Medicaid Category of Service Spending
April - May 2012-13
($'s in thousands)
ECONOMIC REGION
New York City
April - May 2012-13 April - May 2011-12
ave/cycle
ave/cycle
$276,086,477
$288,719,189
VARIANCE
-4.4%
Long Island
$41,591,198
$44,374,030
-6.3%
Mid-Hudson
$39,579,765
$40,380,959
-2.0%
Western
$19,465,412
$20,099,636
-3.2%
Finger Lakes
$17,433,023
$17,279,391
0.9%
Capital District
$15,165,924
$15,272,861
-0.7%
Central
$10,969,080
$11,010,484
-0.4%
Mohawk Valley
$8,686,505
$9,105,378
-4.6%
Southern Tier
$7,781,836
$7,499,921
3.8%
North Country
$5,561,312
$5,329,350
4.4%
Out of State
$2,924,754
$3,571,082
-18.1%
$445,245,286
$462,642,281
-3.8%
STATEWIDE TOTAL
Medicaid Category of Service Spending
Service County: Capital District
April - May 2012-13
Category of Service
Nursing Homes
April - May 2012-13
April - May 2011-12
Non-Institutional LTC
April - May 2012-13
April - May 2011-12
Inpatient
April - May 2012-13
April - May 2011-12
Clinic
April - May 2012-13
April - May 2011-12
Family Health Plus
April - May 2012-13
April - May 2011-12
Medicaid Managed Care
April - May 2012-13
April - May 2011-12
Non-Institutional
April - May 2012-13
April - May 2011-12
Other State Agency / MD
April - May 2012-13
April - May 2011-12
Outpatient/Emergency Room
April - May 2012-13
April - May 2011-12
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
$25,405,191
$23,123,236
5,205
5,271
-
107,194
95,803
417,443
386,661
$237.00
$241.36
$4,880.92
$4,386.88
$6,830,741
$6,531,700
3,460
3,656
-
124,684
129,176
1,074,789
963,175
$54.78
$50.56
$1,974.20
$1,786.57
$12,418,415
$14,111,876
5,522
5,791
-
7,106
8,191
32,371
34,152
$1,747.60
$1,722.85
$2,248.90
$2,436.86
$4,213,517
$4,770,840
25,719
23,405
-
86,104
85,221
98,645
95,115
$48.94
$55.98
$163.83
$203.84
$4,346,379
$3,308,111
13,411
12,505
-
25,608
25,755
25,608
25,755
$169.73
$128.45
$324.09
$264.54
$35,363,509
$24,773,955
101,197
89,234
-
197,635
182,058
197,635
182,058
$178.93
$136.08
$349.45
$277.63
$12,482,740
$22,298,418
59,880
59,150
26,760
78,737
512,040
732,500
2,948,212
2,254,421
$24.38
$30.44
$144.08
$161.72
$32,507,013
$34,787,888
12,212
11,260
-
201,130
165,973
633,274
581,894
$161.62
$209.60
$2,661.89
$3,089.51
$2,925,807
$3,749,727
19,317
20,449
-
62,162
78,868
79,351
101,583
$47.07
$47.54
$151.46
$183.37
$136,493,312
$137,455,751
245,923
230,721
26,760
78,737
1,323,663
1,503,545
5,507,329
4,624,814
N/A
N/A
N/A
N/A
Totals
Capital District 2012-13
Capital District 2011-12
Medicaid Category of Service Spending
Service County: Central
April - May 2012-13
Category of Service
Nursing Homes
April - May 2012-13
April - May 2011-12
Non-Institutional LTC
April - May 2012-13
April - May 2011-12
Inpatient
April - May 2012-13
April - May 2011-12
Clinic
April - May 2012-13
April - May 2011-12
Family Health Plus
April - May 2012-13
April - May 2011-12
Medicaid Managed Care
April - May 2012-13
April - May 2011-12
Non-Institutional
April - May 2012-13
April - May 2011-12
Other State Agency / MD
April - May 2012-13
April - May 2011-12
Outpatient/Emergency Room
April - May 2012-13
April - May 2011-12
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
$17,401,641
$16,230,252
3,670
3,689
-
100,840
78,257
278,269
238,480
$172.57
$207.40
$4,741.59
$4,399.63
$4,184,514
$4,007,237
2,496
2,686
-
75,729
75,365
597,283
581,614
$55.26
$53.17
$1,676.49
$1,491.90
$13,297,845
$13,060,143
4,549
5,042
-
5,057
5,508
22,028
35,258
$2,629.59
$2,371.12
$2,923.25
$2,590.27
$3,451,758
$4,939,368
18,939
21,609
-
79,012
85,725
93,923
99,498
$43.69
$57.62
$182.26
$228.58
$3,711,621
$3,712,353
11,866
11,750
-
22,036
26,618
22,036
26,618
$168.43
$139.47
$312.79
$315.94
$31,816,087
$24,643,248
95,557
82,302
-
181,411
186,257
181,411
186,257
$175.38
$132.31
$332.95
$299.42
$8,577,202
$16,943,278
46,721
49,299
20,712
67,605
387,182
600,844
1,355,006
1,040,515
$22.15
$28.20
$127.20
$144.93
$13,588,179
$12,393,017
6,304
5,576
-
112,372
91,292
499,510
434,750
$120.92
$135.75
$2,155.49
$2,222.56
$2,692,874
$3,165,464
14,745
16,625
-
53,236
57,992
51,855
63,245
$50.58
$54.58
$182.63
$190.40
$98,721,721
$99,094,360
204,847
198,578
20,712
67,605
1,016,875
1,207,858
3,101,321
2,706,235
N/A
N/A
N/A
N/A
Totals
Central 2012-13
Central 2011-12
Medicaid Category of Service Spending
Service County: Finger Lakes
April - May 2012-13
Category of Service
Nursing Homes
April - May 2012-13
April - May 2011-12
Non-Institutional LTC
April - May 2012-13
April - May 2011-12
Inpatient
April - May 2012-13
April - May 2011-12
Clinic
April - May 2012-13
April - May 2011-12
Family Health Plus
April - May 2012-13
April - May 2011-12
Medicaid Managed Care
April - May 2012-13
April - May 2011-12
Non-Institutional
April - May 2012-13
April - May 2011-12
Other State Agency / MD
April - May 2012-13
April - May 2011-12
Outpatient/Emergency Room
April - May 2012-13
April - May 2011-12
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
$29,726,131
$27,334,952
6,128
6,009
-
71,893
78,587
416,738
380,273
$413.48
$347.83
$4,850.87
$4,549.00
$8,584,482
$10,613,462
4,402
4,889
-
146,780
172,794
795,483
921,357
$58.49
$61.42
$1,950.13
$2,170.89
$14,114,292
$14,794,278
6,010
6,395
-
6,722
6,801
28,663
27,850
$2,099.72
$2,175.31
$2,348.47
$2,313.41
$4,991,533
$5,726,258
36,800
33,136
-
111,014
116,951
183,227
443,757
$44.96
$48.96
$135.64
$172.81
$5,136,162
$4,034,092
15,945
15,150
-
29,989
30,095
29,989
30,095
$171.27
$134.05
$322.12
$266.28
$45,882,474
$33,468,766
134,584
120,720
-
260,735
241,589
260,735
241,589
$175.97
$138.54
$340.92
$277.24
$11,993,459
$24,121,821
57,272
64,111
25,957
91,893
466,148
837,245
1,610,405
1,539,920
$25.73
$28.81
$144.10
$154.62
$30,817,364
$28,246,917
15,084
12,054
-
244,438
163,736
770,003
591,619
$126.07
$172.52
$2,043.05
$2,343.36
$5,651,307
$7,173,971
39,834
43,546
-
119,654
145,640
128,267
151,611
$47.23
$49.26
$141.87
$164.74
$156,897,204
$155,514,517
316,059
306,010
25,957
91,893
1,457,373
1,793,438
4,223,509
4,328,071
N/A
N/A
N/A
N/A
Totals
Finger Lakes 2012-13
Finger Lakes 2011-12
Medicaid Category of Service Spending
Service County: Long Island
April - May 2012-13
Category of Service
Nursing Homes
April - May 2012-13
April - May 2011-12
Non-Institutional LTC
April - May 2012-13
April - May 2011-12
Inpatient
April - May 2012-13
April - May 2011-12
Clinic
April - May 2012-13
April - May 2011-12
Family Health Plus
April - May 2012-13
April - May 2011-12
Medicaid Managed Care
April - May 2012-13
April - May 2011-12
Non-Institutional
April - May 2012-13
April - May 2011-12
Other State Agency / MD
April - May 2012-13
April - May 2011-12
Outpatient/Emergency Room
April - May 2012-13
April - May 2011-12
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
$85,278,363
$84,485,140
12,807
13,298
-
217,171
225,682
819,326
811,773
$392.68
$374.35
$6,658.73
$6,353.22
$33,988,297
$33,928,614
10,551
10,855
-
478,318
476,645
5,727,309
5,715,968
$71.06
$71.18
$3,221.33
$3,125.62
$40,282,728
$36,537,183
14,977
13,783
-
16,439
15,322
73,228
68,462
$2,450.44
$2,384.62
$2,689.64
$2,650.89
$7,096,310
$8,505,593
22,726
24,514
-
127,297
147,927
154,777
239,294
$55.75
$57.50
$312.26
$346.97
$15,526,369
$14,294,958
41,375
36,968
-
72,924
82,406
72,924
82,406
$212.91
$173.47
$375.26
$386.68
$87,130,348
$77,694,310
210,538
187,150
-
382,049
454,582
382,049
454,582
$228.06
$170.91
$413.85
$415.14
$33,364,277
$62,656,219
114,201
122,301
1,095,321
1,523,857
5,917,574
6,602,290
$30.46
$41.12
$201.30
$221.20
$67,350,896
$75,412,768
20,381
20,268
-
334,224
277,366
1,206,181
1,058,996
$201.51
$271.89
$3,304.59
$3,720.78
$4,303,196
$5,851,481
17,596
22,362
-
53,778
71,577
70,071
133,937
$80.02
$81.75
$244.56
$261.67
$374,320,784
$399,366,266
465,152
451,499
2,777,521
3,275,364
14,423,439
15,167,708
N/A
N/A
N/A
N/A
51,545
160,955
Totals
Long Island 2012-13
Long Island 2011-12
51,545
160,955
Medicaid Category of Service Spending
Service County: Mid-Hudson
April - May 2012-13
Category of Service
Nursing Homes
April - May 2012-13
April - May 2011-12
Non-Institutional LTC
April - May 2012-13
April - May 2011-12
Inpatient
April - May 2012-13
April - May 2011-12
Clinic
April - May 2012-13
April - May 2011-12
Family Health Plus
April - May 2012-13
April - May 2011-12
Medicaid Managed Care
April - May 2012-13
April - May 2011-12
Non-Institutional
April - May 2012-13
April - May 2011-12
Other State Agency / MD
April - May 2012-13
April - May 2011-12
Outpatient/Emergency Room
April - May 2012-13
April - May 2011-12
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
$66,002,584
$61,030,224
10,732
10,609
-
149,399
137,494
695,936
651,423
$441.79
$443.88
$6,150.07
$5,752.68
$25,112,437
$24,473,702
8,647
8,738
-
385,276
368,376
1,985,735
1,862,778
$65.18
$66.44
$2,904.18
$2,800.84
$38,750,009
$39,071,587
9,840
9,470
-
12,599
11,983
83,390
80,386
$3,075.64
$3,260.58
$3,938.01
$4,125.83
$14,545,377
$19,311,548
74,010
74,824
-
270,632
283,513
279,972
354,109
$53.75
$68.12
$196.53
$258.09
$12,239,976
$10,102,189
31,629
29,499
-
61,441
60,297
61,441
60,297
$199.22
$167.54
$386.99
$342.46
$90,663,572
$70,696,873
234,944
208,416
-
466,736
451,206
466,736
451,206
$194.25
$156.68
$385.89
$339.21
$28,882,567
$50,855,526
127,921
131,793
1,135,814
1,601,288
7,247,694
6,986,964
$25.43
$31.76
$172.17
$177.74
$73,821,896
$80,962,881
20,439
18,503
-
370,752
303,610
1,453,770
1,284,537
$199.11
$266.67
$3,611.82
$4,375.66
$6,199,467
$6,924,103
20,384
23,426
-
115,753
102,034
206,166
125,213
$53.56
$67.86
$304.13
$295.57
$356,217,885
$363,428,633
538,546
515,278
2,968,402
3,319,801
12,480,840
11,856,912
N/A
N/A
N/A
N/A
39,838
154,327
Totals
Mid-Hudson 2012-13
Mid-Hudson 2011-12
39,838
154,327
Medicaid Category of Service Spending
Service County: Mohawk Valley
April - May 2012-13
Category of Service
Nursing Homes
April - May 2012-13
April - May 2011-12
Non-Institutional LTC
April - May 2012-13
April - May 2011-12
Inpatient
April - May 2012-13
April - May 2011-12
Clinic
April - May 2012-13
April - May 2011-12
Family Health Plus
April - May 2012-13
April - May 2011-12
Medicaid Managed Care
April - May 2012-13
April - May 2011-12
Non-Institutional
April - May 2012-13
April - May 2011-12
Other State Agency / MD
April - May 2012-13
April - May 2011-12
Outpatient/Emergency Room
April - May 2012-13
April - May 2011-12
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
$13,010,182
$14,782,911
3,346
3,449
-
52,265
54,733
216,674
226,752
$248.93
$270.09
$3,888.28
$4,286.14
$2,688,090
$2,997,482
2,120
2,298
-
71,316
70,716
249,217
278,575
$37.69
$42.39
$1,267.97
$1,304.39
$2,613,453
$4,124,119
2,338
2,762
-
2,375
2,816
5,521
7,484
$1,100.40
$1,464.53
$1,117.82
$1,493.16
$1,850,779
$2,382,383
10,502
11,525
-
32,313
36,645
38,518
46,051
$57.28
$65.01
$176.23
$206.71
$3,046,786
$3,055,753
9,865
9,857
-
18,411
21,634
18,411
21,634
$165.49
$141.25
$308.85
$310.01
$22,235,620
$17,304,904
67,606
60,055
-
130,086
134,442
130,086
134,442
$170.93
$128.72
$328.90
$288.15
$4,926,349
$11,307,972
36,749
38,058
15,540
51,603
223,017
400,000
874,861
874,445
$22.09
$28.27
$94.21
$126.12
$25,841,715
$23,096,199
7,212
5,958
-
153,275
121,715
533,380
451,482
$168.60
$189.76
$3,583.16
$3,876.50
$1,965,575
$2,896,676
14,425
19,510
-
36,524
51,745
49,098
62,146
$53.82
$55.98
$136.26
$148.47
$78,178,549
$81,948,399
154,163
153,472
15,540
51,603
719,582
894,446
2,115,765
2,103,011
N/A
N/A
N/A
N/A
Totals
Mohawk Valley 2012-13
Mohawk Valley 2011-12
Medicaid Category of Service Spending
Service County: New York City
April - May 2012-13
Category of Service
Nursing Homes
April - May 2012-13
April - May 2011-12
Non-Institutional LTC
April - May 2012-13
April - May 2011-12
Inpatient
April - May 2012-13
April - May 2011-12
Clinic
April - May 2012-13
April - May 2011-12
Family Health Plus
April - May 2012-13
April - May 2011-12
Medicaid Managed Care
April - May 2012-13
April - May 2011-12
Non-Institutional
April - May 2012-13
April - May 2011-12
Other State Agency / MD
April - May 2012-13
April - May 2011-12
Outpatient/Emergency Room
April - May 2012-13
April - May 2011-12
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
$286,391,262
$271,350,721
41,832
41,467
-
721,239
710,746
2,465,785
2,347,305
$397.08
$381.78
$6,846.22
$6,543.78
$246,989,418
$314,783,424
70,049
84,273
-
3,555,220
4,311,296
24,915,590
33,005,548
$69.47
$73.01
$3,525.95
$3,735.28
$342,917,076
$368,819,732
104,920
101,999
-
117,384
113,504
506,142
513,408
$2,921.33
$3,249.40
$3,268.37
$3,615.92
$75,669,551
$92,972,718
288,066
285,760
-
1,636,521
1,401,440
1,426,888
1,867,197
$46.24
$66.34
$262.68
$325.35
$97,335,186
$76,393,467
286,516
275,087
-
540,005
588,242
540,005
588,242
$180.25
$129.87
$339.72
$277.71
$1,072,397,548
$830,052,700
2,200,957
2,112,517
-
4,238,340
4,879,141
4,238,340
4,879,141
$253.02
$170.12
$487.24
$392.92
$133,718,425
$422,200,422
518,737
558,384
5,877,813
12,770,126
23,974,618
30,010,363
$22.75
$33.06
$166.51
$219.12
$168,599,723
$154,688,579
49,634
48,157
-
808,871
733,149
3,915,926
3,503,944
$208.44
$210.99
$3,396.86
$3,212.17
$60,760,108
$67,210,940
253,228
264,607
-
1,129,270
911,230
7,162,984
7,635,392
$53.80
$73.76
$239.94
$254.00
$2,484,778,297
$2,598,472,703
3,813,939
3,772,251
18,624,663
26,418,874
69,146,278
84,350,540
N/A
N/A
N/A
N/A
284,324
1,368,375
Totals
New York City 2012-13
New York City 2011-12
284,324
1,368,375
Medicaid Category of Service Spending
Service County: North Country
April - May 2012-13
Category of Service
Nursing Homes
April - May 2012-13
April - May 2011-12
Non-Institutional LTC
April - May 2012-13
April - May 2011-12
Inpatient
April - May 2012-13
April - May 2011-12
Clinic
April - May 2012-13
April - May 2011-12
Family Health Plus
April - May 2012-13
April - May 2011-12
Medicaid Managed Care
April - May 2012-13
April - May 2011-12
Non-Institutional
April - May 2012-13
April - May 2011-12
Other State Agency / MD
April - May 2012-13
April - May 2011-12
Outpatient/Emergency Room
April - May 2012-13
April - May 2011-12
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
$9,003,304
$8,072,100
2,185
2,166
-
28,224
27,228
130,574
126,203
$318.99
$296.46
$4,120.51
$3,726.73
$2,858,507
$3,028,276
2,092
2,152
-
69,473
78,662
385,559
418,786
$41.15
$38.50
$1,366.40
$1,407.19
$5,171,900
$5,377,536
2,380
2,312
-
4,358
4,043
13,349
15,009
$1,186.76
$1,330.09
$2,173.07
$2,325.92
$1,197,815
$1,675,405
10,877
12,409
-
27,351
34,294
31,261
36,149
$43.79
$48.85
$110.12
$135.02
$2,046,660
$1,439,731
6,425
4,712
-
12,072
9,534
12,072
9,534
$169.54
$151.01
$318.55
$305.55
$4,806,942
$1,289,324
16,355
5,080
-
29,977
9,654
29,977
9,654
$160.35
$133.55
$293.91
$253.80
$8,576,533
$10,512,382
35,813
40,856
29,536
38,406
309,957
378,828
585,470
554,891
$27.67
$27.75
$131.24
$132.63
$13,474,510
$13,108,525
5,092
4,509
-
105,545
81,332
412,833
346,469
$127.67
$161.17
$2,646.21
$2,907.19
$2,915,635
$3,460,867
18,208
20,777
-
40,165
54,766
53,460
68,240
$72.59
$63.19
$160.13
$166.57
$50,051,806
$47,964,146
99,427
94,973
29,536
38,406
627,122
678,341
1,654,554
1,584,934
N/A
N/A
N/A
N/A
Totals
North Country 2012-13
North Country 2011-12
Medicaid Category of Service Spending
Service County: Out Of State
April - May 2012-13
Category of Service
Nursing Homes
April - May 2012-13
April - May 2011-12
Non-Institutional LTC
April - May 2012-13
April - May 2011-12
Inpatient
April - May 2012-13
April - May 2011-12
Clinic
April - May 2012-13
April - May 2011-12
Non-Institutional
April - May 2012-13
April - May 2011-12
Other State Agency / MD
April - May 2012-13
April - May 2011-12
Outpatient/Emergency Room
April - May 2012-13
April - May 2011-12
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
$13,166,086
$13,409,754
1,657
1,758
-
12,483
12,881
106,228
108,044
$1,054.72
$1,041.05
$7,945.74
$7,627.85
$974
$2,096
7
16
-
44
214
99
354
$22.14
$9.79
$139.14
$131.00
$3,968,373
$4,447,076
997
1,035
-
1,062
1,118
5,462
5,057
$3,736.70
$3,977.71
$3,980.31
$4,296.69
-$16,324
$26,305
89
188
-
211
814
302
5,258
-$77.36
$32.32
-$183.42
$139.92
$8,768,935
$13,657,114
52,586
54,519
257,087
237,340
1,977,004
1,931,343
$34.11
$57.54
$148.35
$219.34
$30,357
$26,611
130
123
-
234
302
234
302
$129.73
$88.12
$233.52
$216.35
$404,384
$570,781
2,359
3,701
-
3,594
6,729
4,098
8,196
$112.52
$84.82
$171.42
$154.22
$26,322,785
$32,139,737
57,825
61,340
6,522
7,745
274,715
259,398
2,093,426
2,058,554
N/A
N/A
N/A
N/A
6,522
7,745
Totals
Out of State 2012-13
Out of State 2011-12
Medicaid Category of Service Spending
Service County: Southern Tier
April - May 2012-13
Category of Service
Nursing Homes
April - May 2012-13
April - May 2011-12
Non-Institutional LTC
April - May 2012-13
April - May 2011-12
Inpatient
April - May 2012-13
April - May 2011-12
Clinic
April - May 2012-13
April - May 2011-12
Family Health Plus
April - May 2012-13
April - May 2011-12
Medicaid Managed Care
April - May 2012-13
April - May 2011-12
Non-Institutional
April - May 2012-13
April - May 2011-12
Other State Agency / MD
April - May 2012-13
April - May 2011-12
Outpatient/Emergency Room
April - May 2012-13
April - May 2011-12
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
$15,576,455
$14,449,694
3,497
3,545
-
27,503
25,588
241,797
225,570
$566.35
$564.71
$4,454.23
$4,076.08
$2,867,509
$2,846,371
2,477
2,845
-
67,833
66,174
502,129
448,003
$42.27
$43.01
$1,157.65
$1,000.48
$5,379,630
$5,842,114
2,732
3,031
-
2,774
2,991
10,661
12,116
$1,939.30
$1,953.23
$1,969.12
$1,927.45
$2,225,870
$1,989,830
10,617
9,971
-
42,387
39,488
49,403
49,873
$52.51
$50.39
$209.65
$199.56
$3,118,466
$2,625,907
9,493
9,391
-
17,762
18,246
17,762
18,246
$175.57
$143.92
$328.50
$279.62
$13,853,149
$8,710,561
51,368
41,872
-
100,838
78,561
100,838
78,561
$137.38
$110.88
$269.68
$208.03
$10,067,081
$14,671,018
50,807
53,048
32,834
55,627
375,873
497,759
719,503
725,334
$26.78
$29.47
$120.36
$135.00
$13,766,616
$12,864,337
6,485
5,633
-
91,093
59,034
300,675
213,493
$151.13
$217.91
$2,122.84
$2,283.75
$3,181,745
$3,499,459
23,040
23,045
-
55,880
58,571
72,723
67,210
$56.94
$59.75
$138.10
$151.85
$70,036,521
$67,499,291
160,516
152,381
32,834
55,627
781,943
846,412
2,015,491
1,838,406
N/A
N/A
N/A
N/A
Totals
Southern Tier 2012-13
Southern Tier 2011-12
Medicaid Category of Service Spending
Service County: Western
April - May 2012-13
Category of Service
Nursing Homes
April - May 2012-13
April - May 2011-12
Non-Institutional LTC
April - May 2012-13
April - May 2011-12
Inpatient
April - May 2012-13
April - May 2011-12
Clinic
April - May 2012-13
April - May 2011-12
Family Health Plus
April - May 2012-13
April - May 2011-12
Medicaid Managed Care
April - May 2012-13
April - May 2011-12
Non-Institutional
April - May 2012-13
April - May 2011-12
Other State Agency / MD
April - May 2012-13
April - May 2011-12
Outpatient/Emergency Room
April - May 2012-13
April - May 2011-12
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
$30,782,853
$30,750,602
6,913
7,124
-
74,343
74,430
484,933
458,714
$414.07
$413.15
$4,452.89
$4,316.48
$6,684,361
$5,996,835
4,299
4,418
-
133,803
130,718
694,347
666,538
$49.96
$45.88
$1,554.86
$1,357.36
$13,854,942
$14,777,594
7,301
7,269
-
7,544
7,660
31,030
35,000
$1,836.55
$1,929.19
$1,897.68
$2,032.96
$6,203,985
$5,466,927
31,914
32,050
-
147,322
138,058
641,966
2,892,912
$42.11
$39.60
$194.40
$170.57
$6,408,431
$5,598,948
21,402
20,721
-
37,512
42,119
37,512
42,119
$170.84
$132.93
$299.43
$270.21
$54,905,211
$43,841,039
174,966
163,639
-
300,936
340,244
300,936
340,244
$182.45
$128.85
$313.81
$267.91
$15,549,080
$32,946,369
77,929
78,955
612,091
1,088,050
1,944,850
2,055,095
$25.40
$30.28
$137.96
$165.18
$36,674,207
$36,198,732
14,264
12,458
-
262,387
199,787
743,526
610,909
$139.77
$181.19
$2,571.10
$2,905.66
$4,125,640
$5,319,682
26,734
32,789
-
89,671
109,729
87,804
116,720
$46.01
$48.48
$154.32
$162.24
$175,188,710
$180,896,728
365,722
359,423
1,665,609
2,130,795
4,966,905
7,218,252
N/A
N/A
N/A
N/A
34,777
120,504
Totals
Western 2012-13
Western 2011-12
34,777
120,504