May 2013 Regional Global Cap Reports

Medicaid Category of Service Spending
Service County: Capital District
FY 2014
Category of Service
Nursing Homes
April-May FY 2014
April-May FY 2013
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
$22,761,032
$23,977,795
4,975
4,955
-
87,377
96,121
276,821
291,509
$260.49
$249.45
$4,575.08
$4,839.11
$8,605,273
$8,258,137
3,584
3,664
-
129,252
135,757
1,272,592
1,200,723
$66.58
$60.83
$2,401.02
$2,253.86
Inpatient
April-May FY 2014
April-May FY 2013
$9,842,498
$12,418,446
6,004
5,523
-
6,780
7,107
23,241
32,372
$1,451.70
$1,747.35
$1,639.32
$2,248.50
Clinic
April-May FY 2014
April-May FY 2013
$4,889,175
$4,212,363
27,532
25,719
-
88,023
86,054
189,855
98,595
$55.54
$48.95
$177.58
$163.78
Family Health Plus
April-May FY 2014
April-May FY 2013
$4,765,846
$4,346,379
13,556
13,411
-
25,551
25,608
25,551
25,608
$186.52
$169.73
$351.57
$324.09
Medicaid Managed Care
April-May FY 2014
April-May FY 2013
$45,273,011
$35,363,509
112,367
101,197
-
216,635
197,635
216,635
197,635
$208.98
$178.93
$402.90
$349.45
Non-Institutional
April-May FY 2014
April-May FY 2013
$9,122,131
$12,347,312
49,920
59,377
18,682
26,760
409,541
507,433
3,701,583
2,888,363
$22.27
$24.33
$132.97
$143.35
Other State Agency / MD
April-May FY 2014
April-May FY 2013
$31,995,003
$32,498,775
12,787
12,204
-
257,964
201,125
698,952
633,013
$124.03
$161.58
$2,502.15
$2,662.96
$3,072,224
$2,926,929
19,430
19,327
-
65,733
62,211
82,035
79,400
$46.74
$47.05
$158.12
$151.44
Capital District FY 2014
$140,326,193
250,155
18,682
1,286,856
6,487,265
N/A
N/A
Capital District FY 2013
$136,349,645
245,377
26,760
1,319,051
5,447,219
N/A
N/A
Non-Institutional LTC
April-May FY 2014
April-May FY 2013
Outpatient/Emergency Room
April-May FY 2014
April-May FY 2013
Totals
Medicaid Category of Service Spending
Service County: Central
FY 2014
Category of Service
Nursing Homes
April-May FY 2014
April-May FY 2013
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
$16,730,436
$16,873,720
3,617
3,596
-
90,778
96,883
225,162
228,928
$184.30
$174.17
$4,625.50
$4,692.36
$5,253,774
$4,708,470
2,513
2,560
-
78,253
78,967
734,492
645,905
$67.14
$59.63
$2,090.64
$1,839.25
Inpatient
April-May FY 2014
April-May FY 2013
$9,251,374
$13,298,004
4,792
4,557
-
4,871
5,070
19,491
22,041
$1,899.28
$2,622.88
$1,930.59
$2,918.15
Clinic
April-May FY 2014
April-May FY 2013
$3,771,348
$3,451,758
22,738
18,939
-
81,460
79,012
123,010
93,923
$46.30
$43.69
$165.86
$182.26
Family Health Plus
April-May FY 2014
April-May FY 2013
$4,021,648
$3,711,621
12,007
11,866
-
22,610
22,036
22,610
22,036
$177.87
$168.43
$334.94
$312.79
$41,181,582
$31,816,087
103,153
95,557
-
200,878
181,411
200,878
181,411
$205.01
$175.38
$399.23
$332.95
$6,881,597
$8,485,063
41,514
45,856
16,814
20,712
346,383
382,372
1,428,733
1,261,731
$19.87
$22.19
$117.98
$127.46
$14,231,309
$13,588,179
7,951
6,304
-
144,106
112,372
500,636
499,510
$98.76
$120.92
$1,789.88
$2,155.49
$2,841,337
$2,692,716
14,881
14,741
-
48,073
53,223
56,267
51,842
$59.10
$50.59
$190.94
$182.67
Central FY 2014
$104,164,405
213,166
16,814
1,017,412
3,311,279
N/A
N/A
Central FY 2013
$98,625,618
203,976
20,712
1,011,346
3,007,327
N/A
N/A
Non-Institutional LTC
April-May FY 2014
April-May FY 2013
Medicaid Managed Care
April-May FY 2014
April-May FY 2013
Non-Institutional
April-May FY 2014
April-May FY 2013
Other State Agency / MD
April-May FY 2014
April-May FY 2013
Outpatient/Emergency Room
April-May FY 2014
April-May FY 2013
Totals
Medicaid Category of Service Spending
Service County: Finger Lakes
FY 2014
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
Nursing Homes
April-May FY 2014
April-May FY 2013
$28,966,821
$28,877,163
5,970
5,894
-
66,357
64,576
360,980
354,020
$436.53
$447.18
$4,852.06
$4,899.42
Non-Institutional LTC
April-May FY 2014
April-May FY 2013
$10,228,836
$9,433,450
4,220
4,549
-
140,707
154,097
947,248
858,201
$72.70
$61.22
$2,423.89
$2,073.74
Inpatient
April-May FY 2014
April-May FY 2013
$12,786,769
$14,114,292
6,456
6,010
-
6,347
6,722
30,009
28,663
$2,014.62
$2,099.72
$1,980.60
$2,348.47
Clinic
April-May FY 2014
April-May FY 2013
$5,372,474
$4,991,105
32,784
36,795
-
108,307
110,990
284,889
183,203
$49.60
$44.97
$163.87
$135.65
Family Health Plus
April-May FY 2014
April-May FY 2013
$5,606,696
$5,136,162
16,658
15,945
-
31,246
29,989
31,246
29,989
$179.44
$171.27
$336.58
$322.12
Medicaid Managed Care
April-May FY 2014
April-May FY 2013
$59,480,534
$45,882,474
149,602
134,584
-
289,295
260,735
289,295
260,735
$205.61
$175.97
$397.59
$340.92
Non-Institutional
April-May FY 2014
April-May FY 2013
$9,874,867
$11,875,278
49,817
56,485
20,347
25,957
400,111
461,548
1,524,707
1,551,934
$24.68
$25.73
$140.74
$144.04
Other State Agency / MD
April-May FY 2014
April-May FY 2013
$33,001,976
$30,816,639
16,179
15,079
-
310,355
244,418
880,474
769,934
$106.34
$126.08
$2,039.80
$2,043.68
$5,454,927
$5,651,735
37,174
39,841
-
113,099
119,678
139,578
128,291
$48.23
$47.22
$146.74
$141.86
Finger Lakes FY 2014
$170,773,900
318,860
20,347
1,465,824
4,488,426
N/A
N/A
Finger Lakes FY 2013
$156,778,298
315,182
25,957
1,452,753
4,164,969
N/A
N/A
Outpatient/Emergency Room
April-May FY 2014
April-May FY 2013
Totals
Medicaid Category of Service Spending
Service County: Long Island
FY 2014
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
Nursing Homes
April-May FY 2014
April-May FY 2013
$83,696,330
$84,912,005
12,975
12,680
-
209,238
214,715
784,787
792,531
$400.01
$395.46
$6,450.58
$6,696.53
Non-Institutional LTC
April-May FY 2014
April-May FY 2013
$33,597,639
$34,354,656
10,144
10,624
-
460,444
480,774
5,580,567
5,754,104
$72.97
$71.46
$3,312.07
$3,233.68
Inpatient
April-May FY 2014
April-May FY 2013
$32,505,764
$40,282,728
14,401
14,977
-
14,775
16,439
63,690
73,228
$2,200.05
$2,450.44
$2,257.19
$2,689.64
Clinic
April-May FY 2014
April-May FY 2013
$8,988,693
$7,096,310
29,296
22,726
-
183,723
127,297
200,841
154,777
$48.93
$55.75
$306.82
$312.26
Family Health Plus
April-May FY 2014
April-May FY 2013
$19,886,513
$15,526,369
46,825
41,375
-
89,916
72,924
89,916
72,924
$221.17
$212.91
$424.70
$375.26
$118,915,132
$87,130,348
248,882
210,538
-
486,380
382,049
486,380
382,049
$244.49
$228.06
$477.80
$413.85
Non-Institutional
April-May FY 2014
April-May FY 2013
$26,192,036
$33,055,058
110,563
112,705
39,204
51,545
967,125
1,085,667
6,171,771
5,677,907
$27.08
$30.45
$174.89
$201.25
Other State Agency / MD
April-May FY 2014
April-May FY 2013
$70,928,989
$67,303,640
20,442
20,381
-
359,779
334,041
1,293,241
1,191,505
$197.15
$201.48
$3,469.77
$3,302.27
$4,708,891
$4,303,196
17,138
17,596
-
50,211
53,778
61,811
70,071
$93.78
$80.02
$274.76
$244.56
Long Island FY 2014
$399,419,987
510,666
39,204
2,821,591
14,733,003
N/A
N/A
Long Island FY 2013
$373,964,310
463,602
51,545
2,767,684
14,169,096
N/A
N/A
Medicaid Managed Care
April-May FY 2014
April-May FY 2013
Outpatient/Emergency Room
April-May FY 2014
April-May FY 2013
Totals
Medicaid Category of Service Spending
Service County: Mid-Hudson
FY 2014
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
Nursing Homes
April-May FY 2014
April-May FY 2013
$63,990,055
$65,101,174
10,590
10,554
-
131,110
145,487
602,385
626,200
$488.06
$447.47
$6,042.50
$6,168.39
Non-Institutional LTC
April-May FY 2014
April-May FY 2013
$26,298,688
$25,219,855
8,698
8,558
-
369,924
377,483
1,986,202
1,989,932
$71.09
$66.81
$3,023.53
$2,946.93
Inpatient
April-May FY 2014
April-May FY 2013
$33,725,402
$38,750,081
9,860
9,842
-
10,577
12,602
72,210
83,393
$3,188.56
$3,074.92
$3,420.43
$3,937.22
Clinic
April-May FY 2014
April-May FY 2013
$16,209,832
$14,545,377
74,265
74,010
-
264,519
270,632
298,925
279,972
$61.28
$53.75
$218.27
$196.53
Family Health Plus
April-May FY 2014
April-May FY 2013
$13,475,657
$12,239,976
32,274
31,629
-
61,603
61,441
61,603
61,441
$218.75
$199.22
$417.54
$386.99
$117,213,476
$90,663,572
262,243
234,944
-
515,638
466,736
515,638
466,736
$227.32
$194.25
$446.97
$385.89
Non-Institutional
April-May FY 2014
April-May FY 2013
$23,762,842
$28,373,847
120,019
125,128
32,298
39,838
1,038,626
1,125,972
6,779,830
7,120,536
$22.88
$25.20
$156.01
$172.00
Other State Agency / MD
April-May FY 2014
April-May FY 2013
$76,875,971
$73,869,153
21,393
20,442
-
383,196
370,935
1,544,850
1,468,446
$200.62
$199.14
$3,593.51
$3,613.60
$7,616,159
$6,199,394
22,704
20,383
-
128,626
115,750
162,472
206,163
$59.21
$53.56
$335.45
$304.15
Mid-Hudson FY 2014
$379,168,082
562,046
32,298
2,903,819
12,024,115
N/A
N/A
Mid-Hudson FY 2013
$354,962,429
535,490
39,838
2,947,038
12,302,819
N/A
N/A
Medicaid Managed Care
April-May FY 2014
April-May FY 2013
Outpatient/Emergency Room
April-May FY 2014
April-May FY 2013
Totals
Medicaid Category of Service Spending
Service County: Mohawk Valley
FY 2014
Category of Service
Nursing Homes
April-May FY 2014
April-May FY 2013
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
$13,869,790
$12,734,328
3,418
3,253
-
53,938
49,907
196,414
192,544
$257.14
$255.16
$4,057.87
$3,914.64
Non-Institutional LTC
April-May FY 2014
April-May FY 2013
$3,105,239
$2,963,943
2,069
2,196
-
69,742
73,674
476,124
273,347
$44.52
$40.23
$1,500.84
$1,349.70
Inpatient
April-May FY 2014
April-May FY 2013
$2,713,399
$2,613,453
2,652
2,338
-
2,435
2,375
6,083
5,521
$1,114.33
$1,100.40
$1,023.15
$1,117.82
Clinic
April-May FY 2014
April-May FY 2013
$1,787,360
$1,850,779
7,317
10,502
-
26,124
32,313
41,535
38,518
$68.42
$57.28
$244.27
$176.23
Family Health Plus
April-May FY 2014
April-May FY 2013
$3,349,893
$3,046,786
9,853
9,865
-
18,643
18,411
18,643
18,411
$179.69
$165.49
$339.99
$308.85
$29,895,093
$22,235,620
72,827
67,606
-
141,503
130,086
141,503
130,086
$211.27
$170.93
$410.49
$328.90
$3,746,066
$4,864,798
30,220
36,263
12,524
15,540
181,732
221,050
881,981
821,913
$20.61
$22.01
$87.64
$93.91
$25,267,923
$25,840,072
7,564
7,206
-
160,438
153,222
542,770
533,327
$157.49
$168.64
$3,340.55
$3,585.91
$1,895,310
$1,965,575
15,755
14,425
-
37,788
36,524
45,607
49,098
$50.16
$53.82
$120.30
$136.26
Mohawk Valley FY 2014
$85,630,073
151,675
12,524
692,343
2,350,660
N/A
N/A
Mohawk Valley FY 2013
$78,115,354
153,654
15,540
717,562
2,062,764
N/A
N/A
Medicaid Managed Care
April-May FY 2014
April-May FY 2013
Non-Institutional
April-May FY 2014
April-May FY 2013
Other State Agency / MD
April-May FY 2014
April-May FY 2013
Outpatient/Emergency Room
April-May FY 2014
April-May FY 2013
Totals
Medicaid Category of Service Spending
Service County: New York City
FY 2014
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
Nursing Homes
April-May FY 2014
April-May FY 2013
$258,822,271
$285,979,023
38,891
41,700
-
553,518
718,979
2,112,678
2,431,484
$467.60
$397.76
$6,655.07
$6,858.01
Non-Institutional LTC
April-May FY 2014
April-May FY 2013
$128,288,660
$248,751,996
46,632
70,320
-
1,978,225
3,569,495
12,092,793
25,016,398
$64.85
$69.69
$2,751.09
$3,537.43
Inpatient
April-May FY 2014
April-May FY 2013
$300,380,475
$342,969,194
99,021
105,305
-
100,625
119,242
462,511
508,000
$2,985.15
$2,876.24
$3,033.50
$3,256.91
Clinic
April-May FY 2014
April-May FY 2013
$81,094,779
$75,653,819
279,364
288,022
-
1,668,767
1,635,855
1,753,777
1,426,222
$48.60
$46.25
$290.28
$262.67
Family Health Plus
April-May FY 2014
April-May FY 2013
$99,436,287
$97,335,186
278,716
286,516
-
530,793
540,005
530,793
540,005
$187.34
$180.25
$356.77
$339.72
$1,353,543,002
$1,072,397,548
2,367,738
2,200,957
-
4,640,004
4,238,340
4,640,004
4,238,340
$291.71
$253.02
$571.66
$487.24
Non-Institutional
April-May FY 2014
April-May FY 2013
$92,920,217
$132,508,989
452,666
512,356
4,492,809
5,820,828
16,709,611
22,553,783
$20.68
$22.76
$130.90
$166.33
Other State Agency / MD
April-May FY 2014
April-May FY 2013
$172,193,153
$168,599,723
48,038
49,634
-
820,701
808,871
3,761,857
3,915,926
$209.81
$208.44
$3,584.52
$3,396.86
$53,453,191
$60,723,722
227,383
253,234
-
979,476
1,128,078
6,604,630
7,161,792
$54.57
$53.83
$235.08
$239.79
New York City FY 2014
$2,540,132,035
3,838,449
257,199
15,764,918
48,668,652
N/A
N/A
New York City FY 2013
$2,484,919,200
3,808,044
284,324
18,579,693
67,791,949
N/A
N/A
Medicaid Managed Care
April-May FY 2014
April-May FY 2013
Outpatient/Emergency Room
April-May FY 2014
April-May FY 2013
257,199
284,324
Totals
Medicaid Category of Service Spending
Service County: North Country
FY 2014
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
Nursing Homes
April-May FY 2014
April-May FY 2013
$7,994,694
$8,935,654
2,151
2,147
-
23,070
27,444
116,415
125,376
$346.54
$325.60
$3,716.73
$4,161.93
Non-Institutional LTC
April-May FY 2014
April-May FY 2013
$3,289,218
$2,926,158
2,007
2,113
-
75,507
70,253
453,876
390,757
$43.56
$41.65
$1,638.87
$1,384.84
Inpatient
April-May FY 2014
April-May FY 2013
$3,955,339
$5,171,900
1,842
2,380
-
3,697
4,358
10,814
13,349
$1,069.88
$1,186.76
$2,147.31
$2,173.07
Clinic
April-May FY 2014
April-May FY 2013
$1,322,332
$1,190,587
8,856
10,862
-
24,032
27,025
50,350
30,935
$55.02
$44.06
$149.31
$109.61
Family Health Plus
April-May FY 2014
April-May FY 2013
$2,073,420
$2,046,660
6,347
6,425
-
11,839
12,072
11,839
12,072
$175.13
$169.54
$326.68
$318.55
$14,732,570
$4,806,942
42,382
16,355
-
80,264
29,977
80,264
29,977
$183.55
$160.35
$347.61
$293.91
$4,846,844
$8,588,066
25,562
35,709
16,121
29,536
198,406
309,326
595,117
501,706
$24.43
$27.76
$116.28
$131.63
$14,907,990
$13,474,510
5,443
5,092
-
115,163
105,545
397,065
412,833
$129.45
$127.67
$2,738.93
$2,646.21
$2,748,764
$2,922,862
13,855
18,253
-
36,637
40,491
43,737
53,786
$75.03
$72.19
$198.40
$160.13
North Country FY 2014
$55,871,171
108,445
16,121
568,615
1,759,477
N/A
N/A
North Country FY 2013
$50,063,339
99,336
29,536
626,491
1,570,790
N/A
N/A
Medicaid Managed Care
April-May FY 2014
April-May FY 2013
Non-Institutional
April-May FY 2014
April-May FY 2013
Other State Agency / MD
April-May FY 2014
April-May FY 2013
Outpatient/Emergency Room
April-May FY 2014
April-May FY 2013
Totals
Medicaid Category of Service Spending
Service County: Out Of State
FY 2014
Category of Service
Nursing Homes
April-May FY 2014
April-May FY 2013
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
$11,900,170
$13,166,086
1,469
1,657
-
$2,061
-$3,144
6
25
-
Inpatient
April-May FY 2014
April-May FY 2013
$5,609,618
$3,966,821
652
1,003
-
691
1,056
Clinic
April-May FY 2014
April-May FY 2013
$9,333
-$12,431
139
124
-
Non-Institutional
April-May FY 2014
April-May FY 2013
$8,054,062
$9,398,260
48,830
57,837
$30,357
$30,357
135
130
$185,258
$405,109
Out of State FY 2014
Out of State FY 2013
Non-Institutional LTC
April-May FY 2014
April-May FY 2013
Other State Agency / MD
April-May FY 2014
April-May FY 2013
Outpatient/Emergency Room
April-May FY 2014
April-May FY 2013
$8,100.86
$7,945.74
$21.69
$95.27
$343.50
-$125.76
4,181
5,449
$8,118.12
$3,756.46
$8,603.71
$3,954.96
309
200
929
291
$30.20
-$62.16
$67.14
-$100.25
226,147
280,267
1,777,077
1,988,229
$35.61
$33.53
$150.04
$146.03
-
240
234
240
234
$126.49
$129.73
$224.87
$233.52
1,528
2,361
-
2,594
3,596
3,133
4,100
$71.42
$112.66
$121.24
$171.58
$25,790,859
52,759
4,848
241,724
1,878,744
N/A
N/A
$26,951,058
63,137
6,522
297,803
2,104,296
N/A
N/A
95
(33)
92,980
106,228
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
$1,021.65
$1,054.72
4,848
6,522
11,648
12,483
Medicaid Units Of
Service
204
(235)
Totals
Medicaid Category of Service Spending
Service County: Southern Tier
FY 2014
Category of Service
Nursing Homes
April-May FY 2014
April-May FY 2013
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
$14,117,638
$15,247,772
3,352
3,381
-
24,281
24,447
193,845
214,725
$581.43
$623.71
$4,211.71
$4,509.84
Non-Institutional LTC
April-May FY 2014
April-May FY 2013
$3,235,701
$3,200,731
2,206
2,554
-
61,707
70,899
543,857
529,211
$52.44
$45.14
$1,466.77
$1,253.22
Inpatient
April-May FY 2014
April-May FY 2013
$2,982,277
$5,380,563
2,547
2,760
-
2,306
2,805
7,845
10,692
$1,293.27
$1,918.20
$1,170.90
$1,949.48
Clinic
April-May FY 2014
April-May FY 2013
$2,185,936
$2,225,870
8,554
10,617
-
32,250
42,387
102,206
49,403
$67.78
$52.51
$255.55
$209.65
Family Health Plus
April-May FY 2014
April-May FY 2013
$3,383,690
$3,118,466
9,680
9,493
-
17,951
17,762
17,951
17,762
$188.50
$175.57
$349.55
$328.50
$28,613,213
$13,853,149
76,510
51,368
-
145,641
100,838
145,641
100,838
$196.46
$137.38
$373.98
$269.68
$5,360,784
$9,966,639
32,939
50,332
15,867
32,834
226,027
371,031
801,922
660,838
$23.72
$26.86
$109.84
$119.84
$13,859,689
$13,766,616
7,644
6,485
-
129,541
91,093
334,191
300,675
$106.99
$151.13
$1,813.15
$2,122.84
$2,271,034
$3,180,812
16,907
23,033
-
38,372
55,849
54,119
72,692
$59.18
$56.95
$134.33
$138.10
Southern Tier FY 2014
$76,009,962
160,339
15,867
678,076
2,201,577
N/A
N/A
Southern Tier FY 2013
$69,940,618
160,023
32,834
777,111
1,956,836
N/A
N/A
Medicaid Managed Care
April-May FY 2014
April-May FY 2013
Non-Institutional
April-May FY 2014
April-May FY 2013
Other State Agency / MD
April-May FY 2014
April-May FY 2013
Outpatient/Emergency Room
April-May FY 2014
April-May FY 2013
Totals
Medicaid Category of Service Spending
Service County: Western
FY 2014
Category of Service
Nursing Homes
April-May FY 2014
April-May FY 2013
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
$29,867,788
$29,912,834
6,648
6,799
-
69,393
68,640
380,395
407,338
$430.41
$435.79
$4,492.75
$4,399.59
$7,870,054
$7,559,941
4,268
4,590
-
120,163
140,226
746,147
772,662
$65.49
$53.91
$1,843.97
$1,647.05
Inpatient
April-May FY 2014
April-May FY 2013
$13,156,462
$13,857,027
7,797
7,348
-
7,437
7,600
32,782
31,086
$1,769.05
$1,823.29
$1,687.37
$1,885.82
Clinic
April-May FY 2014
April-May FY 2013
$8,088,879
$6,202,855
32,549
31,907
-
151,294
147,266
638,460
641,910
$53.46
$42.12
$248.51
$194.40
Family Health Plus
April-May FY 2014
April-May FY 2013
$7,539,658
$6,408,431
22,343
21,402
-
41,778
37,512
41,778
37,512
$180.47
$170.84
$337.45
$299.43
Medicaid Managed Care
April-May FY 2014
April-May FY 2013
$77,889,193
$54,904,339
190,101
174,965
-
368,355
300,934
368,355
300,934
$211.45
$182.45
$409.73
$313.80
Non-Institutional
April-May FY 2014
April-May FY 2013
$11,033,480
$15,440,862
60,250
76,738
26,911
34,777
476,438
606,815
1,739,005
1,797,018
$23.16
$25.45
$126.59
$138.46
Other State Agency / MD
April-May FY 2014
April-May FY 2013
$40,724,074
$36,674,933
17,036
14,270
-
404,449
262,407
926,747
743,595
$100.69
$139.76
$2,390.47
$2,570.07
$4,191,460
$4,124,686
24,327
26,739
-
97,504
89,671
88,667
87,804
$42.99
$46.00
$172.30
$154.26
Western FY 2014
$200,361,048
365,319
26,911
1,736,811
4,962,337
N/A
N/A
Western FY 2013
$175,085,908
364,758
34,777
1,661,071
4,819,860
N/A
N/A
Non-Institutional LTC
April-May FY 2014
April-May FY 2013
Outpatient/Emergency Room
April-May FY 2014
April-May FY 2013
Totals