Medicaid Category of Service Spending April - June 2012-13 ($'s in thousands) ECONOMIC REGION New York City April - June 2012-13 April - June 2011-12 ave/cycle ave/cycle $275,391,128 $289,595,995 VARIANCE -4.9% Long Island $41,786,932 $44,591,432 -6.3% Mid-Hudson $39,355,806 $40,713,219 -3.3% Western $19,861,949 $20,594,854 -3.6% Finger Lakes $17,399,049 $17,648,588 -1.4% Capital District $14,982,227 $14,951,190 0.2% Central $10,893,388 $10,793,327 0.9% Mohawk Valley $8,340,990 $9,030,671 -7.6% Southern Tier $7,591,909 $7,761,116 -2.2% North Country $5,484,906 $5,566,464 -1.5% Out of State $3,015,516 $3,624,767 -16.8% PLEASE NOTE: The regional spending chart reflects average Medicaid spending per cycle (week) for each of the defined economic regions. This data only includes provider spending that occurs within the Medicaid claiming system (eMedNY); payments and other adjustments that occur outside of eMedNY are excluded (i.e., 2011/12 enhanced FMAP, administrative claims, pharmacy rebates, etc.). Medicaid Category of Service Spending Service County: Capital District April - June 2012-13 Category of Service Nursing Homes April - June 2011-12 April - June 2012-13 Non-Institutional LTC April - June 2011-12 April - June 2012-13 Inpatient April - June 2011-12 April - June 2012-13 Clinic April - June 2011-12 April - June 2012-13 Family Health Plus April - June 2011-12 April - June 2012-13 Medicaid Managed Care April - June 2011-12 April - June 2012-13 Non-Institutional April - June 2011-12 April - June 2012-13 Other State Agency / MD April - June 2011-12 April - June 2012-13 Outpatient/Emergency Room April - June 2011-12 April - June 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 $37,531,634 $37,751,333 5,559 5,518 - 155,841 149,816 599,136 619,493 $240.83 $251.98 $6,751.51 $6,841.49 $10,278,509 $9,453,045 3,941 3,631 - 200,754 175,883 1,526,755 1,527,702 $51.20 $53.75 $2,608.10 $2,603.43 $21,624,127 $16,908,981 8,790 7,525 - 13,104 10,057 53,262 45,081 $1,650.19 $1,681.31 $2,460.08 $2,247.04 $7,618,604 $6,154,107 $29,452 31,748 - 136,069 118,158 150,951 139,197 $55.99 $52.08 $258.68 $193.84 $4,882,219 $6,505,513 13,475 14,223 - 38,014 38,120 38,014 38,120 $128.43 $170.66 $362.32 $457.39 $36,288,263 $53,751,026 93,261 105,684 - 269,946 296,896 269,946 296,896 $134.43 $181.04 $389.10 $508.60 $34,200,811 $17,018,704 75,755 73,246 91,077 30,534 1,134,582 721,713 3,624,446 4,057,754 $30.14 $23.58 $205.00 $163.99 $50,895,437 $43,090,457 12,207 13,136 - 256,217 295,424 910,916 913,892 $198.64 $145.86 $4,169.36 $3,280.33 $5,997,051 $4,135,786 26,762 23,598 - 125,682 88,779 162,163 119,277 $47.72 $46.59 $224.09 $175.26 $209,316,655 $194,768,952 269,202 278,309 91,077 30,534 2,330,209 1,894,846 7,335,589 7,757,412 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 - June 2012-13 Category of Service Nursing Homes April - June 2011-12 April - June 2012-13 Non-Institutional LTC April - June 2011-12 April - June 2012-13 Inpatient April - June 2011-12 April - June 2012-13 Clinic April - June 2011-12 April - June 2012-13 Family Health Plus April - June 2011-12 April - June 2012-13 Medicaid Managed Care April - June 2011-12 April - June 2012-13 Non-Institutional April - June 2011-12 April - June 2012-13 Other State Agency / MD April - June 2011-12 April - June 2012-13 Outpatient/Emergency Room April - June 2011-12 April - June 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 $26,163,912 $24,693,602 3,927 3,884 - 132,852 139,271 380,328 389,706 $196.94 $177.31 $6,662.57 $6,357.78 $6,155,824 $5,462,422 2,925 2,624 - 116,482 95,033 924,539 756,040 $52.85 $57.48 $2,104.56 $2,081.72 $19,216,874 $17,417,241 7,354 6,013 - 8,500 6,981 48,992 30,615 $2,260.81 $2,494.95 $2,613.12 $2,896.60 $7,531,774 $5,069,446 $27,404 23,075 - 138,044 110,063 157,388 127,881 $54.56 $46.06 $274.84 $219.69 $5,265,899 $5,671,737 12,668 12,663 - 37,780 33,708 37,780 33,708 $139.38 $168.26 $415.69 $447.90 $35,859,629 $49,049,856 87,012 99,472 - 270,287 281,504 270,287 281,504 $132.67 $174.24 $412.12 $493.10 $26,318,760 $12,169,410 64,304 57,601 78,146 23,499 933,798 553,633 1,630,949 1,940,155 $28.18 $21.98 $184.76 $150.05 $19,538,292 $18,385,850 5,875 6,653 - 148,781 159,548 685,093 678,128 $131.32 $115.24 $3,325.67 $2,763.54 $5,055,609 $3,694,479 21,699 17,697 - 92,827 72,789 101,586 67,765 $54.46 $50.76 $232.99 $208.76 $151,106,573 $141,614,043 233,168 229,682 78,146 23,499 1,879,351 1,452,530 4,236,941 4,305,502 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 - June 2012-13 Category of Service Nursing Homes April - June 2011-12 April - June 2012-13 Non-Institutional LTC April - June 2011-12 April - June 2012-13 Inpatient April - June 2011-12 April - June 2012-13 Clinic April - June 2011-12 April - June 2012-13 Family Health Plus April - June 2011-12 April - June 2012-13 Medicaid Managed Care April - June 2011-12 April - June 2012-13 Non-Institutional April - June 2011-12 April - June 2012-13 Other State Agency / MD April - June 2011-12 April - June 2012-13 Outpatient/Emergency Room April - June 2011-12 April - June 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 $44,058,053 $43,230,017 6,477 6,453 - 125,199 103,699 604,241 600,974 $351.90 $416.88 $6,802.23 $6,699.21 $16,997,713 $11,709,468 5,437 4,654 - 275,104 199,284 1,493,176 1,102,892 $61.79 $58.76 $3,126.30 $2,516.00 $24,688,659 $19,589,096 9,567 8,031 - 10,692 9,225 44,043 39,970 $2,309.08 $2,123.48 $2,580.61 $2,439.19 $8,868,798 $7,178,712 $42,406 43,960 - 179,989 155,257 637,666 237,080 $49.27 $46.24 $209.14 $163.30 $6,098,364 $7,677,641 16,253 16,872 - 45,432 44,814 45,432 44,814 $134.23 $171.32 $375.21 $455.05 $51,174,899 $70,353,530 125,364 139,906 - 363,454 393,690 363,454 393,690 $140.80 $178.70 $408.21 $502.86 $37,127,220 $17,112,152 80,628 69,845 1,290,773 672,441 2,335,528 2,307,083 $28.76 $25.45 $199.20 $172.82 $46,508,043 $41,174,729 12,731 15,914 - 265,399 355,333 1,007,155 1,021,025 $175.24 $115.88 $3,653.13 $2,587.33 $11,558,478 $8,162,298 56,211 48,813 - 234,902 171,086 245,966 185,634 $49.21 $47.71 $205.63 $167.22 $247,080,227 $226,187,643 355,074 354,448 2,790,944 2,104,829 6,776,660 5,933,162 N/A N/A N/A N/A 105,758 29,172 Totals Finger Lakes 2011-12 Finger Lakes 2012-13 105,758 29,172 Medicaid Category of Service Spending Service County: Long Island April - June 2012-13 Category of Service Nursing Homes April - June 2011-12 April - June 2012-13 Non-Institutional LTC April - June 2011-12 April - June 2012-13 Inpatient April - June 2011-12 April - June 2012-13 Clinic April - June 2011-12 April - June 2012-13 Family Health Plus April - June 2011-12 April - June 2012-13 Medicaid Managed Care April - June 2011-12 April - June 2012-13 Non-Institutional April - June 2011-12 April - June 2012-13 Other State Agency / MD April - June 2011-12 April - June 2012-13 Outpatient/Emergency Room April - June 2011-12 April - June 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 $132,805,085 $121,672,723 14,134 13,458 - 355,293 314,446 1,261,895 1,168,574 $373.79 $386.94 $9,396.14 $9,040.92 $52,784,777 $48,038,210 11,746 11,340 - 744,641 680,283 8,938,378 8,241,659 $70.89 $70.62 $4,493.85 $4,236.17 $58,759,804 $53,536,380 20,900 19,843 - 24,232 22,282 108,541 98,521 $2,424.88 $2,402.67 $2,811.47 $2,698.00 $13,588,399 $10,068,131 $30,025 26,953 - 232,445 183,186 375,200 229,847 $58.46 $54.96 $452.57 $373.54 $23,151,690 $25,257,822 40,520 44,112 - 132,920 119,333 132,920 119,333 $174.18 $211.66 $571.36 $572.58 $116,722,048 $139,469,053 197,150 221,740 - 673,419 621,553 673,419 621,553 $173.33 $224.39 $592.05 $628.98 $97,712,898 $46,572,285 153,130 138,009 2,394,827 1,567,274 10,357,966 8,373,734 $40.80 $29.72 $282.95 $238.05 $119,713,657 $92,434,866 21,036 21,575 - 441,449 477,778 1,712,936 1,688,079 $271.18 $193.47 $5,690.89 $4,284.35 $9,041,691 $6,180,642 30,125 22,769 - 110,649 77,833 183,519 102,274 $81.72 $79.41 $300.14 $271.45 $624,280,049 $543,230,112 518,766 519,799 5,109,875 4,063,968 23,744,775 20,643,573 N/A N/A N/A N/A 192,201 57,632 Totals Long Island 2011-12 Long Island 2012-13 192,201 57,632 Medicaid Category of Service Spending Service County: Mid-Hudson April - June 2012-13 Category of Service Nursing Homes April - June 2011-12 April - June 2012-13 Non-Institutional LTC April - June 2011-12 April - June 2012-13 Inpatient April - June 2011-12 April - June 2012-13 Clinic April - June 2011-12 April - June 2012-13 Family Health Plus April - June 2011-12 April - June 2012-13 Medicaid Managed Care April - June 2011-12 April - June 2012-13 Non-Institutional April - June 2011-12 April - June 2012-13 Other State Agency / MD April - June 2011-12 April - June 2012-13 Outpatient/Emergency Room April - June 2011-12 April - June 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 $97,239,889 $96,937,655 11,399 11,366 - 220,740 209,989 1,027,600 993,681 $440.52 $461.63 $8,530.56 $8,528.74 $39,970,496 $35,220,914 9,610 9,234 - 604,214 541,084 3,050,002 2,809,993 $66.15 $65.09 $4,159.26 $3,814.26 $63,354,634 $52,822,323 14,231 12,995 - 19,237 17,200 126,969 110,341 $3,293.37 $3,071.07 $4,451.88 $4,064.82 $29,405,564 $21,030,230 $94,961 88,447 - 455,944 382,495 564,257 394,079 $64.49 $54.98 $309.66 $237.77 $16,069,921 $18,008,139 32,296 33,263 - 94,812 90,813 94,812 90,813 $169.49 $198.30 $497.58 $541.39 $107,619,713 $134,831,024 218,688 243,485 - 673,193 694,523 673,193 694,523 $159.86 $194.13 $492.12 $553.75 $78,594,547 $39,861,809 170,118 155,962 2,480,842 1,597,920 10,939,243 10,351,289 $31.68 $24.95 $222.52 $198.46 $125,878,745 $102,717,144 19,804 21,644 - 492,028 512,513 2,086,827 1,943,136 $255.84 $200.42 $6,356.23 $4,745.76 $11,851,551 $10,196,241 31,971 25,203 - 179,616 168,597 229,568 275,962 $65.98 $60.48 $370.70 $404.56 $569,985,060 $511,625,479 603,078 601,599 5,220,626 4,215,134 18,792,471 17,663,817 N/A N/A N/A N/A 183,077 44,895 Totals Mid-Hudson 2011-12 Mid-Hudson 2012-13 183,077 44,895 Medicaid Category of Service Spending Service County: Mohawk Valley April - June 2012-13 Category of Service Nursing Homes April - June 2011-12 April - June 2012-13 Non-Institutional LTC April - June 2011-12 April - June 2012-13 Inpatient April - June 2011-12 April - June 2012-13 Clinic April - June 2011-12 April - June 2012-13 Family Health Plus April - June 2011-12 April - June 2012-13 Medicaid Managed Care April - June 2011-12 April - June 2012-13 Non-Institutional April - June 2011-12 April - June 2012-13 Other State Agency / MD April - June 2011-12 April - June 2012-13 Outpatient/Emergency Room April - June 2011-12 April - June 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 $23,021,639 $18,640,117 3,649 3,538 - 85,723 74,638 349,026 306,572 $268.56 $249.74 $6,309.03 $5,268.55 $4,484,777 $3,831,889 2,485 2,258 - 107,810 101,500 412,859 367,231 $41.60 $37.75 $1,804.74 $1,697.03 $6,406,614 $3,701,169 4,202 3,170 - 4,417 3,311 11,690 7,949 $1,450.44 $1,117.84 $1,524.66 $1,167.56 $3,608,441 $2,674,276 $15,189 13,211 - 59,309 46,644 72,871 55,588 $60.84 $57.33 $237.57 $202.43 $4,376,741 $4,586,860 10,505 10,526 - 30,967 27,691 30,967 27,691 $141.34 $165.64 $416.63 $435.76 $24,871,517 $33,482,434 62,772 70,049 - 193,834 196,297 193,834 196,297 $128.31 $170.57 $396.22 $477.99 $17,420,902 $6,808,714 50,075 45,096 59,098 17,617 620,225 314,099 1,323,772 1,237,501 $28.09 $21.68 $159.57 $108.57 $37,768,099 $32,010,091 6,203 7,634 - 196,438 201,653 714,785 712,785 $192.26 $158.74 $6,088.68 $4,193.10 $4,470,666 $2,697,323 24,749 17,767 - 79,357 51,148 94,320 69,291 $56.34 $52.74 $180.64 $151.82 $126,429,396 $108,432,873 179,829 173,249 59,098 17,617 1,378,080 1,016,981 3,204,124 2,980,905 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 - June 2012-13 Category of Service Nursing Homes April - June 2011-12 April - June 2012-13 Non-Institutional LTC April - June 2011-12 April - June 2012-13 Inpatient April - June 2011-12 April - June 2012-13 Clinic April - June 2011-12 April - June 2012-13 Family Health Plus April - June 2011-12 April - June 2012-13 Medicaid Managed Care April - June 2011-12 April - June 2012-13 Non-Institutional April - June 2011-12 April - June 2012-13 Other State Agency / MD April - June 2011-12 April - June 2012-13 Outpatient/Emergency Room April - June 2011-12 April - June 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 $435,531,712 $411,836,787 44,687 44,273 - 1,147,074 1,006,644 3,723,352 3,497,746 $379.69 $409.12 $9,746.27 $9,302.21 $490,151,293 $331,770,864 89,184 73,296 - 6,707,435 4,864,870 51,230,488 34,160,642 $73.08 $68.20 $5,495.96 $4,526.45 $583,278,388 $466,664,639 151,997 139,141 - 179,092 161,470 805,830 690,505 $3,256.86 $2,890.10 $3,837.43 $3,353.90 $145,317,411 $109,840,906 $355,332 337,078 - 2,217,742 2,258,458 2,936,867 1,989,119 $65.52 $48.64 $408.96 $325.86 $120,499,267 $150,081,768 299,934 303,466 - 920,397 836,339 920,397 836,339 $130.92 $179.45 $401.75 $494.56 $1,247,340,695 $1,604,947,966 2,197,731 2,280,940 - 7,200,046 6,532,656 7,200,046 6,532,656 $173.24 $245.68 $567.56 $703.63 $656,094,018 $189,025,353 695,218 617,764 19,936,404 8,386,687 46,651,820 34,202,268 $32.91 $22.54 $284.97 $202.34 $268,037,062 $231,133,952 76,632 52,118 - 1,219,923 1,124,368 5,681,709 5,333,609 $219.72 $205.57 $3,497.72 $4,434.82 $108,094,077 $84,782,425 336,845 305,986 - 1,480,037 1,491,950 12,807,830 10,551,084 $73.03 $56.83 $320.90 $277.08 $4,054,343,923 $3,580,084,660 4,247,560 4,154,062 41,008,150 26,663,442 131,958,338 97,793,969 N/A N/A N/A N/A 1,607,077 316,413 Totals New York City 2011-12 New York City 2012-13 1,607,077 316,413 Medicaid Category of Service Spending Service County: North Country April - June 2012-13 Category of Service Nursing Homes April - June 2011-12 April - June 2012-13 Non-Institutional LTC April - June 2011-12 April - June 2012-13 Inpatient April - June 2011-12 April - June 2012-13 Clinic April - June 2011-12 April - June 2012-13 Family Health Plus April - June 2011-12 April - June 2012-13 Medicaid Managed Care April - June 2011-12 April - June 2012-13 Non-Institutional April - June 2011-12 April - June 2012-13 Other State Agency / MD April - June 2011-12 April - June 2012-13 Outpatient/Emergency Room April - June 2011-12 April - June 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 $12,946,215 $13,500,240 2,287 2,321 - 40,626 39,552 196,249 190,900 $318.67 $341.33 $5,660.78 $5,816.56 $4,548,348 $3,978,188 2,318 2,211 - 118,848 100,369 651,947 562,781 $38.27 $39.64 $1,962.19 $1,799.27 $8,421,428 $7,108,605 3,544 3,174 - 6,271 6,346 22,125 18,179 $1,342.92 $1,120.17 $2,376.25 $2,239.64 $2,747,719 $1,925,435 $15,485 13,621 - 55,926 41,024 57,829 46,314 $49.13 $46.93 $177.44 $141.36 $3,523,568 $3,066,752 7,264 6,908 - 23,008 18,104 23,008 18,104 $153.15 $169.40 $485.07 $443.94 $2,054,405 $7,502,082 5,983 17,942 - 15,490 46,934 15,490 46,934 $132.63 $159.84 $343.37 $418.13 $16,125,267 $12,142,517 50,781 44,567 43,933 32,933 580,269 441,277 853,968 947,600 $27.79 $27.52 $170.25 $156.68 $21,997,832 $17,672,706 4,739 5,374 - 136,334 147,443 555,917 555,998 $161.35 $119.86 $4,641.87 $3,288.56 $5,565,711 $4,407,248 26,958 25,655 - 87,162 56,586 108,535 72,252 $63.85 $77.89 $206.46 $171.79 $77,930,493 $71,303,773 119,359 121,773 43,933 32,933 1,063,934 897,635 2,485,068 2,459,063 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 - June 2012-13 Category of Service Nursing Homes April - June 2011-12 April - June 2012-13 Non-Institutional LTC April - June 2011-12 April - June 2012-13 Inpatient April - June 2011-12 April - June 2012-13 Clinic April - June 2011-12 April - June 2012-13 Non-Institutional April - June 2011-12 April - June 2012-13 Other State Agency / MD April - June 2011-12 April - June 2012-13 Outpatient/Emergency Room April - June 2011-12 April - June 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 $21,528,484 $19,025,952 1,820 1,702 - 19,335 17,785 166,220 151,845 $1,113.45 $1,069.78 $11,828.84 $11,178.59 $2,527 $1,654 16 7 - 234 76 391 168 $10.80 $21.76 $157.94 $236.29 $6,553,250 $6,759,185 1,502 1,329 - 1,665 1,462 7,924 7,678 $3,935.89 $4,623.25 $4,363.02 $5,085.92 $42,986 $39,442 269 254 - 1,306 415 8,010 506 $32.91 $95.04 $159.80 $155.28 $21,688,632 $12,788,641 78,671 70,069 382,712 374,528 3,095,593 2,830,748 $56.67 $34.15 $247.99 $165.42 $47,471 $45,410 123 137 - 381 349 381 349 $124.60 $130.11 $385.94 $331.46 $883,381 $541,423 5,290 3,111 - 10,307 4,990 12,892 5,474 $85.71 $108.50 $166.99 $174.04 $50,746,731 $39,201,707 87,691 76,609 8,785 7,243 415,940 399,605 3,291,411 2,996,768 N/A N/A N/A N/A 8,785 7,243 Totals Out of State 2011-12 Out of State 2012-13 Medicaid Category of Service Spending Service County: Southern Tier April - June 2012-13 Category of Service Nursing Homes April - June 2011-12 April - June 2012-13 Non-Institutional LTC April - June 2011-12 April - June 2012-13 Inpatient April - June 2011-12 April - June 2012-13 Clinic April - June 2011-12 April - June 2012-13 Family Health Plus April - June 2011-12 April - June 2012-13 Medicaid Managed Care April - June 2011-12 April - June 2012-13 Non-Institutional April - June 2011-12 April - June 2012-13 Other State Agency / MD April - June 2011-12 April - June 2012-13 Outpatient/Emergency Room April - June 2011-12 April - June 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 $23,528,064 $22,675,605 3,775 3,702 - 41,917 39,216 364,157 344,854 $561.30 $578.22 $6,232.60 $6,125.23 $4,625,604 $3,800,920 3,066 2,588 - 108,466 91,248 743,926 698,642 $42.65 $41.65 $1,508.68 $1,468.67 $10,037,606 $7,094,481 4,614 3,843 - 4,650 4,021 18,998 14,521 $2,158.62 $1,764.36 $2,175.47 $1,846.08 $3,343,641 $3,360,833 $12,447 12,351 - 65,575 60,314 84,916 68,449 $50.99 $55.72 $268.63 $272.11 $4,549,662 $4,671,596 10,416 10,091 - 31,643 26,575 31,643 26,575 $143.78 $175.79 $436.80 $462.95 $13,027,857 $21,140,379 43,849 54,301 - 120,973 150,879 120,973 150,879 $107.69 $140.11 $297.11 $389.32 $22,366,713 $13,887,123 67,104 61,263 64,377 36,760 766,454 523,500 1,093,755 1,039,940 $29.18 $26.53 $170.11 $141.67 $21,686,833 $17,653,329 5,921 7,104 - 96,496 131,055 340,378 411,959 $224.74 $134.70 $3,662.70 $2,484.98 $5,489,647 $4,410,556 29,978 27,906 - 91,435 75,092 110,051 98,886 $60.04 $58.74 $183.12 $158.05 $108,655,627 $98,694,822 181,170 183,149 64,377 36,760 1,327,609 1,101,900 2,908,797 2,854,704 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 - June 2012-13 Category of Service Nursing Homes April - June 2011-12 April - June 2012-13 Non-Institutional LTC April - June 2011-12 April - June 2012-13 Inpatient April - June 2011-12 April - June 2012-13 Clinic April - June 2011-12 April - June 2012-13 Family Health Plus April - June 2011-12 April - June 2012-13 Medicaid Managed Care April - June 2011-12 April - June 2012-13 Non-Institutional April - June 2011-12 April - June 2012-13 Other State Agency / MD April - June 2011-12 April - June 2012-13 Outpatient/Emergency Room April - June 2011-12 April - June 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 $48,079,421 $45,037,074 7,595 7,324 - 118,046 107,591 702,607 713,284 $407.29 $418.60 $6,330.40 $6,149.25 $9,464,730 $9,206,030 4,742 4,506 - 201,362 180,063 1,044,683 983,242 $47.00 $51.13 $1,995.94 $2,043.06 $23,157,081 $19,268,444 10,979 9,938 - 12,125 10,580 55,463 43,614 $1,909.86 $1,821.21 $2,109.22 $1,938.87 $9,646,435 $8,735,610 $40,934 38,424 - 231,377 203,154 4,060,234 697,859 $41.69 $43.00 $235.66 $227.35 $8,796,078 $9,602,345 22,488 22,539 - 65,639 56,612 65,639 56,612 $134.01 $169.62 $391.15 $426.03 $70,151,647 $87,813,224 170,937 181,330 - 540,357 484,219 540,357 484,219 $129.82 $181.35 $410.39 $484.27 $50,334,437 $21,467,350 101,083 94,914 1,684,801 858,456 3,042,128 2,644,477 $29.88 $25.01 $210.78 $160.34 $60,563,165 $51,488,504 13,166 15,535 - 326,859 380,290 1,008,458 1,018,633 $185.29 $135.39 $4,599.97 $3,314.35 $8,134,963 $5,586,750 42,760 33,091 - 170,278 119,465 185,409 115,476 $47.77 $46.76 $190.25 $168.83 $288,327,957 $258,205,331 414,684 407,601 3,350,844 2,400,430 10,704,978 6,757,415 N/A N/A N/A N/A 137,717 38,973 Totals Western 2011-12 Western 2012-13 137,717 38,973
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