September 2012 Regional Global Cap Reports

Medicaid Category of Service Spending
Service County: Capital District
April - September 2012-13
Category of Service
Nursing Homes
April - September 2012-13
April - September 2011-12
Non-Institutional LTC
April - September 2012-13
April - September 2011-12
Inpatient
April - September 2012-13
April - September 2011-12
Clinic
April - September 2012-13
April - September 2011-12
Family Health Plus
April - September 2012-13
April - September 2011-12
Medicaid Managed Care
April - September 2012-13
April - September 2011-12
Non-Institutional
April - September 2012-13
April - September 2011-12
Other State Agency / MD
April - September 2012-13
April - September 2011-12
Outpatient/Emergency Room
April - September 2012-13
April - September 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
$69,928,289
$86,997,329
6,086
5,949
-
269,757
269,947
862,960
868,298
$259.23
$322.28
$11,490.02
$14,623.86
$23,475,521
$22,559,934
4,395
4,904
-
382,776
395,604
3,457,300
3,189,371
$61.33
$57.03
$5,341.42
$4,600.31
$31,926,217
$40,130,879
13,897
15,115
-
20,112
23,687
87,561
97,253
$1,587.42
$1,694.22
$2,297.35
$2,655.04
$11,616,616
$14,123,166
$44,581
42,258
-
231,147
266,528
273,496
303,197
$50.26
$52.99
$260.57
$334.21
$12,718,645
$9,641,103
16,522
15,683
-
75,631
74,614
75,631
74,614
$168.17
$129.21
$769.80
$614.75
$109,442,542
$70,626,727
116,868
103,286
-
596,163
516,723
596,163
516,723
$183.58
$136.68
$936.46
$683.80
$32,525,686
$64,415,834
98,468
105,199
1,366,985
2,104,460
8,342,321
6,479,701
$23.79
$30.61
$234.17
$296.97
$88,576,550
$93,971,865
14,953
14,655
-
605,021
509,765
1,942,555
1,763,864
$146.40
$184.34
$5,923.66
$6,412.27
$8,392,369
$11,272,171
35,863
37,941
-
187,345
231,069
245,213
306,567
$44.80
$48.78
$234.01
$297.10
$388,602,435
$413,739,008
351,633
344,990
3,734,937
4,392,397
15,883,200
13,599,588
N/A
N/A
N/A
N/A
40,431
111,711
Totals
Capital District 2012-13
Capital District 2011-12
40,431
111,711
Medicaid Category of Service Spending
Service County: Central
April - September 2012-13
Category of Service
Nursing Homes
April - September 2012-13
April - September 2011-12
Non-Institutional LTC
April - September 2012-13
April - September 2011-12
Inpatient
April - September 2012-13
April - September 2011-12
Clinic
April - September 2012-13
April - September 2011-12
Family Health Plus
April - September 2012-13
April - September 2011-12
Medicaid Managed Care
April - September 2012-13
April - September 2011-12
Non-Institutional
April - September 2012-13
April - September 2011-12
Other State Agency / MD
April - September 2012-13
April - September 2011-12
Outpatient/Emergency Room
April - September 2012-13
April - September 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
$46,614,081
$56,116,601
4,295
4,402
-
258,405
246,201
635,039
669,820
$180.39
$227.93
$10,853.10
$12,747.98
$13,694,107
$12,293,739
3,097
3,481
-
222,546
216,486
1,940,421
1,792,703
$61.53
$56.79
$4,421.73
$3,531.67
$29,044,607
$32,999,957
11,241
12,160
-
14,047
15,201
59,119
77,724
$2,067.67
$2,170.91
$2,583.81
$2,713.81
$10,123,899
$12,540,545
$34,430
38,465
-
214,009
253,176
266,823
295,281
$47.31
$49.53
$294.04
$326.02
$11,089,895
$9,793,145
14,731
14,706
-
67,347
70,278
67,347
70,278
$164.67
$139.35
$752.83
$665.93
$98,077,045
$69,293,422
108,713
97,053
-
564,382
520,727
564,382
520,727
$173.78
$133.07
$902.16
$713.98
$22,380,302
$49,125,221
79,426
90,994
29,893
96,230
1,046,098
1,743,839
3,509,401
2,823,227
$21.39
$28.17
$204.72
$262.39
$37,354,339
$37,895,888
8,370
7,373
-
341,270
308,496
1,378,386
1,328,139
$109.46
$122.84
$4,462.88
$5,139.82
$7,007,203
$9,652,689
26,612
31,159
-
138,306
175,176
43,378
197,465
$50.66
$55.10
$263.31
$309.79
$275,385,478
$289,711,207
290,915
299,793
29,893
96,230
2,866,410
3,549,580
8,464,295
7,775,364
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 - September 2012-13
Category of Service
Nursing Homes
April - September 2012-13
April - September 2011-12
Non-Institutional LTC
April - September 2012-13
April - September 2011-12
Inpatient
April - September 2012-13
April - September 2011-12
Clinic
April - September 2012-13
April - September 2011-12
Family Health Plus
April - September 2012-13
April - September 2011-12
Medicaid Managed Care
April - September 2012-13
April - September 2011-12
Non-Institutional
April - September 2012-13
April - September 2011-12
Other State Agency / MD
April - September 2012-13
April - September 2011-12
Outpatient/Emergency Room
April - September 2012-13
April - September 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
$83,740,831
$109,769,468
7,077
7,136
-
188,916
218,136
1,031,719
1,052,561
$443.27
$503.22
$11,832.81
$15,382.49
$27,895,208
$31,481,237
5,661
6,344
-
408,664
494,997
2,387,349
2,734,432
$68.26
$63.60
$4,927.61
$4,962.36
$37,189,379
$43,514,142
15,239
16,096
-
18,428
19,270
80,183
80,351
$2,018.09
$2,258.13
$2,440.41
$2,703.41
$14,027,625
$12,566,620
$62,842
60,787
-
304,669
328,465
537,763
869,445
$46.04
$38.26
$223.22
$206.73
$15,327,198
$11,985,083
19,952
19,158
-
90,456
89,191
90,456
89,191
$169.44
$134.38
$768.20
$625.59
$143,049,002
$101,015,103
153,471
137,519
-
795,071
723,382
795,071
723,382
$179.92
$139.64
$932.09
$734.55
$32,151,271
$70,386,595
94,285
110,706
1,293,657
2,394,780
4,297,728
4,161,271
$24.85
$29.39
$245.19
$293.16
$81,447,642
$83,939,497
17,658
15,351
-
687,435
545,069
2,030,501
1,882,914
$118.48
$154.00
$4,612.51
$5,468.01
$15,854,841
$21,126,623
67,665
74,878
-
340,460
435,601
362,982
468,501
$46.57
$48.50
$234.31
$282.15
$450,682,997
$485,784,368
443,850
447,975
4,127,756
5,248,891
11,613,752
12,062,048
N/A
N/A
N/A
N/A
36,845
129,390
Totals
Finger Lakes 2012-13
Finger Lakes 2011-12
36,845
129,390
Medicaid Category of Service Spending
Service County: Long Island
April - September 2012-13
Category of Service
Nursing Homes
April - September 2012-13
April - September 2011-12
Non-Institutional LTC
April - September 2012-13
April - September 2011-12
Inpatient
April - September 2012-13
April - September 2011-12
Clinic
April - September 2012-13
April - September 2011-12
Family Health Plus
April - September 2012-13
April - September 2011-12
Medicaid Managed Care
April - September 2012-13
April - September 2011-12
Non-Institutional
April - September 2012-13
April - September 2011-12
Other State Agency / MD
April - September 2012-13
April - September 2011-12
Outpatient/Emergency Room
April - September 2012-13
April - September 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
$239,959,623
$259,799,313
15,297
15,716
-
624,806
666,601
2,269,485
2,358,827
$384.05
$389.74
$15,686.71
$16,530.88
$100,738,040
$100,074,592
12,979
13,533
-
1,393,645
1,405,339
16,623,445
17,003,336
$72.28
$71.21
$7,761.62
$7,394.86
$96,205,939
$108,374,029
36,118
35,993
-
43,658
45,144
191,664
202,477
$2,203.63
$2,400.63
$2,663.66
$3,010.98
$20,775,879
$25,379,385
$38,821
38,633
-
378,540
424,654
452,109
663,001
$54.88
$59.76
$535.17
$656.94
$50,367,704
$42,071,073
49,610
45,927
-
237,379
240,460
237,379
240,460
$212.18
$174.96
$1,015.27
$916.04
$284,962,261
$211,433,648
245,084
216,451
-
1,240,186
1,208,651
1,240,186
1,208,651
$229.77
$174.93
$1,162.71
$976.82
$86,023,092
$184,151,173
188,994
207,449
3,011,507
4,512,565
15,611,930
18,016,391
$28.56
$40.81
$328.99
$408.16
$190,477,718
$206,708,970
23,812
23,943
-
944,597
824,253
3,482,154
3,103,806
$201.65
$250.78
$7,999.23
$8,633.38
$11,827,829
$17,073,836
37,189
44,740
-
156,395
206,807
161,914
307,648
$75.63
$82.56
$318.05
$381.62
$1,081,338,085
$1,155,066,019
647,904
642,385
8,030,713
9,534,474
40,270,265
43,104,597
N/A
N/A
N/A
N/A
72,486
243,725
Totals
Long Island 2012-13
Long Island 2011-12
72,486
243,725
Medicaid Category of Service Spending
Service County: Mid-Hudson
April - September 2012-13
Category of Service
Nursing Homes
April - September 2012-13
April - September 2011-12
Non-Institutional LTC
April - September 2012-13
April - September 2011-12
Inpatient
April - September 2012-13
April - September 2011-12
Clinic
April - September 2012-13
April - September 2011-12
Family Health Plus
April - September 2012-13
April - September 2011-12
Medicaid Managed Care
April - September 2012-13
April - September 2011-12
Non-Institutional
April - September 2012-13
April - September 2011-12
Other State Agency / MD
April - September 2012-13
April - September 2011-12
Outpatient/Emergency Room
April - September 2012-13
April - September 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
$191,886,891
$219,780,932
12,833
12,672
-
406,171
411,722
1,808,579
1,839,182
$472.43
$533.81
$14,952.61
$17,343.82
$75,685,831
$74,871,157
10,782
10,865
-
1,099,869
1,116,098
5,927,059
5,795,971
$68.81
$67.08
$7,019.65
$6,891.04
$98,744,089
$115,544,437
23,141
24,382
-
32,773
36,567
214,488
239,547
$3,012.97
$3,159.80
$4,267.06
$4,738.92
$42,698,203
$50,769,975
$125,285
132,816
-
769,887
839,414
807,398
1,041,975
$55.46
$60.48
$340.81
$382.26
$36,044,678
$30,901,733
38,212
36,852
-
179,647
181,786
179,647
181,786
$200.64
$169.99
$943.28
$838.54
$281,491,542
$206,785,596
267,714
238,414
-
1,392,082
1,296,256
1,392,082
1,296,256
$202.21
$159.53
$1,051.46
$867.34
$75,022,909
$145,164,325
221,691
231,744
3,105,873
4,552,501
20,190,311
20,249,805
$24.16
$31.89
$268.23
$309.01
$204,587,663
$225,414,164
24,515
23,379
-
1,034,970
915,505
4,192,638
4,003,786
$197.67
$246.22
$8,345.41
$9,641.74
$20,094,007
$22,722,856
41,281
47,950
-
394,637
346,889
446,584
423,248
$50.92
$65.50
$486.76
$473.89
$1,026,255,813
$1,091,955,175
765,454
759,074
8,415,909
9,696,738
35,158,786
35,071,556
N/A
N/A
N/A
N/A
58,009
238,035
Totals
Mid-Hudson 2012-13
Mid-Hudson 2011-12
58,009
238,035
Medicaid Category of Service Spending
Service County: Mohawk Valley
April - September 2012-13
Category of Service
Nursing Homes
April - September 2012-13
April - September 2011-12
Non-Institutional LTC
April - September 2012-13
April - September 2011-12
Inpatient
April - September 2012-13
April - September 2011-12
Clinic
April - September 2012-13
April - September 2011-12
Family Health Plus
April - September 2012-13
April - September 2011-12
Medicaid Managed Care
April - September 2012-13
April - September 2011-12
Non-Institutional
April - September 2012-13
April - September 2011-12
Other State Agency / MD
April - September 2012-13
April - September 2011-12
Outpatient/Emergency Room
April - September 2012-13
April - September 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
$37,550,122
$50,917,767
3,914
4,024
-
146,515
158,331
553,204
596,519
$256.29
$321.59
$9,593.80
$12,653.52
$8,470,192
$9,164,822
2,615
2,819
-
207,985
199,743
784,442
843,021
$40.73
$45.88
$3,239.08
$3,251.09
$7,671,858
$11,087,560
6,185
7,132
-
6,889
8,002
18,780
21,212
$1,113.64
$1,385.60
$1,240.40
$1,554.62
$4,918,953
$6,241,966
$17,609
21,324
-
88,990
106,925
104,375
135,581
$55.28
$58.38
$279.34
$292.72
$9,232,883
$8,349,987
12,276
12,016
-
55,767
58,723
55,767
58,723
$165.56
$142.19
$752.11
$694.91
$68,615,761
$48,430,887
77,040
69,174
-
392,940
369,636
392,940
369,636
$174.62
$131.02
$890.65
$700.13
$12,808,732
$32,318,097
62,426
71,353
22,478
71,618
592,807
1,150,403
2,364,606
2,248,078
$21.61
$28.09
$150.86
$226.05
$64,975,798
$69,116,785
8,530
9,608
-
407,022
409,856
1,449,303
1,394,389
$159.64
$168.64
$7,617.33
$7,193.67
$5,382,273
$8,490,723
27,004
33,435
-
110,169
145,831
127,098
179,438
$48.85
$58.22
$199.31
$253.95
$219,626,572
$244,118,594
217,599
230,885
22,478
71,618
2,009,084
2,607,450
5,850,515
5,846,597
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 - September 2012-13
Category of Service
Nursing Homes
April - September 2012-13
April - September 2011-12
Non-Institutional LTC
April - September 2012-13
April - September 2011-12
Inpatient
April - September 2012-13
April - September 2011-12
Clinic
April - September 2012-13
April - September 2011-12
Family Health Plus
April - September 2012-13
April - September 2011-12
Medicaid Managed Care
April - September 2012-13
April - September 2011-12
Non-Institutional
April - September 2012-13
April - September 2011-12
Other State Agency / MD
April - September 2012-13
April - September 2011-12
Outpatient/Emergency Room
April - September 2012-13
April - September 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
$827,682,089
$847,677,373
51,190
50,526
-
2,067,187
2,152,170
6,986,232
7,070,635
$400.39
$393.87
$16,168.82
$16,777.05
$657,582,513
$889,944,204
82,699
98,119
-
9,306,341
12,451,690
65,512,539
93,182,517
$70.66
$71.47
$7,951.52
$9,070.05
$879,670,464
$1,080,695,075
253,186
258,909
-
323,445
334,627
1,375,244
1,496,142
$2,719.69
$3,229.55
$3,474.40
$4,174.03
$229,871,142
$254,291,831
$470,279
469,419
-
4,704,017
4,074,090
4,261,764
5,173,605
$48.87
$62.42
$488.80
$541.72
$293,789,021
$221,423,339
341,888
343,460
-
1,635,991
1,692,006
1,635,991
1,692,006
$179.58
$130.86
$859.31
$644.68
$3,251,749,853
$2,306,718,171
2,482,119
2,365,488
-
12,970,503
13,275,230
12,970,503
13,275,230
$250.70
$173.76
$1,310.07
$975.16
$360,366,639
$1,228,180,577
816,457
919,286
16,159,519
36,993,074
63,006,916
83,452,623
$22.30
$33.20
$298.37
$427.44
$441,753,750
$528,118,851
56,068
109,076
-
2,219,144
2,241,740
10,536,358
10,614,728
$199.06
$235.58
$7,878.89
$4,841.75
$159,813,126
$204,313,051
435,930
473,921
-
3,088,307
2,767,772
18,430,464
23,538,797
$51.75
$73.82
$366.60
$431.11
$7,102,278,597
$7,561,362,472
4,989,816
5,088,204
52,474,454
75,982,399
184,716,011
239,496,283
N/A
N/A
N/A
N/A
391,336
1,954,083
Totals
New York City 2012-13
New York City 2011-12
391,336
1,954,083
Medicaid Category of Service Spending
Service County: North Country
April - September 2012-13
Category of Service
Nursing Homes
April - September 2012-13
April - September 2011-12
Non-Institutional LTC
April - September 2012-13
April - September 2011-12
Inpatient
April - September 2012-13
April - September 2011-12
Clinic
April - September 2012-13
April - September 2011-12
Family Health Plus
April - September 2012-13
April - September 2011-12
Medicaid Managed Care
April - September 2012-13
April - September 2011-12
Non-Institutional
April - September 2012-13
April - September 2011-12
Other State Agency / MD
April - September 2012-13
April - September 2011-12
Outpatient/Emergency Room
April - September 2012-13
April - September 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
$25,757,226
$29,307,360
2,621
2,512
-
78,388
73,816
372,427
373,484
$328.59
$397.03
$9,827.25
$11,666.94
$7,995,163
$8,210,929
2,533
2,736
-
190,034
216,086
1,147,884
1,206,056
$42.07
$38.00
$3,156.40
$3,001.07
$12,785,737
$15,916,791
5,352
6,101
-
12,393
11,263
35,964
40,988
$1,031.69
$1,413.19
$2,388.96
$2,608.88
$4,007,135
$4,809,273
$20,046
20,746
-
82,497
96,931
93,464
102,169
$48.57
$49.62
$199.90
$231.82
$5,845,965
$6,407,854
8,090
8,419
-
36,067
41,812
36,067
41,812
$162.09
$153.25
$722.62
$761.12
$17,285,422
$4,738,488
22,091
8,574
-
103,823
36,387
103,823
36,387
$166.49
$130.22
$782.46
$552.66
$22,477,785
$29,227,306
57,944
65,206
39,386
52,625
837,531
1,053,224
1,512,464
1,361,661
$26.84
$27.75
$230.94
$248.04
$35,667,260
$39,268,808
6,003
5,914
-
289,727
278,482
1,115,702
1,066,367
$123.11
$141.01
$5,941.57
$6,639.97
$8,592,996
$10,538,007
34,460
36,430
-
114,293
159,431
138,959
190,318
$75.18
$66.10
$249.36
$289.27
$140,414,689
$148,424,816
159,140
156,638
39,386
52,625
1,744,753
1,967,432
4,556,754
4,419,242
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 - September 2012-13
Category of Service
Nursing Homes
April - September 2012-13
April - September 2011-12
Non-Institutional LTC
April - September 2012-13
April - September 2011-12
Inpatient
April - September 2012-13
April - September 2011-12
Clinic
April - September 2012-13
April - September 2011-12
Non-Institutional
April - September 2012-13
April - September 2011-12
Other State Agency / MD
April - September 2012-13
April - September 2011-12
Outpatient/Emergency Room
April - September 2012-13
April - September 2011-12
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
$37,039,570
$37,856,954
1,795
1,945
-
35,481
35,160
-$3,982
-$3,259
40
54
-
38
184
$12,384,521
$11,468,420
2,559
2,524
-
2,975
2,932
$69,749
$101,700
423
520
-
$25,721,088
$44,424,144
121,057
140,444
$102,521
$86,005
147
125
$1,060,116
$1,468,783
5,648
8,574
$76,373,583
$95,402,747
131,669
154,186
Medicaid Units Of
Service
$1,043.93
$1,076.71
$20,634.86
$19,463.73
-$104.79
-$17.71
-$99.55
-$60.35
14,101
14,404
$4,162.86
$3,911.47
$4,839.59
$4,543.75
600
1,991
1,073
11,413
$116.25
$51.08
$164.89
$195.58
757,472
797,034
5,355,981
6,393,160
$33.96
$55.74
$197.76
$291.97
-
787
684
787
684
$130.27
$125.74
$697.42
$688.04
-
10,515
18,998
13,600
26,094
$100.82
$77.31
$187.70
$171.31
9,002
11,708
807,868
856,983
5,678,151
6,749,356
N/A
N/A
N/A
N/A
9,002
11,708
292,855
303,324
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
(245)
277
Totals
Out of State 2012-13
Out of State 2011-12
Medicaid Category of Service Spending
Service County: Southern Tier
April - September 2012-13
Category of Service
Nursing Homes
April - September 2012-13
April - September 2011-12
Non-Institutional LTC
April - September 2012-13
April - September 2011-12
Inpatient
April - September 2012-13
April - September 2011-12
Clinic
April - September 2012-13
April - September 2011-12
Family Health Plus
April - September 2012-13
April - September 2011-12
Medicaid Managed Care
April - September 2012-13
April - September 2011-12
Non-Institutional
April - September 2012-13
April - September 2011-12
Other State Agency / MD
April - September 2012-13
April - September 2011-12
Outpatient/Emergency Room
April - September 2012-13
April - September 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
$44,327,949
$56,405,023
4,144
4,224
-
69,801
75,442
615,482
637,079
$635.06
$747.66
$10,696.90
$13,353.46
$8,956,636
$9,131,052
3,089
3,511
-
188,166
200,142
1,453,125
1,440,049
$47.60
$45.62
$2,899.53
$2,600.70
$13,290,487
$16,917,734
7,216
7,843
-
8,044
8,644
28,983
33,963
$1,652.22
$1,957.16
$1,841.81
$2,157.05
$6,920,061
$6,046,990
$17,876
17,930
-
129,473
119,018
150,218
149,186
$53.45
$50.81
$387.11
$337.26
$9,295,786
$8,355,326
11,764
12,023
-
53,196
58,031
53,196
58,031
$174.75
$143.98
$790.19
$694.95
$45,537,074
$26,133,078
63,842
49,764
-
305,319
243,052
305,319
243,052
$149.15
$107.52
$713.28
$525.14
$25,253,583
$41,112,705
81,057
91,073
45,189
77,702
968,629
1,417,224
1,942,557
1,951,207
$26.07
$29.01
$200.03
$243.59
$36,519,776
$40,224,761
8,288
9,163
-
281,183
238,582
863,635
758,161
$129.88
$168.60
$4,406.34
$4,389.91
$8,300,289
$10,581,422
39,952
42,882
-
144,958
171,988
175,413
220,976
$57.26
$61.52
$207.76
$246.76
$198,401,641
$214,908,091
237,228
238,413
45,189
77,702
2,148,769
2,532,123
5,587,928
5,491,704
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 - September 2012-13
Category of Service
Nursing Homes
April - September 2012-13
April - September 2011-12
Non-Institutional LTC
April - September 2012-13
April - September 2011-12
Inpatient
April - September 2012-13
April - September 2011-12
Clinic
April - September 2012-13
April - September 2011-12
Family Health Plus
April - September 2012-13
April - September 2011-12
Medicaid Managed Care
April - September 2012-13
April - September 2011-12
Non-Institutional
April - September 2012-13
April - September 2011-12
Other State Agency / MD
April - September 2012-13
April - September 2011-12
Outpatient/Emergency Room
April - September 2012-13
April - September 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
$86,063,185
$100,985,060
8,132
8,435
-
199,415
216,158
1,156,691
1,207,477
$431.58
$467.18
$10,583.27
$11,972.15
$21,142,958
$19,227,978
5,358
5,593
-
359,865
385,654
2,173,435
2,079,156
$58.75
$49.86
$3,946.05
$3,437.86
$35,734,373
$42,298,071
18,517
18,764
-
21,277
22,304
89,304
101,599
$1,679.48
$1,896.43
$1,929.81
$2,254.21
$18,776,747
$21,548,244
$56,612
55,485
-
432,418
418,582
1,480,708
5,192,412
$43.42
$51.48
$331.67
$388.36
$19,642,622
$16,747,327
26,450
25,945
-
117,648
124,514
117,648
124,514
$166.96
$134.50
$742.63
$645.49
$183,155,439
$133,764,044
198,548
185,961
-
999,001
1,019,417
999,001
1,019,417
$183.34
$131.22
$922.47
$719.31
$38,282,971
$93,979,793
125,317
138,161
1,602,669
3,134,420
4,787,505
5,096,177
$23.89
$29.98
$219.46
$307.81
$101,588,426
$110,037,356
17,608
18,857
-
772,900
661,117
2,206,246
2,017,873
$131.44
$166.44
$5,769.45
$5,835.36
$10,681,100
$14,802,966
48,549
59,638
-
241,024
310,686
214,897
332,214
$44.32
$47.65
$220.01
$248.21
$515,067,821
$553,390,839
505,091
516,839
4,746,217
6,292,852
13,225,435
17,170,839
N/A
N/A
N/A
N/A
49,124
167,152
Totals
Western 2012-13
Western 2011-12
49,124
167,152