.1 67.4 70.8 73.2 72.8 73.5
230 MA-Springfield 43,519 1,479 42,040 79.1 78.3 79.9 75.5 71.1 79.9 79.6 78.7 80.4
231 MA-Worcester 27,137 394 26,743 74.9 73.9 75.9 69.9 61.7 78.2 75.4 74.4 76.5
232 MI-Ann Arbor 81,960 4,266 77,694 80.3 79.6 80.9 74.3 71.7 76.9 80.8 80.2 81.4
233 MI-Dearborn 37,328 997 36,331 81.4 80.5 82.3 70.6 65.4 75.8 82.1 81.2 83.0
234 MI-Detroit 118,184 37,236 80,948 77.4 76.9 77.9 69.2 68.3 70.0 78.5 77.9 79.1
235 MI-Flint 35,951 4,141 31,810 83.2 82.2 84.1 81.4 78.6 84.1 83.0 82.0 84.0
236 MI-Grand Rapids 71,604 1,883 69,721 83.3 82.6 84.0 79.6 75.5 83.6 83.8 83.1 84.5
238 MI-Kalamazoo 46,431 2,028 44,403 81.2 80.3 82.0 77.7 73.9 81.6 81.6 80.8 82.5
239 MI-Lansing 43,034 1,201 41,833 82.0 81.1 82.8 74.6 69.8 79.5 82.6 81.8 83.5
240 MI-Marquette 18,607 79.8 78.5 81.1
242 MI-Muskegon 20,334 1,129 19,205 85.1 83.9 86.4 83.9 78.6 89.2 85.4 84.1 86.7
243 MI-Petoskey 16,423 84.4 83.0 85.8
244 MI-Pontiac 24,828 1,524 23,304 77.9 76.8 79.0 72.3 68.0 76.5 78.4 77.3 79.6
245 MI-Royal Oak 48,498 3,652 44,846 79.1 78.4 79.9 72.4 69.6 75.1 79.7 78.9 80.6
246 MI-Saginaw 58,798 2,041 56,757 81.9 81.2 82.6 83.0 79.1 86.9 82.2 81.5 83.0
248 MI-St. Joseph 11,727 1,311 10,416 80.1 78.5 81.7 76.3 71.5 81.0 80.3 78.6 82.0
249 MI-Traverse City 21,816 85.4 84.2 86.6
250 MN-Duluth 28,831 79.7 78.7 80.8
251 MN-Minneapolis 154,151 1,455 152,696 80.2 79.7 80.6 75.0 70.5 79.4 80.8 80.3 81.2
253 MN-Rochester 32,093 78.7 77.8 79.7
254 MN-St. Cloud 14,497 80.0 78.6 81.5
256 MN-St. Paul 41,240 650 40,590 78.0 77.1 78.8 73.3 66.7 79.9 78.5 77.7 79.4
257 MS-Gulfport 11,843 1,376 10,467 65.2 63.8 66.7 67.9 63.5 72.2 64.6 63.1 66.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-05) (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 19,601 3,353 16,248 82.7 81.4 83.9 79.2 76.2 82.2 82.5 81.1 83.9
259 MS-Jackson 67,569 21,367 46,202 81.6 80.9 82.3 78.1 76.9 79.3 80.3 79.5 81.2
260 MS-Meridian 15,259 4,320 10,939 81.3 79.9 82.8 79.7 77.0 82.3 79.7 78.0 81.3
261 MS-Oxford 10,148 2,508 7,640 83.6 81.8 85.4 82.5 78.9 86.0 82.1 80.0 84.1
262 MS-Tupelo 26,989 4,322 22,667 82.9 81.8 84.0 80.1 77.4 82.8 82.6 81.4 83.8
263 MO-Cape Girardeau 22,024 1,106 20,918 84.3 83.1 85.5 81.1 75.9 86.4 84.7 83.5 86.0
264 MO-Columbia 50,909 1,176 49,733 79.1 78.3 79.9 73.4 68.5 78.3 79.7 78.9 80.5
267 MO-Joplin 28,840 82.5 81.4 83.5
268 MO-Kansas City 132,424 8,369 124,055 80.6 80.1 81.1 72.7 70.8 74.5 81.2 80.7 81.7
270 MO-Springfield 60,446 214 60,232 81.3 80.6 82.0 76.6 64.8 88.4 81.9 81.2 82.7
273 MO-St. Louis 189,673 16,856 172,817 78.7 78.3 79.1 68.6 67.3 69.8 79.6 79.2 80.1
274 MT-Billings 39,152 79.7 78.9 80.6
275 MT-Great Falls 11,925 80.9 79.3 82.5
276 MT-Missoula 27,148 76.4 75.3 77.4
277 NE-Lincoln 43,621 84.9 84.0 85.8
278 NE-Omaha 82,339 1,893 80,446 82.2 81.6 82.8 74.0 70.2 77.9 82.8 82.2 83.5
279 NV-Las Vegas 60,961 3,651 57,310 73.0 72.3 73.7 66.4 63.7 69.0 73.6 72.9 74.3
280 NV-Reno 38,427 354 38,073 73.5 72.6 74.3 68.1 59.4 76.7 74.0 73.2 74.9
281 NH-Lebanon 32,661 76.4 75.5 77.4
282 NH-Manchester 52,487 77.8 77.1 78.6
283 NJ-Camden 193,353 14,109 179,244 74.1 73.7 74.5 68.4 67.0 69.8 74.6 74.2 75.0
284 NJ-Hackensack 80,098 3,436 76,662 62.5 61.9 63.0 61.1 58.5 63.7 62.8 62.2 63.3
285 NJ-Morristown 61,753 2,957 58,796 67.9 67.3 68.6 60.8 58.0 63.6 68.5 67.8 69.1
288 NJ-New Brunswick 57,187 2,949 54,238 64.1 63.4 64.7 62.9 60.1 65.8 64.3 63.6 65.0
289 NJ-Newark 80,252 18,017 62,235 63.4 62.8 63.9 59.5 58.4 60.7 63.3 62.7 63.9
291 NJ-Paterson 22,474 1,870 20,604 67.3 66.2 68.3 60.3 56.8 63.8 67.9 66.7 69.0
292 NJ-Ridgewood 25,506 1,013 24,493 68.1 67.1 69.1 65.0 60.0 70.0 68.5 67.5 69.5
293 NM-Albuquerque 72,971 743 72,228 75.5 74.9 76.1 69.8 63.7 75.8 76.1 75.4 76.7
295 NY-Albany 122,377 3,152 119,225 76.8 76.3 77.3 68.2 65.3 71.1 77.5 77.0 78.0
296 NY-Binghamton 32,258 245 32,013 78.4 77.5 79.4 73.0 62.2 83.7 79.0 78.1 80.0
297 NY-Bronx 44,486 12,256 32,230 60.0 59.2 60.7 53.0 51.7 54.3 61.0 60.1 61.8
299 NY-Buffalo 70,904 5,091 65,813 77.1 76.4 77.7 64.0 61.8 66.2 78.1 77.5 78.8
300 NY-Elmira 28,895 572 28,323 80.0 79.0 81.1 73.4 66.3 80.4 80.6 79.6 81.7
301 NY-East Long Island 249,118 19,714 229,404 68.5 68.2 68.8 56.7 55.7 57.8 69.5 69.2 69.9
303 NY-Manhattan 215,097 35,354 179,743 61.8 61.5 62.2 52.3 51.5 53.0 63.1 62.7 63.5
304 NY-Rochester 50,367 2,429 47,938 79.5 78.8 80.3 70.8 67.5 74.2 80.2 79.4 81.0
307 NY-Syracuse 75,312 1,759 73,553 80.8 80.1 81.4 77.6 73.5 81.7 81.3 80.6 81.9
308 NY-White Plains 65,911 5,673 60,238 63.8 63.2 64.4 62.4 60.3 64.4 63.9 63.2 64.5
309 NC-Asheville 58,932 1,384 57,548 81.6 80.9 82.3 76.2 71.6 80.8 82.2 81.4 82.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-05) (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 121,951 15,801 106,150 81.9 81.3 82.4 77.9 76.5 79.2 82.0 81.4 82.5
312 NC-Durham 86,800 19,310 67,490 82.7 82.1 83.3 78.2 77.0 79.5 82.5 81.8 83.2
313 NC-Greensboro 32,617 4,587 28,030 80.2 79.2 81.1 72.1 69.7 74.6 80.9 79.8 81.9
314 NC-Greenville 53,414 13,649 39,765 84.3 83.5 85.1 81.7 80.2 83.2 83.1 82.2 84.0
315 NC-Hickory 20,751 877 19,874 83.1 81.9 84.4 81.3 75.3 87.3 83.5 82.3 84.8
318 NC-Raleigh 90,622 21,129 69,493 81.9 81.3 82.5 77.9 76.7 79.1 81.4 80.7 82.1
319 NC-Wilmington 30,335 5,070 25,265 86.9 85.8 88.0 83.9 81.4 86.4 86.6 85.4 87.7
320 NC-Winston-Salem 63,838 5,702 58,136 81.3 80.6 82.0 70.1 68.0 72.3 82.3 81.5 83.0
321 ND-Bismarck 18,305 82.5 81.2 83.8
322 ND-Fargo/Moorhead MN 39,776 83.6 82.7 84.5
323 ND-Grand Forks 12,790 84.4 82.8 86.0
324 ND-Minot 10,636 81.3 79.6 83.0
325 OH-Akron 38,625 2,790 35,835 80.1 79.2 81.0 71.3 68.2 74.5 80.8 79.9 81.8
326 OH-Canton 41,027 1,411 39,616 79.3 78.4 80.1 74.3 69.8 78.9 79.8 78.9 80.7
327 OH-Cincinnati 90,203 7,868 82,335 80.1 79.5 80.7 72.2 70.3 74.1 80.8 80.2 81.4
328 OH-Cleveland 135,563 16,562 119,001 76.3 75.8 76.7 71.4 70.1 72.6 76.6 76.1 77.1
329 OH-Columbus 169,774 8,727 161,047 81.1 80.6 81.5 75.0 73.2 76.9 81.6 81.2 82.1
330 OH-Dayton 75,137 6,638 68,499 79.7 79.1 80.3 72.5 70.5 74.6 80.3 79.6 81.0
331 OH-Elyria 16,739 745 15,994 74.8 73.5 76.2 66.9 61.0 72.8 75.5 74.1 76.8
332 OH-Kettering 26,059 857 25,202 81.4 80.4 82.5 76.3 70.5 82.2 82.0 80.9 83.1
334 OH-Toledo 63,343 3,266 60,077 79.8 79.1 80.5 74.8 71.8 77.8 80.3 79.6 81.0
335 OH-Youngstown 47,694 2,997 44,697 82.3 81.5 83.1 78.3 75.1 81.4 82.7 81.8 83.5
336 OK-Lawton 13,643 768 12,875 76.0 74.5 77.5 69.1 63.1 75.0 76.6 75.1 78.1
339 OK-Oklahoma City 112,996 4,520 108,476 76.3 75.8 76.8 65.7 63.3 68.1 77.1 76.6 77.6
340 OK-Tulsa 75,283 3,324 71,959 79.3 78.6 79.9 71.7 68.8 74.6 79.9 79.2 80.5
341 OR-Bend 11,346 80.0 78.4 81.7
342 OR-Eugene 37,955 79.1 78.2 80.0
343 OR-Medford 31,081 81.0 80.0 82.0
344 OR-Portland 83,138 1,080 82,058 77.8 77.2 78.4 69.7 64.7 74.7 78.4 77.8 79.0
345 OR-Salem 9,649 78.5 76.8 80.3
346 PA-Allentown 83,114 1,066 82,048 79.1 78.5 79.7 72.3 67.2 77.4 79.7 79.1 80.3
347 PA-Altoona 19,260 79.5 78.2 80.7
350 PA-Danville 37,815 81.7 80.8 82.6
351 PA-Erie 54,553 688 53,865 78.4 77.7 79.2 72.1 65.8 78.5 79.0 78.3 79.8
352 PA-Harrisburg 72,986 2,242 70,744 82.1 81.5 82.8 79.2 75.5 82.9 82.6 82.0 83.3
354 PA-Johnstown 11,674 78.6 77.0 80.2
355 PA-Lancaster 43,080 988 42,092 81.1 80.2 81.9 65.0 60.0 70.1 81.9 81.1 82.8
356 PA-Philadelphia 174,215 26,150 148,065 71.7 71.3 72.1 60.4 59.5 61.4 73.0 72.6 73.5
357 PA-Pittsburgh 158,045 7,962 150,083 72.3 71.9 72.7 63.3 61.5 65.0 73.0 72.6 73.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-05) (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 39,913 685 39,228 79.3 78.5 80.2 67.2 61.1 73.3 80.0 79.1 80.9
359 PA-Sayre 16,459 81.5 80.1 82.9
360 PA-Scranton 26,592 77.5 76.5 78.6
362 PA-Wilkes-Barre 22,202 75.8 74.7 77.0
363 PA-York 31,213 531 30,682 84.6 83.6 85.6 75.0 67.6 82.4 85.3 84.3 86.3
364 RI-Providence 55,303 1,250 54,053 77.3 76.6 78.1 70.9 66.3 75.6 77.9 77.2 78.7
365 SC-Charleston 62,755 12,491 50,264 83.3 82.6 84.0 79.4 77.9 81.0 83.0 82.2 83.8
366 SC-Columbia 72,341 19,228 53,113 82.8 82.2 83.5 79.0 77.8 80.3 82.1 81.3 82.8
367 SC-Florence 23,869 8,154 15,715 87.8 86.6 89.0 83.7 81.7 85.7 86.4 85.0 87.9
368 SC-Greenville 58,040 6,010 52,030 83.5 82.8 84.2 76.2 74.0 78.4 84.1 83.3 84.9
369 SC-Spartanburg 25,804 3,197 22,607 80.4 79.3 81.5 75.1 72.1 78.1 80.7 79.5 81.9
370 SD-Rapid City 14,413 77.8 76.4 79.3
371 SD-Sioux Falls 65,591 83.7 83.0 84.4
373 TN-Chattanooga 45,897 3,406 42,491 81.7 80.9 82.6 75.8 72.9 78.7 82.3 81.4 83.1
374 TN-Jackson 26,600 3,103 23,497 82.9 81.8 84.0 78.9 75.8 82.0 83.1 81.9 84.2
375 TN-Johnson City 17,614 200 17,414 74.9 73.6 76.1 64.1 53.0 75.1 75.5 74.2 76.8
376 TN-Kingsport 33,168 370 32,798 83.6 82.6 84.6 74.2 65.5 83.0 84.3 83.3 85.3
377 TN-Knoxville 86,414 2,393 84,021 81.9 81.3 82.5 78.2 74.6 81.7 82.4 81.8 83.0
379 TN-Memphis 101,850 28,953 72,897 79.5 78.9 80.0 75.6 74.6 76.6 78.7 78.1 79.4
380 TN-Nashville 140,561 9,591 130,970 80.5 80.1 81.0 73.4 71.7 75.1 81.1 80.7 81.6
382 TX-Abilene 24,624 592 24,032 80.5 79.4 81.7 76.3 69.3 83.4 81.1 80.0 82.2
383 TX-Amarillo 29,771 555 29,216 73.9 73.0 74.9 72.2 65.2 79.2 74.4 73.4 75.4
385 TX-Austin 57,057 3,473 53,584 79.2 78.5 79.9 73.2 70.4 76.1 79.7 79.0 80.5
386 TX-Beaumont 31,136 4,747 26,389 81.5 80.5 82.5 78.3 75.8 80.8 81.3 80.2 82.4
388 TX-Bryan 10,949 1,445 9,504 80.5 78.9 82.2 77.2 72.6 81.7 80.6 78.7 82.4
390 TX-Corpus Christi 29,759 733 29,026 80.1 79.1 81.1 71.4 65.3 77.5 80.8 79.8 81.8
391 TX-Dallas 179,964 16,959 163,005 78.5 78.1 78.9 71.7 70.4 72.9 79.1 78.6 79.5
393 TX-El Paso 57,446 1,112 56,334 68.6 67.9 69.3 60.6 56.0 65.2 69.2 68.5 69.9
394 TX-Fort Worth 78,852 4,691 74,161 79.2 78.5 79.8 71.1 68.7 73.5 79.8 79.2 80.5
396 TX-Harlingen 27,303 79.8 78.7 80.8
397 TX-Houston 232,005 31,348 200,657 73.8 73.5 74.2 69.7 68.8 70.6 74.0 73.6 74.4
399 TX-Longview 14,472 1,889 12,583 85.1 83.6 86.6 80.9 76.8 84.9 85.2 83.6 86.8
400 TX-Lubbock 45,058 1,776 43,282 76.2 75.4 77.0 71.5 67.6 75.4 76.7 75.9 77.5
402 TX-McAllen 25,951 80.7 79.7 81.8
406 TX-Odessa 20,542 828 19,714 73.2 72.1 74.4 70.2 64.5 75.9 73.6 72.4 74.8
411 TX-San Angelo 12,232 325 11,907 80.0 78.5 81.6 75.2 65.7 84.7 80.6 79.0 82.2
412 TX-San Antonio 113,734 4,214 109,520 71.6 71.1 72.1 60.5 58.1 62.8 72.3 71.8 72.8
413 TX-Temple 13,536 1,352 12,184 75.2 73.7 76.7 68.8 64.4 73.3 75.7 74.2 77.3
416 TX-Tyler 43,716 4,621 39,095 82.2 81.4 83.1 79.2 76.7 81.8 82.3 81.4 83.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (20% Part Average annual percent of Medicare enrollees having at least one ambulatory visit to a primary care clinician
B sample) (2003-05) (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 11,805 636 11,169 84.3 82.6 85.9 83.6 76.5 90.8 84.5 82.8 86.2
418 TX-Waco 21,341 2,392 18,949 80.2 79.0 81.4 76.3 72.8 79.8 80.4 79.1 81.7
420 TX-Wichita Falls 16,953 732 16,221 80.0 78.6 81.3 75.9 69.6 82.2 80.4 79.1 81.8
421 UT-Ogden 18,683 80.7 79.4 82.0
422 UT-Provo 16,809 76.7 75.3 78.0
423 UT-Salt Lake City 85,809 215 85,594 76.2 75.6 76.8 68.5 57.4 79.6 76.8 76.2 77.4
424 VT-Burlington 43,988 81.7 80.9 82.6
426 VA-Arlington 72,902 5,099 67,803 70.7 70.1 71.4 63.5 61.3 65.7 71.4 70.7 72.0
427 VA-Charlottesville 38,990 2,900 36,090 82.0 81.1 82.9 77.6 74.4 80.9 82.3 81.4 83.3
428 VA-Lynchburg 19,570 2,991 16,579 83.8 82.5 85.1 80.5 77.3 83.7 83.6 82.2 85.0
429 VA-Newport News 34,444 7,855 26,589 82.3 81.3 83.2 75.8 73.9 77.8 82.6 81.5 83.7
430 VA-Norfolk 70,708 17,765 52,943 85.2 84.5 85.9 81.2 79.9 82.5 84.6 83.8 85.4
431 VA-Richmond 98,924 23,052 75,872 81.2 80.6 81.7 75.3 74.1 76.4 81.3 80.7 81.9
432 VA-Roanoke 56,298 3,246 53,052 78.7 78.0 79.4 73.0 70.0 75.9 79.2 78.4 80.0
435 VA-Winchester 27,187 854 26,333 78.0 77.0 79.1 71.8 66.1 77.6 78.6 77.5 79.7
437 WA-Everett 26,022 79.3 78.3 80.4
438 WA-Olympia 19,147 78.6 77.3 79.8
439 WA-Seattle 120,822 2,734 118,088 76.3 75.9 76.8 68.4 65.2 71.5 77.0 76.5 77.5
440 WA-Spokane 94,123 434 93,689 81.4 80.8 82.0 77.1 68.7 85.5 82.0 81.4 82.6
441 WA-Tacoma 33,163 1,240 31,923 73.7 72.8 74.6 54.8 50.6 59.0 74.7 73.8 75.7
442 WA-Yakima 16,362 82.5 81.1 83.9
443 WV-Charleston 67,467 1,573 65,894 80.6 79.9 81.3 74.6 70.3 78.9 81.2 80.5 81.9
444 WV-Huntington 28,944 359 28,585 74.8 73.8 75.8 73.1 64.3 82.0 75.3 74.3 76.4
445 WV-Morgantown 28,916 270 28,646 79.4 78.4 80.4 73.8 63.5 84.0 80.0 79.0 81.1
446 WI-Appleton 20,960 80.9 79.7 82.1
447 WI-Green Bay 38,017 79.3 78.4 80.2
448 WI-La Crosse 22,427 80.4 79.2 81.5
449 WI-Madison 63,844 556 63,288 80.5 79.8 81.2 77.0 69.7 84.3 81.1 80.4 81.8
450 WI-Marshfield 28,914 81.5 80.4 82.5
451 WI-Milwaukee 158,853 8,839 150,014 78.7 78.2 79.1 73.6 71.8 75.4 79.2 78.7 79.6
452 WI-Neenah 16,307 80.8 79.4 82.1
456 WI-Wausau 15,287 80.9 79.5 82.3
457 WY-Casper 14,379 78.2 76.8 79.6
999 US-United States 16,230,992 1,263,593 14,967,399 77.2 70.0 77.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of diabetic Medicare enrollees age
65-75 (2003-05) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 16,556 3,377 13,179 77.3 76.0 78.7 75.6 72.7 78.5 77.8 76.2 79.3
2 AL-Dothan 3,472 860 2,612 79.8 76.9 82.8 82.7 76.6 88.8 78.9 75.5 82.3
5 AL-Huntsville 4,570 628 3,942 77.8 75.3 80.4 74.7 67.9 81.4 78.3 75.6 81.1
6 AL-Mobile 5,585 1,462 4,123 74.3 72.1 76.6 71.8 67.5 76.2 75.2 72.5 77.8
7 AL-Montgomery 3,385 1,276 2,109 76.8 73.9 79.8 75.4 70.6 80.2 77.7 73.9 81.4
9 AL-Tuscaloosa 2,051 753 1,298 75.8 72.1 79.6 78.2 71.9 84.5 74.4 69.7 79.1
10 AK-Anchorage 2,105 67.0 63.5 70.5
11 AZ-Mesa 3,195 79.3 76.2 82.4
12 AZ-Phoenix 10,722 342 10,380 72.1 70.5 73.7 74.3 65.1 83.4 72.0 70.4 73.6
14 AZ-Sun City 2,000 78.3 74.4 82.2
15 AZ-Tucson 4,382 74.7 72.2 77.3
16 AR-Fort Smith 2,626 71.4 68.2 74.6
18 AR-Jonesboro 1,829 74.8 70.8 78.8
19 AR-Little Rock 11,089 2,041 9,048 76.0 74.4 77.7 75.4 71.6 79.1 76.2 74.4 78.0
21 AR-Springdale 2,441 77.6 74.1 81.0
22 AR-Texarkana 2,046 408 1,638 71.8 68.1 75.5 65.0 57.1 72.8 73.5 69.4 77.7
23 CA-Orange County 8,638 77.2 75.4 79.1
25 CA-Bakersfield 4,213 75.7 73.1 78.4
31 CA-Chico 2,161 77.2 73.5 80.9
33 CA-Contra Costa County 2,272 201 2,071 74.8 71.2 78.3 63.7 52.7 74.7 75.9 72.1 79.6
43 CA-Fresno 5,004 316 4,688 76.8 74.4 79.2 75.0 65.5 84.6 76.9 74.4 79.4
56 CA-Los Angeles 29,345 3,375 25,970 70.2 69.2 71.2 65.4 62.7 68.2 70.8 69.8 71.8
58 CA-Modesto 3,716 78.6 75.8 81.5
62 CA-Napa 1,274 79.0 74.1 83.8
65 CA-Alameda County 3,579 750 2,829 74.9 72.1 77.8 63.2 57.5 68.9 78.0 74.8 81.3
69 CA-Palm Springs/Rancho Mirage 1,273 77.5 72.6 82.3
73 CA-Redding 2,145 76.1 72.4 79.8
77 CA-Sacramento 6,697 390 6,307 79.3 77.2 81.5 73.9 65.3 82.4 79.7 77.5 81.9
78 CA-Salinas 2,138 80.8 77.0 84.6
79 CA-San Bernardino 6,352 670 5,682 73.1 71.0 75.2 69.6 63.2 75.9 73.6 71.3 75.8
80 CA-San Diego 9,130 486 8,644 75.9 74.1 77.7 72.8 65.3 80.4 76.0 74.2 77.9
81 CA-San Francisco 4,068 555 3,513 75.3 72.7 78.0 69.9 63.0 76.9 76.2 73.3 79.1
82 CA-San Jose 4,212 73.9 71.3 76.5
83 CA-San Luis Obispo 1,200 85.1 79.9 90.3
85 CA-San Mateo County 2,055 78.5 74.7 82.4
86 CA-Santa Barbara 1,754 83.5 79.2 87.8
87 CA-Santa Cruz 798 79.1 72.9 85.2
89 CA-Santa Rosa 1,293 76.0 71.3 80.8
91 CA-Stockton 2,101 77.4 73.6 81.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of diabetic Medicare enrollees age
65-75 (2003-05) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 2,775 79.0 75.7 82.3
101 CO-Boulder 498 78.7 70.9 86.5
102 CO-Colorado Springs 3,024 74.6 71.6 77.7
103 CO-Denver 5,480 425 5,055 77.8 75.4 80.1 60.7 53.3 68.1 79.2 76.7 81.6
104 CO-Fort Collins 1,139 79.3 74.1 84.5
105 CO-Grand Junction 850 83.2 77.1 89.3
106 CO-Greeley 1,372 79.8 75.1 84.5
107 CO-Pueblo 962 82.7 77.0 88.5
109 CT-Bridgeport 3,183 564 2,619 78.9 75.8 82.0 73.2 66.2 80.3 80.2 76.7 83.6
110 CT-Hartford 9,392 924 8,468 83.7 81.8 85.5 80.4 74.6 86.2 84.0 82.1 86.0
111 CT-New Haven 8,323 788 7,535 81.7 79.8 83.7 81.6 75.3 87.9 81.7 79.7 83.8
112 DE-Wilmington 5,355 1,171 4,184 77.7 75.4 80.1 75.6 70.6 80.6 78.4 75.7 81.0
113 DC-Washington 12,632 4,817 7,815 78.1 76.5 79.6 73.9 71.5 76.3 80.6 78.7 82.6
115 FL-Bradenton 2,190 81.4 77.6 85.2
116 FL-Clearwater 2,949 80.7 77.5 84.0
118 FL-Fort Lauderdale 11,772 1,288 10,484 82.7 81.0 84.3 78.7 73.8 83.5 83.2 81.4 84.9
119 FL-Fort Myers 8,856 512 8,344 81.9 80.0 83.8 79.7 72.0 87.4 82.0 80.1 84.0
120 FL-Gainesville 4,098 698 3,400 77.0 74.3 79.7 75.1 68.6 81.5 77.4 74.5 80.4
122 FL-Hudson 3,502 79.8 76.9 82.8
123 FL-Jacksonville 9,740 2,178 7,562 76.0 74.3 77.8 75.3 71.6 78.9 76.2 74.3 78.2
124 FL-Lakeland 2,785 364 2,421 82.3 78.9 85.6 81.6 72.3 90.9 82.4 78.7 86.0
127 FL-Miami 9,470 1,410 8,060 76.0 74.2 77.7 75.8 71.3 80.4 76.0 74.1 77.9
129 FL-Ocala 6,946 487 6,459 80.2 78.1 82.3 80.3 72.3 88.3 80.2 78.0 82.4
130 FL-Orlando 24,693 2,857 21,836 79.4 78.3 80.5 78.0 74.8 81.3 79.6 78.4 80.7
131 FL-Ormond Beach 2,842 334 2,508 81.4 78.1 84.7 77.0 67.5 86.4 82.0 78.4 85.5
133 FL-Panama City 1,871 215 1,656 71.7 67.8 75.5 69.3 58.2 80.4 72.0 67.9 76.1
134 FL-Pensacola 6,484 984 5,500 77.6 75.5 79.8 79.9 74.3 85.5 77.2 74.9 79.5
137 FL-Sarasota 3,545 82.3 79.3 85.3
139 FL-St. Petersburg 2,376 316 2,060 80.4 76.8 84.0 79.1 69.3 88.9 80.5 76.7 84.4
140 FL-Tallahassee 5,087 1,630 3,457 78.8 76.3 81.2 77.4 73.2 81.7 79.4 76.4 82.4
141 FL-Tampa 5,414 692 4,722 77.3 75.0 79.6 71.5 65.2 77.8 78.1 75.6 80.7
142 GA-Albany 1,705 799 906 74.4 70.3 78.5 71.5 65.6 77.3 76.9 71.2 82.6
144 GA-Atlanta 25,707 6,004 19,703 79.9 78.8 81.0 78.6 76.3 80.8 80.3 79.1 81.6
145 GA-Augusta 5,192 1,899 3,293 76.6 74.2 78.9 77.0 73.0 80.9 76.3 73.3 79.3
146 GA-Columbus 2,671 1,103 1,568 73.2 70.0 76.5 70.9 65.9 75.9 74.9 70.6 79.2
147 GA-Macon 6,031 2,065 3,966 77.1 74.9 79.3 76.6 72.8 80.4 77.3 74.6 80.1
148 GA-Rome 2,357 220 2,137 81.9 78.2 85.5 80.9 69.0 92.8 82.0 78.1 85.8
149 GA-Savannah 5,614 1,958 3,656 79.0 76.7 81.3 80.3 76.4 84.3 78.3 75.4 81.2
150 HI-Honolulu 6,016 82.8 80.5 85.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of diabetic Medicare enrollees age
65-75 (2003-05) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 3,182 81.2 78.1 84.4
152 ID-Idaho Falls 1,168 76.5 71.5 81.5
154 IL-Aurora 1,176 81.4 76.2 86.5
155 IL-Blue Island 5,539 1,366 4,173 73.6 71.3 75.8 67.7 63.4 72.1 75.5 72.9 78.1
156 IL-Chicago 12,457 6,095 6,362 65.8 64.3 67.2 59.6 57.6 61.5 71.7 69.6 73.7
158 IL-Elgin 2,894 79.5 76.3 82.8
161 IL-Evanston 4,630 82.3 79.7 84.9
163 IL-Hinsdale 1,694 80.3 76.0 84.6
164 IL-Joliet 3,621 340 3,281 76.8 73.9 79.6 76.5 67.2 85.8 76.8 73.8 79.8
166 IL-Melrose Park 6,323 584 5,739 78.8 76.7 81.0 71.4 64.6 78.3 79.6 77.3 81.9
170 IL-Peoria 4,656 234 4,422 83.1 80.4 85.7 84.6 72.8 96.4 83.0 80.3 85.7
171 IL-Rockford 4,699 288 4,411 83.4 80.8 86.1 79.5 69.2 89.8 83.7 81.0 86.4
172 IL-Springfield 6,865 305 6,560 82.2 80.0 84.3 81.3 71.2 91.4 82.2 80.0 84.4
173 IL-Urbana 2,635 80.7 77.3 84.1
175 IL-Bloomington 965 82.1 76.4 87.8
179 IN-Evansville 5,673 81.3 79.0 83.7
180 IN-Fort Wayne 5,663 283 5,380 82.7 80.4 85.1 79.9 69.5 90.3 82.9 80.5 85.3
181 IN-Gary 4,099 1,072 3,027 70.6 68.0 73.2 60.1 55.4 64.7 74.3 71.2 77.4
183 IN-Indianapolis 18,901 1,827 17,074 80.0 78.7 81.2 75.3 71.3 79.3 80.5 79.1 81.8
184 IN-Lafayette 1,089 81.8 76.5 87.2
185 IN-Muncie 1,415 81.7 77.0 86.4
186 IN-Munster 2,370 357 2,013 72.5 69.1 75.9 62.2 54.0 70.4 74.3 70.6 78.1
187 IN-South Bend 4,386 267 4,119 79.6 77.0 82.2 75.7 65.2 86.1 79.9 77.1 82.6
188 IN-Terre Haute 1,367 78.6 73.9 83.3
190 IA-Cedar Rapids 1,848 87.1 82.9 91.4
191 IA-Davenport 3,379 84.3 81.2 87.4
192 IA-Des Moines 6,619 83.4 81.2 85.6
193 IA-Dubuque 733 91.3 84.4 98.2
194 IA-Iowa City 2,033 86.0 82.0 90.1
195 IA-Mason City 1,172 86.5 81.2 91.9
196 IA-Sioux City 1,822 80.7 76.6 84.8
197 IA-Waterloo 1,375 83.3 78.5 88.1
200 KS-Topeka 2,646 84.9 81.4 88.4
201 KS-Wichita 8,787 463 8,324 83.1 81.2 85.0 77.1 69.1 85.1 83.4 81.5 85.4
203 KY-Covington 2,340 78.9 75.3 82.5
204 KY-Lexington 11,398 574 10,824 77.9 76.3 79.6 82.8 75.3 90.2 77.7 76.0 79.3
205 KY-Louisville 12,200 1,348 10,852 79.4 77.8 81.0 80.2 75.4 85.0 79.3 77.6 81.0
207 KY-Owensboro 1,180 80.8 75.6 85.9
208 KY-Paducah 3,407 77.8 74.9 80.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of diabetic Medicare enrollees age
65-75 (2003-05) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 2,386 662 1,724 73.7 70.3 77.2 75.2 68.6 81.8 73.1 69.1 77.2
210 LA-Baton Rouge 4,581 1,771 2,810 76.2 73.7 78.7 75.7 71.6 79.7 76.6 73.3 79.8
212 LA-Houma 2,301 409 1,892 82.4 78.7 86.1 79.2 70.6 87.9 83.0 78.9 87.1
213 LA-Lafayette 4,616 1,363 3,253 73.7 71.3 76.2 71.9 67.4 76.4 74.5 71.6 77.5
214 LA-Lake Charles 2,127 519 1,608 78.8 75.0 82.5 76.9 69.3 84.4 79.4 75.0 83.7
216 LA-Metairie 2,279 421 1,858 76.3 72.7 79.9 72.9 64.8 81.1 77.1 73.1 81.1
217 LA-Monroe 2,395 779 1,616 68.1 64.8 71.4 68.9 63.1 74.8 67.7 63.7 71.7
218 LA-New Orleans 2,867 1,451 1,416 71.5 68.4 74.6 71.7 67.4 76.1 71.3 66.9 75.7
219 LA-Shreveport 5,433 1,868 3,565 73.7 71.4 76.0 75.0 71.0 78.9 73.1 70.3 75.9
220 LA-Slidell 1,140 72.1 67.2 77.0
221 ME-Bangor 3,911 87.0 84.0 89.9
222 ME-Portland 7,393 86.3 84.2 88.4
223 MD-Baltimore 15,161 4,806 10,355 80.2 78.8 81.7 76.8 74.3 79.3 81.8 80.1 83.5
225 MD-Salisbury 4,560 918 3,642 80.9 78.3 83.5 79.6 73.9 85.4 81.2 78.2 84.1
226 MD-Takoma Park 3,565 1,261 2,304 80.6 77.7 83.6 76.4 71.6 81.2 82.9 79.2 86.7
227 MA-Boston 22,513 1,650 20,863 85.3 84.1 86.5 83.2 78.8 87.6 85.4 84.2 86.7
230 MA-Springfield 3,822 250 3,572 85.6 82.6 88.5 83.2 71.9 94.5 85.7 82.7 88.8
231 MA-Worcester 2,270 81.6 77.9 85.4
232 MI-Ann Arbor 8,391 789 7,602 83.2 81.3 85.2 78.1 71.9 84.2 83.8 81.7 85.8
233 MI-Dearborn 4,392 79.8 77.1 82.4
234 MI-Detroit 14,448 6,173 8,275 78.1 76.6 79.5 73.3 71.1 75.4 81.7 79.7 83.6
235 MI-Flint 4,672 892 3,780 80.9 78.3 83.4 80.7 74.8 86.6 80.9 78.0 83.8
236 MI-Grand Rapids 6,971 375 6,596 86.0 83.8 88.1 78.9 69.9 87.9 86.4 84.1 88.6
238 MI-Kalamazoo 4,876 332 4,544 82.6 80.1 85.2 81.6 71.9 91.4 82.7 80.0 85.3
239 MI-Lansing 4,413 224 4,189 83.7 81.0 86.4 77.2 65.7 88.7 84.0 81.3 86.8
240 MI-Marquette 1,824 83.2 79.0 87.4
242 MI-Muskegon 2,019 86.4 82.3 90.4
243 MI-Petoskey 1,770 85.3 81.0 89.6
244 MI-Pontiac 2,615 326 2,289 82.0 78.5 85.5 77.6 68.1 87.2 82.6 78.9 86.3
245 MI-Royal Oak 4,634 656 3,978 80.9 78.3 83.5 79.4 72.6 86.2 81.2 78.4 84.0
246 MI-Saginaw 6,588 463 6,125 81.1 78.9 83.2 75.6 67.7 83.5 81.5 79.2 83.7
248 MI-St. Joseph 1,356 302 1,054 81.9 77.1 86.8 78.5 68.5 88.5 82.9 77.4 88.4
249 MI-Traverse City 2,141 86.0 82.1 89.9
250 MN-Duluth 2,473 87.7 84.0 91.4
251 MN-Minneapolis 12,351 254 12,097 86.1 84.5 87.8 79.1 68.2 90.1 86.3 84.6 87.9
253 MN-Rochester 2,434 88.9 85.1 92.6
254 MN-St. Cloud 993 86.3 80.5 92.1
256 MN-St. Paul 3,379 85.7 82.6 88.8
257 MS-Gulfport 1,253 242 1,011 67.3 62.7 71.8 68.6 58.2 79.0 67.0 61.9 72.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of diabetic Medicare enrollees age
65-75 (2003-05) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 2,329 583 1,746 75.7 72.2 79.2 76.0 68.9 83.1 75.6 71.5 79.7
259 MS-Jackson 8,013 3,730 4,283 72.6 70.7 74.5 71.5 68.7 74.2 73.6 71.1 76.2
260 MS-Meridian 1,899 724 1,175 70.6 66.8 74.4 70.0 63.9 76.1 71.0 66.2 75.8
261 MS-Oxford 1,156 453 703 70.1 65.2 74.9 71.5 63.7 79.3 69.1 63.0 75.3
262 MS-Tupelo 2,996 732 2,264 80.0 76.8 83.2 81.6 75.0 88.1 79.5 75.8 83.2
263 MO-Cape Girardeau 2,386 203 2,183 81.2 77.6 84.8 75.4 63.4 87.3 81.8 78.0 85.6
264 MO-Columbia 5,075 218 4,857 80.3 77.8 82.8 88.5 76.0 101.0 79.9 77.4 82.4
267 MO-Joplin 2,856 77.1 73.9 80.4
268 MO-Kansas City 12,598 1,342 11,256 79.6 78.0 81.1 69.9 65.4 74.4 80.7 79.1 82.4
270 MO-Springfield 5,668 81.6 79.3 84.0
273 MO-St. Louis 19,544 3,055 16,489 79.7 78.4 80.9 72.0 68.9 75.0 81.1 79.7 82.4
274 MT-Billings 3,037 76.7 73.6 79.8
275 MT-Great Falls 999 73.1 67.8 78.4
276 MT-Missoula 2,061 79.1 75.3 83.0
277 NE-Lincoln 3,339 83.3 80.2 86.4
278 NE-Omaha 6,900 331 6,569 82.5 80.4 84.7 78.6 69.0 88.1 82.7 80.5 84.9
279 NV-Las Vegas 6,737 698 6,039 73.1 71.0 75.1 71.2 64.9 77.5 73.3 71.1 75.4
280 NV-Reno 2,892 74.5 71.4 77.7
281 NH-Lebanon 2,739 84.5 81.1 88.0
282 NH-Manchester 4,830 86.8 84.2 89.4
283 NJ-Camden 19,438 2,619 16,819 77.0 75.8 78.3 69.9 66.7 73.1 78.2 76.8 79.5
284 NJ-Hackensack 6,962 575 6,387 76.3 74.3 78.4 77.6 70.4 84.8 76.2 74.1 78.4
285 NJ-Morristown 5,331 499 4,832 79.7 77.3 82.1 77.4 69.6 85.1 79.9 77.4 82.5
288 NJ-New Brunswick 5,329 542 4,787 79.2 76.8 81.6 80.3 72.7 87.8 79.1 76.6 81.6
289 NJ-Newark 8,884 3,270 5,614 70.1 68.4 71.9 65.8 63.0 68.5 72.7 70.4 74.9
291 NJ-Paterson 2,194 326 1,868 74.8 71.1 78.4 63.5 54.9 72.2 76.7 72.7 80.7
292 NJ-Ridgewood 2,067 78.2 74.4 82.0
293 NM-Albuquerque 7,340 66.6 64.7 68.4
295 NY-Albany 11,394 678 10,716 83.5 81.8 85.2 82.3 75.5 89.1 83.6 81.9 85.3
296 NY-Binghamton 2,981 82.4 79.1 85.6
297 NY-Bronx 5,280 1,817 3,463 67.2 65.0 69.4 67.3 63.5 71.0 67.2 64.4 69.9
299 NY-Buffalo 6,472 844 5,628 82.3 80.1 84.5 77.8 71.9 83.8 83.0 80.6 85.4
300 NY-Elmira 2,849 85.0 81.6 88.4
301 NY-East Long Island 20,919 2,965 17,954 78.0 76.8 79.2 72.1 69.0 75.1 78.9 77.6 80.2
303 NY-Manhattan 17,971 4,549 13,422 73.6 72.4 74.9 69.4 66.9 71.8 75.1 73.6 76.6
304 NY-Rochester 4,437 507 3,930 85.6 82.9 88.3 81.5 73.6 89.3 86.1 83.2 89.0
307 NY-Syracuse 7,801 388 7,413 84.0 82.0 86.1 79.4 70.5 88.3 84.3 82.2 86.4
308 NY-White Plains 5,537 1,016 4,521 76.9 74.6 79.2 73.2 68.0 78.5 77.8 75.2 80.3
309 NC-Asheville 5,294 233 5,061 84.1 81.6 86.6 78.5 67.2 89.9 84.3 81.8 86.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of diabetic Medicare enrollees age
65-75 (2003-05) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 14,505 2,978 11,527 82.7 81.2 84.2 80.8 77.6 84.0 83.2 81.5 84.8
312 NC-Durham 10,390 3,646 6,744 83.2 81.4 84.9 80.7 77.8 83.6 84.5 82.3 86.7
313 NC-Greensboro 3,431 727 2,704 84.7 81.6 87.8 84.3 77.6 91.0 84.8 81.3 88.3
314 NC-Greenville 7,373 2,743 4,630 82.5 80.4 84.5 83.8 80.4 87.2 81.7 79.1 84.3
315 NC-Hickory 2,568 82.4 78.9 85.9
318 NC-Raleigh 11,857 4,193 7,664 81.9 80.2 83.5 81.5 78.8 84.3 82.1 80.0 84.1
319 NC-Wilmington 3,935 1,010 2,925 85.9 83.0 88.8 86.5 80.8 92.3 85.6 82.3 89.0
320 NC-Winston-Salem 6,960 969 5,991 84.6 82.4 86.8 85.2 79.4 91.1 84.5 82.2 86.8
321 ND-Bismarck 1,526 83.7 79.1 88.3
322 ND-Fargo/Moorhead MN 3,197 83.4 80.2 86.6
323 ND-Grand Forks 1,063 81.0 75.6 86.4
324 ND-Minot 888 83.1 77.1 89.1
325 OH-Akron 3,945 482 3,463 80.8 78.0 83.6 79.3 71.3 87.2 81.0 78.0 84.0
326 OH-Canton 4,342 251 4,091 83.6 80.9 86.3 76.9 66.0 87.7 84.0 81.2 86.8
327 OH-Cincinnati 9,465 1,448 8,017 81.9 80.1 83.7 76.7 72.2 81.2 82.8 80.8 84.8
328 OH-Cleveland 13,352 2,795 10,557 80.0 78.4 81.5 74.4 71.2 77.6 81.4 79.7 83.2
329 OH-Columbus 19,893 1,615 18,278 81.0 79.8 82.3 76.5 72.3 80.8 81.4 80.1 82.7
330 OH-Dayton 8,441 1,158 7,283 81.0 79.1 82.9 76.9 71.9 82.0 81.6 79.6 83.7
331 OH-Elyria 1,865 76.9 72.9 80.9
332 OH-Kettering 2,706 83.1 79.6 86.5
334 OH-Toledo 6,728 569 6,159 80.0 77.9 82.2 72.1 65.1 79.0 80.8 78.5 83.0
335 OH-Youngstown 5,214 619 4,595 80.6 78.1 83.0 74.2 67.4 80.9 81.4 78.8 84.1
336 OK-Lawton 1,518 69.0 64.9 73.2
339 OK-Oklahoma City 10,664 687 9,977 74.6 73.0 76.2 70.9 64.6 77.2 74.8 73.1 76.5
340 OK-Tulsa 7,087 467 6,620 74.0 72.0 76.0 75.6 67.7 83.5 73.9 71.8 76.0
341 OR-Bend 854 83.3 77.1 89.4
342 OR-Eugene 3,409 81.6 78.6 84.6
343 OR-Medford 2,555 84.8 81.2 88.3
344 OR-Portland 6,695 84.3 82.1 86.5
345 OR-Salem 799 81.0 74.7 87.2
346 PA-Allentown 8,135 206 7,929 82.0 80.0 83.9 82.5 70.1 94.9 81.9 80.0 83.9
347 PA-Altoona 2,021 84.7 80.7 88.7
350 PA-Danville 4,104 87.4 84.5 90.2
351 PA-Erie 5,460 81.4 79.0 83.8
352 PA-Harrisburg 8,022 426 7,596 84.2 82.2 86.2 78.4 70.0 86.8 84.5 82.5 86.6
354 PA-Johnstown 1,094 81.0 75.7 86.3
355 PA-Lancaster 4,293 85.4 82.6 88.1
356 PA-Philadelphia 14,561 3,731 10,830 78.3 76.8 79.7 73.2 70.4 75.9 80.1 78.4 81.7
357 PA-Pittsburgh 13,650 1,123 12,527 78.2 76.7 79.6 71.0 66.0 75.9 78.8 77.2 80.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of diabetic Medicare enrollees age
65-75 (2003-05) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 3,907 83.5 80.6 86.3
359 PA-Sayre 1,764 83.9 79.6 88.2
360 PA-Scranton 2,634 78.6 75.2 82.0
362 PA-Wilkes-Barre 2,105 73.2 69.5 76.8
363 PA-York 3,393 89.2 86.0 92.4
364 RI-Providence 4,265 79.6 76.9 82.3
365 SC-Charleston 8,017 2,565 5,452 79.9 78.0 81.9 78.5 75.1 81.9 80.6 78.2 83.0
366 SC-Columbia 9,457 3,784 5,673 74.8 73.1 76.6 73.7 71.0 76.5 75.6 73.3 77.8
367 SC-Florence 3,541 1,573 1,968 75.1 72.2 77.9 76.4 72.0 80.7 74.0 70.2 77.8
368 SC-Greenville 6,715 1,127 5,588 80.1 77.9 82.2 80.4 75.2 85.6 80.0 77.6 82.3
369 SC-Spartanburg 2,988 531 2,457 78.1 74.9 81.2 77.0 69.6 84.5 78.3 74.8 81.8
370 SD-Rapid City 1,100 79.1 73.8 84.4
371 SD-Sioux Falls 4,460 84.0 81.3 86.7
373 TN-Chattanooga 5,401 646 4,755 81.2 78.8 83.6 81.1 74.2 88.1 81.2 78.7 83.8
374 TN-Jackson 3,116 541 2,575 79.1 76.0 82.3 80.8 73.2 88.4 78.8 75.4 82.2
375 TN-Johnson City 1,887 81.4 77.3 85.4
376 TN-Kingsport 4,360 83.5 80.8 86.2
377 TN-Knoxville 10,225 458 9,767 84.4 82.6 86.2 80.4 72.1 88.6 84.6 82.8 86.4
379 TN-Memphis 12,041 4,925 7,116 75.5 74.0 77.1 72.7 70.3 75.1 77.5 75.5 79.6
380 TN-Nashville 15,561 1,751 13,810 81.4 79.9 82.8 80.8 76.6 85.0 81.4 79.9 82.9
382 TX-Abilene 2,352 75.7 72.2 79.2
383 TX-Amarillo 2,521 78.3 74.9 81.8
385 TX-Austin 5,907 693 5,214 81.5 79.2 83.8 82.1 75.4 88.9 81.4 78.9 83.8
386 TX-Beaumont 3,743 891 2,852 78.5 75.7 81.3 78.3 72.5 84.2 78.5 75.3 81.8
388 TX-Bryan 1,067 261 806 76.7 71.4 81.9 80.1 69.2 90.9 75.6 69.6 81.6
390 TX-Corpus Christi 4,191 80.2 77.4 82.9
391 TX-Dallas 18,761 3,061 15,700 79.8 78.5 81.1 75.8 72.7 78.9 80.6 79.2 82.0
393 TX-El Paso 7,759 70.9 69.0 72.8
394 TX-Fort Worth 8,294 847 7,447 80.2 78.3 82.1 75.1 69.3 80.9 80.8 78.8 82.8
396 TX-Harlingen 4,862 74.5 72.0 76.9
397 TX-Houston 25,272 5,463 19,809 76.3 75.2 77.4 75.6 73.3 77.9 76.5 75.2 77.7
399 TX-Longview 1,671 321 1,350 81.3 77.0 85.7 83.2 73.2 93.2 80.9 76.1 85.7
400 TX-Lubbock 4,805 317 4,488 77.1 74.7 79.6 74.1 64.7 83.6 77.3 74.8 79.9
402 TX-McAllen 4,587 73.1 70.6 75.6
406 TX-Odessa 2,169 74.9 71.3 78.6
411 TX-San Angelo 1,296 81.9 76.9 86.8
412 TX-San Antonio 13,933 641 13,292 76.4 74.9 77.8 65.2 59.0 71.5 76.9 75.4 78.4
413 TX-Temple 1,603 271 1,332 76.7 72.4 81.0 77.5 67.0 88.0 76.5 71.8 81.2
416 TX-Tyler 4,565 774 3,791 79.5 76.9 82.1 82.7 76.3 89.1 78.8 76.0 81.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of diabetic Medicare enrollees age
65-75 (2003-05) Average annual percent of diabetic Medicare enrollees age 65-75 having hemoglobin A1c test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 1,403 82.5 77.8 87.3
418 TX-Waco 2,126 351 1,775 80.9 77.0 84.7 80.6 71.2 90.0 80.9 76.7 85.1
420 TX-Wichita Falls 1,790 73.9 69.9 77.9
421 UT-Ogden 1,898 82.0 77.9 86.1
422 UT-Provo 1,574 79.3 74.9 83.7
423 UT-Salt Lake City 7,539 80.5 78.5 82.5
424 VT-Burlington 4,508 85.4 82.7 88.1
426 VA-Arlington 5,787 861 4,926 80.0 77.7 82.3 76.8 70.9 82.6 80.6 78.1 83.1
427 VA-Charlottesville 4,318 590 3,728 84.7 81.9 87.4 86.4 78.9 93.9 84.4 81.4 87.3
428 VA-Lynchburg 2,306 533 1,773 82.7 79.0 86.4 79.2 71.6 86.7 83.8 79.5 88.0
429 VA-Newport News 3,998 1,501 2,497 78.8 76.0 81.5 72.4 68.1 76.7 82.7 79.1 86.2
430 VA-Norfolk 9,288 3,627 5,661 78.8 77.0 80.6 76.1 73.3 79.0 80.5 78.2 82.9
431 VA-Richmond 11,558 4,192 7,366 81.1 79.5 82.7 78.2 75.5 80.9 82.8 80.7 84.8
432 VA-Roanoke 6,330 575 5,755 81.5 79.3 83.7 80.4 73.0 87.7 81.6 79.3 83.9
435 VA-Winchester 3,350 81.3 78.3 84.4
437 WA-Everett 2,220 87.2 83.3 91.0
438 WA-Olympia 1,553 82.4 77.9 86.9
439 WA-Seattle 9,031 383 8,648 86.2 84.3 88.1 80.2 71.2 89.1 86.4 84.5 88.4
440 WA-Spokane 8,180 84.4 82.5 86.4
441 WA-Tacoma 2,831 83.9 80.6 87.3
442 WA-Yakima 1,481 79.1 74.5 83.6
443 WV-Charleston 8,932 286 8,646 79.3 77.5 81.2 78.7 68.4 89.0 79.3 77.5 81.2
444 WV-Huntington 3,605 78.7 75.8 81.6
445 WV-Morgantown 3,565 79.1 76.2 82.0
446 WI-Appleton 1,748 87.9 83.5 92.3
447 WI-Green Bay 3,340 87.5 84.3 90.6
448 WI-La Crosse 1,828 89.1 84.7 93.4
449 WI-Madison 5,258 86.7 84.2 89.3
450 WI-Marshfield 2,655 89.5 85.9 93.1
451 WI-Milwaukee 14,492 1,771 12,721 84.8 83.3 86.3 79.7 75.5 83.8 85.5 83.9 87.2
452 WI-Neenah 1,349 88.7 83.6 93.7
456 WI-Wausau 1,395 87.2 82.3 92.1
457 WY-Casper 1,155 71.1 66.2 75.9
999 US-United States 1,617,874 219,165 1,398,709 79.4 75.1 80.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 63.0 61.8 64.3 61.0 58.4 63.7 63.6 62.2 64.9
2 AL-Dothan 71.7 68.9 74.5 67.2 61.7 72.7 73.2 69.9 76.4
5 AL-Huntsville 62.4 60.1 64.7 54.3 48.5 60.1 63.7 61.2 66.1
6 AL-Mobile 63.0 60.9 65.1 59.9 56.0 63.9 64.1 61.6 66.5
7 AL-Montgomery 71.1 68.3 74.0 66.9 62.4 71.4 73.6 70.0 77.3
9 AL-Tuscaloosa 61.5 58.1 64.9 64.0 58.3 69.7 60.0 55.8 64.2
10 AK-Anchorage 53.0 49.9 56.1
11 AZ-Mesa 67.8 64.9 70.6
12 AZ-Phoenix 63.8 62.3 65.3 56.7 48.8 64.7 64.0 62.5 65.6
14 AZ-Sun City 72.3 68.6 76.0
15 AZ-Tucson 69.3 66.8 71.7
16 AR-Fort Smith 64.9 61.8 67.9
18 AR-Jonesboro 71.0 67.1 74.8
19 AR-Little Rock 68.7 67.1 70.2 63.3 59.9 66.8 69.9 68.2 71.6
21 AR-Springdale 70.6 67.3 73.9
22 AR-Texarkana 61.1 57.8 64.5 53.2 46.1 60.3 63.1 59.3 67.0
23 CA-Orange County 64.9 63.2 66.6
25 CA-Bakersfield 64.8 62.4 67.2
31 CA-Chico 68.3 64.8 71.8
33 CA-Contra Costa County 68.2 64.8 71.6 62.7 51.7 73.6 68.7 65.1 72.3
43 CA-Fresno 66.8 64.6 69.1 59.2 50.7 67.7 67.3 65.0 69.7
56 CA-Los Angeles 67.0 66.1 68.0 60.0 57.4 62.6 67.9 66.9 68.9
58 CA-Modesto 67.7 65.0 70.3
62 CA-Napa 71.2 66.6 75.8
65 CA-Alameda County 65.6 62.9 68.2 59.7 54.2 65.3 67.1 64.1 70.1
69 CA-Palm Springs/Rancho Mirage 63.9 59.6 68.3
73 CA-Redding 73.2 69.6 76.9
77 CA-Sacramento 65.3 63.4 67.3 63.1 55.2 71.0 65.5 63.5 67.5
78 CA-Salinas 65.9 62.4 69.3
79 CA-San Bernardino 59.9 58.0 61.8 57.9 52.2 63.7 60.2 58.1 62.2
80 CA-San Diego 66.4 64.7 68.0 59.5 52.6 66.3 66.8 65.0 68.5
81 CA-San Francisco 66.2 63.7 68.7 56.4 50.2 62.7 67.8 65.1 70.5
82 CA-San Jose 68.4 65.9 70.9
83 CA-San Luis Obispo 73.6 68.7 78.4
85 CA-San Mateo County 69.3 65.7 72.9
86 CA-Santa Barbara 71.5 67.5 75.5
87 CA-Santa Cruz 66.8 61.1 72.5
89 CA-Santa Rosa 71.0 66.4 75.6
91 CA-Stockton 66.0 62.6 69.5
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 66.4 63.4 69.4
101 CO-Boulder 71.1 63.7 78.5
102 CO-Colorado Springs 65.6 62.8 68.5
103 CO-Denver 64.9 62.7 67.0 57.9 50.7 65.1 65.5 63.2 67.7
104 CO-Fort Collins 71.6 66.6 76.5
105 CO-Grand Junction 68.1 62.6 73.7
106 CO-Greeley 67.2 62.9 71.5
107 CO-Pueblo 63.0 58.0 68.0
109 CT-Bridgeport 70.1 67.2 73.0 60.5 54.0 66.9 72.2 68.9 75.4
110 CT-Hartford 74.4 72.7 76.2 73.2 67.6 78.7 74.6 72.7 76.4
111 CT-New Haven 75.2 73.4 77.1 70.1 64.2 75.9 75.8 73.8 77.7
112 DE-Wilmington 71.5 69.2 73.7 69.2 64.4 73.9 72.1 69.6 74.7
113 DC-Washington 65.2 63.8 66.6 62.0 59.8 64.2 67.1 65.3 69.0
115 FL-Bradenton 74.8 71.2 78.5
116 FL-Clearwater 72.3 69.2 75.4
118 FL-Fort Lauderdale 74.6 73.1 76.2 62.7 58.3 67.0 76.1 74.4 77.8
119 FL-Fort Myers 73.0 71.2 74.8 71.1 63.8 78.4 73.1 71.3 74.9
120 FL-Gainesville 67.0 64.5 69.5 66.8 60.7 72.8 67.1 64.3 69.8
122 FL-Hudson 71.5 68.7 74.3
123 FL-Jacksonville 65.3 63.7 66.9 64.4 61.1 67.8 65.5 63.7 67.4
124 FL-Lakeland 70.2 67.1 73.3 65.9 57.6 74.3 70.8 67.5 74.2
127 FL-Miami 68.5 66.8 70.1 66.2 62.0 70.5 68.9 67.0 70.7
129 FL-Ocala 71.3 69.3 73.3 70.4 63.0 77.9 71.4 69.3 73.4
130 FL-Orlando 68.0 67.0 69.0 63.6 60.7 66.6 68.6 67.5 69.7
131 FL-Ormond Beach 72.4 69.3 75.5 75.8 66.4 85.1 71.9 68.6 75.3
133 FL-Panama City 69.1 65.3 72.9 71.6 60.3 82.9 68.8 64.8 72.8
134 FL-Pensacola 69.6 67.6 71.7 67.4 62.3 72.5 70.0 67.8 72.3
137 FL-Sarasota 73.6 70.8 76.4
139 FL-St. Petersburg 69.5 66.2 72.9 64.6 55.7 73.4 70.3 66.7 73.9
140 FL-Tallahassee 65.8 63.6 68.1 61.9 58.1 65.7 67.7 65.0 70.4
141 FL-Tampa 66.5 64.3 68.7 62.6 56.7 68.5 67.1 64.8 69.4
142 GA-Albany 65.4 61.6 69.2 63.5 57.9 69.0 67.1 61.8 72.4
144 GA-Atlanta 59.9 59.0 60.9 49.5 47.8 51.3 63.1 62.0 64.2
145 GA-Augusta 66.8 64.6 69.1 60.2 56.7 63.7 70.7 67.8 73.5
146 GA-Columbus 61.9 58.9 64.9 57.0 52.6 61.5 65.3 61.3 69.3
147 GA-Macon 65.1 63.1 67.2 61.5 58.1 64.8 67.0 64.5 69.6
148 GA-Rome 58.7 55.6 61.8 53.6 44.0 63.3 59.2 55.9 62.5
149 GA-Savannah 69.6 67.5 71.8 67.7 64.1 71.4 70.7 67.9 73.4
150 HI-Honolulu 68.9 66.8 71.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 64.8 62.0 67.6
152 ID-Idaho Falls 58.7 54.3 63.1
154 IL-Aurora 65.1 60.5 69.8
155 IL-Blue Island 61.6 59.5 63.6 52.9 49.0 56.7 64.4 62.0 66.8
156 IL-Chicago 53.0 51.7 54.3 48.3 46.5 50.0 57.6 55.7 59.5
158 IL-Elgin 63.9 61.0 66.8
161 IL-Evanston 72.5 70.0 74.9
163 IL-Hinsdale 65.5 61.6 69.3
164 IL-Joliet 62.3 59.8 64.9 57.1 49.0 65.1 62.9 60.2 65.6
166 IL-Melrose Park 62.3 60.4 64.3 56.2 50.1 62.2 63.0 60.9 65.0
170 IL-Peoria 69.5 67.1 71.9 73.9 62.9 85.0 69.2 66.8 71.7
171 IL-Rockford 64.9 62.6 67.2 64.2 55.0 73.5 64.9 62.6 67.3
172 IL-Springfield 66.9 65.0 68.8 67.2 58.0 76.4 66.9 64.9 68.9
173 IL-Urbana 65.7 62.6 68.8
175 IL-Bloomington 73.0 67.6 78.3
179 IN-Evansville 65.6 63.5 67.7
180 IN-Fort Wayne 63.7 61.6 65.8 60.4 51.4 69.5 63.9 61.7 66.0
181 IN-Gary 60.5 58.1 62.9 51.2 46.9 55.5 63.8 60.9 66.6
183 IN-Indianapolis 62.3 61.2 63.4 62.7 59.1 66.4 62.3 61.1 63.4
184 IN-Lafayette 60.7 56.1 65.3
185 IN-Muncie 64.1 59.9 68.3
186 IN-Munster 63.5 60.3 66.7 51.0 43.6 58.4 65.7 62.2 69.3
187 IN-South Bend 65.9 63.5 68.3 64.0 54.4 73.6 66.0 63.5 68.5
188 IN-Terre Haute 56.9 52.9 60.9
190 IA-Cedar Rapids 78.8 74.7 82.8
191 IA-Davenport 72.6 69.8 75.5
192 IA-Des Moines 75.4 73.3 77.5
193 IA-Dubuque 79.4 73.0 85.9
194 IA-Iowa City 78.1 74.3 82.0
195 IA-Mason City 79.2 74.1 84.3
196 IA-Sioux City 69.7 65.8 73.5
197 IA-Waterloo 79.4 74.7 84.1
200 KS-Topeka 74.8 71.5 78.1
201 KS-Wichita 76.4 74.5 78.2 68.3 60.7 75.8 76.8 74.9 78.7
203 KY-Covington 62.6 59.4 65.8
204 KY-Lexington 59.0 57.6 60.4 62.9 56.4 69.4 58.8 57.4 60.2
205 KY-Louisville 66.6 65.2 68.1 67.3 62.9 71.7 66.5 65.0 68.1
207 KY-Owensboro 67.3 62.6 72.0
208 KY-Paducah 64.0 61.3 66.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 63.2 60.0 66.4 60.7 54.8 66.7 64.1 60.3 67.9
210 LA-Baton Rouge 62.2 59.9 64.5 56.6 53.1 60.1 65.7 62.7 68.7
212 LA-Houma 59.8 56.6 62.9 51.6 44.6 58.6 61.5 58.0 65.1
213 LA-Lafayette 57.5 55.3 59.7 52.5 48.7 56.4 59.6 57.0 62.3
214 LA-Lake Charles 61.1 57.8 64.4 62.4 55.6 69.2 60.6 56.8 64.4
216 LA-Metairie 64.4 61.1 67.7 54.2 47.1 61.2 66.7 63.0 70.5
217 LA-Monroe 61.8 58.6 64.9 56.6 51.3 61.9 64.2 60.3 68.1
218 LA-New Orleans 62.6 59.7 65.5 59.3 55.4 63.3 66.0 61.7 70.2
219 LA-Shreveport 62.8 60.6 64.9 57.9 54.4 61.3 65.3 62.7 68.0
220 LA-Slidell 65.4 60.7 70.0
221 ME-Bangor 80.0 77.2 82.8
222 ME-Portland 76.9 74.9 78.9
223 MD-Baltimore 65.4 64.1 66.7 57.6 55.5 59.8 69.1 67.5 70.7
225 MD-Salisbury 74.1 71.6 76.6 68.1 62.7 73.4 75.6 72.7 78.4
226 MD-Takoma Park 68.5 65.8 71.2 62.1 57.7 66.4 72.0 68.5 75.5
227 MA-Boston 74.1 73.0 75.3 73.3 69.1 77.4 74.2 73.0 75.4
230 MA-Springfield 75.5 72.7 78.2 75.2 64.5 86.0 75.5 72.6 78.3
231 MA-Worcester 73.4 69.9 76.9
232 MI-Ann Arbor 68.7 67.0 70.5 64.1 58.5 69.7 69.2 67.4 71.1
233 MI-Dearborn 64.0 61.6 66.3
234 MI-Detroit 61.6 60.3 62.9 59.5 57.6 61.4 63.1 61.4 64.8
235 MI-Flint 62.5 60.2 64.7 62.1 56.9 67.3 62.5 60.0 65.1
236 MI-Grand Rapids 68.2 66.2 70.1 63.7 55.7 71.8 68.4 66.4 70.4
238 MI-Kalamazoo 65.8 63.5 68.1 64.8 56.1 73.4 65.9 63.5 68.3
239 MI-Lansing 63.1 60.8 65.5 59.8 49.7 70.0 63.3 60.9 65.7
240 MI-Marquette 67.9 64.2 71.7
242 MI-Muskegon 69.2 65.6 72.8
243 MI-Petoskey 61.3 57.7 65.0
244 MI-Pontiac 63.9 60.8 67.0 57.7 49.4 65.9 64.8 61.5 68.1
245 MI-Royal Oak 67.3 65.0 69.7 64.8 58.6 71.0 67.8 65.2 70.3
246 MI-Saginaw 64.0 62.1 65.9 65.4 58.1 72.8 63.9 61.9 65.9
248 MI-St. Joseph 66.2 61.9 70.6 66.9 57.7 76.1 66.0 61.1 70.9
249 MI-Traverse City 66.7 63.3 70.2
250 MN-Duluth 74.5 71.1 77.9
251 MN-Minneapolis 74.6 73.1 76.1 61.4 51.8 71.1 74.9 73.3 76.4
253 MN-Rochester 73.8 70.4 77.2
254 MN-St. Cloud 75.6 70.2 81.0
256 MN-St. Paul 74.0 71.1 76.9
257 MS-Gulfport 68.0 63.4 72.6 64.5 54.3 74.6 68.8 63.7 74.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 61.7 58.5 64.9 58.7 52.4 64.9 62.7 59.0 66.4
259 MS-Jackson 62.1 60.4 63.8 57.4 54.9 59.8 66.2 63.8 68.7
260 MS-Meridian 65.9 62.3 69.6 60.8 55.1 66.5 69.1 64.4 73.9
261 MS-Oxford 63.2 58.6 67.7 58.7 51.7 65.8 66.0 60.0 72.0
262 MS-Tupelo 63.8 60.9 66.7 61.8 56.1 67.4 64.4 61.1 67.8
263 MO-Cape Girardeau 67.7 64.4 71.0 65.0 53.9 76.1 68.0 64.5 71.4
264 MO-Columbia 68.3 66.0 70.6 58.7 48.6 68.9 68.7 66.4 71.1
267 MO-Joplin 69.9 66.9 73.0
268 MO-Kansas City 69.7 68.2 71.1 64.6 60.3 68.9 70.3 68.7 71.8
270 MO-Springfield 65.9 63.8 68.0
273 MO-St. Louis 65.1 63.9 66.2 57.7 55.0 60.4 66.4 65.2 67.7
274 MT-Billings 68.4 65.4 71.3
275 MT-Great Falls 70.8 65.6 76.0
276 MT-Missoula 70.5 66.8 74.1
277 NE-Lincoln 71.2 68.3 74.1
278 NE-Omaha 74.1 72.1 76.1 70.4 61.4 79.4 74.3 72.2 76.4
279 NV-Las Vegas 59.1 57.2 60.9 58.5 52.8 64.1 59.1 57.2 61.1
280 NV-Reno 57.0 54.2 59.7
281 NH-Lebanon 74.1 70.9 77.3
282 NH-Manchester 76.6 74.1 79.0
283 NJ-Camden 68.7 67.6 69.9 62.3 59.3 65.3 69.7 68.5 71.0
284 NJ-Hackensack 68.0 66.0 69.9 58.6 52.4 64.9 68.8 66.8 70.9
285 NJ-Morristown 69.1 66.9 71.3 63.9 56.9 71.0 69.6 67.3 72.0
288 NJ-New Brunswick 67.4 65.2 69.6 68.8 61.8 75.8 67.2 64.9 69.5
289 NJ-Newark 64.0 62.4 65.7 61.0 58.3 63.7 65.8 63.7 67.9
291 NJ-Paterson 63.6 60.3 67.0 54.3 46.3 62.3 65.3 61.6 68.9
292 NJ-Ridgewood 65.9 62.4 69.4
293 NM-Albuquerque 62.3 60.5 64.1
295 NY-Albany 72.1 70.6 73.7 70.9 64.6 77.3 72.2 70.6 73.8
296 NY-Binghamton 68.7 65.7 71.6
297 NY-Bronx 64.2 62.0 66.4 64.1 60.4 67.8 64.2 61.6 66.9
299 NY-Buffalo 68.8 66.8 70.9 59.1 53.9 64.3 70.3 68.1 72.5
300 NY-Elmira 75.7 72.5 78.9
301 NY-East Long Island 69.7 68.6 70.9 61.1 58.3 63.9 71.2 69.9 72.4
303 NY-Manhattan 66.1 64.9 67.2 60.2 57.9 62.4 68.0 66.6 69.4
304 NY-Rochester 66.5 64.1 68.9 48.9 42.8 55.0 68.8 66.2 71.4
307 NY-Syracuse 72.5 70.6 74.4 65.0 56.9 73.0 72.9 71.0 74.8
308 NY-White Plains 69.3 67.1 71.5 65.8 60.8 70.7 70.1 67.7 72.6
309 NC-Asheville 68.8 66.6 71.0 60.1 50.1 70.0 69.2 66.9 71.5
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 67.4 66.1 68.8 64.1 61.2 67.0 68.3 66.8 69.8
312 NC-Durham 70.0 68.4 71.6 68.2 65.5 70.8 71.0 69.0 73.0
313 NC-Greensboro 67.3 64.6 70.1 69.6 63.5 75.7 66.7 63.6 69.8
314 NC-Greenville 70.5 68.6 72.5 68.4 65.3 71.5 71.8 69.4 74.2
315 NC-Hickory 66.5 63.3 69.6
318 NC-Raleigh 70.5 68.9 72.0 69.7 67.2 72.2 70.9 69.0 72.7
319 NC-Wilmington 73.7 71.0 76.4 70.3 65.1 75.5 74.8 71.7 78.0
320 NC-Winston-Salem 69.5 67.5 71.4 68.0 62.8 73.2 69.7 67.6 71.8
321 ND-Bismarck 72.7 68.5 77.0
322 ND-Fargo/Moorhead MN 75.0 72.0 78.0
323 ND-Grand Forks 78.4 73.0 83.7
324 ND-Minot 79.6 73.8 85.5
325 OH-Akron 66.4 63.9 69.0 57.3 50.5 64.0 67.7 65.0 70.5
326 OH-Canton 69.1 66.6 71.5 59.4 49.8 68.9 69.6 67.1 72.2
327 OH-Cincinnati 63.7 62.1 65.3 56.2 52.3 60.0 65.1 63.3 66.9
328 OH-Cleveland 66.7 65.3 68.1 62.6 59.7 65.5 67.8 66.2 69.4
329 OH-Columbus 64.9 63.8 66.1 58.1 54.4 61.8 65.5 64.4 66.7
330 OH-Dayton 63.3 61.6 65.0 64.0 59.4 68.6 63.2 61.4 65.1
331 OH-Elyria 64.3 60.7 67.9
332 OH-Kettering 66.1 63.1 69.2
334 OH-Toledo 64.9 63.0 66.8 61.9 55.4 68.3 65.2 63.2 67.2
335 OH-Youngstown 64.0 61.9 66.2 61.1 54.9 67.2 64.4 62.1 66.7
336 OK-Lawton 54.6 50.8 58.3
339 OK-Oklahoma City 65.3 63.7 66.8 60.6 54.7 66.4 65.6 64.0 67.2
340 OK-Tulsa 64.2 62.4 66.1 59.5 52.5 66.5 64.6 62.6 66.5
341 OR-Bend 67.0 61.5 72.5
342 OR-Eugene 69.6 66.8 72.4
343 OR-Medford 69.0 65.7 72.2
344 OR-Portland 67.6 65.7 69.6
345 OR-Salem 68.7 63.0 74.5
346 PA-Allentown 68.9 67.1 70.7 64.1 53.2 75.0 69.0 67.2 70.9
347 PA-Altoona 67.5 64.0 71.1
350 PA-Danville 67.5 65.0 70.0
351 PA-Erie 67.8 65.6 70.0
352 PA-Harrisburg 71.4 69.6 73.3 60.8 53.4 68.2 72.0 70.1 74.0
354 PA-Johnstown 62.3 57.7 67.0
355 PA-Lancaster 72.3 69.7 74.8
356 PA-Philadelphia 67.5 66.2 68.8 61.6 59.1 64.1 69.5 67.9 71.1
357 PA-Pittsburgh 63.2 61.9 64.6 59.6 55.1 64.1 63.6 62.2 65.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 67.7 65.1 70.3
359 PA-Sayre 69.7 65.8 73.6
360 PA-Scranton 68.5 65.4 71.7
362 PA-Wilkes-Barre 64.5 61.0 67.9
363 PA-York 74.1 71.2 77.0
364 RI-Providence 75.4 72.8 78.0
365 SC-Charleston 68.3 66.5 70.1 66.5 63.4 69.7 69.2 67.0 71.4
366 SC-Columbia 68.2 66.5 69.9 65.4 62.8 68.0 70.1 67.9 72.2
367 SC-Florence 61.4 58.8 64.0 59.6 55.8 63.4 62.9 59.4 66.4
368 SC-Greenville 67.7 65.8 69.7 64.5 59.8 69.2 68.4 66.2 70.6
369 SC-Spartanburg 58.9 56.2 61.7 55.4 49.0 61.7 59.7 56.7 62.8
370 SD-Rapid City 71.0 66.0 76.0
371 SD-Sioux Falls 71.1 68.6 73.6
373 TN-Chattanooga 62.5 60.4 64.6 61.2 55.1 67.2 62.7 60.4 64.9
374 TN-Jackson 64.7 61.9 67.5 66.9 60.0 73.8 64.2 61.1 67.3
375 TN-Johnson City 59.7 56.2 63.2
376 TN-Kingsport 61.1 58.7 63.4
377 TN-Knoxville 64.1 62.6 65.7 60.5 53.4 67.6 64.3 62.7 65.9
379 TN-Memphis 59.4 58.0 60.8 54.7 52.6 56.7 62.6 60.8 64.5
380 TN-Nashville 64.3 63.0 65.5 63.5 59.8 67.2 64.4 63.0 65.7
382 TX-Abilene 63.2 60.0 66.4
383 TX-Amarillo 64.2 61.1 67.4
385 TX-Austin 64.9 62.9 67.0 59.0 53.3 64.7 65.7 63.5 67.9
386 TX-Beaumont 64.4 61.8 67.0 62.0 56.8 67.1 65.2 62.2 68.1
388 TX-Bryan 59.6 55.0 64.2 46.7 38.5 55.0 63.8 58.3 69.3
390 TX-Corpus Christi 65.1 62.6 67.5
391 TX-Dallas 62.9 61.8 64.0 59.7 56.9 62.4 63.5 62.3 64.8
393 TX-El Paso 62.1 60.3 63.8
394 TX-Fort Worth 63.8 62.1 65.5 59.3 54.1 64.5 64.3 62.5 66.2
396 TX-Harlingen 71.6 69.2 74.0
397 TX-Houston 61.4 60.4 62.3 58.6 56.6 60.6 62.1 61.0 63.2
399 TX-Longview 64.1 60.3 67.9 50.2 42.4 57.9 67.4 63.0 71.8
400 TX-Lubbock 64.4 62.1 66.6 53.6 45.6 61.7 65.1 62.8 67.5
402 TX-McAllen 65.3 63.0 67.7
406 TX-Odessa 63.7 60.3 67.0
411 TX-San Angelo 67.9 63.4 72.4
412 TX-San Antonio 63.5 62.1 64.8 54.6 48.9 60.3 63.9 62.5 65.2
413 TX-Temple 62.8 58.9 66.6 57.6 48.5 66.6 63.8 59.5 68.1
416 TX-Tyler 67.4 65.0 69.7 63.6 58.0 69.2 68.1 65.5 70.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having eye examination (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 60.4 56.4 64.5
418 TX-Waco 61.9 58.6 65.2 58.1 50.1 66.1 62.7 59.0 66.3
420 TX-Wichita Falls 69.4 65.6 73.3
421 UT-Ogden 69.2 65.5 73.0
422 UT-Provo 63.4 59.5 67.3
423 UT-Salt Lake City 65.1 63.3 66.9
424 VT-Burlington 72.5 70.0 74.9
426 VA-Arlington 66.2 64.1 68.3 59.0 53.9 64.1 67.4 65.1 69.7
427 VA-Charlottesville 70.2 67.7 72.7 61.9 55.5 68.2 71.5 68.8 74.2
428 VA-Lynchburg 72.6 69.2 76.1 58.5 52.0 65.0 76.9 72.8 81.0
429 VA-Newport News 73.2 70.6 75.9 68.5 64.3 72.7 76.1 72.6 79.5
430 VA-Norfolk 69.9 68.2 71.6 67.1 64.5 69.8 71.7 69.5 73.9
431 VA-Richmond 67.1 65.6 68.6 63.9 61.5 66.3 69.0 67.1 70.9
432 VA-Roanoke 67.7 65.7 69.7 66.4 59.8 73.1 67.8 65.7 70.0
435 VA-Winchester 64.2 61.4 66.9
437 WA-Everett 71.9 68.4 75.4
438 WA-Olympia 67.5 63.4 71.6
439 WA-Seattle 70.6 68.8 72.3 68.7 60.4 77.0 70.6 68.9 72.4
440 WA-Spokane 71.3 69.4 73.1
441 WA-Tacoma 66.5 63.5 69.5
442 WA-Yakima 69.1 64.8 73.3
443 WV-Charleston 62.1 60.5 63.8 59.4 50.5 68.4 62.2 60.6 63.9
444 WV-Huntington 65.4 62.8 68.1
445 WV-Morgantown 65.1 62.5 67.8
446 WI-Appleton 74.2 70.2 78.2
447 WI-Green Bay 69.9 67.0 72.7
448 WI-La Crosse 75.4 71.4 79.4
449 WI-Madison 70.3 68.0 72.6
450 WI-Marshfield 76.1 72.8 79.4
451 WI-Milwaukee 67.6 66.3 68.9 61.4 57.7 65.0 68.5 67.0 69.9
452 WI-Neenah 73.1 68.5 77.7
456 WI-Wausau 74.8 70.3 79.4
457 WY-Casper 64.7 60.0 69.3
999 US-United States 66.9 61.4 67.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 71.3 70.0 72.6 64.4 61.7 67.1 73.1 71.6 74.5
2 AL-Dothan 66.6 63.9 69.3 61.4 56.2 66.6 68.3 65.1 71.5
5 AL-Huntsville 71.0 68.5 73.4 60.4 54.3 66.4 72.7 70.0 75.3
6 AL-Mobile 68.6 66.4 70.8 61.4 57.4 65.4 71.2 68.6 73.7
7 AL-Montgomery 69.0 66.2 71.8 62.2 57.8 66.5 73.1 69.5 76.8
9 AL-Tuscaloosa 75.6 71.8 79.3 75.8 69.6 82.1 75.4 70.7 80.1
10 AK-Anchorage 61.7 58.4 65.1
11 AZ-Mesa 77.3 74.2 80.3
12 AZ-Phoenix 70.1 68.5 71.7 71.4 62.4 80.3 70.0 68.4 71.6
14 AZ-Sun City 82.8 78.8 86.8
15 AZ-Tucson 73.5 70.9 76.0
16 AR-Fort Smith 63.6 60.6 66.7
18 AR-Jonesboro 66.1 62.3 69.8
19 AR-Little Rock 67.8 66.2 69.3 59.8 56.5 63.2 69.5 67.8 71.3
21 AR-Springdale 69.4 66.1 72.7
22 AR-Texarkana 66.4 62.8 69.9 57.1 49.8 64.4 68.7 64.7 72.7
23 CA-Orange County 79.2 77.3 81.1
25 CA-Bakersfield 73.9 71.3 76.5
31 CA-Chico 76.5 72.9 80.2
33 CA-Contra Costa County 73.0 69.5 76.5 60.2 49.5 70.9 74.2 70.5 77.9
43 CA-Fresno 73.3 70.9 75.7 69.6 60.4 78.8 73.6 71.1 76.0
56 CA-Los Angeles 73.6 72.6 74.6 64.7 62.0 67.5 74.7 73.7 75.8
58 CA-Modesto 75.3 72.5 78.1
62 CA-Napa 75.0 70.2 79.7
65 CA-Alameda County 73.0 70.2 75.8 63.1 57.4 68.8 75.7 72.5 78.9
69 CA-Palm Springs/Rancho Mirage 79.8 74.9 84.7
73 CA-Redding 72.5 68.9 76.1
77 CA-Sacramento 75.5 73.4 77.6 60.0 52.3 67.7 76.4 74.3 78.6
78 CA-Salinas 78.3 74.5 82.0
79 CA-San Bernardino 71.8 69.7 73.8 66.6 60.4 72.8 72.4 70.2 74.6
80 CA-San Diego 74.4 72.6 76.2 65.8 58.6 73.1 74.9 73.0 76.7
81 CA-San Francisco 69.6 67.1 72.2 62.0 55.4 68.5 70.9 68.1 73.6
82 CA-San Jose 73.8 71.2 76.4
83 CA-San Luis Obispo 80.0 74.9 85.1
85 CA-San Mateo County 77.5 73.7 81.3
86 CA-Santa Barbara 78.6 74.5 82.8
87 CA-Santa Cruz 73.9 68.0 79.9
89 CA-Santa Rosa 79.7 74.8 84.5
91 CA-Stockton 78.4 74.7 82.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 78.5 75.2 81.8
101 CO-Boulder 70.1 62.7 77.4
102 CO-Colorado Springs 68.1 65.1 71.0
103 CO-Denver 72.3 70.1 74.6 63.3 55.7 70.9 73.1 70.7 75.5
104 CO-Fort Collins 72.9 67.9 77.8
105 CO-Grand Junction 72.4 66.6 78.1
106 CO-Greeley 69.0 64.6 73.3
107 CO-Pueblo 75.1 69.6 80.5
109 CT-Bridgeport 76.3 73.2 79.3 68.3 61.4 75.1 78.0 74.6 81.4
110 CT-Hartford 80.0 78.1 81.8 72.7 67.2 78.2 80.7 78.8 82.7
111 CT-New Haven 78.9 77.0 80.8 65.5 59.8 71.1 80.3 78.3 82.3
112 DE-Wilmington 79.4 77.0 81.8 72.3 67.4 77.1 81.4 78.7 84.1
113 DC-Washington 76.2 74.7 77.7 69.8 67.5 72.2 80.1 78.1 82.1
115 FL-Bradenton 81.5 77.7 85.3
116 FL-Clearwater 84.9 81.6 88.3
118 FL-Fort Lauderdale 83.9 82.3 85.6 74.5 69.8 79.2 85.1 83.3 86.8
119 FL-Fort Myers 82.2 80.3 84.1 74.8 67.3 82.3 82.7 80.7 84.6
120 FL-Gainesville 70.2 67.6 72.8 64.9 58.9 70.9 71.3 68.5 74.1
122 FL-Hudson 84.0 80.9 87.0
123 FL-Jacksonville 72.6 70.9 74.3 68.0 64.5 71.5 73.9 72.0 75.9
124 FL-Lakeland 83.2 79.8 86.6 81.0 71.8 90.3 83.5 79.9 87.2
127 FL-Miami 82.0 80.2 83.8 77.2 72.6 81.8 82.8 80.8 84.8
129 FL-Ocala 82.4 80.3 84.6 79.3 71.4 87.2 82.7 80.4 84.9
130 FL-Orlando 82.1 81.0 83.2 76.3 73.1 79.5 82.9 81.7 84.1
131 FL-Ormond Beach 84.3 80.9 87.7 79.6 70.1 89.2 84.9 81.3 88.5
133 FL-Panama City 70.6 66.7 74.4 63.7 53.1 74.4 71.4 67.4 75.5
134 FL-Pensacola 76.5 74.4 78.6 75.3 69.9 80.7 76.7 74.4 79.1
137 FL-Sarasota 83.2 80.2 86.2
139 FL-St. Petersburg 81.0 77.4 84.6 75.6 66.0 85.2 81.8 77.9 85.7
140 FL-Tallahassee 70.2 67.9 72.5 65.1 61.2 69.0 72.6 69.7 75.4
141 FL-Tampa 79.2 76.8 81.5 72.0 65.7 78.3 80.2 77.7 82.8
142 GA-Albany 59.1 55.5 62.8 53.4 48.4 58.5 64.1 58.9 69.3
144 GA-Atlanta 74.2 73.1 75.2 67.7 65.7 69.8 76.2 74.9 77.4
145 GA-Augusta 70.5 68.3 72.8 67.0 63.4 70.7 72.6 69.6 75.5
146 GA-Columbus 62.5 59.5 65.5 55.2 50.8 59.6 67.7 63.6 71.7
147 GA-Macon 65.5 63.4 67.5 60.7 57.3 64.0 67.9 65.4 70.5
148 GA-Rome 73.2 69.7 76.6 60.0 49.8 70.2 74.5 70.9 78.2
149 GA-Savannah 70.6 68.4 72.8 65.1 61.6 68.7 73.6 70.8 76.4
150 HI-Honolulu 81.2 78.9 83.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 72.5 69.5 75.5
152 ID-Idaho Falls 69.2 64.4 74.0
154 IL-Aurora 70.8 65.9 75.6
155 IL-Blue Island 72.5 70.3 74.7 64.2 60.0 68.5 75.2 72.6 77.8
156 IL-Chicago 63.8 62.4 65.2 56.1 54.2 58.0 71.2 69.2 73.3
158 IL-Elgin 75.2 72.0 78.3
161 IL-Evanston 80.2 77.6 82.7
163 IL-Hinsdale 79.5 75.2 83.7
164 IL-Joliet 73.2 70.5 76.0 69.1 60.3 78.0 73.7 70.7 76.6
166 IL-Melrose Park 76.4 74.2 78.5 68.0 61.3 74.7 77.2 75.0 79.5
170 IL-Peoria 75.3 72.9 77.8 70.1 59.4 80.8 75.6 73.1 78.2
171 IL-Rockford 74.5 72.0 77.0 66.3 56.9 75.7 75.0 72.5 77.6
172 IL-Springfield 74.7 72.6 76.7 66.9 57.7 76.1 75.1 73.0 77.2
173 IL-Urbana 74.0 70.8 77.3
175 IL-Bloomington 79.9 74.3 85.5
179 IN-Evansville 73.0 70.8 75.3
180 IN-Fort Wayne 74.2 72.0 76.4 66.8 57.3 76.3 74.6 72.3 76.9
181 IN-Gary 66.2 63.7 68.7 58.8 54.2 63.4 68.8 65.9 71.8
183 IN-Indianapolis 72.9 71.7 74.1 60.2 56.6 63.7 74.3 73.0 75.6
184 IN-Lafayette 74.0 68.9 79.1
185 IN-Muncie 72.9 68.5 77.4
186 IN-Munster 72.7 69.3 76.2 59.7 51.7 67.7 75.1 71.3 78.8
187 IN-South Bend 75.0 72.5 77.6 75.3 64.9 85.7 75.0 72.4 77.6
188 IN-Terre Haute 71.3 66.8 75.8
190 IA-Cedar Rapids 80.0 76.0 84.1
191 IA-Davenport 77.3 74.3 80.3
192 IA-Des Moines 71.4 69.4 73.4
193 IA-Dubuque 79.0 72.6 85.4
194 IA-Iowa City 73.5 69.8 77.3
195 IA-Mason City 70.5 65.7 75.3
196 IA-Sioux City 63.8 60.2 67.5
197 IA-Waterloo 73.4 68.9 77.9
200 KS-Topeka 72.5 69.3 75.8
201 KS-Wichita 66.2 64.5 67.9 47.1 40.8 53.3 67.2 65.5 69.0
203 KY-Covington 76.5 72.9 80.0
204 KY-Lexington 74.5 72.9 76.1 69.3 62.5 76.2 74.7 73.1 76.4
205 KY-Louisville 74.3 72.7 75.8 67.1 62.8 71.5 75.2 73.5 76.8
207 KY-Owensboro 77.8 72.8 82.8
208 KY-Paducah 73.0 70.2 75.9
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 70.4 67.0 73.7 69.2 62.8 75.5 70.8 66.9 74.8
210 LA-Baton Rouge 70.6 68.2 73.1 66.0 62.2 69.7 73.6 70.4 76.8
212 LA-Houma 79.8 76.2 83.5 72.9 64.6 81.1 81.3 77.3 85.4
213 LA-Lafayette 67.6 65.3 70.0 64.8 60.5 69.1 68.8 66.0 71.7
214 LA-Lake Charles 74.0 70.3 77.6 66.5 59.5 73.5 76.4 72.1 80.6
216 LA-Metairie 74.8 71.3 78.4 69.4 61.4 77.3 76.1 72.1 80.0
217 LA-Monroe 69.0 65.7 72.3 65.6 59.9 71.3 70.6 66.5 74.7
218 LA-New Orleans 69.3 66.2 72.3 66.6 62.4 70.8 72.0 67.5 76.4
219 LA-Shreveport 70.0 67.8 72.3 65.8 62.1 69.5 72.3 69.5 75.1
220 LA-Slidell 68.8 64.0 73.6
221 ME-Bangor 78.1 75.4 80.9
222 ME-Portland 79.0 77.0 81.0
223 MD-Baltimore 77.3 75.9 78.7 71.3 68.9 73.7 80.0 78.3 81.8
225 MD-Salisbury 80.0 77.4 82.6 72.8 67.3 78.3 81.9 78.9 84.8
226 MD-Takoma Park 79.5 76.6 82.4 72.6 67.9 77.3 83.3 79.5 87.0
227 MA-Boston 78.5 77.3 79.7 69.6 65.6 73.6 79.2 78.0 80.4
230 MA-Springfield 76.2 73.4 79.0 70.8 60.4 81.2 76.6 73.7 79.4
231 MA-Worcester 77.6 74.0 81.2
232 MI-Ann Arbor 80.1 78.1 82.0 72.1 66.2 78.1 80.9 78.9 82.9
233 MI-Dearborn 80.1 77.5 82.8
234 MI-Detroit 65.9 64.6 67.2 59.9 58.0 61.8 70.3 68.5 72.1
235 MI-Flint 80.2 77.6 82.8 78.0 72.2 83.8 80.7 77.9 83.6
236 MI-Grand Rapids 77.6 75.5 79.7 70.1 61.7 78.6 78.0 75.9 80.2
238 MI-Kalamazoo 76.1 73.6 78.5 67.8 58.9 76.6 76.7 74.1 79.2
239 MI-Lansing 81.0 78.3 83.6 74.1 62.8 85.4 81.3 78.6 84.1
240 MI-Marquette 74.2 70.3 78.2
242 MI-Muskegon 81.6 77.6 85.5
243 MI-Petoskey 75.8 71.8 79.9
244 MI-Pontiac 74.6 71.3 77.9 68.7 59.7 77.7 75.5 71.9 79.0
245 MI-Royal Oak 79.7 77.2 82.3 73.6 67.1 80.2 80.7 78.0 83.5
246 MI-Saginaw 75.1 73.0 77.2 72.1 64.4 79.9 75.3 73.2 77.5
248 MI-St. Joseph 77.7 73.0 82.4 70.9 61.4 80.4 79.7 74.3 85.1
249 MI-Traverse City 81.5 77.7 85.3
250 MN-Duluth 77.6 74.1 81.1
251 MN-Minneapolis 76.4 74.9 78.0 58.3 48.9 67.7 76.8 75.3 78.4
253 MN-Rochester 83.7 80.0 87.3
254 MN-St. Cloud 76.8 71.4 82.3
256 MN-St. Paul 74.8 71.9 77.7
257 MS-Gulfport 62.6 58.2 67.0 55.4 46.0 64.8 64.3 59.4 69.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 64.5 61.2 67.8 60.9 54.6 67.2 65.7 61.9 69.5
259 MS-Jackson 60.0 58.3 61.7 57.1 54.6 59.5 62.6 60.2 64.9
260 MS-Meridian 57.8 54.4 61.2 55.1 49.7 60.5 59.5 55.1 63.9
261 MS-Oxford 56.0 51.7 60.3 50.6 44.0 57.1 59.5 53.8 65.2
262 MS-Tupelo 64.6 61.7 67.4 59.7 54.1 65.3 66.1 62.8 69.5
263 MO-Cape Girardeau 70.9 67.5 74.3 60.6 49.9 71.3 71.9 68.3 75.4
264 MO-Columbia 66.5 64.2 68.7 60.6 50.2 70.9 66.7 64.4 69.0
267 MO-Joplin 68.6 65.6 71.7
268 MO-Kansas City 72.5 71.0 74.0 62.9 58.7 67.1 73.7 72.1 75.3
270 MO-Springfield 75.6 73.4 77.9
273 MO-St. Louis 71.5 70.3 72.7 61.7 58.9 64.5 73.3 72.0 74.6
274 MT-Billings 65.5 62.6 68.4
275 MT-Great Falls 64.4 59.4 69.3
276 MT-Missoula 70.6 66.9 74.2
277 NE-Lincoln 67.9 65.1 70.7
278 NE-Omaha 69.4 67.4 71.3 57.7 49.5 65.9 69.9 67.9 72.0
279 NV-Las Vegas 74.5 72.4 76.5 69.8 63.6 76.0 75.0 72.8 77.2
280 NV-Reno 73.2 70.1 76.3
281 NH-Lebanon 74.6 71.3 77.8
282 NH-Manchester 81.2 78.6 83.7
283 NJ-Camden 78.3 77.1 79.5 69.1 65.9 72.3 79.7 78.4 81.1
284 NJ-Hackensack 80.9 78.8 83.0 74.8 67.7 81.9 81.4 79.2 83.6
285 NJ-Morristown 81.5 79.1 83.9 75.0 67.4 82.6 82.2 79.6 84.7
288 NJ-New Brunswick 79.8 77.4 82.2 73.6 66.4 80.8 80.5 77.9 83.0
289 NJ-Newark 76.3 74.5 78.1 67.7 64.9 70.5 81.3 79.0 83.7
291 NJ-Paterson 78.7 75.0 82.4 70.6 61.4 79.7 80.1 76.0 84.2
292 NJ-Ridgewood 82.9 79.0 86.8
293 NM-Albuquerque 60.4 58.6 62.2
295 NY-Albany 80.0 78.4 81.6 73.6 67.1 80.1 80.4 78.7 82.1
296 NY-Binghamton 76.0 72.9 79.1
297 NY-Bronx 67.0 64.8 69.2 64.7 61.0 68.4 68.2 65.4 70.9
299 NY-Buffalo 80.0 77.8 82.1 72.2 66.4 77.9 81.1 78.8 83.5
300 NY-Elmira 77.7 74.5 81.0
301 NY-East Long Island 81.3 80.0 82.5 70.2 67.2 73.2 83.1 81.7 84.4
303 NY-Manhattan 74.3 73.0 75.5 63.8 61.5 66.1 77.8 76.3 79.3
304 NY-Rochester 79.7 77.0 82.3 68.6 61.4 75.9 81.1 78.3 83.9
307 NY-Syracuse 80.7 78.7 82.7 75.3 66.6 83.9 81.0 78.9 83.0
308 NY-White Plains 79.5 77.1 81.8 69.3 64.2 74.4 81.8 79.1 84.4
309 NC-Asheville 72.2 69.9 74.5 57.9 48.2 67.7 72.9 70.5 75.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 74.2 72.8 75.6 69.3 66.3 72.3 75.4 73.8 77.0
312 NC-Durham 71.6 70.0 73.2 63.2 60.6 65.8 76.1 74.1 78.2
313 NC-Greensboro 74.7 71.8 77.6 66.7 60.8 72.7 76.8 73.5 80.1
314 NC-Greenville 70.9 69.0 72.8 65.4 62.3 68.4 74.1 71.7 76.6
315 NC-Hickory 74.6 71.3 78.0
318 NC-Raleigh 73.4 71.9 75.0 68.1 65.6 70.6 76.3 74.4 78.3
319 NC-Wilmington 81.3 78.5 84.1 76.0 70.7 81.4 83.1 79.8 86.4
320 NC-Winston-Salem 77.6 75.5 79.7 72.1 66.8 77.5 78.5 76.2 80.7
321 ND-Bismarck 75.6 71.2 79.9
322 ND-Fargo/Moorhead MN 75.1 72.1 78.1
323 ND-Grand Forks 73.6 68.4 78.7
324 ND-Minot 75.5 69.7 81.2
325 OH-Akron 76.1 73.4 78.8 70.5 63.0 78.0 76.8 73.9 79.8
326 OH-Canton 79.1 76.5 81.8 72.9 62.4 83.5 79.5 76.8 82.3
327 OH-Cincinnati 76.3 74.5 78.0 68.2 63.9 72.4 77.7 75.8 79.7
328 OH-Cleveland 75.7 74.3 77.2 66.9 63.9 69.9 78.1 76.4 79.8
329 OH-Columbus 76.1 74.9 77.3 69.4 65.4 73.5 76.7 75.4 78.0
330 OH-Dayton 76.1 74.3 78.0 70.2 65.4 75.0 77.1 75.0 79.1
331 OH-Elyria 80.0 75.9 84.0
332 OH-Kettering 82.5 79.1 85.9
334 OH-Toledo 75.0 73.0 77.1 64.7 58.1 71.3 76.0 73.8 78.2
335 OH-Youngstown 78.7 76.3 81.1 71.1 64.4 77.7 79.8 77.2 82.3
336 OK-Lawton 66.6 62.5 70.7
339 OK-Oklahoma City 68.4 66.8 70.0 58.1 52.4 63.8 69.1 67.5 70.7
340 OK-Tulsa 67.9 66.0 69.9 65.5 58.2 72.9 68.1 66.1 70.1
341 OR-Bend 77.4 71.5 83.3
342 OR-Eugene 73.9 71.0 76.8
343 OR-Medford 75.4 72.0 78.8
344 OR-Portland 76.1 74.0 78.2
345 OR-Salem 78.7 72.6 84.9
346 PA-Allentown 78.3 76.4 80.2 72.3 60.7 83.9 78.5 76.5 80.4
347 PA-Altoona 79.3 75.4 83.2
350 PA-Danville 79.0 76.3 81.7
351 PA-Erie 74.0 71.7 76.3
352 PA-Harrisburg 77.6 75.7 79.5 66.7 58.9 74.4 78.2 76.2 80.2
354 PA-Johnstown 69.6 64.6 74.5
355 PA-Lancaster 80.3 77.6 83.0
356 PA-Philadelphia 76.7 75.3 78.1 66.3 63.7 68.9 80.3 78.6 81.9
357 PA-Pittsburgh 73.1 71.7 74.5 60.0 55.5 64.6 74.3 72.8 75.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 79.7 76.9 82.5
359 PA-Sayre 70.1 66.2 74.0
360 PA-Scranton 77.4 74.0 80.7
362 PA-Wilkes-Barre 74.0 70.3 77.6
363 PA-York 81.8 78.8 84.9
364 RI-Providence 75.4 72.8 78.0
365 SC-Charleston 74.6 72.7 76.5 67.2 64.0 70.4 78.0 75.7 80.4
366 SC-Columbia 72.7 71.0 74.5 69.6 66.9 72.2 74.9 72.6 77.1
367 SC-Florence 66.5 63.8 69.2 64.8 60.9 68.8 67.8 64.2 71.5
368 SC-Greenville 74.1 72.1 76.2 67.7 62.9 72.5 75.4 73.1 77.7
369 SC-Spartanburg 70.6 67.5 73.6 67.6 60.6 74.6 71.2 67.8 74.5
370 SD-Rapid City 66.7 61.9 71.6
371 SD-Sioux Falls 70.1 67.6 72.6
373 TN-Chattanooga 74.0 71.7 76.3 66.3 60.0 72.5 75.0 72.6 77.5
374 TN-Jackson 72.1 69.2 75.1 66.5 59.7 73.4 73.3 70.0 76.6
375 TN-Johnson City 76.2 72.2 80.1
376 TN-Kingsport 76.6 74.0 79.2
377 TN-Knoxville 79.2 77.5 80.9 69.4 61.8 77.1 79.6 77.9 81.4
379 TN-Memphis 67.4 65.9 68.9 61.9 59.7 64.1 71.2 69.2 73.1
380 TN-Nashville 75.6 74.2 77.0 69.1 65.2 73.0 76.4 74.9 77.9
382 TX-Abilene 70.9 67.5 74.3
383 TX-Amarillo 76.5 73.1 79.9
385 TX-Austin 78.0 75.8 80.3 73.5 67.1 79.8 78.6 76.2 81.0
386 TX-Beaumont 77.5 74.6 80.3 72.5 66.9 78.1 79.0 75.7 82.3
388 TX-Bryan 76.7 71.4 81.9 74.0 63.5 84.4 77.5 71.5 83.6
390 TX-Corpus Christi 80.7 78.0 83.4
391 TX-Dallas 77.1 75.8 78.4 67.4 64.5 70.3 79.0 77.6 80.4
393 TX-El Paso 72.3 70.4 74.2
394 TX-Fort Worth 76.3 74.4 78.2 67.1 61.5 72.6 77.4 75.4 79.4
396 TX-Harlingen 76.7 74.3 79.2
397 TX-Houston 74.9 73.8 76.0 71.2 69.0 73.4 75.9 74.7 77.1
399 TX-Longview 75.8 71.6 80.0 68.9 59.8 77.9 77.5 72.8 82.2
400 TX-Lubbock 75.1 72.6 77.5 66.3 57.3 75.2 75.7 73.1 78.2
402 TX-McAllen 80.2 77.6 82.8
406 TX-Odessa 68.8 65.3 72.3
411 TX-San Angelo 71.8 67.2 76.5
412 TX-San Antonio 76.6 75.1 78.0 66.8 60.4 73.1 77.1 75.6 78.5
413 TX-Temple 75.1 70.8 79.3 70.9 60.8 80.9 75.9 71.2 80.6
416 TX-Tyler 76.4 73.9 79.0 72.2 66.2 78.2 77.3 74.5 80.1
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Average annual percent of diabetic Medicare enrollees age 65-75 having blood lipids (LDL-C) test (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 77.1 72.5 81.7
418 TX-Waco 76.3 72.5 80.0 67.8 59.2 76.4 77.9 73.8 82.0
420 TX-Wichita Falls 70.5 66.6 74.3
421 UT-Ogden 73.0 69.2 76.9
422 UT-Provo 66.9 62.9 70.9
423 UT-Salt Lake City 70.3 68.4 72.2
424 VT-Burlington 81.7 79.1 84.4
426 VA-Arlington 77.5 75.3 79.8 67.6 62.1 73.1 79.3 76.8 81.7
427 VA-Charlottesville 77.9 75.2 80.5 71.5 64.7 78.4 78.9 76.0 81.7
428 VA-Lynchburg 75.9 72.3 79.4 66.2 59.3 73.1 78.7 74.6 82.9
429 VA-Newport News 71.8 69.2 74.5 64.9 60.8 69.0 76.0 72.6 79.4
430 VA-Norfolk 74.1 72.4 75.9 68.0 65.3 70.6 78.1 75.8 80.4
431 VA-Richmond 74.5 72.9 76.1 69.1 66.5 71.6 77.6 75.6 79.6
432 VA-Roanoke 74.8 72.7 77.0 67.3 60.6 74.0 75.6 73.3 77.8
435 VA-Winchester 78.8 75.7 81.8
437 WA-Everett 79.5 75.8 83.2
438 WA-Olympia 72.1 67.8 76.3
439 WA-Seattle 78.7 76.9 80.6 67.4 59.1 75.6 79.2 77.4 81.1
440 WA-Spokane 76.3 74.4 78.1
441 WA-Tacoma 77.0 73.7 80.2
442 WA-Yakima 73.9 69.6 78.3
443 WV-Charleston 75.0 73.2 76.8 63.3 54.1 72.5 75.4 73.6 77.2
444 WV-Huntington 73.0 70.2 75.8
445 WV-Morgantown 75.2 72.4 78.1
446 WI-Appleton 81.9 77.6 86.1
447 WI-Green Bay 78.7 75.7 81.7
448 WI-La Crosse 76.5 72.5 80.5
449 WI-Madison 76.0 73.7 78.4
450 WI-Marshfield 79.7 76.3 83.1
451 WI-Milwaukee 76.6 75.2 78.1 66.6 62.8 70.4 78.0 76.5 79.6
452 WI-Neenah 79.0 74.3 83.8
456 WI-Wausau 78.7 74.1 83.4
457 WY-Casper 45.6 41.7 49.5
999 US-United States 74.9 66.6 76.2
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-05) period (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 12,607 1,756 10,851 61.9 60.6 63.3 57.7 54.1 61.2 62.6 61.1 64.1
2 AL-Dothan 2,682 436 2,246 65.7 62.6 68.8 56.0 48.9 63.0 67.6 64.2 71.0
5 AL-Huntsville 3,622 334 3,288 62.6 60.0 65.2 49.1 41.6 56.6 64.0 61.3 66.7
6 AL-Mobile 4,188 789 3,399 63.6 61.2 66.0 53.6 48.5 58.7 65.9 63.1 68.6
7 AL-Montgomery 2,393 711 1,682 67.0 63.7 70.3 61.7 56.0 67.5 69.2 65.2 73.2
9 AL-Tuscaloosa 1,491 372 1,119 63.9 59.8 67.9 60.0 52.1 67.8 65.2 60.4 69.9
10 AK-Anchorage 2,099 57.4 54.1 60.6
11 AZ-Mesa 3,309 66.4 63.6 69.2
12 AZ-Phoenix 10,786 61.5 60.0 63.0
14 AZ-Sun City 1,902 75.7 71.8 79.6
15 AZ-Tucson 4,547 66.2 63.8 68.6
16 AR-Fort Smith 2,398 56.0 53.0 59.0
18 AR-Jonesboro 1,598 59.3 55.5 63.0
19 AR-Little Rock 9,963 1,176 8,787 61.3 59.8 62.9 52.5 48.3 56.6 62.5 60.9 64.2
21 AR-Springdale 2,594 59.0 56.0 61.9
22 AR-Texarkana 1,592 243 1,349 57.0 53.3 60.8 45.7 37.2 54.2 59.1 55.0 63.2
23 CA-Orange County 7,953 61.7 60.0 63.4
25 CA-Bakersfield 2,927 58.3 55.5 61.1
31 CA-Chico 1,818 64.5 60.8 68.2
33 CA-Contra Costa County 2,306 59.9 56.7 63.1
43 CA-Fresno 3,521 59.8 57.2 62.3
56 CA-Los Angeles 23,159 2,298 20,861 52.2 51.3 53.2 41.2 38.6 43.8 53.5 52.5 54.5
58 CA-Modesto 2,962 61.0 58.2 63.9
62 CA-Napa 1,363 63.4 59.2 67.6
65 CA-Alameda County 2,994 461 2,533 56.6 53.9 59.3 47.5 41.2 53.8 58.2 55.3 61.2
69 CA-Palm Springs/Rancho Mirage 1,689 67.0 63.1 70.9
73 CA-Redding 2,173 65.4 62.0 68.8
77 CA-Sacramento 7,120 312 6,808 62.8 60.9 64.6 53.2 45.1 61.3 63.2 61.3 65.1
78 CA-Salinas 1,493 64.3 60.2 68.4
79 CA-San Bernardino 5,048 422 4,626 54.8 52.7 56.8 48.8 42.2 55.5 55.3 53.2 57.4
80 CA-San Diego 8,244 322 7,922 54.4 52.8 56.0 45.3 38.0 52.7 54.7 53.1 56.4
81 CA-San Francisco 3,922 322 3,600 59.8 57.4 62.3 56.5 48.3 64.7 60.1 57.6 62.7
82 CA-San Jose 3,843 61.9 59.4 64.4
83 CA-San Luis Obispo 1,311 69.0 64.5 73.5
85 CA-San Mateo County 2,120 70.9 67.4 74.5
86 CA-Santa Barbara 1,838 65.2 61.5 68.9
87 CA-Santa Cruz 898 62.6 57.4 67.8
89 CA-Santa Rosa 1,345 64.6 60.3 68.9
91 CA-Stockton 1,633 57.0 53.3 60.6
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-05) period (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 2,615 63.0 59.9 66.0
101 CO-Boulder 710 70.6 64.4 76.7
102 CO-Colorado Springs 3,503 57.5 55.0 60.0
103 CO-Denver 6,235 280 5,955 62.2 60.2 64.1 56.8 48.0 65.6 62.4 60.4 64.4
104 CO-Fort Collins 1,421 72.1 67.7 76.5
105 CO-Grand Junction 1,281 63.0 58.7 67.4
106 CO-Greeley 1,296 66.8 62.4 71.3
107 CO-Pueblo 851 61.9 56.6 67.2
109 CT-Bridgeport 3,005 325 2,680 63.4 60.5 66.2 52.9 45.0 60.8 64.7 61.6 67.7
110 CT-Hartford 7,386 459 6,927 70.3 68.4 72.2 65.4 58.0 72.8 70.6 68.7 72.6
111 CT-New Haven 6,518 415 6,103 67.6 65.6 69.6 61.2 53.7 68.7 68.1 66.0 70.1
112 DE-Wilmington 3,934 603 3,331 66.1 63.6 68.7 61.9 55.6 68.1 66.9 64.1 69.7
113 DC-Washington 10,347 3,010 7,337 62.2 60.7 63.7 55.1 52.5 57.8 65.1 63.2 66.9
115 FL-Bradenton 2,027 69.6 65.9 73.2
116 FL-Clearwater 2,607 69.6 66.4 72.8
118 FL-Fort Lauderdale 10,821 803 10,018 69.1 67.5 70.6 58.2 52.9 63.4 69.9 68.3 71.6
119 FL-Fort Myers 8,504 266 8,238 73.5 71.7 75.3 60.5 51.2 69.9 73.9 72.1 75.8
120 FL-Gainesville 3,112 360 2,752 65.8 63.0 68.7 63.3 55.1 71.6 66.2 63.1 69.2
122 FL-Hudson 2,617 73.7 70.4 77.0
123 FL-Jacksonville 7,092 1,098 5,994 63.8 62.0 65.7 61.4 56.8 66.0 64.3 62.3 66.3
124 FL-Lakeland 2,105 69.9 66.4 73.5
127 FL-Miami 7,268 836 6,432 54.7 53.0 56.4 49.8 45.0 54.5 55.3 53.5 57.1
129 FL-Ocala 5,542 220 5,322 70.6 68.4 72.8 64.6 53.9 75.2 70.8 68.6 73.1
130 FL-Orlando 18,672 1,449 17,223 65.3 64.1 66.4 55.5 51.7 59.3 66.1 64.9 67.3
131 FL-Ormond Beach 2,369 72.9 69.5 76.3
133 FL-Panama City 1,530 67.1 63.0 71.2
134 FL-Pensacola 5,091 439 4,652 66.5 64.3 68.8 63.8 56.3 71.3 66.8 64.4 69.1
137 FL-Sarasota 4,115 73.8 71.2 76.5
139 FL-St. Petersburg 2,020 212 1,808 65.3 61.7 68.8 61.3 50.8 71.9 65.7 62.0 69.5
140 FL-Tallahassee 3,628 881 2,747 64.7 62.0 67.3 60.1 54.9 65.2 66.1 63.1 69.2
141 FL-Tampa 4,242 383 3,859 64.5 62.1 66.9 58.5 50.8 66.2 65.1 62.5 67.6
142 GA-Albany 1,131 362 769 70.0 65.2 74.9 65.8 57.4 74.1 72.0 66.0 78.0
144 GA-Atlanta 21,749 3,958 17,791 62.4 61.3 63.4 54.9 52.6 57.2 64.1 62.9 65.2
145 GA-Augusta 3,731 1,045 2,686 59.4 56.9 61.8 48.8 44.6 53.0 63.5 60.5 66.5
146 GA-Columbus 1,859 599 1,260 59.7 56.2 63.2 55.4 49.5 61.4 61.8 57.4 66.1
147 GA-Macon 4,184 1,189 2,995 64.2 61.8 66.7 54.9 50.7 59.1 68.0 65.0 70.9
148 GA-Rome 1,751 63.2 59.4 66.9
149 GA-Savannah 4,627 988 3,639 66.1 63.7 68.4 61.6 56.7 66.5 67.3 64.6 69.9
150 HI-Honolulu 4,100 57.7 55.3 60.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-05) period (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 3,177 61.0 58.3 63.8
152 ID-Idaho Falls 918 59.0 54.1 64.0
154 IL-Aurora 986 64.5 59.5 69.5
155 IL-Blue Island 4,584 818 3,766 56.1 53.9 58.2 52.0 47.0 56.9 57.0 54.6 59.4
156 IL-Chicago 9,686 4,287 5,399 48.7 47.3 50.1 43.6 41.6 45.6 52.7 50.8 54.7
158 IL-Elgin 2,458 59.2 56.2 62.3
161 IL-Evanston 5,190 68.3 66.0 70.5
163 IL-Hinsdale 1,827 63.5 59.8 67.1
164 IL-Joliet 3,012 62.6 59.8 65.4
166 IL-Melrose Park 5,688 391 5,297 61.0 58.9 63.0 57.5 50.0 65.1 61.2 59.1 63.3
170 IL-Peoria 3,689 63.3 60.8 65.9
171 IL-Rockford 3,972 64.8 62.3 67.3
172 IL-Springfield 5,421 65.7 63.5 67.8
173 IL-Urbana 2,265 67.3 64.0 70.7
175 IL-Bloomington 853 71.5 65.8 77.2
179 IN-Evansville 4,249 63.5 61.1 65.9
180 IN-Fort Wayne 4,551 59.3 57.0 61.5
181 IN-Gary 2,825 548 2,277 55.9 53.1 58.6 51.3 45.3 57.3 57.0 53.9 60.1
183 IN-Indianapolis 14,355 973 13,382 64.0 62.7 65.3 56.7 52.0 61.5 64.5 63.2 65.9
184 IN-Lafayette 875 61.0 55.9 66.2
185 IN-Muncie 1,017 64.4 59.5 69.3
186 IN-Munster 1,676 214 1,462 57.8 54.1 61.4 54.7 44.8 64.6 58.2 54.3 62.1
187 IN-South Bend 3,613 63.2 60.6 65.8
188 IN-Terre Haute 1,173 53.7 49.5 57.9
190 IA-Cedar Rapids 1,589 70.4 66.2 74.5
191 IA-Davenport 3,040 67.8 64.9 70.7
192 IA-Des Moines 5,787 66.0 64.0 68.1
193 IA-Dubuque 736 73.4 67.2 79.6
194 IA-Iowa City 1,723 64.4 60.6 68.2
195 IA-Mason City 1,012 68.3 63.2 73.4
196 IA-Sioux City 1,576 61.6 57.7 65.5
197 IA-Waterloo 1,100 73.9 68.8 79.0
200 KS-Topeka 2,330 68.4 65.0 71.7
201 KS-Wichita 7,357 251 7,106 65.3 63.5 67.2 51.4 42.5 60.3 65.8 63.9 67.7
203 KY-Covington 1,764 59.8 56.1 63.4
204 KY-Lexington 8,676 332 8,344 58.8 57.2 60.4 59.6 51.3 68.0 58.8 57.2 60.5
205 KY-Louisville 9,669 708 8,961 62.6 61.0 64.2 65.1 59.2 71.1 62.4 60.8 64.1
207 KY-Owensboro 941 68.8 63.5 74.1
208 KY-Paducah 2,729 65.3 62.3 68.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-05) period (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 1,794 346 1,448 59.3 55.8 62.9 56.9 49.0 64.9 59.9 55.9 63.9
210 LA-Baton Rouge 3,377 945 2,432 59.8 57.2 62.4 53.8 49.1 58.4 62.2 59.0 65.3
212 LA-Houma 1,480 63.0 59.0 67.1
213 LA-Lafayette 3,423 749 2,674 59.5 57.0 62.1 53.8 48.6 59.1 61.1 58.2 64.1
214 LA-Lake Charles 1,521 242 1,279 60.0 56.1 63.9 50.0 41.1 58.9 61.9 57.6 66.2
216 LA-Metairie 1,780 208 1,572 63.8 60.1 67.5 49.0 39.5 58.6 65.7 61.7 69.7
217 LA-Monroe 1,708 391 1,317 58.5 54.9 62.1 46.0 39.3 52.8 62.2 57.9 66.5
218 LA-New Orleans 1,873 835 1,038 55.8 52.4 59.2 51.5 46.6 56.4 59.3 54.6 63.9
219 LA-Shreveport 4,029 1,042 2,987 61.2 58.8 63.7 57.4 52.8 62.0 62.6 59.7 65.4
220 LA-Slidell 885 61.0 55.9 66.2
221 ME-Bangor 2,914 73.3 70.2 76.5
222 ME-Portland 6,216 71.7 69.6 73.8
223 MD-Baltimore 11,899 3,046 8,853 64.0 62.6 65.4 62.4 59.6 65.3 64.5 62.9 66.2
225 MD-Salisbury 3,257 424 2,833 70.6 67.7 73.4 60.1 52.8 67.5 72.1 69.0 75.2
226 MD-Takoma Park 3,109 856 2,253 58.5 55.9 61.2 54.7 49.7 59.6 60.0 56.8 63.2
227 MA-Boston 18,126 863 17,263 70.6 69.3 71.8 72.0 66.3 77.6 70.5 69.2 71.7
230 MA-Springfield 2,849 72.5 69.3 75.6
231 MA-Worcester 1,819 63.1 59.4 66.7
232 MI-Ann Arbor 6,493 382 6,111 69.3 67.3 71.3 65.2 57.1 73.3 69.6 67.5 71.6
233 MI-Dearborn 2,786 62.2 59.3 65.2
234 MI-Detroit 9,480 3,328 6,152 63.2 61.6 64.8 59.0 56.4 61.6 65.5 63.5 67.5
235 MI-Flint 3,192 447 2,745 73.4 70.4 76.3 70.0 62.3 77.8 73.9 70.7 77.1
236 MI-Grand Rapids 6,011 72.1 69.9 74.2
238 MI-Kalamazoo 3,904 212 3,692 71.2 68.6 73.9 59.4 49.1 69.8 71.9 69.2 74.6
239 MI-Lansing 3,679 70.9 68.1 73.6
240 MI-Marquette 1,476 73.1 68.7 77.5
242 MI-Muskegon 1,634 76.0 71.7 80.2
243 MI-Petoskey 1,430 73.3 68.9 77.7
244 MI-Pontiac 2,073 69.3 65.7 72.9
245 MI-Royal Oak 3,641 373 3,268 68.1 65.4 70.8 62.5 54.5 70.5 68.7 65.9 71.6
246 MI-Saginaw 5,093 226 4,867 73.0 70.6 75.3 62.8 52.5 73.2 73.5 71.0 75.9
248 MI-St. Joseph 991 67.2 62.1 72.3
249 MI-Traverse City 1,885 76.6 72.6 80.5
250 MN-Duluth 2,199 70.4 66.9 73.9
251 MN-Minneapolis 12,417 70.0 68.5 71.5
253 MN-Rochester 2,337 74.8 71.3 78.3
254 MN-St. Cloud 1,140 73.4 68.5 78.4
256 MN-St. Paul 3,436 67.1 64.3 69.8
257 MS-Gulfport 1,073 52.0 47.7 56.3
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-05) period (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 1,826 334 1,492 55.5 52.1 59.0 53.9 46.0 61.8 55.9 52.1 59.7
259 MS-Jackson 6,145 2,092 4,053 56.2 54.4 58.1 48.1 45.1 51.1 60.4 58.0 62.8
260 MS-Meridian 1,282 368 914 59.1 54.8 63.3 52.2 44.8 59.6 61.8 56.7 66.9
261 MS-Oxford 948 245 703 50.4 45.9 54.9 43.7 35.4 51.9 52.8 47.4 58.1
262 MS-Tupelo 2,507 530 1,977 57.6 54.7 60.6 49.8 43.8 55.8 59.7 56.3 63.2
263 MO-Cape Girardeau 1,756 63.6 59.9 67.3
264 MO-Columbia 4,045 63.5 61.0 66.0
267 MO-Joplin 2,415 59.4 56.3 62.5
268 MO-Kansas City 10,276 842 9,434 62.0 60.5 63.5 58.1 52.9 63.2 62.4 60.8 63.9
270 MO-Springfield 5,147 59.5 57.4 61.6
273 MO-St. Louis 15,220 1,735 13,485 62.4 61.1 63.6 57.2 53.7 60.8 63.0 61.7 64.4
274 MT-Billings 3,230 65.0 62.2 67.7
275 MT-Great Falls 982 68.7 63.6 73.9
276 MT-Missoula 2,331 69.6 66.2 73.0
277 NE-Lincoln 3,174 67.4 64.6 70.3
278 NE-Omaha 6,384 225 6,159 62.7 60.7 64.6 49.8 40.6 59.0 63.1 61.2 65.1
279 NV-Las Vegas 5,550 413 5,137 57.6 55.6 59.6 59.6 52.1 67.0 57.4 55.3 59.5
280 NV-Reno 3,208 62.1 59.4 64.8
281 NH-Lebanon 2,556 68.7 65.5 72.0
282 NH-Manchester 4,145 71.0 68.5 73.6
283 NJ-Camden 14,643 1,393 13,250 59.3 58.0 60.5 51.8 48.1 55.6 60.1 58.8 61.4
284 NJ-Hackensack 5,690 353 5,337 57.2 55.2 59.2 50.1 42.8 57.5 57.7 55.6 59.7
285 NJ-Morristown 4,555 274 4,281 61.7 59.4 64.0 52.9 44.3 61.5 62.3 59.9 64.6
288 NJ-New Brunswick 4,183 297 3,886 58.4 56.1 60.7 59.9 51.1 68.7 58.3 55.9 60.7
289 NJ-Newark 5,907 1,770 4,137 53.9 52.0 55.7 52.0 48.6 55.3 54.7 52.4 56.9
291 NJ-Paterson 1,621 55.5 51.9 59.2
292 NJ-Ridgewood 1,822 61.6 58.0 65.2
293 NM-Albuquerque 6,395 56.0 54.2 57.9
295 NY-Albany 8,845 326 8,519 67.2 65.5 68.9 55.2 47.1 63.3 67.7 65.9 69.4
296 NY-Binghamton 2,614 68.8 65.6 72.0
297 NY-Bronx 3,775 1,253 2,522 49.7 47.4 51.9 47.1 43.3 50.9 51.0 48.2 53.7
299 NY-Buffalo 5,010 498 4,512 65.4 63.2 67.7 64.1 57.0 71.1 65.6 63.2 67.9
300 NY-Elmira 2,026 71.4 67.7 75.1
301 NY-East Long Island 17,835 1,915 15,920 56.2 55.1 57.3 46.8 43.8 49.9 57.4 56.2 58.5
303 NY-Manhattan 16,178 3,272 12,906 49.9 48.8 51.0 44.9 42.6 47.2 51.2 50.0 52.4
304 NY-Rochester 3,298 244 3,054 65.0 62.2 67.7 54.1 44.9 63.3 65.9 63.0 68.7
307 NY-Syracuse 5,957 72.0 69.8 74.1
308 NY-White Plains 5,109 616 4,493 61.5 59.4 63.7 53.4 47.6 59.2 62.7 60.3 65.0
309 NC-Asheville 5,081 65.3 63.0 67.5
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-05) period (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 10,865 1,671 9,194 61.9 60.4 63.3 53.6 50.1 57.1 63.4 61.7 65.0
312 NC-Durham 7,687 1,909 5,778 66.4 64.5 68.2 58.8 55.4 62.3 68.8 66.7 71.0
313 NC-Greensboro 2,600 428 2,172 66.5 63.4 69.7 56.3 49.2 63.4 68.6 65.1 72.0
314 NC-Greenville 5,121 1,311 3,810 68.3 66.0 70.5 58.1 54.0 62.3 71.7 69.0 74.4
315 NC-Hickory 1,882 63.3 59.7 66.9
318 NC-Raleigh 8,517 2,126 6,391 66.5 64.8 68.2 61.1 57.7 64.4 68.3 66.3 70.3
319 NC-Wilmington 2,937 500 2,437 72.8 69.7 75.8 61.8 54.9 68.7 75.0 71.6 78.5
320 NC-Winston-Salem 5,500 595 4,905 64.9 62.7 67.0 54.0 48.1 59.9 66.2 63.9 68.5
321 ND-Bismarck 1,352 67.2 62.9 71.6
322 ND-Fargo/Moorhead MN 2,982 72.5 69.4 75.6
323 ND-Grand Forks 871 72.5 66.8 78.1
324 ND-Minot 814 69.3 63.6 75.0
325 OH-Akron 2,969 269 2,700 66.7 63.8 69.6 61.0 51.6 70.3 67.3 64.2 70.4
326 OH-Canton 3,194 67.3 64.5 70.2
327 OH-Cincinnati 7,349 774 6,575 62.8 61.0 64.6 63.8 58.2 69.5 62.6 60.7 64.5
328 OH-Cleveland 10,600 1,562 9,038 67.1 65.6 68.7 60.6 56.7 64.4 68.3 66.6 70.0
329 OH-Columbus 14,632 878 13,754 64.5 63.2 65.8 59.7 54.6 64.8 64.8 63.4 66.1
330 OH-Dayton 6,402 631 5,771 63.7 61.7 65.6 65.9 59.6 72.3 63.4 61.4 65.5
331 OH-Elyria 1,396 68.9 64.6 73.3
332 OH-Kettering 2,103 64.0 60.6 67.4
334 OH-Toledo 5,089 300 4,789 64.3 62.1 66.5 61.3 52.5 70.2 64.4 62.2 66.7
335 OH-Youngstown 3,502 250 3,252 65.9 63.2 68.5 57.6 48.2 67.0 66.5 63.7 69.3
336 OK-Lawton 1,225 56.4 52.2 60.6
339 OK-Oklahoma City 9,813 413 9,400 58.2 56.7 59.7 54.5 47.4 61.6 58.3 56.8 59.9
340 OK-Tulsa 6,303 297 6,006 57.0 55.1 58.8 55.9 47.4 64.4 57.0 55.1 58.9
341 OR-Bend 986 65.2 60.2 70.3
342 OR-Eugene 3,106 66.1 63.3 69.0
343 OR-Medford 2,442 67.2 63.9 70.4
344 OR-Portland 6,593 65.1 63.2 67.1
345 OR-Salem 736 71.9 65.8 78.0
346 PA-Allentown 5,902 61.7 59.7 63.7
347 PA-Altoona 1,450 65.9 61.7 70.0
350 PA-Danville 2,990 71.0 68.0 74.0
351 PA-Erie 4,162 67.0 64.5 69.5
352 PA-Harrisburg 5,816 218 5,598 68.2 66.1 70.4 61.9 51.5 72.4 68.5 66.3 70.6
354 PA-Johnstown 747 59.6 54.0 65.1
355 PA-Lancaster 3,104 62.9 60.1 65.7
356 PA-Philadelphia 11,407 2,131 9,276 59.0 57.6 60.4 51.9 48.8 55.0 60.6 59.1 62.2
357 PA-Pittsburgh 10,000 618 9,382 60.3 58.8 61.8 52.1 46.4 57.8 60.9 59.3 62.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-05) period (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 2,788 61.6 58.6 64.5
359 PA-Sayre 1,400 66.3 62.0 70.6
360 PA-Scranton 1,903 64.0 60.4 67.5
362 PA-Wilkes-Barre 1,524 59.4 55.5 63.3
363 PA-York 2,517 71.6 68.3 74.9
364 RI-Providence 3,657 64.7 62.1 67.3
365 SC-Charleston 5,862 1,232 4,630 69.5 67.4 71.7 63.7 59.3 68.2 71.1 68.7 73.5
366 SC-Columbia 6,597 1,931 4,666 62.9 61.0 64.8 58.2 54.8 61.6 64.8 62.5 67.1
367 SC-Florence 2,171 799 1,372 61.2 57.9 64.5 55.7 50.5 60.9 64.4 60.1 68.6
368 SC-Greenville 5,351 603 4,748 66.2 64.0 68.4 62.5 56.2 68.8 66.7 64.4 69.0
369 SC-Spartanburg 2,247 300 1,947 57.6 54.5 60.7 50.0 42.0 58.0 58.8 55.4 62.2
370 SD-Rapid City 1,236 63.9 59.5 68.4
371 SD-Sioux Falls 4,578 68.5 66.1 70.9
373 TN-Chattanooga 4,247 305 3,942 62.3 59.9 64.7 66.6 57.4 75.7 62.0 59.5 64.4
374 TN-Jackson 2,296 286 2,010 60.0 56.8 63.1 49.7 41.5 57.8 61.4 58.0 64.9
375 TN-Johnson City 1,431 64.2 60.1 68.4
376 TN-Kingsport 2,944 62.2 59.4 65.1
377 TN-Knoxville 7,636 214 7,422 61.7 59.9 63.4 64.0 53.3 74.7 61.6 59.8 63.4
379 TN-Memphis 9,155 3,027 6,128 56.2 54.7 57.7 50.5 48.0 53.0 59.0 57.1 60.9
380 TN-Nashville 12,560 858 11,702 62.4 61.0 63.8 56.4 51.4 61.4 62.9 61.4 64.3
382 TX-Abilene 2,051 58.0 54.7 61.3
383 TX-Amarillo 2,572 57.2 54.3 60.2
385 TX-Austin 5,238 359 4,879 64.6 62.4 66.8 57.9 50.1 65.8 65.1 62.8 67.3
386 TX-Beaumont 2,654 496 2,158 59.0 56.1 61.9 55.4 48.9 62.0 59.8 56.5 63.0
388 TX-Bryan 890 63.3 58.0 68.5
390 TX-Corpus Christi 2,608 62.2 59.1 65.2
391 TX-Dallas 16,197 1,931 14,266 60.8 59.6 62.0 53.7 50.4 56.9 61.7 60.4 63.0
393 TX-El Paso 5,149 54.9 52.9 56.9
394 TX-Fort Worth 7,100 534 6,566 60.9 59.1 62.7 54.1 47.9 60.4 61.5 59.6 63.4
396 TX-Harlingen 2,396 53.9 51.0 56.9
397 TX-Houston 20,627 3,092 17,535 56.9 55.9 57.9 50.7 48.2 53.3 58.0 56.9 59.1
399 TX-Longview 1,330 65.7 61.4 70.1
400 TX-Lubbock 3,982 58.0 55.6 60.3
402 TX-McAllen 2,300 50.3 47.4 53.2
406 TX-Odessa 1,857 53.1 49.8 56.4
411 TX-San Angelo 1,029 60.8 56.1 65.6
412 TX-San Antonio 10,118 423 9,695 51.6 50.2 53.0 38.5 32.6 44.5 52.2 50.8 53.6
413 TX-Temple 1,289 60.1 55.8 64.3
416 TX-Tyler 3,816 407 3,409 62.7 60.2 65.2 56.8 49.4 64.1 63.4 60.7 66.0
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of female Medicare enrollees age 67- Average percent of female Medicare enrollees age 67-69 having at least one mammogram over a two-year
69 (2003-05) period (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 960 56.3 51.5 61.0
418 TX-Waco 1,738 220 1,518 58.9 55.3 62.5 59.6 49.4 69.8 58.8 55.0 62.7
420 TX-Wichita Falls 1,439 58.7 54.7 62.6
421 UT-Ogden 1,637 63.7 59.8 67.5
422 UT-Provo 1,458 58.3 54.4 62.2
423 UT-Salt Lake City 7,144 60.0 58.2 61.8
424 VT-Burlington 3,698 67.9 65.2 70.5
426 VA-Arlington 5,994 468 5,526 58.1 56.2 60.0 46.6 40.4 52.8 59.1 57.0 61.1
427 VA-Charlottesville 3,181 290 2,891 66.2 63.3 69.0 64.8 55.6 74.1 66.3 63.3 69.3
428 VA-Lynchburg 1,633 309 1,324 60.0 56.2 63.7 55.0 46.8 63.3 61.1 56.9 65.3
429 VA-Newport News 3,159 819 2,340 68.6 65.7 71.5 63.9 58.4 69.3 70.3 66.9 73.7
430 VA-Norfolk 6,057 1,724 4,333 65.7 63.7 67.8 60.8 57.1 64.5 67.7 65.2 70.1
431 VA-Richmond 8,385 2,183 6,202 63.2 61.5 64.9 59.9 56.7 63.2 64.3 62.3 66.3
432 VA-Roanoke 4,767 290 4,477 63.6 61.4 65.9 55.2 46.6 63.7 64.2 61.8 66.5
435 VA-Winchester 2,386 62.6 59.4 65.8
437 WA-Everett 2,352 62.6 59.4 65.8
438 WA-Olympia 1,518 61.7 57.7 65.6
439 WA-Seattle 9,276 214 9,062 65.6 63.9 67.2 59.8 49.5 70.2 65.7 64.0 67.4
440 WA-Spokane 7,523 65.3 63.5 67.1
441 WA-Tacoma 2,884 66.4 63.5 69.4
442 WA-Yakima 1,322 59.9 55.7 64.1
443 WV-Charleston 6,005 63.2 61.2 65.2
444 WV-Huntington 2,733 59.5 56.6 62.4
445 WV-Morgantown 2,456 66.3 63.0 69.5
446 WI-Appleton 1,623 71.4 67.2 75.5
447 WI-Green Bay 2,975 69.9 66.9 72.9
448 WI-La Crosse 1,590 70.3 66.2 74.4
449 WI-Madison 4,851 68.5 66.1 70.8
450 WI-Marshfield 2,297 69.7 66.3 73.2
451 WI-Milwaukee 12,240 983 11,257 68.8 67.4 70.3 63.5 58.5 68.5 69.3 67.8 70.8
452 WI-Neenah 1,309 70.1 65.6 74.7
456 WI-Wausau 1,258 70.5 65.9 75.2
457 WY-Casper 1,304 59.7 55.5 63.9
999 US-United States 1,314,837 123,636 1,191,201 63.0 55.3 63.8
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (100%
Part A) (2003-05) Leg amputations per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 739,623 100,337 639,286 1.55 1.46 1.63 5.38 4.94 5.83 1.24 1.15 1.33
2 AL-Dothan 146,967 24,193 122,774 1.50 1.32 1.67 5.49 4.57 6.40 1.15 0.96 1.34
5 AL-Huntsville 201,341 17,847 183,494 1.42 1.25 1.59 4.32 3.35 5.28 1.19 1.02 1.35
6 AL-Mobile 247,835 41,267 206,568 1.49 1.36 1.63 6.24 5.48 7.00 0.99 0.85 1.13
7 AL-Montgomery 144,515 36,362 108,153 1.38 1.22 1.53 5.44 4.69 6.19 0.92 0.74 1.10
9 AL-Tuscaloosa 86,206 20,605 65,601 1.76 1.53 1.99 5.75 4.73 6.76 1.59 1.28 1.90
10 AK-Anchorage 118,443 2,658 115,785 0.90 0.71 1.09
11 AZ-Mesa 200,227 3,116 197,111 0.84 0.70 0.98
12 AZ-Phoenix 665,693 11,937 653,756 0.92 0.84 1.00 2.83 1.85 3.80 0.72 0.65 0.78
14 AZ-Sun City 142,012 1,528 140,484 0.39 0.28 0.50
15 AZ-Tucson 295,353 5,371 289,982 0.83 0.71 0.94 0.64 0.55 0.73
16 AR-Fort Smith 137,776 2,278 135,498 1.43 1.20 1.65 1.06 0.88 1.23
18 AR-Jonesboro 92,036 1,505 90,531 1.56 1.28 1.85
19 AR-Little Rock 597,924 68,395 529,529 1.31 1.23 1.40 5.15 4.63 5.68 0.96 0.88 1.05
21 AR-Springdale 156,409 347 156,062 1.24 1.04 1.44
22 AR-Texarkana 101,436 14,972 86,464 1.92 1.68 2.17 6.21 4.98 7.43 1.64 1.37 1.91
23 CA-Orange County 518,961 5,496 513,465 0.83 0.74 0.92 0.65 0.58 0.72
25 CA-Bakersfield 187,022 5,103 181,919 1.38 1.20 1.57 1.09 0.93 1.24
31 CA-Chico 123,884 832 123,052 0.78 0.61 0.95
33 CA-Contra Costa County 169,625 7,477 162,148 0.88 0.73 1.03 3.69 2.27 5.11 0.66 0.53 0.78
43 CA-Fresno 229,958 8,875 221,083 1.49 1.32 1.66 3.90 2.63 5.18 1.22 1.07 1.36
56 CA-Los Angeles 1,503,480 136,325 1,367,155 1.03 0.98 1.08 3.67 3.34 3.99 0.81 0.76 0.86
58 CA-Modesto 180,419 4,304 176,115 1.62 1.41 1.82 1.27 1.10 1.44
62 CA-Napa 93,385 1,028 92,357 1.10 0.87 1.33
65 CA-Alameda County 227,885 33,958 193,927 0.73 0.63 0.83 2.53 2.01 3.05 0.59 0.48 0.69
69 CA-Palm Springs/Rancho Mirage 111,507 1,505 110,002 0.60 0.44 0.76
73 CA-Redding 139,415 843 138,572 0.87 0.69 1.04
77 CA-Sacramento 475,965 17,721 458,244 1.08 0.98 1.18 3.32 2.46 4.19 0.85 0.77 0.94
78 CA-Salinas 107,830 3,579 104,251 1.10 0.89 1.31 0.88 0.70 1.06
79 CA-San Bernardino 322,558 23,958 298,600 1.31 1.18 1.43 3.65 2.86 4.44 1.09 0.97 1.21
80 CA-San Diego 570,785 19,742 551,043 0.99 0.90 1.07 2.83 2.07 3.59 0.79 0.71 0.86
81 CA-San Francisco 297,583 27,868 269,715 0.69 0.59 0.78 2.71 2.11 3.31 0.51 0.42 0.59
82 CA-San Jose 262,027 4,545 257,482 0.79 0.67 0.91
83 CA-San Luis Obispo 84,881 484 84,397 0.60 0.42 0.78
85 CA-San Mateo County 165,601 5,771 159,830 0.66 0.53 0.79 0.48 0.38 0.59
86 CA-Santa Barbara 117,173 2,053 115,120 0.81 0.63 0.99
87 CA-Santa Cruz 61,388 389 60,999 0.65 0.43 0.88
89 CA-Santa Rosa 112,985 915 112,070 0.60 0.45 0.76
91 CA-Stockton 115,426 6,473 108,953 1.35 1.13 1.57 3.08 1.73 4.43 1.15 0.95 1.36
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (100%
Part A) (2003-05) Leg amputations per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 175,235 2,684 172,551 0.95 0.79 1.12
101 CO-Boulder 49,780 0.70 0.43 0.96
102 CO-Colorado Springs 201,034 5,187 195,847 0.67 0.55 0.80
103 CO-Denver 423,044 17,049 405,995 0.66 0.58 0.74 1.85 1.19 2.51 0.53 0.46 0.60
104 CO-Fort Collins 85,489 590 84,899 0.76 0.55 0.97
105 CO-Grand Junction 110,176 0.46 0.31 0.60
106 CO-Greeley 95,013 0.86 0.65 1.08
107 CO-Pueblo 57,319 672 56,647 1.07 0.77 1.37
109 CT-Bridgeport 219,151 16,661 202,490 0.97 0.84 1.10 3.44 2.53 4.35 0.75 0.64 0.87
110 CT-Hartford 561,105 24,723 536,382 0.88 0.80 0.96 2.59 1.94 3.23 0.71 0.64 0.78
111 CT-New Haven 509,812 22,915 486,897 1.05 0.96 1.15 2.73 2.04 3.42 0.86 0.78 0.94
112 DE-Wilmington 248,502 31,294 217,208 1.04 0.92 1.16 3.55 2.88 4.22 0.84 0.72 0.97
113 DC-Washington 733,689 205,043 528,646 0.90 0.84 0.95 3.37 3.12 3.62 0.66 0.59 0.73
115 FL-Bradenton 140,703 4,093 136,610 0.92 0.75 1.09
116 FL-Clearwater 220,699 3,587 217,112 0.94 0.80 1.08 0.71 0.60 0.82
118 FL-Fort Lauderdale 893,102 40,056 853,046 0.71 0.66 0.77 3.70 3.08 4.32 0.51 0.46 0.55
119 FL-Fort Myers 562,141 14,379 547,762 0.72 0.65 0.80 2.88 1.99 3.77 0.55 0.49 0.61
120 FL-Gainesville 191,107 19,327 171,780 1.01 0.87 1.15 3.71 2.86 4.56 0.78 0.65 0.91
122 FL-Hudson 196,666 2,777 193,889 0.99 0.83 1.14
123 FL-Jacksonville 441,431 60,387 381,044 1.19 1.09 1.28 4.62 4.08 5.16 0.87 0.78 0.97
124 FL-Lakeland 129,794 8,945 120,849 0.94 0.77 1.11 4.19 2.84 5.54 0.67 0.53 0.82
127 FL-Miami 533,833 44,351 489,482 1.21 1.11 1.30 3.42 2.86 3.98 1.02 0.93 1.10
129 FL-Ocala 335,540 13,010 322,530 0.93 0.82 1.04 3.35 2.36 4.34 0.72 0.63 0.82
130 FL-Orlando 1,209,937 78,663 1,131,274 1.13 1.06 1.19 4.53 4.05 5.00 0.84 0.79 0.90
131 FL-Ormond Beach 156,930 8,098 148,832 0.89 0.73 1.04 2.60 1.46 3.74 0.72 0.58 0.85
133 FL-Panama City 79,402 5,558 73,844 1.56 1.27 1.84 1.28 1.02 1.55
134 FL-Pensacola 274,371 24,089 250,282 1.35 1.22 1.49 6.17 5.17 7.16 0.92 0.80 1.05
137 FL-Sarasota 289,821 5,053 284,768 0.64 0.54 0.74 0.46 0.38 0.53
139 FL-St. Petersburg 155,363 9,535 145,828 0.82 0.68 0.97 3.19 2.05 4.33 0.62 0.50 0.75
140 FL-Tallahassee 236,510 50,294 186,216 1.39 1.27 1.52 5.51 4.87 6.15 0.96 0.81 1.10
141 FL-Tampa 292,231 20,533 271,698 0.98 0.86 1.09 3.16 2.37 3.94 0.78 0.68 0.89
142 GA-Albany 66,551 22,000 44,551 1.64 1.41 1.87 5.97 4.97 6.97 1.27 0.94 1.61
144 GA-Atlanta 1,247,259 193,163 1,054,096 1.14 1.09 1.19 4.30 4.01 4.60 0.86 0.80 0.91
145 GA-Augusta 210,018 54,679 155,339 1.47 1.34 1.60 5.67 5.05 6.29 1.02 0.86 1.18
146 GA-Columbus 104,919 30,817 74,102 1.78 1.58 1.98 6.46 5.57 7.36 1.39 1.12 1.67
147 GA-Macon 231,758 58,396 173,362 1.76 1.62 1.90 6.36 5.72 7.00 1.39 1.21 1.57
148 GA-Rome 99,813 6,398 93,415 1.52 1.27 1.77 5.56 3.74 7.38 1.17 0.95 1.40
149 GA-Savannah 249,316 52,763 196,553 1.25 1.14 1.37 5.06 4.46 5.66 0.83 0.70 0.96
150 HI-Honolulu 409,172 2,301 406,871 0.92 0.81 1.02
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (100%
Part A) (2003-05) Leg amputations per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 215,637 422 215,215 0.62 0.50 0.74
152 ID-Idaho Falls 59,041 0.55 0.33 0.76
154 IL-Aurora 54,340 2,117 52,223 0.95 0.67 1.23
155 IL-Blue Island 299,011 43,022 255,989 1.09 0.98 1.20 3.42 2.85 3.99 0.93 0.81 1.04
156 IL-Chicago 624,982 231,882 393,100 1.00 0.94 1.05 3.11 2.88 3.34 1.07 0.97 1.17
158 IL-Elgin 170,694 1,652 169,042 0.95 0.78 1.12
161 IL-Evanston 377,772 6,863 370,909 0.74 0.65 0.84 2.52 1.32 3.71 0.58 0.50 0.65
163 IL-Hinsdale 118,924 2,469 116,455 0.79 0.61 0.96
164 IL-Joliet 182,608 9,311 173,297 1.09 0.93 1.25 3.24 2.06 4.42 0.88 0.74 1.02
166 IL-Melrose Park 397,987 17,818 380,169 0.98 0.88 1.08 4.25 3.25 5.24 0.73 0.64 0.82
170 IL-Peoria 261,640 5,867 255,773 1.09 0.95 1.23 0.84 0.73 0.95
171 IL-Rockford 263,719 6,518 257,201 1.04 0.91 1.18 0.84 0.72 0.95
172 IL-Springfield 372,710 8,198 364,512 1.14 1.02 1.26 4.99 3.46 6.52 0.86 0.77 0.96
173 IL-Urbana 151,658 5,243 146,415 1.10 0.92 1.28 0.82 0.67 0.96
175 IL-Bloomington 54,038 869 53,169 0.71 0.47 0.96
179 IN-Evansville 289,067 6,116 282,951 1.16 1.03 1.30 4.24 2.64 5.84 0.90 0.79 1.01
180 IN-Fort Wayne 306,120 7,202 298,918 1.12 0.99 1.25 4.69 3.06 6.31 0.85 0.75 0.96
181 IN-Gary 183,582 31,778 151,804 1.18 1.04 1.32 3.40 2.76 4.05 1.10 0.93 1.27
183 IN-Indianapolis 927,449 59,030 868,419 1.03 0.96 1.10 3.23 2.78 3.69 0.83 0.77 0.89
184 IN-Lafayette 69,971 349 69,622 1.12 0.84 1.40
185 IN-Muncie 69,822 2,161 67,661 1.36 1.06 1.65
186 IN-Munster 116,352 10,189 106,163 1.17 0.98 1.37 2.97 1.89 4.06 1.02 0.83 1.22
187 IN-South Bend 249,604 9,965 239,639 1.24 1.09 1.38 4.04 2.80 5.28 0.98 0.85 1.10
188 IN-Terre Haute 73,261 1,413 71,848 1.06 0.80 1.32
190 IA-Cedar Rapids 108,698 726 107,972 1.10 0.88 1.32
191 IA-Davenport 209,182 4,370 204,812 0.96 0.81 1.10
192 IA-Des Moines 411,508 4,571 406,937 0.74 0.65 0.84 0.58 0.50 0.65
193 IA-Dubuque 69,761 1.51 1.19 1.84
194 IA-Iowa City 122,684 648 122,036 0.90 0.71 1.09
195 IA-Mason City 75,506 0.74 0.52 0.95
196 IA-Sioux City 111,137 397 110,740 0.66 0.50 0.83
197 IA-Waterloo 93,892 2,389 91,503 0.85 0.65 1.05
200 KS-Topeka 166,468 5,408 161,060 1.03 0.87 1.20 0.86 0.71 1.00
201 KS-Wichita 510,123 12,203 497,920 0.94 0.85 1.03 2.48 1.59 3.37 0.75 0.68 0.83
203 KY-Covington 105,725 1,185 104,540 1.27 1.03 1.51
204 KY-Lexington 495,295 16,943 478,352 1.31 1.20 1.42 3.56 2.68 4.44 1.06 0.97 1.16
205 KY-Louisville 581,661 39,523 542,138 1.20 1.11 1.29 3.24 2.68 3.80 1.01 0.93 1.10
207 KY-Owensboro 57,184 1,171 56,013 0.88 0.61 1.15
208 KY-Paducah 170,149 5,561 164,588 1.28 1.10 1.46 0.92 0.77 1.07
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (100%
Part A) (2003-05) Leg amputations per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 104,433 18,669 85,764 1.62 1.41 1.84 5.19 4.16 6.21 1.43 1.17 1.68
210 LA-Baton Rouge 201,013 49,768 151,245 1.53 1.39 1.67 5.18 4.54 5.81 1.32 1.13 1.51
212 LA-Houma 82,849 9,919 72,930 1.84 1.56 2.12 7.48 5.76 9.20 1.31 1.04 1.58
213 LA-Lafayette 190,634 36,705 153,929 1.74 1.58 1.90 6.24 5.43 7.06 1.37 1.18 1.56
214 LA-Lake Charles 85,497 13,314 72,183 1.23 1.01 1.44 3.94 2.86 5.02 1.05 0.81 1.29
216 LA-Metairie 116,220 11,468 104,752 1.24 1.04 1.44 4.75 3.49 6.02 0.93 0.74 1.12
217 LA-Monroe 101,223 21,687 79,536 1.93 1.70 2.15 7.48 6.35 8.60 1.36 1.10 1.62
218 LA-New Orleans 132,792 45,728 87,064 1.58 1.42 1.74 5.81 5.11 6.50 1.19 0.96 1.42
219 LA-Shreveport 252,240 62,861 189,379 1.79 1.66 1.93 6.87 6.24 7.51 1.27 1.11 1.43
220 LA-Slidell 50,673 3,851 46,822 1.70 1.33 2.07 1.39 1.04 1.73
221 ME-Bangor 176,599 312 176,287 0.98 0.81 1.15
222 ME-Portland 420,732 830 419,902 1.04 0.93 1.16
223 MD-Baltimore 825,677 165,408 660,269 1.10 1.04 1.16 3.82 3.52 4.12 0.90 0.83 0.97
225 MD-Salisbury 193,212 22,975 170,237 1.23 1.08 1.38 4.46 3.61 5.32 0.95 0.81 1.10
226 MD-Takoma Park 229,996 52,425 177,571 0.74 0.64 0.83 2.81 2.34 3.27 0.54 0.43 0.65
227 MA-Boston 1,473,703 51,715 1,421,988 0.86 0.81 0.91 2.30 1.88 2.71 0.69 0.65 0.73
230 MA-Springfield 237,999 8,435 229,564 1.29 1.14 1.44 2.69 1.57 3.81 1.07 0.93 1.20
231 MA-Worcester 153,361 2,007 151,354 1.12 0.94 1.31
232 MI-Ann Arbor 433,071 22,559 410,512 0.83 0.74 0.91 2.78 2.10 3.47 0.65 0.57 0.73
233 MI-Dearborn 196,675 5,434 191,241 1.12 0.96 1.28 0.91 0.78 1.05
234 MI-Detroit 625,444 198,875 426,569 0.86 0.80 0.91 2.91 2.67 3.14 0.77 0.69 0.85
235 MI-Flint 189,059 21,968 167,091 0.93 0.79 1.06 3.29 2.51 4.07 0.73 0.60 0.86
236 MI-Grand Rapids 370,188 10,195 359,993 0.96 0.85 1.07 4.08 2.83 5.32 0.73 0.64 0.81
238 MI-Kalamazoo 244,544 10,372 234,172 0.92 0.79 1.05 2.70 1.70 3.70 0.74 0.63 0.85
239 MI-Lansing 224,645 6,553 218,092 0.97 0.83 1.11 3.13 1.76 4.51 0.76 0.64 0.87
240 MI-Marquette 96,860 1.45 1.18 1.72
242 MI-Muskegon 106,361 5,623 100,738 0.93 0.74 1.12 0.76 0.59 0.93
243 MI-Petoskey 85,115 0.81 0.59 1.03
244 MI-Pontiac 130,712 8,475 122,237 0.81 0.65 0.97 3.70 2.38 5.03 0.58 0.44 0.71
245 MI-Royal Oak 254,609 20,582 234,027 0.67 0.57 0.77 2.81 2.09 3.54 0.49 0.40 0.58
246 MI-Saginaw 303,466 10,040 293,426 1.02 0.90 1.14 3.88 2.65 5.11 0.78 0.68 0.88
248 MI-St. Joseph 61,094 6,630 54,464 0.89 0.66 1.11 3.00 1.68 4.31 0.71 0.49 0.94
249 MI-Traverse City 113,752 0.98 0.78 1.19
250 MN-Duluth 154,803 274 154,529 1.02 0.84 1.20
251 MN-Minneapolis 922,851 9,155 913,696 0.88 0.81 0.94 2.32 1.30 3.33 0.69 0.63 0.74
253 MN-Rochester 170,037 267 169,770 0.89 0.73 1.05
254 MN-St. Cloud 82,856 1.13 0.87 1.38
256 MN-St. Paul 255,764 4,064 251,700 0.79 0.67 0.91
257 MS-Gulfport 62,973 7,310 55,663 1.45 1.16 1.74 4.79 3.18 6.41 1.19 0.89 1.48
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (100%
Part A) (2003-05) Leg amputations per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 102,305 17,875 84,430 1.55 1.34 1.77 5.53 4.45 6.60 1.23 0.99 1.47
259 MS-Jackson 358,212 114,456 243,756 1.52 1.42 1.61 5.17 4.76 5.58 1.35 1.21 1.50
260 MS-Meridian 79,788 22,496 57,292 1.38 1.18 1.58 4.77 3.89 5.65 1.17 0.89 1.46
261 MS-Oxford 51,767 12,328 39,439 2.06 1.74 2.38 7.92 6.39 9.45 1.46 1.08 1.84
262 MS-Tupelo 142,344 23,964 118,380 1.73 1.54 1.93 6.03 5.05 7.00 1.40 1.19 1.62
263 MO-Cape Girardeau 113,081 5,693 107,388 1.44 1.21 1.67 1.10 0.90 1.30
264 MO-Columbia 267,237 6,198 261,039 1.31 1.16 1.45 4.19 2.61 5.78 1.02 0.90 1.14
267 MO-Joplin 151,492 852 150,640 1.08 0.89 1.26
268 MO-Kansas City 702,490 45,494 656,996 0.79 0.73 0.86 2.80 2.31 3.28 0.62 0.56 0.68
270 MO-Springfield 315,550 1,009 314,541 0.89 0.77 1.00
273 MO-St. Louis 1,016,342 93,808 922,534 1.34 1.27 1.41 4.61 4.17 5.04 1.06 1.00 1.13
274 MT-Billings 204,005 265 203,740 0.92 0.77 1.07
275 MT-Great Falls 61,958 1.02 0.74 1.31
276 MT-Missoula 143,293 0.64 0.49 0.78
277 NE-Lincoln 232,820 946 231,874 0.85 0.71 0.98
278 NE-Omaha 437,629 10,138 427,491 0.91 0.81 1.00 2.34 1.39 3.30 0.72 0.64 0.80
279 NV-Las Vegas 338,769 21,390 317,379 0.74 0.64 0.84 1.41 0.88 1.94 0.65 0.56 0.74
280 NV-Reno 207,536 1,974 205,562 0.78 0.65 0.92
281 NH-Lebanon 172,391 276 172,115 1.09 0.92 1.27
282 NH-Manchester 284,959 1,120 283,839 0.87 0.75 1.00
283 NJ-Camden 1,026,983 75,962 951,021 1.04 0.97 1.10 3.36 2.95 3.78 0.83 0.77 0.89
284 NJ-Hackensack 423,308 18,968 404,340 1.09 0.99 1.20 2.52 1.79 3.25 0.91 0.82 1.00
285 NJ-Morristown 326,128 15,908 310,220 0.85 0.74 0.95 3.01 2.15 3.86 0.66 0.57 0.75
288 NJ-New Brunswick 301,388 15,941 285,447 1.05 0.93 1.17 3.73 2.76 4.70 0.81 0.71 0.92
289 NJ-Newark 422,198 97,489 324,709 1.13 1.04 1.21 4.11 3.70 4.52 0.87 0.77 0.97
291 NJ-Paterson 117,077 10,058 107,019 1.31 1.10 1.51 5.35 3.85 6.84 0.96 0.78 1.14
292 NJ-Ridgewood 135,954 4,952 131,002 0.89 0.72 1.05 0.71 0.57 0.86
293 NM-Albuquerque 395,939 4,083 391,856 0.98 0.87 1.09
295 NY-Albany 649,069 17,597 631,472 0.76 0.68 0.83 2.86 2.06 3.66 0.58 0.52 0.64
296 NY-Binghamton 165,944 1,309 164,635 1.12 0.94 1.30
297 NY-Bronx 220,516 65,319 155,197 1.41 1.29 1.54 3.89 3.41 4.36 1.63 1.43 1.83
299 NY-Buffalo 390,707 28,229 362,478 1.09 0.99 1.19 1.86 1.36 2.37 1.00 0.90 1.10
300 NY-Elmira 149,126 2,707 146,419 1.11 0.93 1.30
301 NY-East Long Island 1,307,500 108,401 1,199,099 1.09 1.04 1.15 3.29 2.95 3.64 0.90 0.85 0.96
303 NY-Manhattan 1,060,297 186,514 873,783 1.17 1.12 1.23 3.74 3.46 4.02 1.02 0.95 1.09
304 NY-Rochester 320,607 14,257 306,350 1.10 0.98 1.22 5.06 3.87 6.26 0.81 0.71 0.91
307 NY-Syracuse 398,400 8,821 389,579 1.08 0.97 1.19 3.90 2.55 5.25 0.84 0.74 0.93
308 NY-White Plains 357,219 30,496 326,723 0.87 0.77 0.96 2.96 2.34 3.58 0.69 0.60 0.78
309 NC-Asheville 304,616 7,312 297,304 0.94 0.82 1.06 2.98 1.76 4.20 0.74 0.64 0.84
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (100%
Part A) (2003-05) Leg amputations per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 639,273 83,687 555,586 1.52 1.43 1.61 5.56 5.06 6.07 1.17 1.08 1.26
312 NC-Durham 454,253 101,329 352,924 1.43 1.34 1.52 5.36 4.91 5.81 1.07 0.96 1.17
313 NC-Greensboro 171,817 25,307 146,510 1.45 1.29 1.62 5.46 4.56 6.36 1.10 0.92 1.27
314 NC-Greenville 278,486 70,796 207,690 1.41 1.30 1.53 5.29 4.76 5.82 1.05 0.90 1.19
315 NC-Hickory 108,277 4,671 103,606 1.70 1.43 1.96 1.38 1.15 1.61
318 NC-Raleigh 471,390 110,846 360,544 1.41 1.32 1.50 5.35 4.92 5.78 1.03 0.92 1.13
319 NC-Wilmington 154,596 26,089 128,507 1.44 1.27 1.61 5.87 4.96 6.79 0.97 0.80 1.15
320 NC-Winston-Salem 334,362 30,476 303,886 1.48 1.35 1.61 5.60 4.77 6.43 1.13 1.01 1.25
321 ND-Bismarck 96,542 1.14 0.90 1.38
322 ND-Fargo/Moorhead MN 210,813 1.07 0.91 1.22
323 ND-Grand Forks 68,179 1.11 0.83 1.39
324 ND-Minot 56,167 1.21 0.89 1.52
325 OH-Akron 211,299 16,030 195,269 0.91 0.78 1.03 2.56 1.79 3.34 0.76 0.64 0.88
326 OH-Canton 214,525 7,093 207,432 1.29 1.13 1.45 3.35 2.01 4.70 1.04 0.90 1.18
327 OH-Cincinnati 475,109 41,814 433,295 1.05 0.96 1.14 3.75 3.16 4.33 0.82 0.73 0.90
328 OH-Cleveland 774,960 104,709 670,251 1.03 0.96 1.09 3.23 2.89 3.58 0.87 0.80 0.94
329 OH-Columbus 888,282 47,790 840,492 1.05 0.98 1.12 2.75 2.27 3.22 0.87 0.81 0.94
330 OH-Dayton 393,148 34,975 358,173 1.20 1.09 1.30 3.62 2.99 4.24 1.00 0.89 1.10
331 OH-Elyria 86,933 4,169 82,764 1.08 0.85 1.32 0.83 0.63 1.02
332 OH-Kettering 138,724 4,468 134,256 1.28 1.08 1.48 0.99 0.82 1.16
334 OH-Toledo 327,193 17,544 309,649 0.97 0.86 1.08 3.50 2.62 4.38 0.76 0.66 0.85
335 OH-Youngstown 249,251 16,200 233,051 1.19 1.05 1.32 3.56 2.64 4.49 0.97 0.84 1.09
336 OK-Lawton 72,910 4,128 68,782 1.39 1.11 1.68 1.17 0.91 1.43
339 OK-Oklahoma City 606,586 25,932 580,654 1.13 1.04 1.22 2.95 2.29 3.61 0.93 0.85 1.00
340 OK-Tulsa 405,988 18,660 387,328 1.13 1.02 1.24 4.10 3.20 5.00 0.88 0.78 0.97
341 OR-Bend 59,100 0.88 0.60 1.15
342 OR-Eugene 260,602 630 259,972 0.67 0.56 0.78
343 OR-Medford 201,057 461 200,596 0.99 0.83 1.14
344 OR-Portland 464,884 6,032 458,852 0.89 0.80 0.99 0.69 0.61 0.76
345 OR-Salem 54,089 208 53,881 1.04 0.74 1.34
346 PA-Allentown 435,373 5,907 429,466 1.37 1.25 1.49 1.07 0.97 1.16
347 PA-Altoona 103,704 547 103,157 1.40 1.14 1.65
350 PA-Danville 200,518 951 199,567 1.67 1.47 1.87
351 PA-Erie 287,704 3,618 284,086 1.31 1.16 1.45 1.03 0.92 1.15
352 PA-Harrisburg 386,584 12,287 374,297 1.19 1.07 1.31 3.76 2.68 4.85 0.94 0.84 1.04
354 PA-Johnstown 73,146 706 72,440 2.36 1.98 2.74 1.76 1.46 2.06
355 PA-Lancaster 229,630 5,260 224,370 1.18 1.03 1.33 0.92 0.80 1.05
356 PA-Philadelphia 979,274 147,503 831,771 1.04 0.98 1.10 3.59 3.29 3.89 0.84 0.78 0.90
357 PA-Pittsburgh 892,185 44,300 847,885 1.35 1.28 1.43 2.57 2.11 3.03 1.17 1.10 1.24
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (100%
Part A) (2003-05) Leg amputations per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 212,511 3,534 208,977 1.51 1.33 1.69
359 PA-Sayre 84,711 380 84,331 1.15 0.89 1.40
360 PA-Scranton 142,373 660 141,713 1.91 1.65 2.16
362 PA-Wilkes-Barre 117,922 525 117,397 1.81 1.54 2.09
363 PA-York 162,765 2,784 159,981 1.14 0.96 1.33 0.86 0.71 1.00
364 RI-Providence 306,728 6,958 299,770 0.95 0.83 1.07 2.34 1.19 3.48 0.76 0.66 0.86
365 SC-Charleston 322,371 64,716 257,655 1.44 1.33 1.56 5.89 5.30 6.48 0.95 0.83 1.07
366 SC-Columbia 376,336 99,496 276,840 1.65 1.54 1.76 6.14 5.66 6.63 1.23 1.10 1.36
367 SC-Florence 123,367 41,416 81,951 2.01 1.82 2.20 7.55 6.72 8.38 1.45 1.18 1.72
368 SC-Greenville 298,144 30,217 267,927 1.45 1.32 1.59 5.27 4.45 6.08 1.12 1.00 1.25
369 SC-Spartanburg 134,243 16,696 117,547 1.57 1.37 1.77 5.26 4.17 6.36 1.29 1.08 1.49
370 SD-Rapid City 77,739 0.87 0.64 1.11
371 SD-Sioux Falls 342,545 364 342,181 1.00 0.88 1.11
373 TN-Chattanooga 241,896 17,982 223,914 1.27 1.13 1.42 3.62 2.74 4.49 1.07 0.93 1.21
374 TN-Jackson 138,206 15,662 122,544 1.47 1.28 1.66 5.08 3.99 6.16 1.17 0.98 1.37
375 TN-Johnson City 92,280 1,219 91,061 1.33 1.07 1.59
376 TN-Kingsport 179,259 2,075 177,184 1.32 1.13 1.51
377 TN-Knoxville 454,398 13,279 441,119 1.51 1.39 1.64 4.66 3.53 5.80 1.20 1.09 1.30
379 TN-Memphis 538,174 154,322 383,852 1.38 1.30 1.45 5.23 4.87 5.59 0.98 0.88 1.08
380 TN-Nashville 740,816 52,647 688,169 1.42 1.33 1.50 4.71 4.13 5.29 1.13 1.05 1.21
382 TX-Abilene 128,661 2,882 125,779 1.30 1.08 1.52 0.98 0.81 1.16
383 TX-Amarillo 156,842 3,374 153,468 0.68 0.54 0.82
385 TX-Austin 318,401 19,467 298,934 1.33 1.20 1.46 3.93 3.05 4.82 1.09 0.97 1.21
386 TX-Beaumont 161,429 25,097 136,332 1.26 1.10 1.42 4.64 3.80 5.48 0.96 0.80 1.13
388 TX-Bryan 63,822 7,914 55,908 1.59 1.30 1.88 5.55 3.97 7.14 1.27 0.97 1.56
390 TX-Corpus Christi 156,491 3,901 152,590 3.22 2.91 3.53 2.70 2.43 2.96
391 TX-Dallas 962,113 93,175 868,938 1.15 1.08 1.22 4.31 3.88 4.74 0.87 0.81 0.94
393 TX-El Paso 301,376 5,901 295,475 1.43 1.28 1.58
394 TX-Fort Worth 427,660 26,466 401,194 1.12 1.01 1.22 3.19 2.50 3.89 0.92 0.83 1.02
396 TX-Harlingen 141,160 415 140,745 2.98 2.65 3.31
397 TX-Houston 1,243,073 168,289 1,074,784 1.26 1.20 1.32 3.89 3.59 4.19 1.09 1.03 1.16
399 TX-Longview 75,950 10,219 65,731 1.42 1.17 1.67 5.33 3.96 6.70 1.07 0.82 1.32
400 TX-Lubbock 233,574 8,631 224,943 1.67 1.49 1.84 4.59 3.17 6.02 1.34 1.19 1.50
402 TX-McAllen 133,245 367 132,878 3.51 3.15 3.88
406 TX-Odessa 107,755 4,667 103,088 1.35 1.12 1.58 1.07 0.87 1.28
411 TX-San Angelo 63,929 1,350 62,579 1.65 1.31 2.00
412 TX-San Antonio 607,194 22,633 584,561 2.22 2.09 2.34 5.13 4.19 6.07 1.83 1.72 1.94
413 TX-Temple 112,122 8,717 103,405 1.54 1.31 1.77 3.35 2.11 4.59 1.38 1.15 1.61
416 TX-Tyler 224,366 23,512 200,854 1.53 1.37 1.68 5.16 4.27 6.04 1.23 1.08 1.39
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Number of Medicare beneficiaries (100%
Part A) (2003-05) Leg amputations per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Overall Black White Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 61,034 3,471 57,563 2.07 1.70 2.43
418 TX-Waco 125,147 12,904 112,243 1.38 1.19 1.58 4.93 3.74 6.11 1.08 0.89 1.28
420 TX-Wichita Falls 84,461 3,823 80,638 1.32 1.06 1.58 1.01 0.78 1.23
421 UT-Ogden 102,094 946 101,148 0.55 0.38 0.71
422 UT-Provo 95,856 0.37 0.23 0.50
423 UT-Salt Lake City 473,317 1,413 471,904 0.56 0.48 0.63
424 VT-Burlington 228,985 694 228,291 1.01 0.86 1.15
426 VA-Arlington 425,235 30,371 394,864 0.80 0.71 0.89 3.03 2.40 3.66 0.61 0.53 0.69
427 VA-Charlottesville 204,138 15,528 188,610 1.14 0.99 1.29 3.79 2.82 4.75 0.91 0.78 1.05
428 VA-Lynchburg 102,986 15,831 87,155 1.23 1.04 1.43 4.52 3.49 5.56 0.95 0.74 1.15
429 VA-Newport News 185,034 43,006 142,028 1.13 1.00 1.26 3.95 3.35 4.55 0.93 0.77 1.09
430 VA-Norfolk 375,897 94,823 281,074 1.10 1.02 1.19 4.09 3.68 4.49 0.83 0.72 0.94
431 VA-Richmond 524,151 122,824 401,327 1.17 1.10 1.25 4.18 3.82 4.54 0.94 0.84 1.03
432 VA-Roanoke 300,267 17,659 282,608 1.00 0.88 1.11 3.06 2.27 3.85 0.81 0.70 0.92
435 VA-Winchester 143,070 4,431 138,639 1.32 1.11 1.53 1.07 0.90 1.25
437 WA-Everett 139,116 641 138,475 1.01 0.82 1.20
438 WA-Olympia 102,905 633 102,272 0.96 0.75 1.18
439 WA-Seattle 648,126 15,511 632,615 0.91 0.83 0.99 2.71 1.89 3.53 0.71 0.65 0.78
440 WA-Spokane 502,162 2,228 499,934 0.98 0.88 1.07
441 WA-Tacoma 178,176 6,970 171,206 0.70 0.57 0.83 1.96 0.90 3.03 0.56 0.45 0.67
442 WA-Yakima 87,913 614 87,299 0.96 0.73 1.18
443 WV-Charleston 377,415 9,771 367,644 1.37 1.24 1.50 3.52 2.38 4.65 1.10 0.99 1.21
444 WV-Huntington 153,678 2,144 151,534 1.25 1.05 1.45
445 WV-Morgantown 159,588 1,688 157,900 1.28 1.09 1.48
446 WI-Appleton 115,045 1.45 1.20 1.69
447 WI-Green Bay 198,042 1.50 1.31 1.69
448 WI-La Crosse 117,636 1.04 0.83 1.24
449 WI-Madison 359,456 3,241 356,215 0.98 0.87 1.10 0.75 0.66 0.84
450 WI-Marshfield 152,167 1.21 1.02 1.41
451 WI-Milwaukee 843,105 47,075 796,030 1.18 1.11 1.26 3.93 3.35 4.51 0.94 0.87 1.00
452 WI-Neenah 90,289 1.88 1.56 2.20
456 WI-Wausau 80,225 0.84 0.62 1.07
457 WY-Casper 73,446 0.97 0.71 1.23
999 US-United States 86,863,935 6,866,882 79,997,053 1.14 4.17 0.88
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
1 AL-Birmingham 98.2 97.5 98.9 102.1 100.1 104.0 100.3 99.5 101.1
2 AL-Dothan 109.3 107.6 111.0 112.2 108.1 116.3 113.5 111.6 115.4
5 AL-Huntsville 92.6 91.2 94.0 96.7 92.1 101.2 92.8 91.3 94.2
6 AL-Mobile 91.5 90.3 92.7 113.7 110.5 116.9 90.8 89.4 92.1
7 AL-Montgomery 93.8 92.3 95.4 111.8 108.4 115.2 96.0 94.1 97.9
9 AL-Tuscaloosa 94.2 92.2 96.2 117.1 112.5 121.7 94.5 92.1 96.9
10 AK-Anchorage 63.4 61.9 65.0 48.6 39.9 57.3 62.4 60.9 64.0
11 AZ-Mesa 53.3 52.3 54.3 73.9 63.8 83.9 51.7 50.7 52.7
12 AZ-Phoenix 62.5 61.8 63.1 82.3 77.0 87.6 60.7 60.0 61.3
14 AZ-Sun City 51.6 50.5 52.8 56.7 44.7 68.8 50.2 49.1 51.4
15 AZ-Tucson 56.6 55.7 57.5 71.2 63.8 78.6 55.0 54.1 55.9
16 AR-Fort Smith 101.1 99.4 102.9 100.7 87.9 113.5 98.8 97.1 100.5
18 AR-Jonesboro 113.8 111.6 116.0 146.0 126.9 165.0 110.6 108.4 112.8
19 AR-Little Rock 94.0 93.3 94.8 104.0 101.6 106.4 94.4 93.5 95.2
21 AR-Springdale 79.8 78.4 81.3 45.9 23.4 68.3 77.6 76.2 79.0
22 AR-Texarkana 113.8 111.7 115.8 117.0 111.7 122.4 117.1 114.8 119.4
23 CA-Orange County 61.7 61.0 62.3 74.2 66.6 81.7 59.9 59.3 60.6
25 CA-Bakersfield 81.8 80.5 83.2 106.6 97.6 115.5 79.5 78.2 80.9
31 CA-Chico 67.8 66.4 69.3 111.9 89.0 134.7 65.7 64.3 67.1
33 CA-Contra Costa County 53.9 52.8 55.0 69.4 63.2 75.6 52.5 51.4 53.6
43 CA-Fresno 68.8 67.7 69.9 89.7 83.6 95.9 66.9 65.8 68.0
56 CA-Los Angeles 76.7 76.3 77.2 118.8 116.9 120.6 72.9 72.4 73.3
58 CA-Modesto 69.0 67.7 70.2 75.6 67.2 83.9 67.4 66.1 68.6
62 CA-Napa 54.4 52.9 55.9 52.3 38.4 66.3 53.0 51.6 54.5
65 CA-Alameda County 61.7 60.7 62.6 85.6 82.5 88.6 59.3 58.3 60.4
69 CA-Palm Springs/Rancho Mirage 52.1 50.7 53.5 86.7 71.3 102.0 50.3 49.0 51.7
73 CA-Redding 57.7 56.4 59.0 44.3 30.2 58.4 56.2 55.0 57.5
77 CA-Sacramento 58.8 58.1 59.5 75.1 71.0 79.2 57.2 56.5 57.9
78 CA-Salinas 57.6 56.2 59.1 64.7 56.3 73.1 56.4 54.9 57.8
79 CA-San Bernardino 83.6 82.5 84.6 116.1 111.6 120.5 80.8 79.7 81.8
80 CA-San Diego 58.4 57.7 59.0 83.4 79.3 87.6 56.5 55.8 57.1
81 CA-San Francisco 52.7 51.9 53.5 85.8 82.4 89.2 49.6 48.7 50.4
82 CA-San Jose 52.3 51.4 53.2 61.2 53.7 68.6 50.9 50.0 51.8
83 CA-San Luis Obispo 44.6 43.1 46.0 65.3 42.7 88.0 43.2 41.8 44.6
85 CA-San Mateo County 45.4 44.4 46.4 63.0 56.5 69.5 44.0 43.0 45.0
86 CA-Santa Barbara 45.6 44.3 46.8 58.3 47.5 69.2 44.3 43.1 45.5
87 CA-Santa Cruz 53.5 51.7 55.4 52.4 28.2 76.7 52.1 50.3 53.9
89 CA-Santa Rosa 46.4 45.1 47.6 68.7 51.6 85.7 45.0 43.8 46.2
91 CA-Stockton 75.2 73.6 76.8 116.6 108.3 125.0 72.0 70.4 73.6
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
96 CA-Ventura 54.4 53.3 55.5 66.1 56.0 76.1 52.9 51.8 54.0
101 CO-Boulder 58.1 55.9 60.2
102 CO-Colorado Springs 59.4 58.3 60.5 59.0 51.9 66.0 58.2 57.1 59.3
103 CO-Denver 61.2 60.4 61.9 68.9 64.9 73.0 59.9 59.2 60.7
104 CO-Fort Collins 55.0 53.4 56.6 46.6 29.1 64.2 53.6 52.0 55.1
105 CO-Grand Junction 47.6 46.3 48.9
106 CO-Greeley 63.6 62.0 65.2
107 CO-Pueblo 59.1 57.1 61.2 64.5 45.2 83.8 57.6 55.6 59.6
109 CT-Bridgeport 59.0 58.0 60.0 80.2 75.9 84.6 57.2 56.1 58.2
110 CT-Hartford 63.5 62.9 64.2 69.6 66.3 73.0 62.3 61.7 63.0
111 CT-New Haven 70.9 70.2 71.6 92.6 88.6 96.6 69.0 68.2 69.7
112 DE-Wilmington 79.2 78.1 80.3 102.9 99.3 106.5 77.4 76.2 78.5
113 DC-Washington 68.1 67.5 68.7 92.0 90.7 93.3 65.8 65.1 66.5
115 FL-Bradenton 56.0 54.8 57.3 79.4 70.6 88.2 54.3 53.1 55.5
116 FL-Clearwater 68.0 66.9 69.0 123.3 111.6 135.0 65.5 64.5 66.5
118 FL-Fort Lauderdale 60.7 60.2 61.2 95.3 92.2 98.5 58.3 57.9 58.8
119 FL-Fort Myers 56.4 55.7 57.0 78.0 73.4 82.7 54.7 54.0 55.3
120 FL-Gainesville 86.0 84.7 87.3 107.4 102.8 112.0 84.4 83.0 85.8
122 FL-Hudson 79.0 77.7 80.2 85.4 74.5 96.4 76.9 75.7 78.2
123 FL-Jacksonville 85.4 84.5 86.3 108.3 105.7 110.9 83.9 83.0 84.9
124 FL-Lakeland 76.7 75.1 78.2 101.0 94.4 107.6 74.5 73.0 76.1
127 FL-Miami 95.4 94.6 96.2 113.1 109.9 116.4 93.8 93.0 94.7
129 FL-Ocala 56.8 56.0 57.7 65.3 60.9 69.6 55.6 54.8 56.5
130 FL-Orlando 74.2 73.7 74.7 96.3 94.1 98.5 72.3 71.8 72.8
131 FL-Ormond Beach 56.2 55.0 57.4 69.3 63.4 75.2 54.8 53.6 56.0
133 FL-Panama City 90.5 88.4 92.7 105.2 96.8 113.7 89.2 87.0 91.4
134 FL-Pensacola 86.0 84.9 87.2 98.9 94.9 102.9 85.2 84.0 86.4
137 FL-Sarasota 40.7 39.9 41.4 78.8 71.0 86.5 39.1 38.4 39.8
139 FL-St. Petersburg 71.0 69.7 72.2 97.7 91.4 104.1 68.7 67.4 70.0
140 FL-Tallahassee 80.8 79.7 82.0 88.3 85.8 90.9 84.2 82.9 85.5
141 FL-Tampa 69.8 68.9 70.8 85.2 81.1 89.3 68.4 67.4 69.4
142 GA-Albany 77.2 75.2 79.3 93.5 89.5 97.5 80.3 77.6 82.9
144 GA-Atlanta 79.1 78.6 79.6 92.4 91.1 93.8 79.3 78.8 79.9
145 GA-Augusta 77.2 76.0 78.4 95.3 92.8 97.9 78.0 76.6 79.5
146 GA-Columbus 62.6 61.1 64.0 73.6 70.6 76.6 65.2 63.3 67.1
147 GA-Macon 94.8 93.6 96.1 106.0 103.4 108.6 99.6 98.1 101.2
148 GA-Rome 87.6 85.7 89.5 85.0 77.9 92.1 87.4 85.4 89.3
149 GA-Savannah 78.5 77.4 79.6 91.9 89.3 94.4 80.1 78.8 81.4
150 HI-Honolulu 31.8 31.3 32.4 40.2 31.8 48.7 30.9 30.4 31.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
151 ID-Boise 50.4 49.5 51.4 37.8 18.7 56.9 49.0 48.1 49.9
152 ID-Idaho Falls 57.4 55.4 59.4
154 IL-Aurora 71.5 69.2 73.8 114.4 99.4 129.3 68.6 66.4 70.9
155 IL-Blue Island 94.4 93.3 95.5 142.5 138.8 146.2 89.2 88.0 90.3
156 IL-Chicago 95.5 94.8 96.2 132.3 130.8 133.8 90.3 89.4 91.3
158 IL-Elgin 83.1 81.7 84.6 99.3 83.4 115.2 80.8 79.4 82.2
161 IL-Evanston 68.1 67.3 69.0 106.0 98.3 113.8 65.9 65.1 66.7
163 IL-Hinsdale 71.5 69.9 73.0 118.4 104.4 132.3 68.9 67.4 70.4
164 IL-Joliet 101.9 100.4 103.4 155.4 147.2 163.5 97.9 96.5 99.4
166 IL-Melrose Park 78.4 77.6 79.3 127.4 122.0 132.8 75.2 74.3 76.1
170 IL-Peoria 87.9 86.8 89.0 108.2 99.8 116.6 85.6 84.4 86.7
171 IL-Rockford 81.1 80.0 82.2 117.9 109.3 126.4 78.5 77.5 79.6
172 IL-Springfield 91.2 90.2 92.1 105.3 98.3 112.4 88.9 87.9 89.8
173 IL-Urbana 94.3 92.8 95.8 110.2 101.2 119.2 92.1 90.6 93.6
175 IL-Bloomington 60.2 58.1 62.2 66.1 49.0 83.3 58.6 56.6 60.6
179 IN-Evansville 90.4 89.3 91.5 79.6 72.7 86.6 88.7 87.6 89.7
180 IN-Fort Wayne 70.5 69.6 71.4 97.1 89.7 104.5 68.4 67.4 69.3
181 IN-Gary 97.9 96.5 99.3 131.5 127.5 135.5 94.9 93.4 96.5
183 IN-Indianapolis 81.6 81.0 82.1 84.1 81.8 86.5 80.9 80.3 81.5
184 IN-Lafayette 70.5 68.5 72.5 94.4 62.7 126.1 68.5 66.5 70.4
185 IN-Muncie 83.2 81.1 85.4 80.5 68.8 92.3 81.8 79.7 84.0
186 IN-Munster 101.4 99.6 103.2 158.1 150.2 166.0 96.4 94.5 98.3
187 IN-South Bend 66.4 65.4 67.4 87.5 81.8 93.3 64.5 63.5 65.5
188 IN-Terre Haute 102.5 100.2 104.9 140.4 121.1 159.7 99.5 97.2 101.8
190 IA-Cedar Rapids 55.1 53.7 56.5 80.9 60.3 101.6 53.5 52.1 54.8
191 IA-Davenport 73.1 71.9 74.2 114.6 104.4 124.9 70.6 69.4 71.7
192 IA-Des Moines 70.8 70.0 71.6 88.7 80.1 97.2 68.8 68.0 69.6
193 IA-Dubuque 65.7 63.8 67.6
194 IA-Iowa City 66.9 65.4 68.3 79.2 57.9 100.5 65.0 63.6 66.4
195 IA-Mason City 53.1 51.5 54.7
196 IA-Sioux City 73.3 71.7 74.9 92.7 62.4 123.0 71.2 69.7 72.7
197 IA-Waterloo 65.5 63.9 67.1 97.6 84.9 110.2 63.3 61.7 64.9
200 KS-Topeka 68.6 67.4 69.9 66.9 60.1 73.8 67.4 66.2 68.7
201 KS-Wichita 81.0 80.2 81.7 83.4 78.3 88.6 79.2 78.4 79.9
203 KY-Covington 88.0 86.1 89.8 122.7 102.4 143.0 85.3 83.5 87.1
204 KY-Lexington 127.4 126.4 128.5 89.6 85.2 94.1 126.8 125.8 127.9
205 KY-Louisville 97.2 96.4 98.0 103.7 100.5 106.8 96.4 95.6 97.2
207 KY-Owensboro 89.3 86.8 91.8 85.5 68.8 102.2 87.4 85.0 89.9
208 KY-Paducah 111.4 109.8 113.0 127.5 118.3 136.6 108.9 107.3 110.5
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
209 LA-Alexandria 136.2 134.0 138.5 140.4 135.1 145.7 142.1 139.5 144.7
210 LA-Baton Rouge 90.4 89.1 91.7 117.0 114.0 120.0 89.2 87.6 90.7
212 LA-Houma 107.0 104.7 109.2 130.8 123.6 138.0 105.6 103.2 108.1
213 LA-Lafayette 106.5 105.1 108.0 125.8 122.2 129.5 107.5 105.9 109.2
214 LA-Lake Charles 113.3 111.0 115.6 128.9 122.7 135.0 114.4 111.8 116.9
216 LA-Metairie 103.0 101.1 104.8 134.8 128.1 141.5 100.3 98.4 102.3
217 LA-Monroe 137.7 135.4 139.9 162.5 157.3 167.7 140.1 137.5 142.8
218 LA-New Orleans 107.6 106.0 109.3 134.3 131.0 137.7 109.5 107.4 111.7
219 LA-Shreveport 105.8 104.6 107.1 121.3 118.6 124.0 110.0 108.5 111.5
220 LA-Slidell 136.5 133.1 139.8 142.9 130.7 155.1 135.9 132.5 139.4
221 ME-Bangor 78.8 77.5 80.2 77.8 46.0 109.7 76.6 75.2 77.9
222 ME-Portland 62.1 61.3 62.9 59.8 43.0 76.5 60.3 59.6 61.1
223 MD-Baltimore 82.6 82.0 83.2 110.7 109.1 112.3 80.2 79.5 80.8
225 MD-Salisbury 79.7 78.4 80.9 100.4 96.4 104.5 78.2 76.9 79.6
226 MD-Takoma Park 57.4 56.5 58.4 78.1 75.6 80.5 55.5 54.4 56.6
227 MA-Boston 81.4 80.9 81.8 99.6 96.9 102.4 79.3 78.9 79.8
230 MA-Springfield 70.2 69.2 71.3 73.8 67.9 79.7 68.9 67.8 69.9
231 MA-Worcester 88.1 86.6 89.5 94.1 80.2 107.9 85.8 84.3 87.2
232 MI-Ann Arbor 77.9 77.1 78.8 112.6 108.2 117.0 75.2 74.4 76.0
233 MI-Dearborn 103.4 102.0 104.8 130.9 121.5 140.4 100.6 99.2 102.0
234 MI-Detroit 87.1 86.4 87.7 115.7 114.3 117.2 85.0 84.1 85.8
235 MI-Flint 80.0 78.8 81.3 108.8 104.3 113.3 77.5 76.2 78.9
236 MI-Grand Rapids 60.8 60.0 61.6 90.5 84.6 96.4 58.8 58.0 59.6
238 MI-Kalamazoo 76.5 75.4 77.6 99.4 93.3 105.5 74.4 73.3 75.5
239 MI-Lansing 75.5 74.4 76.7 96.9 89.3 104.6 73.4 72.3 74.6
240 MI-Marquette 70.5 68.9 72.2
242 MI-Muskegon 50.4 49.0 51.7 66.5 59.8 73.2 49.0 47.6 50.3
243 MI-Petoskey 58.7 57.0 60.4
244 MI-Pontiac 83.2 81.6 84.8 138.5 130.4 146.6 78.9 77.3 80.5
245 MI-Royal Oak 71.2 70.1 72.2 96.7 92.4 100.9 69.0 67.9 70.0
246 MI-Saginaw 83.3 82.3 84.4 123.5 116.6 130.5 80.5 79.5 81.5
248 MI-St. Joseph 63.8 61.8 65.8 83.1 76.1 90.0 62.3 60.2 64.3
249 MI-Traverse City 54.7 53.3 56.1
250 MN-Duluth 68.5 67.2 69.8 44.7 19.4 70.0 66.6 65.3 67.8
251 MN-Minneapolis 63.9 63.4 64.4 86.7 80.5 92.9 62.0 61.5 62.5
253 MN-Rochester 67.6 66.4 68.9 90.6 54.3 126.8 65.7 64.5 66.9
254 MN-St. Cloud 75.7 73.9 77.6
256 MN-St. Paul 59.6 58.7 60.6 68.5 60.3 76.7 58.1 57.1 59.0
257 MS-Gulfport 114.2 111.4 116.9 141.3 132.5 150.0 112.5 109.5 115.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
258 MS-Hattiesburg 104.5 102.5 106.5 117.3 112.3 122.2 106.8 104.5 109.0
259 MS-Jackson 112.3 111.2 113.3 136.1 134.0 138.1 116.2 114.8 117.6
260 MS-Meridian 108.8 106.6 111.0 119.7 115.3 124.1 116.5 113.7 119.3
261 MS-Oxford 114.5 111.7 117.4 123.2 117.2 129.2 121.4 117.9 124.9
262 MS-Tupelo 93.8 92.2 95.3 92.3 88.5 96.1 98.1 96.3 99.9
263 MO-Cape Girardeau 97.2 95.3 99.0 142.7 133.1 152.3 93.6 91.8 95.5
264 MO-Columbia 89.2 88.0 90.3 102.7 94.9 110.5 87.0 85.8 88.1
267 MO-Joplin 101.7 100.1 103.3 61.9 45.8 78.0 99.2 97.6 100.8
268 MO-Kansas City 85.2 84.5 85.9 100.4 97.5 103.3 83.6 82.9 84.3
270 MO-Springfield 69.7 68.8 70.7 61.8 46.8 76.9 67.8 66.9 68.7
273 MO-St. Louis 91.7 91.2 92.3 117.0 114.9 119.2 89.7 89.1 90.3
274 MT-Billings 69.6 68.4 70.7 81.5 46.6 116.3 67.5 66.4 68.7
275 MT-Great Falls 80.6 78.3 82.9
276 MT-Missoula 62.9 61.6 64.2
277 NE-Lincoln 67.3 66.3 68.4 42.4 29.4 55.4 65.5 64.5 66.6
278 NE-Omaha 75.1 74.3 75.9 94.2 88.1 100.3 73.1 72.3 73.9
279 NV-Las Vegas 69.3 68.4 70.2 78.5 74.5 82.5 68.2 67.3 69.2
280 NV-Reno 54.9 53.8 56.0 57.9 47.0 68.8 53.4 52.4 54.5
281 NH-Lebanon 59.0 57.8 60.2 61.1 32.1 90.2 57.3 56.2 58.4
282 NH-Manchester 62.0 61.1 63.0 56.4 42.0 70.8 60.3 59.4 61.2
283 NJ-Camden 82.9 82.3 83.4 109.0 106.6 111.3 80.6 80.0 81.2
284 NJ-Hackensack 79.8 78.9 80.6 98.5 93.9 103.0 77.8 77.0 78.7
285 NJ-Morristown 72.1 71.2 73.0 108.0 102.8 113.1 69.4 68.5 70.4
288 NJ-New Brunswick 79.7 78.7 80.7 93.4 88.6 98.2 78.0 77.0 79.1
289 NJ-Newark 97.7 96.8 98.6 147.4 145.0 149.9 90.3 89.3 91.3
291 NJ-Paterson 86.2 84.5 87.9 137.6 130.0 145.1 81.8 80.1 83.5
292 NJ-Ridgewood 66.5 65.1 67.8 82.0 73.8 90.2 64.8 63.4 66.1
293 NM-Albuquerque 60.5 59.7 61.3 55.9 48.5 63.4 59.0 58.2 59.8
295 NY-Albany 75.0 74.3 75.6 95.0 90.4 99.6 72.9 72.3 73.6
296 NY-Binghamton 75.6 74.2 76.9 109.7 91.9 127.5 73.3 72.0 74.6
297 NY-Bronx 101.2 99.9 102.4 110.8 108.2 113.3 108.5 106.9 110.1
299 NY-Buffalo 75.8 74.9 76.6 93.4 89.8 97.0 74.1 73.3 75.0
300 NY-Elmira 90.6 89.1 92.1 143.6 129.2 157.9 87.5 86.1 89.0
301 NY-East Long Island 74.8 74.3 75.2 97.4 95.5 99.3 72.8 72.4 73.3
303 NY-Manhattan 84.2 83.7 84.8 115.4 113.8 116.9 81.3 80.7 81.9
304 NY-Rochester 70.9 70.0 71.8 91.2 86.1 96.3 69.0 68.1 69.9
307 NY-Syracuse 78.2 77.3 79.0 85.7 79.4 92.0 76.3 75.4 77.1
308 NY-White Plains 71.6 70.7 72.5 94.7 91.2 98.2 69.6 68.7 70.5
309 NC-Asheville 60.2 59.3 61.0 71.9 65.9 77.8 58.6 57.7 59.5
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
311 NC-Charlotte 76.0 75.3 76.7 91.5 89.5 93.6 75.4 74.7 76.2
312 NC-Durham 72.1 71.3 72.8 88.2 86.4 90.0 72.5 71.6 73.4
313 NC-Greensboro 71.6 70.4 72.9 81.1 77.6 84.6 72.1 70.8 73.5
314 NC-Greenville 90.3 89.2 91.4 107.9 105.5 110.3 92.6 91.2 93.9
315 NC-Hickory 66.6 65.1 68.2 63.9 56.7 71.1 65.9 64.3 67.5
318 NC-Raleigh 77.4 76.6 78.2 93.8 92.0 95.6 78.5 77.5 79.4
319 NC-Wilmington 78.9 77.5 80.3 93.9 90.2 97.6 79.2 77.6 80.8
320 NC-Winston-Salem 83.9 82.9 84.9 103.8 100.3 107.4 82.4 81.4 83.4
321 ND-Bismarck 75.9 74.2 77.6
322 ND-Fargo/Moorhead MN 64.9 63.8 66.0
323 ND-Grand Forks 81.8 79.7 83.9
324 ND-Minot 71.5 69.3 73.7
325 OH-Akron 85.8 84.6 87.0 102.4 97.5 107.3 84.3 83.0 85.6
326 OH-Canton 85.5 84.2 86.7 119.6 111.5 127.6 82.8 81.6 84.0
327 OH-Cincinnati 83.4 82.6 84.3 103.2 100.1 106.2 81.9 81.0 82.7
328 OH-Cleveland 88.0 87.3 88.6 117.8 115.7 119.9 85.4 84.8 86.1
329 OH-Columbus 92.6 91.9 93.2 100.2 97.3 103.1 91.2 90.6 91.9
330 OH-Dayton 78.1 77.2 79.0 91.7 88.6 94.9 77.1 76.2 78.0
331 OH-Elyria 98.3 96.2 100.4 142.6 131.0 154.2 94.9 92.8 97.0
332 OH-Kettering 65.3 64.0 66.7 66.7 59.2 74.2 64.1 62.8 65.5
334 OH-Toledo 86.9 85.9 88.0 120.6 115.5 125.8 84.2 83.2 85.2
335 OH-Youngstown 88.4 87.2 89.5 123.8 118.3 129.2 85.5 84.3 86.6
336 OK-Lawton 91.1 88.9 93.3 100.2 90.3 110.1 89.7 87.5 92.0
339 OK-Oklahoma City 93.6 92.8 94.4 97.7 93.9 101.5 92.2 91.4 93.0
340 OK-Tulsa 89.4 88.5 90.3 98.7 94.3 103.1 87.8 86.9 88.8
341 OR-Bend 46.1 44.3 47.9
342 OR-Eugene 55.5 54.5 56.4 52.5 34.6 70.4 53.9 53.0 54.8
343 OR-Medford 55.8 54.8 56.9 58.5 36.0 81.0 54.2 53.2 55.3
344 OR-Portland 53.2 52.6 53.9 68.6 61.9 75.4 51.7 51.1 52.4
345 OR-Salem 43.1 41.3 44.9 41.8 40.1 43.5
346 PA-Allentown 82.3 81.5 83.2 90.9 83.0 98.8 80.1 79.3 81.0
347 PA-Altoona 91.2 89.4 93.1 116.3 88.4 144.1 88.6 86.8 90.4
350 PA-Danville 77.4 76.2 78.6 83.8 65.4 102.3 75.2 74.0 76.4
351 PA-Erie 84.0 83.0 85.1 88.7 78.9 98.4 81.9 80.8 82.9
352 PA-Harrisburg 68.1 67.3 68.9 85.1 79.9 90.2 66.3 65.5 67.1
354 PA-Johnstown 93.1 91.0 95.2 121.0 95.6 146.4 90.4 88.3 92.5
355 PA-Lancaster 60.9 59.9 62.0 92.7 84.5 100.9 58.9 57.9 59.9
356 PA-Philadelphia 88.2 87.6 88.7 125.9 124.1 127.7 84.3 83.7 84.9
357 PA-Pittsburgh 106.5 105.9 107.2 135.3 132.0 138.7 103.8 103.1 104.4
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
358 PA-Reading 78.1 76.9 79.3 108.3 97.3 119.4 75.8 74.6 76.9
359 PA-Sayre 92.7 90.6 94.8 91.6 61.3 122.0 90.2 88.1 92.2
360 PA-Scranton 85.7 84.1 87.2 108.3 83.1 133.5 83.2 81.7 84.7
362 PA-Wilkes-Barre 76.4 74.8 77.9 68.7 46.0 91.5 74.3 72.8 75.8
363 PA-York 59.1 57.9 60.3 88.2 77.1 99.4 57.2 56.0 58.4
364 RI-Providence 77.7 76.7 78.6 102.3 94.7 109.9 75.4 74.5 76.4
365 SC-Charleston 79.3 78.3 80.3 94.8 92.5 97.2 80.1 79.0 81.3
366 SC-Columbia 73.5 72.7 74.4 85.7 83.9 87.5 76.2 75.1 77.2
367 SC-Florence 111.5 109.7 113.3 123.0 119.6 126.3 122.8 120.3 125.3
368 SC-Greenville 66.0 65.1 67.0 79.6 76.4 82.7 65.1 64.2 66.1
369 SC-Spartanburg 85.2 83.7 86.8 97.8 93.1 102.5 85.2 83.5 86.9
370 SD-Rapid City 62.5 60.7 64.3
371 SD-Sioux Falls 76.4 75.5 77.3 55.0 31.5 78.5 74.2 73.3 75.1
373 TN-Chattanooga 89.6 88.4 90.8 80.2 76.1 84.3 90.4 89.1 91.7
374 TN-Jackson 101.6 99.9 103.2 114.0 108.8 119.1 101.6 99.8 103.4
375 TN-Johnson City 99.5 97.4 101.6 89.4 73.1 105.7 97.3 95.2 99.3
376 TN-Kingsport 124.9 123.2 126.6 103.2 89.9 116.5 122.1 120.5 123.8
377 TN-Knoxville 101.1 100.2 102.1 112.0 106.5 117.6 98.9 98.0 99.9
379 TN-Memphis 93.7 92.9 94.5 115.7 114.0 117.4 95.2 94.2 96.2
380 TN-Nashville 112.1 111.4 112.9 114.5 111.7 117.4 111.7 110.9 112.5
382 TX-Abilene 106.3 104.5 108.1 109.7 97.5 122.0 104.0 102.2 105.8
383 TX-Amarillo 84.4 83.0 85.9 93.7 83.6 103.9 82.4 81.0 83.9
385 TX-Austin 70.9 70.0 71.9 98.4 94.0 102.8 68.6 67.7 69.6
386 TX-Beaumont 103.4 101.9 105.0 134.9 130.4 139.5 101.1 99.4 102.8
388 TX-Bryan 81.1 78.9 83.3 99.5 92.8 106.3 80.1 77.8 82.5
390 TX-Corpus Christi 109.1 107.4 110.8 112.8 102.3 123.4 106.8 105.1 108.5
391 TX-Dallas 87.7 87.1 88.3 104.9 102.8 107.0 86.5 85.9 87.2
393 TX-El Paso 76.2 75.2 77.2 65.9 59.1 72.6 74.7 73.7 75.7
394 TX-Fort Worth 81.4 80.5 82.3 106.7 102.7 110.7 79.2 78.3 80.1
396 TX-Harlingen 105.9 104.2 107.7 103.0 71.5 134.5 102.9 101.2 104.7
397 TX-Houston 88.9 88.4 89.5 108.0 106.4 109.5 88.2 87.6 88.8
399 TX-Longview 91.8 89.7 94.0 104.3 98.2 110.3 92.4 90.0 94.7
400 TX-Lubbock 101.0 99.7 102.3 122.9 115.6 130.3 98.5 97.2 99.8
402 TX-McAllen 107.0 105.1 108.8 84.1 53.5 114.8 104.0 102.2 105.8
406 TX-Odessa 92.6 90.8 94.5 91.9 83.2 100.6 91.5 89.6 93.4
411 TX-San Angelo 90.2 87.9 92.6 106.6 89.4 123.8 87.9 85.6 90.2
412 TX-San Antonio 79.8 79.1 80.5 84.6 80.8 88.4 78.4 77.6 79.1
413 TX-Temple 82.4 80.7 84.1 87.6 81.3 93.9 81.8 80.1 83.6
416 TX-Tyler 93.3 92.1 94.6 103.4 99.4 107.4 93.4 92.0 94.7
November 19, 2008 The Dartmouth Atlas of Health Care
Hospital Referral Region Rates - 2003-05
Discharges for ambulatory care sensitive conditions per 1,000 Medicare enrollees (2003-05)
Overall Black White
Lower Upper Lower Upper Lower Upper
confidence confidence confidence confidence confidence confidence
HRR ID HRR Name Rate limit limit Rate limit limit Rate limit limit
417 TX-Victoria 114.0 111.3 116.7 142.4 130.2 154.5 111.3 108.6 114.1
418 TX-Waco 81.3 79.7 82.8 97.2 91.9 102.5 80.3 78.6 81.9
420 TX-Wichita Falls 107.0 104.7 109.2 104.3 94.1 114.5 105.7 103.5 108.0
421 UT-Ogden 46.2 44.9 47.6 59.8 44.3 75.3 44.9 43.6 46.2
422 UT-Provo 53.5 52.0 55.0
423 UT-Salt Lake City 50.5 49.8 51.1 69.1 55.4 82.8 49.0 48.4 49.6
424 VT-Burlington 72.1 71.0 73.2 76.9 55.8 98.0 70.1 69.0 71.2
426 VA-Arlington 57.4 56.7 58.2 80.3 77.0 83.5 55.5 54.7 56.2
427 VA-Charlottesville 71.3 70.1 72.5 85.5 80.9 90.1 70.1 68.9 71.3
428 VA-Lynchburg 67.6 66.0 69.2 85.3 80.8 89.8 66.6 64.9 68.4
429 VA-Newport News 54.1 53.0 55.1 65.8 63.3 68.2 54.6 53.4 55.8
430 VA-Norfolk 67.3 66.5 68.1 83.2 81.3 85.0 67.8 66.8 68.8
431 VA-Richmond 68.0 67.3 68.7 90.6 88.9 92.3 66.2 65.4 67.0
432 VA-Roanoke 90.1 89.0 91.2 97.7 93.2 102.2 89.0 87.9 90.1
435 VA-Winchester 91.8 90.1 93.4 97.4 88.3 106.6 90.0 88.3 91.6
437 WA-Everett 42.4 41.3 43.5 51.6 33.2 70.1 41.2 40.1 42.2
438 WA-Olympia 53.1 51.6 54.5 51.5 32.7 70.2 51.6 50.2 53.0
439 WA-Seattle 48.5 48.0 49.0 69.6 65.4 73.8 47.0 46.4 47.5
440 WA-Spokane 51.8 51.2 52.5 55.1 45.3 64.9 50.4 49.8 51.0
441 WA-Tacoma 52.7 51.6 53.8 55.2 49.6 60.9 51.8 50.7 52.8
442 WA-Yakima 55.2 53.7 56.8 50.8 33.2 68.4 53.8 52.2 55.3
443 WV-Charleston 121.1 119.9 122.2 123.4 116.7 130.1 118.7 117.5 119.8
444 WV-Huntington 123.8 122.0 125.6 102.2 89.0 115.4 121.2 119.4 123.0
445 WV-Morgantown 107.0 105.4 108.6 108.0 92.9 123.1 104.3 102.7 105.9
446 WI-Appleton 49.7 48.4 51.0
447 WI-Green Bay 55.2 54.2 56.3
448 WI-La Crosse 58.2 56.9 59.6
449 WI-Madison 61.9 61.1 62.7 70.4 61.2 79.7 60.2 59.4 61.0
450 WI-Marshfield 66.4 65.1 67.7
451 WI-Milwaukee 67.8 67.3 68.4 104.3 101.3 107.3 65.1 64.6 65.7
452 WI-Neenah 56.0 54.4 57.5
456 WI-Wausau 70.3 68.4 72.1
457 WY-Casper 72.4 70.4 74.4
999 US-United States 78.3 105.0 76.0
November 19, 2008 The Dartmouth Atlas of Health Care