December 2012 Medicaid Global Cap Report

Medicaid Category of Service Spending
Service County: Capital District
April - December 2012-13
Category of Service
Nursing Homes
April - December 2012-13
April - December 2011-12
Non-Institutional LTC
April - December 2012-13
April - December 2011-12
Inpatient
April - December 2012-13
April - December 2011-12
Clinic
April - December 2012-13
April - December 2011-12
Family Health Plus
April - December 2012-13
April - December 2011-12
Medicaid Managed Care
April - December 2012-13
April - December 2011-12
Non-Institutional
April - December 2012-13
April - December 2011-12
Other State Agency / MD
April - December 2012-13
April - December 2011-12
Outpatient/Emergency Room
April - December 2012-13
April - December 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
$104,426,591
$119,613,502
6,700
6,509
-
408,344
402,093
1,291,834
1,284,241
$255.73
$297.48
$15,586.06
$18,376.63
$35,660,608
$32,130,948
4,884
5,400
-
576,333
587,164
5,242,877
4,821,404
$61.88
$54.72
$7,301.52
$5,950.18
$48,067,970
$57,128,577
20,672
20,570
-
28,626
33,882
126,267
140,828
$1,679.17
$1,686.10
$2,325.27
$2,777.28
$18,102,804
$20,671,453
$54,535
51,467
-
352,112
384,858
398,287
447,100
$51.41
$53.71
$331.95
$401.64
$18,514,588
$16,195,215
18,431
17,472
-
108,762
111,873
108,762
111,873
$170.23
$144.76
$1,004.54
$926.92
$159,993,862
$118,732,093
126,128
112,473
-
843,064
789,516
843,064
789,516
$189.78
$150.39
$1,268.50
$1,055.65
$46,239,206
$85,650,046
119,006
128,483
1,981,183
2,890,853
12,549,778
10,784,161
$23.34
$29.63
$272.92
$342.68
$132,460,329
$135,371,282
16,628
16,297
-
943,732
756,958
2,917,754
2,607,210
$140.36
$178.84
$7,966.10
$8,306.52
$13,363,347
$16,465,614
44,071
46,639
-
278,749
335,709
374,824
444,330
$47.94
$49.05
$303.22
$353.04
$576,829,305
$601,958,730
411,055
405,310
5,520,905
6,292,906
23,853,446
21,430,662
N/A
N/A
N/A
N/A
50,415
121,462
Totals
Capital District 2012-13
Capital District 2011-12
50,415
121,462
Medicaid Category of Service Spending
Service County: Central
April - December 2012-13
Category of Service
Nursing Homes
April - December 2012-13
April - December 2011-12
Non-Institutional LTC
April - December 2012-13
April - December 2011-12
Inpatient
April - December 2012-13
April - December 2011-12
Clinic
April - December 2012-13
April - December 2011-12
Family Health Plus
April - December 2012-13
April - December 2011-12
Medicaid Managed Care
April - December 2012-13
April - December 2011-12
Non-Institutional
April - December 2012-13
April - December 2011-12
Other State Agency / MD
April - December 2012-13
April - December 2011-12
Outpatient/Emergency Room
April - December 2012-13
April - December 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
$72,154,639
$80,134,217
4,851
4,845
-
402,279
373,217
978,587
987,965
$179.36
$214.71
$14,874.18
$16,539.57
$21,588,128
$18,330,950
3,442
3,842
-
346,579
335,941
2,977,391
2,742,627
$62.29
$54.57
$6,271.97
$4,771.20
$43,375,044
$45,761,676
16,459
16,673
-
21,450
21,895
88,229
107,306
$2,022.15
$2,090.05
$2,635.34
$2,744.66
$14,988,183
$17,172,960
$41,959
45,428
-
319,906
363,508
397,598
424,266
$46.85
$47.24
$357.21
$378.03
$16,764,938
$14,957,670
16,741
16,563
-
101,800
104,206
101,800
104,206
$164.69
$143.54
$1,001.43
$903.08
$155,032,476
$112,755,468
117,767
106,762
-
870,452
785,418
870,452
785,418
$178.11
$143.56
$1,316.43
$1,056.14
$32,596,344
$64,192,359
97,153
112,195
1,558,424
2,362,307
5,297,295
4,383,220
$20.92
$27.17
$244.41
$296.62
$56,374,726
$55,963,992
9,289
8,423
-
535,543
483,324
2,122,725
2,015,984
$105.27
$115.79
$6,068.98
$6,644.19
$11,583,285
$14,459,083
33,443
38,631
-
214,776
262,835
27,689
303,924
$53.93
$55.01
$346.36
$374.29
$424,457,763
$423,728,375
341,104
353,362
4,371,209
5,092,651
12,861,765
11,854,915
N/A
N/A
N/A
N/A
36,213
104,216
Totals
Central 2012-13
Central 2011-12
36,213
104,216
Medicaid Category of Service Spending
Service County: Long Island
April - December 2012-13
Category of Service
Nursing Homes
April - December 2012-13
April - December 2011-12
Non-Institutional LTC
April - December 2012-13
April - December 2011-12
Inpatient
April - December 2012-13
April - December 2011-12
Clinic
April - December 2012-13
April - December 2011-12
Family Health Plus
April - December 2012-13
April - December 2011-12
Medicaid Managed Care
April - December 2012-13
April - December 2011-12
Non-Institutional
April - December 2012-13
April - December 2011-12
Other State Agency / MD
April - December 2012-13
April - December 2011-12
Outpatient/Emergency Room
April - December 2012-13
April - December 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
$366,937,124
$381,563,935
17,013
17,180
-
940,083
984,684
3,431,475
3,485,419
$390.32
$387.50
$21,568.04
$22,209.78
$148,754,622
$144,490,937
14,293
14,890
-
2,067,242
2,135,423
24,437,629
25,542,257
$71.96
$67.66
$10,407.52
$9,703.89
$142,437,033
$156,243,680
51,173
49,616
-
63,619
65,410
279,019
291,471
$2,238.91
$2,388.68
$2,783.44
$3,149.06
$29,808,752
$36,867,618
$45,406
44,974
-
551,451
601,585
651,855
899,485
$54.06
$61.28
$656.49
$819.75
$76,284,347
$70,077,102
54,886
50,985
-
358,940
358,328
358,940
358,328
$212.53
$195.57
$1,389.87
$1,374.47
$440,598,361
$359,684,445
267,121
235,915
-
1,905,838
1,792,500
1,905,838
1,792,500
$231.18
$200.66
$1,649.43
$1,524.64
$124,806,704
$245,101,557
231,117
254,907
4,401,341
6,254,805
22,468,055
26,942,116
$28.36
$39.19
$395.22
$471.70
$288,099,587
$321,937,922
25,544
25,937
-
1,399,809
1,286,797
5,313,742
4,829,598
$205.81
$250.19
$11,278.56
$12,412.30
$18,934,315
$24,254,425
46,995
56,312
-
234,455
292,382
207,339
418,301
$80.76
$82.95
$402.90
$430.72
$1,636,660,845
$1,740,221,621
753,548
750,716
11,922,778
13,771,914
59,053,892
64,559,475
N/A
N/A
N/A
N/A
84,675
264,711
Totals
Long Island 2012-13
Long Island 2011-12
84,675
264,711
Medicaid Category of Service Spending
Service County: Finger Lakes
April - December 2012-13
Category of Service
Nursing Homes
April - December 2012-13
April - December 2011-12
Non-Institutional LTC
April - December 2012-13
April - December 2011-12
Inpatient
April - December 2012-13
April - December 2011-12
Clinic
April - December 2012-13
April - December 2011-12
Family Health Plus
April - December 2012-13
April - December 2011-12
Medicaid Managed Care
April - December 2012-13
April - December 2011-12
Non-Institutional
April - December 2012-13
April - December 2011-12
Other State Agency / MD
April - December 2012-13
April - December 2011-12
Outpatient/Emergency Room
April - December 2012-13
April - December 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
$126,486,354
$149,514,684
7,850
7,947
-
286,754
310,899
1,558,805
1,569,139
$441.10
$480.91
$16,112.91
$18,813.98
$42,284,012
$43,728,180
6,447
7,220
-
618,927
727,888
3,674,137
4,010,766
$68.32
$60.08
$6,558.71
$6,056.53
$56,259,441
$61,873,174
22,149
22,447
-
27,459
28,403
120,064
119,011
$2,048.85
$2,178.40
$2,540.04
$2,756.41
$20,624,496
$20,308,372
$74,933
78,100
-
451,768
493,416
788,655
1,070,341
$45.65
$41.16
$275.24
$260.03
$25,092,547
$19,453,117
23,353
21,239
-
147,366
133,934
147,366
133,934
$170.27
$145.24
$1,074.49
$915.91
$238,751,898
$165,127,115
168,411
150,105
-
1,297,935
1,095,168
1,297,935
1,095,168
$183.95
$150.78
$1,417.67
$1,100.08
$47,073,556
$92,287,173
114,069
135,145
1,913,198
3,207,197
6,356,316
6,367,556
$24.60
$28.78
$297.74
$336.01
$124,177,593
$125,212,268
19,102
20,109
-
1,050,730
871,295
3,089,923
2,900,017
$118.18
$143.71
$6,500.76
$6,226.68
$23,771,669
$30,934,065
80,663
88,578
-
500,929
640,884
548,444
703,124
$47.46
$48.27
$294.70
$349.23
$704,521,566
$708,438,148
516,977
530,890
6,295,066
7,509,084
17,581,645
17,969,056
N/A
N/A
N/A
N/A
44,036
139,513
Totals
Finger Lakes 2012-13
Finger Lakes 2011-12
44,036
139,513
Medicaid Category of Service Spending
Service County: Mid-Hudson
April - December 2012-13
Category of Service
Nursing Homes
April - December 2012-13
April - December 2011-12
Non-Institutional LTC
April - December 2012-13
April - December 2011-12
Inpatient
April - December 2012-13
April - December 2011-12
Clinic
April - December 2012-13
April - December 2011-12
Family Health Plus
April - December 2012-13
April - December 2011-12
Medicaid Managed Care
April - December 2012-13
April - December 2011-12
Non-Institutional
April - December 2012-13
April - December 2011-12
Other State Agency / MD
April - December 2012-13
April - December 2011-12
Outpatient/Emergency Room
April - December 2012-13
April - December 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
$288,339,777
$320,348,882
14,321
13,968
-
599,506
615,052
2,713,953
2,729,711
$480.96
$520.85
$20,134.05
$22,934.48
$110,940,609
$101,022,975
11,563
11,582
-
1,613,250
1,590,865
8,604,027
8,260,723
$68.77
$63.50
$9,594.45
$8,722.41
$144,250,193
$173,125,590
33,687
33,619
-
47,591
53,876
306,349
351,528
$3,031.04
$3,213.41
$4,282.07
$5,149.64
$63,623,300
$73,628,206
$150,557
156,097
-
1,141,820
1,206,451
1,158,212
1,421,228
$55.72
$61.03
$422.59
$471.68
$54,344,372
$49,008,752
43,248
40,560
-
271,407
269,744
271,407
269,744
$200.23
$181.69
$1,256.58
$1,208.30
$432,654,146
$339,483,515
289,852
257,401
-
2,136,757
1,932,321
2,136,757
1,932,321
$202.48
$175.69
$1,492.67
$1,318.89
$109,155,716
$191,954,472
275,665
293,260
4,579,032
6,255,076
29,604,090
30,163,623
$23.84
$30.69
$316.37
$350.00
$310,873,631
$333,753,636
26,661
25,573
-
1,550,339
1,379,788
6,251,442
5,885,345
$200.52
$241.89
$11,660.24
$13,051.02
$32,044,064
$34,266,597
52,027
59,781
-
590,559
521,551
636,909
684,385
$54.26
$65.70
$615.91
$573.20
$1,546,225,808
$1,616,592,625
897,581
891,841
12,530,261
13,824,724
51,683,146
51,698,607
N/A
N/A
N/A
N/A
69,362
255,186
Totals
Mid-Hudson 2012-13
Mid-Hudson 2011-12
69,362
255,186
Medicaid Category of Service Spending
Service County: Mohawk Valley
April - December 2012-13
Category of Service
Nursing Homes
April - December 2012-13
April - December 2011-12
Non-Institutional LTC
April - December 2012-13
April - December 2011-12
Inpatient
April - December 2012-13
April - December 2011-12
Clinic
April - December 2012-13
April - December 2011-12
Family Health Plus
April - December 2012-13
April - December 2011-12
Medicaid Managed Care
April - December 2012-13
April - December 2011-12
Non-Institutional
April - December 2012-13
April - December 2011-12
Other State Agency / MD
April - December 2012-13
April - December 2011-12
Outpatient/Emergency Room
April - December 2012-13
April - December 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
$59,431,468
$71,920,266
4,445
4,417
-
225,259
230,935
857,541
884,318
$263.84
$311.43
$13,370.41
$16,282.60
$12,802,164
$12,304,574
2,846
3,106
-
306,443
294,180
1,164,403
1,249,470
$41.78
$41.83
$4,498.30
$3,961.55
$12,225,587
$15,506,880
9,158
9,613
-
10,363
11,233
28,197
28,547
$1,179.73
$1,380.48
$1,334.96
$1,613.12
$6,759,480
$9,048,766
$20,139
24,928
-
127,873
157,189
146,048
205,547
$52.86
$57.57
$335.64
$363.00
$14,047,026
$12,372,538
13,722
13,168
-
84,719
86,441
84,719
86,441
$165.81
$143.13
$1,023.69
$939.59
$108,540,928
$80,289,161
83,674
75,487
-
604,703
555,099
604,703
555,099
$179.49
$144.64
$1,297.19
$1,063.62
$18,680,241
$41,667,570
76,768
89,590
27,097
77,260
870,958
1,540,112
3,510,572
3,571,711
$21.45
$27.05
$179.85
$249.73
$99,539,944
$100,699,261
9,540
10,221
-
623,168
608,931
2,223,740
2,155,744
$159.73
$165.37
$10,433.96
$9,852.19
$8,229,344
$12,148,642
33,040
39,865
-
160,385
211,161
153,645
256,573
$51.31
$57.53
$249.07
$304.74
$340,256,182
$355,957,658
253,332
270,395
27,097
77,260
3,013,871
3,695,281
8,773,568
8,993,449
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 - December 2012-13
Category of Service
Nursing Homes
April - December 2012-13
April - December 2011-12
Non-Institutional LTC
April - December 2012-13
April - December 2011-12
Inpatient
April - December 2012-13
April - December 2011-12
Clinic
April - December 2012-13
April - December 2011-12
Family Health Plus
April - December 2012-13
April - December 2011-12
Medicaid Managed Care
April - December 2012-13
April - December 2011-12
Non-Institutional
April - December 2012-13
April - December 2011-12
Other State Agency / MD
April - December 2012-13
April - December 2011-12
Outpatient/Emergency Room
April - December 2012-13
April - December 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
$1,226,583,180
$1,263,595,332
56,215
56,644
-
3,022,974
3,213,035
10,311,319
10,604,109
$405.75
$393.27
$21,819.50
$22,307.66
$959,997,326
$1,217,409,735
89,322
105,695
-
13,689,856
17,855,693
94,966,888
132,213,922
$70.12
$68.18
$10,747.60
$11,518.14
$1,315,378,630
$1,572,411,990
359,235
355,358
-
465,120
489,059
1,996,939
2,172,101
$2,828.04
$3,215.18
$3,661.61
$4,424.87
$333,210,392
$370,174,450
$550,916
561,629
-
6,965,582
6,147,855
6,570,933
7,277,772
$47.84
$60.21
$604.83
$659.11
$439,273,693
$374,621,067
374,316
383,542
-
2,445,167
2,505,165
2,445,167
2,505,165
$179.65
$149.54
$1,173.54
$976.74
$5,036,404,944
$3,905,379,361
2,652,640
2,530,903
-
19,712,087
19,607,419
19,712,087
19,607,419
$255.50
$199.18
$1,898.64
$1,543.08
$512,987,488
$1,545,533,167
951,781
1,097,045
23,277,768
48,494,814
89,936,035
121,314,811
$22.04
$31.87
$363.18
$487.89
$673,652,306
$778,371,311
58,987
112,681
-
3,268,347
3,277,720
15,616,532
15,652,122
$206.11
$237.47
$11,420.35
$6,907.74
$240,646,248
$301,190,494
527,044
581,566
-
4,384,291
4,106,073
26,463,804
33,927,308
$54.89
$73.35
$456.60
$517.90
$10,738,134,207
$11,328,686,907
5,620,456
5,785,063
77,231,192
105,696,833
268,019,704
345,274,728
N/A
N/A
N/A
N/A
460,690
2,070,773
Totals
New York City 2012-13
New York City 2011-12
460,690
2,070,773
Medicaid Category of Service Spending
Service County: North Country
April - December 2012-13
Category of Service
Nursing Homes
April - December 2012-13
April - December 2011-12
Non-Institutional LTC
April - December 2012-13
April - December 2011-12
Inpatient
April - December 2012-13
April - December 2011-12
Clinic
April - December 2012-13
April - December 2011-12
Family Health Plus
April - December 2012-13
April - December 2011-12
Medicaid Managed Care
April - December 2012-13
April - December 2011-12
Non-Institutional
April - December 2012-13
April - December 2011-12
Other State Agency / MD
April - December 2012-13
April - December 2011-12
Outpatient/Emergency Room
April - December 2012-13
April - December 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
$38,974,515
$43,938,914
2,860
2,739
-
115,101
111,363
562,440
554,980
$338.61
$394.56
$13,627.45
$16,041.95
$12,126,935
$11,514,747
2,798
3,068
-
284,653
320,740
1,702,824
1,795,390
$42.60
$35.90
$4,334.14
$3,753.18
$19,726,767
$22,843,668
7,616
8,300
-
17,746
15,551
52,183
58,859
$1,111.62
$1,468.95
$2,590.17
$2,752.25
$5,806,739
$6,770,595
$23,864
24,625
-
119,352
135,750
141,061
144,441
$48.65
$49.88
$243.33
$274.95
$9,099,202
$8,811,189
9,207
9,436
-
56,320
60,028
56,320
60,028
$161.56
$146.78
$988.29
$933.78
$29,117,206
$9,097,538
27,646
11,397
-
173,365
63,214
173,365
63,214
$167.95
$143.92
$1,053.22
$798.24
$32,642,955
$41,904,282
67,692
75,773
44,827
58,699
1,234,097
1,527,020
2,169,700
2,116,740
$26.45
$27.44
$290.11
$311.62
$53,979,028
$55,879,581
6,562
6,641
-
443,030
408,645
1,725,831
1,563,767
$121.84
$136.74
$8,226.00
$8,414.33
$13,597,426
$15,668,652
40,265
42,686
-
174,115
232,636
199,549
280,265
$78.09
$67.35
$337.70
$367.07
$215,070,773
$216,429,166
188,510
184,665
44,827
58,699
2,617,779
2,874,947
6,783,273
6,637,684
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 - December 2012-13
Category of Service
Nursing Homes
April - December 2012-13
April - December 2011-12
Non-Institutional LTC
April - December 2012-13
April - December 2011-12
Inpatient
April - December 2012-13
April - December 2011-12
Clinic
April - December 2012-13
April - December 2011-12
Non-Institutional
April - December 2012-13
April - December 2011-12
Other State Agency / MD
April - December 2012-13
April - December 2011-12
Outpatient/Emergency Room
April - December 2012-13
April - December 2011-12
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
$55,989,923
$59,736,953
1,880
2,072
-
52,991
54,626
-$2,784
-$6,336
42
68
-
98
172
$17,045,219
$18,345,919
3,535
3,781
-
4,188
4,474
$88,496
$144,449
502
573
-
$39,711,327
$60,451,032
160,714
190,013
$145,149
$124,310
153
132
$1,528,742
$2,172,023
$114,506,072
$140,968,350
Medicaid Units Of
Service
$1,056.59
$1,093.56
$29,781.87
$28,830.58
-$28.41
-$36.84
-$66.29
-$93.18
18,900
21,236
$4,070.01
$4,100.56
$4,821.84
$4,852.13
918
2,329
1,834
13,356
$96.40
$62.02
$176.29
$252.09
1,126,511
1,232,253
7,761,986
11,308,649
$35.25
$49.06
$231.29
$296.87
-
1,124
985
1,124
985
$129.14
$126.20
$948.69
$941.74
7,678
11,537
-
15,359
28,523
20,658
38,660
$99.53
$76.15
$199.11
$188.27
174,504
208,176
10,984
13,613
1,201,189
1,323,362
8,231,909
11,852,340
N/A
N/A
N/A
N/A
10,984
13,613
427,533
469,316
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
(126)
137
Totals
Out of State 2012-13
Out of State 2011-12
Medicaid Category of Service Spending
Service County: Southern Tier
April - December 2012-13
Category of Service
Nursing Homes
April - December 2012-13
April - December 2011-12
Non-Institutional LTC
April - December 2012-13
April - December 2011-12
Inpatient
April - December 2012-13
April - December 2011-12
Clinic
April - December 2012-13
April - December 2011-12
Family Health Plus
April - December 2012-13
April - December 2011-12
Medicaid Managed Care
April - December 2012-13
April - December 2011-12
Non-Institutional
April - December 2012-13
April - December 2011-12
Other State Agency / MD
April - December 2012-13
April - December 2011-12
Outpatient/Emergency Room
April - December 2012-13
April - December 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
$65,297,152
$77,706,558
4,610
4,642
-
107,507
110,097
908,145
929,534
$607.38
$705.80
$14,164.24
$16,739.89
$13,655,939
$12,999,476
3,463
3,957
-
282,093
287,857
2,167,808
2,117,039
$48.41
$45.16
$3,943.38
$3,285.18
$19,927,703
$25,079,465
10,467
10,933
-
11,654
13,363
42,529
49,038
$1,709.95
$1,876.78
$1,903.86
$2,293.92
$9,688,066
$9,087,229
$21,095
21,311
-
183,813
178,558
211,651
228,390
$52.71
$50.89
$459.26
$426.41
$14,535,098
$12,767,692
13,665
13,516
-
83,177
84,408
83,177
84,408
$174.75
$151.26
$1,063.67
$944.64
$82,661,110
$42,767,718
78,468
55,615
-
509,378
373,807
509,378
373,807
$162.28
$114.41
$1,053.44
$769.00
$34,769,230
$56,942,003
95,338
108,983
51,391
85,938
1,361,280
1,985,978
2,901,086
2,894,936
$25.54
$28.67
$236.96
$292.13
$55,646,473
$59,162,172
9,244
9,915
-
439,958
365,059
1,312,404
1,142,953
$126.48
$162.06
$6,019.74
$5,966.94
$12,670,808
$15,835,441
47,698
52,416
-
210,285
251,791
233,604
332,540
$60.26
$62.89
$265.65
$302.11
$308,851,579
$312,347,754
284,048
281,288
51,391
85,938
3,189,145
3,650,918
8,369,782
8,152,645
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 - December 2012-13
Category of Service
Nursing Homes
April - December 2012-13
April - December 2011-12
Non-Institutional LTC
April - December 2012-13
April - December 2011-12
Inpatient
April - December 2012-13
April - December 2011-12
Clinic
April - December 2012-13
April - December 2011-12
Family Health Plus
April - December 2012-13
April - December 2011-12
Medicaid Managed Care
April - December 2012-13
April - December 2011-12
Non-Institutional
April - December 2012-13
April - December 2011-12
Other State Agency / MD
April - December 2012-13
April - December 2011-12
Outpatient/Emergency Room
April - December 2012-13
April - December 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
$128,219,612
$143,172,317
9,137
9,245
-
302,338
313,290
1,732,265
1,763,786
$424.09
$457.00
$14,033.01
$15,486.46
$32,637,780
$27,810,706
6,198
6,502
-
534,052
567,590
3,277,969
3,085,674
$61.11
$49.00
$5,265.86
$4,277.25
$54,975,745
$63,721,603
27,169
26,097
-
31,783
32,673
134,463
149,942
$1,729.72
$1,950.28
$2,023.47
$2,441.72
$27,176,074
$29,687,873
$66,241
64,901
-
637,646
607,019
2,025,924
5,922,254
$42.62
$48.91
$410.26
$457.43
$31,182,829
$26,720,010
30,474
29,332
-
184,554
184,008
184,554
184,008
$168.96
$145.21
$1,023.26
$910.95
$299,728,233
$222,959,800
214,797
200,148
-
1,575,591
1,513,656
1,575,591
1,513,656
$190.23
$147.30
$1,395.40
$1,113.97
$54,719,428
$123,514,523
147,186
167,367
2,305,820
4,209,715
6,814,044
7,621,113
$23.73
$29.34
$266.09
$356.16
$157,351,981
$163,884,751
19,627
20,965
-
1,205,388
1,107,952
3,343,135
3,119,579
$130.54
$147.92
$8,017.12
$7,817.06
$16,535,928
$21,380,268
58,383
73,159
-
350,440
441,097
316,348
478,155
$47.19
$48.47
$283.23
$292.24
$802,527,610
$822,851,851
579,212
597,716
7,127,612
8,977,000
19,404,293
23,838,167
N/A
N/A
N/A
N/A
58,457
179,424
Totals
Western 2012-13
Western 2011-12
58,457
179,424