| PACITAN | RS Umum Daerah dr. Darsono | | 3/1 | 2/1 | 2/1 | 3/1 | 1/1 | 2/1 | 2/1 | 27/1 |
| PONOROGO | RS Umum Daerah Dr. Harjono S. Kabupaten Ponorogo | | 3/1 | 3/1 | 4/1 | 3/1 | 3/1 | 2/1 | 2/1 | 37/1 |
| PONOROGO | RS Umum Daerah Bantarangin | | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| TRENGGALEK | RS Umum Daerah dr. Soedomo Trenggalek | | 3/1 | 2/1 | 3/1 | 4/1 | 3/1 | 2/1 | 2/1 | 34/1 |
| TRENGGALEK | RS Umum Daerah Panggul | | 2/1 | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| TULUNGAGUNG | RS Umum Daerah Dr. Iskak | | 4/1 | 5/1 | 6/1 | 7/1 | 5/1 | 2/1 | 2/1 | 72/1 |
| TULUNGAGUNG | RS Umum Daerah Campurdarat | | 2/1 | 1/1 | 1/1 | 2/1 | 1/1 | 0/1 | 1/1 | 0/0 |
| BLITAR | RS Umum Daerah Ngudi Waluyo Wlingi | | 2/1 | 2/1 | 3/1 | 5/1 | 2/1 | 2/1 | 2/1 | 39/1 |
| BLITAR | RS Umum Daerah Srengat Kab. Blitar | | 1/1 | 2/1 | 1/1 | 3/1 | 2/1 | 2/1 | 1/1 | 0/0 |
| KEDIRI | RS Umum Daerah Kabupaten Kediri | | 2/1 | 3/1 | 3/1 | 4/1 | 3/1 | 1/1 | 2/1 | 36/1 |
| KEDIRI | RS Umum Daerah Simpang Lima Gumul Kediri | | 3/1 | 2/1 | 4/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| MALANG | RS Umum Daerah Kanjuruhan Kepanjen Kab. Malang | | 4/1 | 3/1 | 4/1 | 5/1 | 4/1 | 3/1 | 1/1 | 49/1 |
| MALANG | RS Umum Daerah Lawang | | 1/1 | 2/1 | 2/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| MALANG | RS Umum Daerah Ngantang | | 1/1 | 1/1 | 1/1 | 1/1 | 0/1 | 0/1 | 1/1 | 0/0 |
| LUMAJANG | RS Umum Daerah Dr. Haryoto Kabupaten Lumajang | | 4/1 | 3/1 | 2/1 | 6/1 | 2/1 | 3/1 | 2/1 | 39/1 |
| LUMAJANG | RS Umum Daerah Pasirian Kabupaten Lumajang | | 2/1 | 2/1 | 2/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| JEMBER | RS Umum Daerah Dr. Soebandi Jember | | 4/1 | 5/1 | 6/1 | 7/1 | 3/1 | 4/1 | 3/1 | 76/1 |
| JEMBER | RS Daerah Kalisat Jember | | 1/1 | 2/1 | 2/1 | 2/1 | 2/1 | 0/1 | 1/1 | 0/0 |
| JEMBER | RS Daerah Balung Jember | | 2/1 | 3/1 | 2/1 | 5/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| BANYUWANGI | RS Umum Daerah Blambangan | | 3/1 | 3/1 | 3/1 | 3/1 | 2/1 | 1/1 | 1/1 | 42/1 |
| BANYUWANGI | RS Umum Daerah Genteng | | 2/1 | 3/1 | 2/1 | 2/1 | 4/1 | 1/1 | 1/1 | 0/0 |
| BONDOWOSO | RS Umum dr. H.Koesnadi Bondowoso | | 3/1 | 3/1 | 3/1 | 3/1 | 2/1 | 3/1 | 1/1 | 43/1 |
| SITUBONDO | RS Umum Daerah dr. Abdoer Rahem Situbondo | | 2/1 | 2/1 | 2/1 | 4/1 | 2/1 | 1/1 | 1/1 | 35/1 |
| SITUBONDO | RS Umum Daerah Besuki Kabupaten Situbondo | | 1/1 | 1/1 | 0/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| SITUBONDO | RS Umum Daerah Asembagus Kabupaten Situbondo | | 1/1 | 1/1 | 2/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| PROBOLINGGO | RS Umum Daerah Waluyo Jati Kraksaan | | 2/1 | 3/1 | 4/1 | 3/1 | 3/1 | 2/1 | 2/1 | 31/1 |
| PROBOLINGGO | RS Umum Daerah Tongas | | 2/1 | 1/1 | 2/1 | 3/1 | 3/1 | 1/1 | 1/1 | 0/0 |
| PASURUAN | RS Umum Daerah Bangil | | 4/1 | 2/1 | 5/1 | 7/1 | 3/1 | 5/1 | 1/1 | 59/1 |
| PASURUAN | RS Umum Daerah Grati | | 3/1 | 3/1 | 3/1 | 3/1 | 3/1 | 2/1 | 1/1 | 0/0 |
| SIDOARJO | RS Umum Daerah R. T. Notopuro Sidoarjo | | 5/1 | 4/1 | 7/1 | 11/1 | 5/1 | 5/1 | 2/1 | 88/1 |
| SIDOARJO | RS Umum Daerah Sidoarjo Barat | | 2/1 | 2/1 | 2/1 | 3/1 | 3/1 | 2/1 | 1/1 | 0/0 |
| MOJOKERTO | RS Umum Daerah Sumberglagah | | 1/1 | 2/1 | 2/1 | 2/1 | 3/1 | 1/1 | 1/1 | 0/0 |
| MOJOKERTO | RS Umum Daerah Prof. Dr. Soekandar | | 3/1 | 2/1 | 4/1 | 5/1 | 2/1 | 1/1 | 2/1 | 46/1 |
| MOJOKERTO | RS Umum Daerah Raden Achmad Basoeni | | 3/1 | 2/1 | 2/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| JOMBANG | RS Umum Daerah Kab. Jombang | | 6/1 | 4/1 | 3/1 | 6/1 | 5/1 | 3/1 | 2/1 | 56/1 |
| JOMBANG | RS Umum Daerah Ploso | | 2/1 | 2/1 | 2/1 | 2/1 | 2/1 | 1/1 | 2/1 | 0/0 |
| NGANJUK | RS Umum Daerah Nganjuk | | 2/1 | 2/1 | 3/1 | 5/1 | 2/1 | 2/1 | 1/1 | 36/1 |
| NGANJUK | RS Daerah Kertosono | | 3/1 | 3/1 | 3/1 | 0/1 | 2/1 | 2/1 | 1/1 | 0/0 |
| MADIUN | RS Umum Daerah Dungus | | 1/1 | 2/1 | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| MADIUN | RS Umum Daerah Caruban | | 3/1 | 2/1 | 2/1 | 4/1 | 1/1 | 1/1 | 1/1 | 26/1 |
| MADIUN | RS Umum Daerah Dolopo | | 1/1 | 1/1 | 1/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| MAGETAN | RS Umum Daerah dr. Sayidiman Magetan | | 3/1 | 2/1 | 4/1 | 4/1 | 2/1 | 2/1 | 2/1 | 34/1 |
| NGAWI | RS Umum Daerah Dr. Soeroto Ngawi | | 2/1 | 3/1 | 3/1 | 3/1 | 2/1 | 1/1 | 1/1 | 35/1 |
| NGAWI | RS Umum Daerah Geneng | | 1/1 | 1/1 | 2/1 | 1/1 | 1/1 | 2/1 | 2/1 | 0/0 |
| NGAWI | RS Umum Daerah Mantingan | | 1/1 | 1/1 | 1/1 | 2/1 | 2/1 | 2/1 | 1/1 | 0/0 |
| BOJONEGORO | RS Umum Daerah Dr. R. Sosodoro Djatikoesoemo | | 3/1 | 3/1 | 2/1 | 6/1 | 3/1 | 3/1 | 2/1 | 45/1 |
| BOJONEGORO | RS Umum Daerah Sumberrejo | | 2/1 | 2/1 | 1/1 | 1/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| BOJONEGORO | RS umum Daerah Padangan | | 2/1 | 2/1 | 2/1 | 2/1 | 3/1 | 1/1 | 1/1 | 0/0 |
| BOJONEGORO | RS Umum Daerah Kepohbaru | | 1/1 | 1/1 | 1/1 | 1/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| BOJONEGORO | RS Umum Daerah Temayang | | 0/1 | 0/1 | 0/1 | 0/1 | 0/1 | 0/1 | 0/1 | 0/0 |
| TUBAN | RS Umum Daerah Dr. R. Koesma Tuban | | 4/1 | 3/1 | 5/1 | 5/1 | 4/1 | 2/1 | 2/1 | 51/1 |
| TUBAN | RS Umum Daerah R. Ali Manshur | | 2/1 | 2/1 | 2/1 | 3/1 | 1/1 | 2/1 | 2/1 | 0/0 |
| LAMONGAN | RS Umum Daerah Dr. Soegiri Lamongan | | 4/1 | 3/1 | 3/1 | 3/1 | 3/1 | 2/1 | 2/1 | 46/1 |
| LAMONGAN | RS Umum Daerah Ngimbang | | 1/1 | 2/1 | 2/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| LAMONGAN | RS Umum Daerah Karangkembang | | 1/1 | 1/1 | 1/1 | 2/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| LAMONGAN | RS Umum Daerah Ki Ageng Brondong | | 1/1 | 1/1 | 0/1 | 1/1 | 1/1 | 0/1 | 1/1 | 0/0 |
| GRESIK | RS Umum Daerah Ibnu Sina Kab. Gresik | | 3/1 | 2/1 | 3/1 | 8/1 | 3/1 | 4/1 | 2/1 | 50/1 |
| GRESIK | RS Umum Daerah Umar Mas'ud Bawean | | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 0/1 | 0/1 | 0/0 |
| GRESIK | RS Umum Daerah Gresik Sehati | | 1/1 | 1/1 | 1/1 | 1/1 | 1/1 | 0/1 | 1/1 | 0/0 |
| BANGKALAN | RS Umum Daerah Syarifah Ambami Rato Ebu | | 4/1 | 3/1 | 4/1 | 4/1 | 4/1 | 3/1 | 3/1 | 50/1 |
| SAMPANG | RS Umum Daerah dr. Mohammad Zyn Kab. Sampang | | 2/1 | 4/1 | 3/1 | 2/1 | 2/1 | 2/1 | 1/1 | 34/1 |
| SAMPANG | RS Umum Daerah Ketapang | | 1/1 | 1/1 | 2/1 | 1/1 | 2/1 | 1/1 | 0/1 | 0/0 |
| PAMEKASAN | RS Umum Daerah Dr. H. Slamet Martodirdjo Pamekasan | | 1/1 | 4/1 | 3/1 | 3/1 | 2/1 | 2/1 | 2/1 | 39/1 |
| PAMEKASAN | RS Umum Daerah Mohammad Noer Pamekasan | | 2/1 | 3/1 | 2/1 | 2/1 | 3/1 | 2/1 | 1/1 | 0/0 |
| PAMEKASAN | RS Umum Daerah Waru Pamekasan | | 1/1 | 2/1 | 1/1 | 2/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| SUMENEP | RS Umum Daerah dr. H. Moh. Anwar | | 4/1 | 2/1 | 3/1 | 4/1 | 1/1 | 1/1 | 1/1 | 27/1 |
| SUMENEP | RS Umum Daerah Abuya Kangean | | 1/1 | 3/1 | 2/1 | 1/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| KOTA KEDIRI | RS Umum Daerah Gambiran | | 3/1 | 2/1 | 4/1 | 5/1 | 2/1 | 3/1 | 2/1 | 46/1 |
| KOTA KEDIRI | RS Umum Daha Husada | | 2/1 | 2/1 | 1/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| KOTA KEDIRI | RS Umum Daerah Kilisuci | | 1/1 | 1/1 | 1/1 | 3/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| KOTA BLITAR | RS Umum Daerah Mardi Waluyo | | 3/1 | 3/1 | 3/1 | 4/1 | 2/1 | 2/1 | 2/1 | 39/1 |
| KOTA MALANG | RS Umum Daerah Dr. Saiful Anwar | | 3/1 | 1/1 | 6/1 | 10/1 | 4/1 | 3/1 | 2/1 | 221/1 |
| KOTA MALANG | RS Umum Daerah Kota Malang | | 3/1 | 1/1 | 1/1 | 3/1 | 2/1 | 2/1 | 1/1 | 20/1 |
| KOTA PROBOLINGGO | RS Umum Daerah dr. Mohamad Saleh Kota Probolinggo | | 3/1 | 3/1 | 3/1 | 5/1 | 2/1 | 2/1 | 1/1 | 34/1 |
| KOTA PROBOLINGGO | RS Umum Daerah Ar Rozy | | 1/1 | 2/1 | 1/1 | 2/1 | 1/1 | 1/1 | 1/1 | 0/0 |
| KOTA PASURUAN | RS Umum Daerah Dr. R. Soedarsono Kota Pasuruan | | 3/1 | 3/1 | 3/1 | 4/1 | 1/1 | 1/1 | 1/1 | 38/1 |
| KOTA MOJOKERTO | RSUD dr. Wahidin Sudiro Husodo Kota Mojokerto | | 4/1 | 4/1 | 3/1 | 5/1 | 3/1 | 2/1 | 2/1 | 48/1 |
| KOTA MADIUN | RS Umum Daerah Dr. Soedono Madiun | | 5/1 | 5/1 | 3/1 | 5/1 | 3/1 | 3/1 | 2/1 | 60/1 |
| KOTA MADIUN | RS Umum Daerah Kota Madiun | | 3/1 | 3/1 | 2/1 | 2/1 | 2/1 | 1/1 | 1/1 | 0/0 |
| KOTA SURABAYA | RS Umum Daerah Dr. Soetomo | | 49/1 | 15/1 | 52/1 | 49/1 | 62/1 | 20/1 | 16/1 | 525/1 |
| KOTA SURABAYA | RS Umum Daerah Bhakti Dharma Husada | | 2/1 | 1/1 | 4/1 | 5/1 | 4/1 | 2/1 | 2/1 | 44/1 |
| KOTA SURABAYA | RS Umum Daerah Husada Prima | | 2/1 | 3/1 | 2/1 | 3/1 | 1/1 | 3/1 | 2/1 | 0/0 |
| KOTA SURABAYA | RS Umum Daerah Haji Provinsi Jawa Timur | | 3/1 | 3/1 | 5/1 | 5/1 | 4/1 | 3/1 | 3/1 | 0/0 |
| KOTA SURABAYA | RS Umum Daerah dr. Mohamad Soewandhie | | 6/1 | 7/1 | 4/1 | 11/1 | 5/1 | 4/1 | 2/1 | 0/0 |
| KOTA SURABAYA | RSUP Surabaya | | 9/1 | 6/1 | 6/1 | 11/1 | 9/1 | 1/1 | 4/1 | 0/1 |
| KOTA SURABAYA | RS Umum Daerah Eka Candrarini | | 3/1 | 5/1 | 3/1 | 5/1 | 5/1 | 2/1 | 3/1 | 0/0 |
| KOTA BATU | RS Umum Karsa Husada Kota Batu | | 4/1 | 2/1 | 3/1 | 6/1 | 3/1 | 2/1 | 2/1 | 50/1 |