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