November 2012 Regional Global Cap Reports

Medicaid Category of Service Spending
Service County: Capital District
April - November 2012-13
Category of Service
Nursing Homes
April - November 2012-13
April - November 2011-12
Non-Institutional LTC
April - November 2012-13
April - November 2011-12
Inpatient
April - November 2012-13
April - November 2011-12
Clinic
April - November 2012-13
April - November 2011-12
Family Health Plus
April - November 2012-13
April - November 2011-12
Medicaid Managed Care
April - November 2012-13
April - November 2011-12
Non-Institutional
April - November 2012-13
April - November 2011-12
Other State Agency / MD
April - November 2012-13
April - November 2011-12
Outpatient/Emergency Room
April - November 2012-13
April - November 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
$93,447,030
$110,512,491
6,517
6,375
-
365,673
370,586
1,156,232
1,166,939
$255.55
$298.21
$14,338.96
$17,335.29
$32,045,868
$30,356,923
4,756
5,288
-
519,691
536,258
4,705,455
4,352,726
$61.66
$56.61
$6,737.99
$5,740.72
$42,139,506
$51,485,844
18,554
19,060
-
25,871
31,015
113,959
128,398
$1,628.83
$1,660.03
$2,271.18
$2,701.25
$16,039,254
$18,889,984
$51,274
48,957
-
312,217
353,529
347,509
407,623
$51.37
$53.43
$312.81
$385.85
$17,259,876
$14,173,800
18,066
16,943
-
101,301
100,086
101,301
100,086
$170.38
$141.62
$955.38
$836.56
$151,590,681
$102,651,604
124,494
109,370
-
802,042
702,313
802,042
702,313
$189.01
$146.16
$1,217.65
$938.57
$42,428,818
$80,382,791
113,116
122,580
1,793,754
2,693,921
11,261,542
9,719,212
$23.65
$29.84
$263.77
$331.98
$119,433,793
$125,036,335
16,068
15,727
-
829,033
690,497
2,616,696
2,373,514
$144.06
$181.08
$7,433.02
$7,950.43
$11,670,320
$14,888,822
41,934
44,314
-
254,267
304,604
340,107
405,746
$45.90
$48.88
$278.30
$335.98
$526,055,146
$548,378,594
394,779
388,614
5,003,849
5,782,809
21,444,843
19,356,558
N/A
N/A
N/A
N/A
47,740
119,552
Totals
Capital District 2012-13
Capital District 2011-12
47,740
119,552
Medicaid Category of Service Spending
Service County: Central
April - November 2012-13
Category of Service
Nursing Homes
April - November 2012-13
April - November 2011-12
Non-Institutional LTC
April - November 2012-13
April - November 2011-12
Inpatient
April - November 2012-13
April - November 2011-12
Clinic
April - November 2012-13
April - November 2011-12
Family Health Plus
April - November 2012-13
April - November 2011-12
Medicaid Managed Care
April - November 2012-13
April - November 2011-12
Non-Institutional
April - November 2012-13
April - November 2011-12
Other State Agency / MD
April - November 2012-13
April - November 2011-12
Outpatient/Emergency Room
April - November 2012-13
April - November 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
$64,409,291
$73,172,938
4,689
4,728
-
360,964
338,251
875,309
900,569
$178.44
$216.33
$13,736.25
$15,476.51
$18,893,317
$17,047,486
3,338
3,757
-
304,939
295,734
2,664,509
2,477,984
$61.96
$57.64
$5,660.07
$4,537.53
$37,926,258
$42,164,315
14,813
15,292
-
19,254
19,832
79,641
97,961
$1,969.79
$2,126.07
$2,560.34
$2,757.28
$13,497,841
$15,980,405
$40,016
43,361
-
287,568
332,006
356,864
388,134
$46.94
$48.13
$337.31
$368.54
$14,715,790
$13,085,871
16,070
15,983
-
89,286
93,048
89,286
93,048
$164.82
$140.64
$915.73
$818.74
$135,862,413
$97,566,402
114,827
103,257
-
761,461
697,235
761,461
697,235
$178.42
$139.93
$1,183.19
$944.89
$29,538,471
$60,819,397
92,007
107,062
1,397,577
2,214,494
4,769,189
3,972,244
$21.14
$27.46
$233.71
$289.65
$50,905,591
$51,345,435
9,041
8,026
-
479,532
435,480
1,919,608
1,834,633
$106.16
$117.91
$5,630.53
$6,397.39
$10,204,548
$12,797,598
31,691
36,730
-
195,797
235,640
6,311
265,615
$52.12
$54.31
$322.00
$348.42
$375,953,520
$383,979,847
326,492
338,196
3,896,378
4,661,720
11,522,178
10,727,423
N/A
N/A
N/A
N/A
34,383
102,913
Totals
Central 2012-13
Central 2011-12
34,383
102,913
Medicaid Category of Service Spending
Service County: Finger Lakes
April - November 2012-13
Category of Service
Nursing Homes
April - November 2012-13
April - November 2011-12
Non-Institutional LTC
April - November 2012-13
April - November 2011-12
Inpatient
April - November 2012-13
April - November 2011-12
Clinic
April - November 2012-13
April - November 2011-12
Family Health Plus
April - November 2012-13
April - November 2011-12
Medicaid Managed Care
April - November 2012-13
April - November 2011-12
Non-Institutional
April - November 2012-13
April - November 2011-12
Other State Agency / MD
April - November 2012-13
April - November 2011-12
Outpatient/Emergency Room
April - November 2012-13
April - November 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
$112,390,759
$136,359,487
7,588
7,719
-
254,911
282,574
1,387,600
1,412,522
$440.90
$482.56
$14,811.64
$17,665.43
$38,246,576
$41,691,713
6,122
6,935
-
560,594
663,531
3,316,332
3,661,741
$68.23
$62.83
$6,247.40
$6,011.78
$48,987,782
$56,631,318
19,838
20,687
-
24,643
25,804
108,493
108,744
$1,987.90
$2,194.67
$2,469.39
$2,737.53
$18,657,106
$17,840,340
$71,449
73,239
-
408,716
442,016
738,236
1,008,911
$45.65
$40.36
$261.12
$243.59
$20,677,497
$16,943,808
21,888
20,555
-
121,351
119,074
121,351
119,074
$170.39
$142.30
$944.70
$824.32
$197,030,317
$142,641,469
162,826
145,260
-
1,067,595
967,196
1,067,595
967,196
$184.56
$147.48
$1,210.07
$981.97
$42,497,250
$86,925,836
108,303
128,618
1,719,499
3,010,286
5,741,252
5,769,164
$24.71
$28.88
$282.66
$326.26
$110,474,626
$114,094,881
18,681
17,764
-
946,417
780,849
2,824,126
2,644,926
$116.73
$146.12
$5,913.74
$6,422.81
$20,784,122
$27,782,877
77,182
85,480
-
456,119
583,010
495,205
637,664
$45.57
$47.65
$269.29
$325.02
$609,746,035
$640,911,729
493,877
506,257
5,559,845
6,874,340
15,800,190
16,329,942
N/A
N/A
N/A
N/A
42,045
137,812
Totals
Finger Lakes 2012-13
Finger Lakes 2011-12
42,045
137,812
Medicaid Category of Service Spending
Service County: Long Island
April - November 2012-13
Category of Service
Nursing Homes
April - November 2012-13
April - November 2011-12
Non-Institutional LTC
April - November 2012-13
April - November 2011-12
Inpatient
April - November 2012-13
April - November 2011-12
Clinic
April - November 2012-13
April - November 2011-12
Family Health Plus
April - November 2012-13
April - November 2011-12
Medicaid Managed Care
April - November 2012-13
April - November 2011-12
Non-Institutional
April - November 2012-13
April - November 2011-12
Other State Agency / MD
April - November 2012-13
April - November 2011-12
Outpatient/Emergency Room
April - November 2012-13
April - November 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
$325,884,586
$346,772,107
16,518
16,746
-
842,977
889,978
3,063,776
3,166,993
$386.59
$389.64
$19,729.06
$20,707.76
$133,901,046
$138,544,032
13,914
14,534
-
1,857,077
1,945,898
22,151,678
23,162,708
$72.10
$71.20
$9,623.48
$9,532.41
$124,200,462
$141,765,535
46,339
46,254
-
57,440
60,188
252,568
268,292
$2,162.26
$2,355.38
$2,680.26
$3,064.94
$27,363,432
$32,871,873
$43,705
43,413
-
504,153
551,239
588,446
835,398
$54.28
$59.63
$626.09
$757.19
$68,120,734
$61,899,639
53,440
49,477
-
321,077
320,597
321,077
320,597
$212.16
$193.08
$1,274.71
$1,251.08
$390,316,063
$316,171,107
261,358
229,639
-
1,690,122
1,603,729
1,690,122
1,603,729
$230.94
$197.15
$1,493.42
$1,376.82
$113,155,054
$230,517,687
218,960
242,854
3,980,702
5,812,770
20,880,066
24,569,679
$28.43
$39.66
$376.83
$457.37
$259,252,938
$296,216,197
25,080
25,283
-
1,264,508
1,153,570
4,856,099
4,465,216
$205.02
$256.78
$10,337.04
$11,716.02
$16,676,043
$21,908,893
44,523
53,331
-
215,475
267,761
186,352
389,668
$77.39
$81.82
$374.55
$410.81
$1,458,870,358
$1,586,667,070
723,837
721,531
10,733,531
12,605,730
53,990,183
58,782,280
N/A
N/A
N/A
N/A
81,324
261,148
Totals
Long Island 2012-13
Long Island 2011-12
81,324
261,148
Medicaid Category of Service Spending
Service County: Mid-Hudson
April - November 2012-13
Category of Service
Nursing Homes
April - November 2012-13
April - November 2011-12
Non-Institutional LTC
April - November 2012-13
April - November 2011-12
Inpatient
April - November 2012-13
April - November 2011-12
Clinic
April - November 2012-13
April - November 2011-12
Family Health Plus
April - November 2012-13
April - November 2011-12
Medicaid Managed Care
April - November 2012-13
April - November 2011-12
Non-Institutional
April - November 2012-13
April - November 2011-12
Other State Agency / MD
April - November 2012-13
April - November 2011-12
Outpatient/Emergency Room
April - November 2012-13
April - November 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
$258,583,720
$290,139,174
13,896
13,614
-
538,912
556,097
2,437,398
2,470,118
$479.83
$521.74
$18,608.50
$21,311.82
$102,384,246
$99,470,613
11,526
11,559
-
1,485,293
1,481,314
7,968,811
7,713,299
$68.93
$67.15
$8,882.89
$8,605.47
$128,389,657
$153,374,564
30,003
30,791
-
43,244
48,403
281,481
319,435
$2,968.96
$3,168.70
$4,279.23
$4,981.15
$55,901,523
$67,085,585
$144,111
150,863
-
1,031,124
1,103,499
1,040,564
1,318,452
$54.21
$60.79
$387.91
$444.68
$48,235,255
$43,241,962
41,588
39,571
-
240,854
241,108
240,854
241,108
$200.27
$179.35
$1,159.84
$1,092.77
$382,503,126
$298,349,178
283,720
251,232
-
1,888,052
1,725,491
1,888,052
1,725,491
$202.59
$172.91
$1,348.17
$1,187.54
$98,883,864
$180,777,121
259,654
277,911
4,122,002
5,821,024
26,905,773
27,319,558
$23.99
$31.06
$303.66
$340.81
$278,118,841
$305,851,363
26,106
25,037
-
1,401,026
1,255,346
5,636,095
5,398,305
$198.51
$243.64
$10,653.45
$12,215.97
$28,378,772
$30,682,043
49,185
56,751
-
539,750
473,676
570,596
623,697
$52.58
$64.77
$576.98
$540.64
$1,381,379,004
$1,468,971,603
859,789
857,329
11,290,257
12,705,958
46,969,624
47,129,463
N/A
N/A
N/A
N/A
65,987
252,522
Totals
Mid-Hudson 2012-13
Mid-Hudson 2011-12
65,987
252,522
Medicaid Category of Service Spending
Service County: Mohawk Valley
April - November 2012-13
Category of Service
Nursing Homes
April - November 2012-13
April - November 2011-12
Non-Institutional LTC
April - November 2012-13
April - November 2011-12
Inpatient
April - November 2012-13
April - November 2011-12
Clinic
April - November 2012-13
April - November 2011-12
Family Health Plus
April - November 2012-13
April - November 2011-12
Medicaid Managed Care
April - November 2012-13
April - November 2011-12
Non-Institutional
April - November 2012-13
April - November 2011-12
Other State Agency / MD
April - November 2012-13
April - November 2011-12
Outpatient/Emergency Room
April - November 2012-13
April - November 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
$52,481,821
$66,253,699
4,289
4,308
-
201,394
210,384
761,091
806,636
$260.59
$314.92
$12,236.38
$15,379.22
$11,468,800
$12,414,447
2,765
3,031
-
277,555
264,957
1,053,447
1,147,083
$41.32
$46.85
$4,147.85
$4,095.83
$10,383,306
$14,590,162
8,165
8,945
-
9,270
10,319
25,537
26,253
$1,120.10
$1,413.91
$1,271.68
$1,631.10
$6,228,635
$8,341,854
$19,461
24,049
-
116,916
144,793
131,212
189,675
$53.27
$57.61
$320.06
$346.87
$12,389,634
$10,864,330
13,286
12,838
-
74,574
77,412
74,574
77,412
$166.14
$140.34
$932.53
$846.26
$95,337,061
$69,699,979
81,751
73,444
-
531,348
494,256
531,348
494,256
$179.42
$141.02
$1,166.19
$949.02
$17,026,526
$39,598,572
72,847
84,845
25,715
76,331
786,990
1,445,076
3,227,078
3,238,842
$21.63
$27.40
$172.75
$245.69
$88,849,366
$91,498,550
9,330
10,003
-
555,362
559,195
1,971,788
1,967,672
$159.98
$163.63
$9,522.98
$9,147.11
$7,248,670
$11,068,456
31,336
38,314
-
146,092
192,928
136,843
230,948
$49.62
$57.37
$231.32
$288.89
$301,413,819
$324,330,049
243,230
259,777
25,715
76,331
2,699,501
3,399,320
7,912,918
8,178,777
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 - November 2012-13
Category of Service
Nursing Homes
April - November 2012-13
April - November 2011-12
Non-Institutional LTC
April - November 2012-13
April - November 2011-12
Inpatient
April - November 2012-13
April - November 2011-12
Clinic
April - November 2012-13
April - November 2011-12
Family Health Plus
April - November 2012-13
April - November 2011-12
Medicaid Managed Care
April - November 2012-13
April - November 2011-12
Non-Institutional
April - November 2012-13
April - November 2011-12
Other State Agency / MD
April - November 2012-13
April - November 2011-12
Outpatient/Emergency Room
April - November 2012-13
April - November 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
$1,099,868,757
$1,140,565,452
54,653
54,989
-
2,730,848
2,905,198
9,276,357
9,581,155
$402.76
$392.59
$20,124.58
$20,741.70
$873,348,199
$1,133,396,929
87,452
103,631
-
12,397,192
16,294,678
86,339,713
121,122,263
$70.45
$69.56
$9,986.60
$10,936.85
$1,148,548,917
$1,420,089,858
326,975
328,791
-
423,129
445,255
1,804,872
1,982,817
$2,714.42
$3,189.39
$3,512.65
$4,319.13
$299,677,097
$335,298,721
$528,206
535,662
-
6,312,862
5,558,940
5,903,695
6,672,618
$47.47
$60.32
$567.35
$625.95
$386,710,218
$329,038,309
364,141
371,838
-
2,155,696
2,247,766
2,155,696
2,247,766
$179.39
$146.38
$1,061.98
$884.90
$4,384,713,676
$3,430,670,094
2,600,339
2,476,789
-
17,152,406
17,572,168
17,152,406
17,572,168
$255.63
$195.23
$1,686.21
$1,385.13
$467,323,611
$1,483,404,810
914,873
1,053,211
21,025,599
45,874,580
81,845,175
111,502,483
$22.23
$32.34
$346.28
$477.01
$600,005,457
$715,924,291
58,184
111,917
-
2,942,544
2,995,418
14,041,784
14,231,366
$203.91
$239.01
$10,312.21
$6,396.92
$212,823,007
$271,385,178
503,242
552,589
-
4,006,432
3,723,419
25,413,656
30,388,674
$53.12
$72.89
$422.90
$491.12
$9,473,018,939
$10,259,773,642
5,438,065
5,589,417
69,146,708
97,617,422
243,933,354
315,301,310
N/A
N/A
N/A
N/A
434,671
2,056,593
Totals
New York City 2012-13
New York City 2011-12
434,671
2,056,593
Medicaid Category of Service Spending
Service County: North Country
April - November 2012-13
Category of Service
Nursing Homes
April - November 2012-13
April - November 2011-12
Non-Institutional LTC
April - November 2012-13
April - November 2011-12
Inpatient
April - November 2012-13
April - November 2011-12
Clinic
April - November 2012-13
April - November 2011-12
Family Health Plus
April - November 2012-13
April - November 2011-12
Medicaid Managed Care
April - November 2012-13
April - November 2011-12
Non-Institutional
April - November 2012-13
April - November 2011-12
Other State Agency / MD
April - November 2012-13
April - November 2011-12
Outpatient/Emergency Room
April - November 2012-13
April - November 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
$34,435,257
$39,834,197
2,806
2,676
-
103,161
99,743
503,360
497,097
$333.80
$399.37
$12,272.01
$14,885.72
$10,887,018
$11,042,922
2,722
2,997
-
256,317
293,713
1,540,116
1,641,439
$42.47
$37.60
$3,999.64
$3,684.66
$17,151,062
$20,735,549
6,782
7,653
-
16,233
14,322
47,281
53,435
$1,056.56
$1,447.81
$2,528.91
$2,709.47
$5,205,116
$6,237,119
$22,784
23,550
-
107,025
125,164
125,396
132,876
$48.63
$49.83
$228.45
$264.85
$7,715,712
$7,785,247
8,833
9,111
-
47,707
53,987
47,707
53,987
$161.73
$144.21
$873.51
$854.49
$24,569,992
$7,585,285
25,118
10,560
-
145,900
53,760
145,900
53,760
$168.40
$141.10
$978.18
$718.30
$29,692,791
$38,260,255
64,999
73,182
43,320
57,182
1,115,293
1,395,644
1,983,133
1,918,395
$26.62
$27.41
$274.12
$293.49
$48,732,269
$52,005,399
6,379
6,476
-
398,704
375,973
1,551,782
1,461,776
$122.23
$138.32
$7,639.48
$8,030.48
$11,988,667
$13,955,315
38,851
41,111
-
159,218
210,774
182,461
255,778
$75.30
$66.21
$308.58
$339.45
$190,377,884
$197,441,288
179,274
177,316
43,320
57,182
2,349,558
2,623,080
6,127,136
6,068,543
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 - November 2012-13
Category of Service
Nursing Homes
April - November 2012-13
April - November 2011-12
Non-Institutional LTC
April - November 2012-13
April - November 2011-12
Inpatient
April - November 2012-13
April - November 2011-12
Clinic
April - November 2012-13
April - November 2011-12
Non-Institutional
April - November 2012-13
April - November 2011-12
Other State Agency / MD
April - November 2012-13
April - November 2011-12
Outpatient/Emergency Room
April - November 2012-13
April - November 2011-12
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
$48,889,364
$53,581,332
1,862
2,039
-
47,382
49,188
-$4,194
-$4,272
42
65
-
33
173
$15,664,842
$14,997,537
3,253
3,423
-
3,835
3,988
$82,303
$140,336
480
562
-
$35,686,203
$56,363,887
150,828
177,049
$130,728
$99,644
153
131
$1,387,172
$1,953,765
$101,836,418
$127,132,229
Medicaid Units Of
Service
$1,031.81
$1,089.32
$26,256.37
$26,278.24
-$127.09
-$24.69
-$99.86
-$65.72
17,774
18,697
$4,084.70
$3,760.67
$4,815.51
$4,381.40
860
2,323
1,660
13,947
$95.70
$60.41
$171.46
$249.71
1,035,526
1,114,919
7,240,420
10,143,458
$34.46
$50.55
$221.44
$296.37
-
1,010
790
1,010
790
$129.43
$126.13
$854.43
$760.64
7,148
10,751
-
14,108
25,906
18,891
35,182
$98.33
$75.42
$194.06
$181.73
163,766
194,020
10,324
13,135
1,102,754
1,197,287
7,664,748
10,636,328
N/A
N/A
N/A
N/A
10,324
13,135
385,257
424,075
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
(264)
179
Totals
Out of State 2012-13
Out of State 2011-12
Medicaid Category of Service Spending
Service County: Southern Tier
April - November 2012-13
Category of Service
Nursing Homes
April - November 2012-13
April - November 2011-12
Non-Institutional LTC
April - November 2012-13
April - November 2011-12
Inpatient
April - November 2012-13
April - November 2011-12
Clinic
April - November 2012-13
April - November 2011-12
Family Health Plus
April - November 2012-13
April - November 2011-12
Medicaid Managed Care
April - November 2012-13
April - November 2011-12
Non-Institutional
April - November 2012-13
April - November 2011-12
Other State Agency / MD
April - November 2012-13
April - November 2011-12
Outpatient/Emergency Room
April - November 2012-13
April - November 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
$58,641,580
$71,867,944
4,481
4,555
-
92,401
100,157
813,696
850,180
$634.64
$717.55
$13,086.72
$15,777.81
$12,141,758
$12,330,095
3,359
3,819
-
253,755
262,098
1,952,798
1,922,229
$47.85
$47.04
$3,614.69
$3,228.62
$17,540,061
$23,447,719
9,247
10,175
-
10,458
12,273
38,730
45,421
$1,677.19
$1,910.51
$1,896.84
$2,304.44
$8,966,517
$8,306,082
$20,233
20,471
-
168,473
162,839
195,050
211,617
$53.22
$51.01
$443.16
$405.75
$12,254,317
$11,245,432
12,859
12,999
-
70,195
75,664
70,195
75,664
$174.58
$148.62
$952.98
$865.10
$65,846,917
$36,692,958
71,473
53,748
-
412,766
331,120
412,766
331,120
$159.53
$110.81
$921.28
$682.69
$32,046,437
$52,535,532
91,119
104,337
49,741
84,021
1,243,051
1,830,572
2,619,175
2,638,064
$25.78
$28.70
$227.51
$278.91
$50,477,656
$54,405,262
8,986
9,727
-
392,877
326,976
1,188,605
1,013,876
$128.48
$166.39
$5,617.37
$5,593.22
$11,166,799
$14,197,537
45,891
49,851
-
192,979
229,506
212,801
306,875
$57.87
$61.86
$243.33
$284.80
$269,082,042
$285,028,561
267,648
269,682
49,741
84,021
2,836,955
3,331,205
7,503,816
7,395,046
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 - November 2012-13
Category of Service
Nursing Homes
April - November 2012-13
April - November 2011-12
Non-Institutional LTC
April - November 2012-13
April - November 2011-12
Inpatient
April - November 2012-13
April - November 2011-12
Clinic
April - November 2012-13
April - November 2011-12
Family Health Plus
April - November 2012-13
April - November 2011-12
Medicaid Managed Care
April - November 2012-13
April - November 2011-12
Non-Institutional
April - November 2012-13
April - November 2011-12
Other State Agency / MD
April - November 2012-13
April - November 2011-12
Outpatient/Emergency Room
April - November 2012-13
April - November 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
$115,792,015
$131,733,888
8,860
9,021
-
271,114
285,898
1,562,579
1,612,447
$427.10
$460.77
$13,069.08
$14,603.02
$29,031,664
$25,643,090
5,802
6,090
-
477,395
514,414
2,933,077
2,802,714
$60.81
$49.85
$5,003.73
$4,210.69
$47,817,444
$57,996,892
24,390
24,130
-
28,537
29,881
120,403
136,759
$1,675.63
$1,940.93
$1,960.53
$2,403.52
$24,870,991
$27,516,243
$63,740
62,625
-
579,628
559,496
1,909,264
5,630,178
$42.91
$49.18
$390.19
$439.38
$27,581,307
$23,423,617
29,221
28,255
-
163,586
164,198
163,586
164,198
$168.60
$142.65
$943.89
$829.01
$264,732,851
$189,211,458
209,816
194,211
-
1,395,658
1,320,240
1,395,658
1,320,240
$189.68
$143.32
$1,261.74
$974.26
$49,579,814
$116,653,034
140,930
160,231
2,085,244
3,963,962
6,245,310
7,016,130
$23.78
$29.43
$251.91
$345.39
$141,192,154
$149,514,759
19,042
20,557
-
1,081,453
1,009,694
3,015,198
2,830,549
$130.56
$148.08
$7,414.78
$7,273.18
$14,656,429
$19,330,363
55,756
69,633
-
321,135
398,710
279,759
438,429
$45.64
$48.48
$262.87
$277.60
$715,254,669
$741,023,344
557,557
574,753
6,403,750
8,246,493
17,624,834
21,951,644
N/A
N/A
N/A
N/A
55,885
177,511
Totals
Western 2012-13
Western 2011-12
55,885
177,511