April 2012 Regional Global Cap Reports

Medicaid Category of Service Spending
April 2012-13
($'s in thousands)
April 2012-13
ave/cycle
$264,556,344
April 2011-12
ave/cycle
$296,789,327
Long Island
$40,333,786
$44,386,557
-9.1%
Mid-Hudson
$39,496,616
$40,686,279
-2.9%
Western
$21,064,756
$21,899,233
-3.8%
Finger Lakes
$17,813,215
$17,346,941
2.7%
Capital District
$15,326,655
$15,312,822
0.1%
Central
ECONOMIC REGION
New York City
VARIANCE
-10.9%
$10,745,079
$11,237,940
-4.4%
Mohawk Valley
$8,795,379
$9,074,422
-3.1%
Southern Tier
$7,859,260
$6,287,408
25.0%
North Country
$5,361,249
$5,514,121
-2.8%
Out of State
$3,238,731
$3,580,148
-9.5%
$434,591,070
$472,115,198
-7.9%
STATEWIDE TOTAL
Medicaid Category of Service Spending
Service County: Capital District
April 2012-13
Category of Service
Nursing Homes
April 2011-12
April 2012-13
Non-Institutional LTC
April 2011-12
April 2012-13
Inpatient
April 2011-12
April 2012-13
Clinic
April 2011-12
April 2012-13
Family Health Plus
April 2011-12
April 2012-13
Medicaid Managed Care
April 2011-12
April 2012-13
Non-Institutional
April 2011-12
April 2012-13
Other State Agency / MD
April 2011-12
April 2012-13
Outpatient/Emergency Room
April 2011-12
April 2012-13
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
$13,323,594
$12,146,794
4,950
4,646
-
56,776
43,530
218,477
189,963
$234.67
$279.04
$2,691.64
$2,614.46
$3,740,887
$2,958,403
3,372
3,017
-
73,422
54,612
555,005
482,156
$50.95
$54.17
$1,109.40
$980.58
$8,307,259
$5,359,973
3,655
2,617
-
4,684
3,144
19,668
14,765
$1,773.54
$1,704.83
$2,272.85
$2,048.14
$2,490,465
$1,531,798
16,052
14,897
-
45,870
36,226
53,998
40,600
$54.29
$42.28
$155.15
$102.83
$1,821,771
$2,122,783
11,762
12,223
-
14,106
12,324
14,106
12,324
$129.15
$172.25
$154.89
$173.67
$13,706,921
$17,698,535
85,186
94,999
-
96,815
96,124
96,815
96,124
$141.58
$184.12
$160.91
$186.30
$12,813,112
$5,555,812
41,122
36,545
64,017
19,557
410,075
223,065
1,359,339
1,437,480
$31.25
$24.91
$121.87
$99.03
$18,170,796
$12,829,466
10,342
8,434
-
90,275
81,771
325,504
2,317,408
$201.28
$156.90
$1,756.99
$1,521.16
$2,189,303
$1,103,057
14,467
10,927
-
44,722
26,661
59,359
31,263
$48.95
$41.37
$151.33
$100.95
$76,564,108
$61,306,621
190,908
188,305
64,017
19,557
836,745
577,457
2,702,271
4,622,084
N/A
N/A
N/A
N/A
Totals
Capital District 2011-12
Capital District 2012-13
Medicaid Category of Service Spending
Service County: Central
April 2012-13
Category of Service
Nursing Homes
April 2011-12
April 2012-13
Non-Institutional LTC
April 2011-12
April 2012-13
Inpatient
April 2011-12
April 2012-13
Clinic
April 2011-12
April 2012-13
Family Health Plus
April 2011-12
April 2012-13
Medicaid Managed Care
April 2011-12
April 2012-13
Non-Institutional
April 2011-12
April 2012-13
Other State Agency / MD
April 2011-12
April 2012-13
Outpatient/Emergency Room
April 2011-12
April 2012-13
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
$9,196,994
$8,127,952
3,478
3,259
-
43,058
48,471
133,063
124,321
$213.60
$167.69
$2,644.33
$2,494.00
$2,195,075
$1,749,917
2,415
2,036
-
41,190
30,768
313,835
267,069
$53.29
$56.87
$908.93
$859.49
$9,393,683
$3,481,672
3,280
2,040
-
3,495
2,101
26,736
9,228
$2,687.75
$1,657.15
$2,863.93
$1,706.70
$2,320,475
$1,184,761
15,631
11,373
-
47,390
29,884
59,484
33,489
$48.97
$39.65
$148.45
$104.17
$1,951,593
$1,864,877
10,966
10,889
-
14,105
11,032
14,105
11,032
$138.36
$169.04
$177.97
$171.26
$13,038,326
$15,965,685
78,049
89,648
-
97,789
91,640
97,789
91,640
$133.33
$174.22
$167.05
$178.09
$9,429,184
$3,755,301
33,660
27,412
54,868
15,088
332,469
162,588
570,375
585,575
$28.36
$23.10
$106.51
$88.36
$6,825,258
$5,896,589
5,235
5,544
-
51,437
48,686
243,715
1,215,387
$132.69
$121.11
$1,303.77
$1,063.60
$1,839,110
$953,561
11,573
7,409
-
33,216
19,882
37,227
18,219
$55.37
$47.96
$158.91
$128.70
$56,189,698
$42,980,315
164,287
159,610
54,868
15,088
664,149
445,052
1,496,329
2,355,961
N/A
N/A
N/A
N/A
Totals
Central 2011-12
Central 2012-13
Medicaid Category of Service Spending
Service County: Finger Lakes
April 2012-13
Category of Service
Nursing Homes
April 2011-12
April 2012-13
Non-Institutional LTC
April 2011-12
April 2012-13
Inpatient
April 2011-12
April 2012-13
Clinic
April 2011-12
April 2012-13
Family Health Plus
April 2011-12
April 2012-13
Medicaid Managed Care
April 2011-12
April 2012-13
Non-Institutional
April 2011-12
April 2012-13
Other State Agency / MD
April 2011-12
April 2012-13
Outpatient/Emergency Room
April 2011-12
April 2012-13
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
$14,847,483
$13,547,895
5,631
5,452
-
43,229
32,554
205,334
190,349
$343.46
$416.17
$2,636.74
$2,484.94
$6,484,132
$3,818,844
4,324
3,606
-
104,743
64,004
563,717
363,077
$61.91
$59.67
$1,499.57
$1,059.02
$8,466,035
$6,268,031
3,860
2,897
-
3,909
3,020
15,944
14,067
$2,165.78
$2,075.51
$2,193.27
$2,163.63
$2,980,163
$1,902,982
23,954
21,062
-
67,033
46,786
171,862
54,441
$44.46
$40.67
$124.41
$90.35
$2,263,540
$2,545,848
14,311
14,931
-
17,036
14,911
17,036
14,911
$132.87
$170.74
$158.17
$170.51
$18,142,167
$22,658,536
115,877
128,162
-
128,871
129,442
128,871
129,442
$140.78
$175.05
$156.56
$176.80
$13,293,490
$5,451,851
44,820
36,068
74,884
19,244
462,821
202,967
867,115
713,926
$28.72
$26.86
$111.05
$98.57
$16,307,562
$12,700,095
11,103
11,825
-
94,088
98,501
332,378
1,969,880
$173.32
$128.93
$1,468.75
$1,074.00
$3,950,134
$2,358,779
30,780
23,463
-
80,474
50,318
82,592
54,187
$49.09
$46.88
$128.33
$100.53
$86,734,706
$71,252,861
254,660
247,466
74,884
19,244
1,002,204
642,503
2,384,850
3,504,279
N/A
N/A
N/A
N/A
Totals
Finger Lakes 2011-12
Finger Lakes 2012-13
Medicaid Category of Service Spending
Service County: Long Island
April 2012-13
Category of Service
Nursing Homes
April 2011-12
April 2012-13
Non-Institutional LTC
April 2011-12
April 2012-13
Inpatient
April 2011-12
April 2012-13
Clinic
April 2011-12
April 2012-13
Family Health Plus
April 2011-12
April 2012-13
Medicaid Managed Care
April 2011-12
April 2012-13
Non-Institutional
April 2011-12
April 2012-13
Other State Agency / MD
April 2011-12
April 2012-13
Outpatient/Emergency Room
April 2011-12
April 2012-13
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
$48,069,109
$37,682,557
12,523
11,112
-
131,149
96,281
457,845
355,479
$366.52
$391.38
$3,838.47
$3,391.16
$18,229,047
$13,891,799
9,789
9,014
-
258,508
201,973
3,087,658
2,486,588
$70.52
$68.78
$1,862.20
$1,541.14
$21,305,620
$16,159,594
8,518
6,366
-
9,103
6,586
40,806
29,139
$2,340.51
$2,453.63
$2,501.25
$2,538.42
$4,733,495
$3,172,563
18,579
16,239
-
84,782
61,981
132,130
77,943
$55.83
$51.19
$254.78
$195.37
$8,356,535
$6,778,812
34,912
31,581
-
47,759
32,142
47,759
32,142
$174.97
$210.90
$239.36
$214.65
$41,446,243
$38,904,848
176,612
162,237
-
244,439
166,962
244,439
166,962
$169.56
$233.02
$234.67
$239.80
$35,568,104
$15,144,075
89,501
73,840
852,630
490,910
3,747,642
2,659,059
$41.72
$30.85
$164.65
$133.40
$40,890,515
$27,981,318
19,087
17,290
-
160,770
131,792
605,807
7,758,279
$254.34
$212.31
$2,142.32
$1,618.35
$3,334,118
$1,619,577
15,449
9,441
-
40,639
23,130
85,379
29,615
$82.04
$70.02
$215.81
$171.55
$221,932,786
$161,335,143
384,970
337,120
1,829,779
1,211,757
8,449,465
13,595,206
N/A
N/A
N/A
N/A
126,522
39,684
Totals
Long Island 2011-12
Long Island 2012-13
126,522
39,684
Medicaid Category of Service Spending
Service County: Mid-Hudson
April 2012-13
Category of Service
Nursing Homes
April 2011-12
April 2012-13
Non-Institutional LTC
April 2011-12
April 2012-13
Inpatient
April 2011-12
April 2012-13
Clinic
April 2011-12
April 2012-13
Family Health Plus
April 2011-12
April 2012-13
Medicaid Managed Care
April 2011-12
April 2012-13
Non-Institutional
April 2011-12
April 2012-13
Other State Agency / MD
April 2011-12
April 2012-13
Outpatient/Emergency Room
April 2011-12
April 2012-13
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
$34,974,073
$29,582,856
9,948
9,672
-
79,762
66,575
371,189
310,036
$438.48
$444.35
$3,515.69
$3,058.61
$13,847,287
$10,616,982
7,814
7,465
-
213,566
164,561
1,083,524
844,191
$64.84
$64.52
$1,772.11
$1,422.23
$23,016,667
$16,945,855
5,967
4,787
-
7,169
5,624
49,031
35,610
$3,210.58
$3,013.13
$3,857.33
$3,539.97
$10,066,394
$5,189,374
53,713
44,847
-
163,924
112,315
199,609
114,939
$61.41
$46.20
$187.41
$115.71
$5,979,405
$5,846,905
27,913
28,881
-
36,138
29,260
36,138
29,260
$165.46
$199.83
$214.22
$202.45
$39,176,111
$43,078,314
198,425
218,569
-
251,338
223,461
251,338
223,461
$155.87
$192.78
$197.44
$197.09
$28,521,351
$12,978,167
94,927
79,695
900,413
512,229
4,181,882
3,261,624
$31.68
$25.34
$131.36
$118.43
$43,868,964
$31,268,635
17,273
16,857
-
169,821
145,554
657,680
6,172,711
$258.32
$214.82
$2,539.74
$1,854.93
$3,981,143
$2,479,377
16,165
11,489
-
56,799
47,512
72,188
115,913
$70.09
$52.18
$246.28
$215.80
$203,431,395
$157,986,465
432,145
422,262
1,878,930
1,307,091
6,902,579
11,107,746
N/A
N/A
N/A
N/A
122,190
29,890
Totals
Mid-Hudson 2011-12
Mid-Hudson 2012-13
122,190
29,890
Medicaid Category of Service Spending
Service County: Mohawk Valley
April 2012-13
Category of Service
Nursing Homes
April 2011-12
April 2012-13
Non-Institutional LTC
April 2011-12
April 2012-13
Inpatient
April 2011-12
April 2012-13
Clinic
April 2011-12
April 2012-13
Family Health Plus
April 2011-12
April 2012-13
Medicaid Managed Care
April 2011-12
April 2012-13
Non-Institutional
April 2011-12
April 2012-13
Other State Agency / MD
April 2011-12
April 2012-13
Outpatient/Emergency Room
April 2011-12
April 2012-13
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
$8,526,964
$6,515,280
3,233
2,973
-
30,777
23,861
127,712
100,830
$277.06
$273.05
$2,637.48
$2,191.48
$1,714,767
$1,102,469
2,084
1,841
-
39,886
31,090
154,561
106,123
$42.99
$35.46
$822.82
$598.84
$2,308,856
$1,169,101
1,677
1,039
-
1,667
992
4,218
2,249
$1,385.04
$1,178.53
$1,376.78
$1,125.22
$1,123,022
$816,352
7,982
6,824
-
20,553
14,392
27,370
16,723
$54.64
$56.72
$140.69
$119.63
$1,699,033
$1,485,836
9,264
8,875
-
11,980
8,947
11,980
8,947
$141.82
$166.07
$183.40
$167.42
$9,622,609
$10,923,534
57,725
62,472
-
74,304
63,675
74,304
63,675
$129.50
$171.55
$166.70
$174.85
$6,455,128
$2,174,438
26,144
22,122
42,250
11,379
224,753
99,261
510,536
392,844
$28.72
$21.91
$94.38
$64.91
$12,253,710
$10,288,875
5,558
5,539
-
68,850
62,390
228,594
910,681
$177.98
$164.91
$2,204.70
$1,857.53
$1,668,023
$705,632
13,984
7,337
-
29,316
14,343
35,727
16,206
$56.90
$49.20
$119.28
$96.17
$45,372,112
$35,181,517
127,651
119,022
42,250
11,379
502,086
318,951
1,175,002
1,618,277
N/A
N/A
N/A
N/A
Totals
Mohawk Valley 2011-12
Mohawk Valley 2012-13
Medicaid Category of Service Spending
Service County: New York City
April 2012-13
Category of Service
Nursing Homes
April 2011-12
April 2012-13
Non-Institutional LTC
April 2011-12
April 2012-13
Inpatient
April 2011-12
April 2012-13
Clinic
April 2011-12
April 2012-13
Family Health Plus
April 2011-12
April 2012-13
Medicaid Managed Care
April 2011-12
April 2012-13
Non-Institutional
April 2011-12
April 2012-13
Other State Agency / MD
April 2011-12
April 2012-13
Outpatient/Emergency Room
April 2011-12
April 2012-13
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
$149,603,293
$131,231,842
38,703
37,342
-
402,087
319,258
1,276,515
1,098,976
$372.07
$411.05
$3,865.42
$3,514.32
$183,385,475
$103,985,117
79,758
63,166
-
2,531,199
1,574,319
19,188,162
11,012,526
$72.45
$66.05
$2,299.27
$1,646.22
$213,369,302
$150,243,679
63,125
50,797
-
66,077
52,161
297,549
220,356
$3,229.10
$2,880.38
$3,380.11
$2,957.73
$50,555,300
$27,866,495
218,164
189,089
-
800,729
762,422
1,027,116
635,928
$63.14
$36.55
$231.73
$147.37
$46,098,484
$45,166,764
261,632
238,948
-
356,403
256,660
356,403
256,660
$129.34
$175.98
$176.20
$189.02
$478,328,085
$440,959,637
2,027,254
1,759,453
-
2,762,214
1,867,918
2,762,214
1,867,918
$173.17
$236.07
$235.95
$250.62
$235,065,083
$60,396,845
417,319
339,650
7,095,789
2,578,613
17,092,393
10,682,875
$33.13
$23.42
$155.71
$109.16
$89,689,618
$72,942,117
44,296
43,578
-
411,795
363,936
1,903,205
42,000,352
$217.80
$200.43
$2,024.78
$1,673.83
$37,851,995
$25,432,879
187,909
152,093
-
499,012
537,938
4,800,409
2,391,156
$75.85
$47.28
$201.44
$167.22
$1,483,946,635
$1,058,225,375
3,338,160
2,874,116
14,925,305
8,313,225
48,703,966
70,166,746
N/A
N/A
N/A
N/A
1,092,331
213,621
Totals
New York City 2011-12
New York City 2012-13
1,092,331
213,621
Medicaid Category of Service Spending
Service County: North Country
April 2012-13
Category of Service
Nursing Homes
April 2011-12
April 2012-13
Non-Institutional LTC
April 2011-12
April 2012-13
Inpatient
April 2011-12
April 2012-13
Clinic
April 2011-12
April 2012-13
Family Health Plus
April 2011-12
April 2012-13
Medicaid Managed Care
April 2011-12
April 2012-13
Non-Institutional
April 2011-12
April 2012-13
Other State Agency / MD
April 2011-12
April 2012-13
Outpatient/Emergency Room
April 2011-12
April 2012-13
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
$4,840,394
$4,517,151
2,044
1,970
-
16,674
15,415
70,538
64,680
$290.30
$293.04
$2,368.10
$2,292.97
$1,639,805
$1,165,198
1,946
1,805
-
42,674
32,248
230,220
200,228
$38.43
$36.13
$842.65
$645.54
$2,856,431
$2,357,938
1,382
1,199
-
2,246
1,990
8,292
5,823
$1,271.79
$1,184.89
$2,066.88
$1,966.59
$992,274
$441,162
8,242
5,763
-
19,572
11,818
20,150
12,677
$50.70
$37.33
$120.39
$76.55
$786,841
$993,651
4,431
5,775
-
5,216
5,787
5,216
5,787
$150.85
$171.70
$177.58
$172.06
$642,949
$2,120,810
4,547
13,036
-
4,747
13,169
4,747
13,169
$135.44
$161.05
$141.40
$162.69
$6,018,227
$3,910,030
29,730
22,711
31,548
22,138
216,392
136,415
314,321
242,377
$27.81
$28.66
$98.21
$87.18
$7,869,324
$4,918,211
4,168
3,708
-
49,721
34,472
198,574
653,483
$158.27
$142.67
$1,888.03
$1,326.38
$1,924,359
$1,020,846
14,518
10,143
-
30,384
16,034
38,971
22,540
$63.33
$63.67
$132.55
$100.65
$27,570,604
$21,444,997
71,008
66,110
31,548
22,138
387,626
267,348
891,028
1,220,764
N/A
N/A
N/A
N/A
Totals
North Country 2011-12
North Country 2012-13
Medicaid Category of Service Spending
Service County: Out Of State
April 2012-13
Category of Service
Nursing Homes
April 2011-12
April 2012-13
Non-Institutional LTC
April 2011-12
April 2012-13
Inpatient
April 2011-12
April 2012-13
Clinic
April 2011-12
April 2012-13
Non-Institutional
April 2011-12
April 2012-13
Other State Agency / MD
April 2011-12
April 2012-13
Outpatient/Emergency Room
April 2011-12
April 2012-13
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
$7,175,794
$6,416,536
1,685
1,536
-
6,668
6,120
57,962
51,734
$1,076.15
$1,048.45
$4,258.63
$4,177.43
$1,359
$394
15
4
-
164
18
263
40
$8.29
$21.89
$90.60
$98.50
$2,786,566
$2,140,366
617
506
-
651
541
3,090
3,127
$4,280.44
$3,956.31
$4,516.31
$4,229.97
$13,512
-$40,431
141
30
-
511
48
3,119
48
$26.44
-$842.31
$95.83
-$1,347.70
$7,608,508
$4,242,094
34,617
29,067
132,205
126,362
1,001,919
778,895
$57.55
$33.57
$186.84
$124.18
$12,824
$15,179
119
116
-
195
118
195
118
$65.76
$128.64
$107.76
$130.85
$302,178
$180,785
2,296
1,122
-
3,672
1,458
4,403
1,510
$82.29
$124.00
$131.61
$161.13
$39,490
$32,381
$6,105
$5,094
144,066
134,665
1,070,952
835,472
N/A
N/A
N/A
N/A
6,105
5,094
Totals
Out Of State 2011-12
Out Of State 2012-13
$17,900,741
$12,954,923
Medicaid Category of Service Spending
Service County: Southern Tier
April 2012-13
Category of Service
Nursing Homes
April 2011-12
April 2012-13
Non-Institutional LTC
April 2011-12
April 2012-13
Inpatient
April 2011-12
April 2012-13
Clinic
April 2011-12
April 2012-13
Family Health Plus
April 2011-12
April 2012-13
Medicaid Managed Care
April 2011-12
April 2012-13
Non-Institutional
April 2011-12
April 2012-13
Other State Agency / MD
April 2011-12
April 2012-13
Outpatient/Emergency Room
April 2011-12
April 2012-13
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
$8,311,173
$7,829,909
3,308
3,121
-
15,401
12,139
130,396
114,934
$539.65
$645.02
$2,512.45
$2,508.78
$1,564,579
$1,182,987
2,560
2,123
-
37,842
24,766
253,172
204,236
$41.35
$47.77
$611.16
$557.22
$3,305,923
$2,343,167
1,772
1,320
-
1,718
1,257
6,907
4,548
$1,924.29
$1,864.09
$1,865.65
$1,775.13
$993,574
$758,659
6,989
6,048
-
19,072
15,764
25,102
17,003
$52.10
$48.13
$142.16
$125.44
$1,359,404
$1,529,927
7,690
8,601
-
9,606
8,688
9,606
8,688
$141.52
$176.10
$176.78
$177.88
$4,620,815
$6,669,577
40,190
46,207
-
49,088
51,057
49,088
51,057
$94.13
$130.63
$114.97
$144.34
$8,340,202
$4,534,393
37,818
31,235
45,404
24,460
282,996
169,765
412,528
332,809
$29.47
$26.71
$100.22
$81.41
$7,756,597
$5,430,638
5,329
5,257
-
31,502
33,215
107,126
886,799
$246.23
$163.50
$1,455.54
$1,033.03
$2,003,388
$1,157,783
15,818
12,991
-
31,449
22,133
37,307
29,828
$63.70
$52.31
$126.65
$89.12
$38,255,655
$31,437,040
121,474
116,903
45,404
24,460
478,674
338,784
1,031,232
1,649,902
N/A
N/A
N/A
N/A
Totals
Southern Tier 2011-12
Southern Tier 2012-13
Medicaid Category of Service Spending
Service County: Western
April 2012-13
Category of Service
Nursing Homes
April 2011-12
April 2012-13
Non-Institutional LTC
April 2011-12
April 2012-13
Inpatient
April 2011-12
April 2012-13
Clinic
April 2011-12
April 2012-13
Family Health Plus
April 2011-12
April 2012-13
Medicaid Managed Care
April 2011-12
April 2012-13
Non-Institutional
April 2011-12
April 2012-13
Other State Agency / MD
April 2011-12
April 2012-13
Outpatient/Emergency Room
April 2011-12
April 2012-13
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
$17,286,555
$15,239,276
6,664
6,273
-
39,684
33,257
246,238
231,680
$435.61
$458.23
$2,594.02
$2,429.34
$3,335,204
$2,879,701
3,960
3,657
-
71,790
60,949
373,618
310,453
$46.46
$47.25
$842.22
$787.45
$8,774,621
$5,693,332
4,364
3,327
-
4,362
3,271
19,835
13,896
$2,011.60
$1,740.55
$2,010.68
$1,711.25
$4,418,984
$2,065,365
24,232
20,333
-
76,142
53,871
2,511,300
510,716
$58.04
$38.34
$182.36
$101.58
$3,521,230
$3,467,892
19,545
19,819
-
26,606
20,422
26,606
20,422
$132.35
$169.81
$180.16
$174.98
$27,591,621
$30,487,614
157,773
162,597
-
220,418
167,734
220,418
167,734
$125.18
$181.76
$174.88
$187.50
$18,849,049
$7,247,687
56,427
48,189
99,653
26,144
610,604
278,900
1,194,772
826,556
$30.87
$25.99
$120.77
$97.50
$22,823,491
$15,420,437
11,649
10,957
-
111,100
101,764
340,336
4,592,787
$205.43
$151.53
$1,959.27
$1,407.36
$2,895,411
$1,757,718
22,058
15,233
-
60,071
40,120
64,866
36,577
$48.20
$43.81
$131.26
$115.39
$109,496,166
$84,259,022
306,672
290,385
99,653
26,144
1,220,777
760,288
4,997,989
6,710,821
N/A
N/A
N/A
N/A
Totals
Western 2011-12
Western 2012-13