March 2013 Regional Global Cap Reports

Medicaid Category of Service Spending
Service County: Capital District
April - March 2012-13
Category of Service
Nursing Homes
April - March 2012-13
April - March 2011-12
Non-Institutional LTC
April - March 2012-13
April - March 2011-12
Inpatient
April - March 2012-13
April - March 2011-12
Clinic
April - March 2012-13
April - March 2011-12
Family Health Plus
April - March 2012-13
April - March 2011-12
Medicaid Managed Care
April - March 2012-13
April - March 2011-12
Non-Institutional
April - March 2012-13
April - March 2011-12
Other State Agency / MD
April - March 2012-13
April - March 2011-12
Outpatient/Emergency Room
April - March 2012-13
April - March 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
$140,177,479
$151,703,890
7,256
7,090
-
535,196
531,569
1,694,901
1,689,423
$261.92
$285.39
$19,318.84
$21,396.88
$47,528,402
$41,439,177
5,297
5,845
-
762,386
776,030
7,007,728
6,477,585
$62.34
$53.40
$8,972.70
$7,089.68
$62,589,654
$75,139,573
26,254
25,726
-
37,467
43,740
163,666
182,198
$1,670.53
$1,717.87
$2,384.00
$2,920.76
$25,559,751
$26,596,921
$64,055
58,578
-
464,685
501,726
545,908
579,305
$55.00
$53.01
$399.03
$454.04
$26,380,767
$22,505,797
20,828
19,094
-
152,720
149,408
152,720
149,408
$172.74
$150.63
$1,266.60
$1,178.68
$235,612,577
$169,338,919
139,853
122,111
-
1,238,137
1,072,107
1,238,137
1,072,107
$190.30
$157.95
$1,684.72
$1,386.76
$60,082,999
$103,174,443
135,380
148,159
2,570,362
3,580,619
17,308,428
14,785,866
$23.38
$28.81
$311.79
$374.16
$180,399,007
$179,042,075
17,927
17,756
-
1,300,933
1,057,773
3,926,638
3,504,541
$138.67
$169.26
$10,062.98
$10,083.47
$18,906,926
$21,764,132
52,052
53,735
-
363,735
436,569
501,645
574,797
$51.98
$49.85
$363.23
$405.03
$797,237,562
$790,704,927
468,902
458,094
7,425,621
8,149,541
32,539,770
29,015,229
N/A
N/A
N/A
N/A
57,326
127,593
Totals
Capital District 2012-13
Capital District 2011-12
57,326
127,593
Medicaid Category of Service Spending
Service County: Central
April - March 2012-13
Category of Service
Nursing Homes
April - March 2012-13
April - March 2011-12
Non-Institutional LTC
April - March 2012-13
April - March 2011-12
Inpatient
April - March 2012-13
April - March 2011-12
Clinic
April - March 2012-13
April - March 2011-12
Family Health Plus
April - March 2012-13
April - March 2011-12
Medicaid Managed Care
April - March 2012-13
April - March 2011-12
Non-Institutional
April - March 2012-13
April - March 2011-12
Other State Agency / MD
April - March 2012-13
April - March 2011-12
Outpatient/Emergency Room
April - March 2012-13
April - March 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
$97,889,682
$103,398,571
5,246
5,248
-
530,169
492,427
1,295,382
1,305,320
$184.64
$209.98
$18,659.87
$19,702.47
$29,218,039
$24,188,613
3,734
4,174
-
463,435
446,769
3,980,510
3,708,822
$63.05
$54.14
$7,824.86
$5,795.07
$55,153,494
$57,966,735
21,141
20,902
-
28,089
28,592
115,654
136,771
$1,963.53
$2,027.38
$2,608.84
$2,773.26
$20,316,211
$21,784,631
$49,035
50,739
-
425,503
469,231
530,575
551,840
$47.75
$46.43
$414.32
$429.35
$22,402,854
$20,720,232
18,389
18,193
-
134,447
138,876
134,447
138,876
$166.63
$149.20
$1,218.27
$1,138.91
$210,017,009
$160,900,689
124,985
114,740
-
1,157,288
1,062,778
1,157,288
1,062,778
$181.47
$151.40
$1,680.34
$1,402.31
$42,892,977
$76,003,461
111,356
129,034
2,042,685
2,862,529
7,088,799
5,874,210
$21.00
$26.55
$281.23
$319.78
$75,392,428
$74,233,034
10,243
9,829
-
746,014
652,195
2,819,935
2,676,236
$101.06
$113.82
$7,360.39
$7,552.45
$16,499,828
$18,941,482
40,209
44,337
-
272,085
338,568
93,580
380,407
$60.64
$55.95
$410.35
$427.22
$569,782,522
$558,137,448
384,338
397,196
5,799,715
6,491,965
17,216,169
15,835,260
N/A
N/A
N/A
N/A
41,165
108,638
Totals
Central 2012-13
Central 2011-12
41,165
108,638
Medicaid Category of Service Spending
Service County: Finger Lakes
April - March 2012-13
Category of Service
Nursing Homes
April - March 2012-13
April - March 2011-12
Non-Institutional LTC
April - March 2012-13
April - March 2011-12
Inpatient
April - March 2012-13
April - March 2011-12
Clinic
April - March 2012-13
April - March 2011-12
Family Health Plus
April - March 2012-13
April - March 2011-12
Medicaid Managed Care
April - March 2012-13
April - March 2011-12
Non-Institutional
April - March 2012-13
April - March 2011-12
Other State Agency / MD
April - March 2012-13
April - March 2011-12
Outpatient/Emergency Room
April - March 2012-13
April - March 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
$171,920,656
$189,330,030
8,509
8,587
-
382,527
402,758
2,045,864
2,060,756
$449.43
$470.08
$20,204.57
$22,048.45
$57,090,654
$52,917,690
7,072
7,821
-
820,141
961,478
5,022,685
5,386,794
$69.61
$55.04
$8,072.77
$6,766.10
$67,118,920
$81,371,531
28,688
28,056
-
36,051
37,064
154,820
157,090
$1,861.78
$2,195.43
$2,339.62
$2,900.33
$27,371,136
$27,952,278
$86,034
90,307
-
589,924
650,209
1,034,134
1,560,815
$46.40
$42.99
$318.14
$309.53
$31,464,833
$27,195,234
25,406
23,119
-
183,268
179,079
183,268
179,079
$171.69
$151.86
$1,238.48
$1,176.32
$306,469,474
$235,802,152
178,857
159,433
-
1,632,269
1,476,610
1,632,269
1,476,610
$187.76
$159.69
$1,713.49
$1,479.00
$62,369,879
$110,070,983
130,811
153,978
2,498,552
3,859,520
8,389,617
8,447,459
$24.96
$28.52
$345.26
$368.23
$170,198,346
$164,171,246
20,962
21,949
-
1,462,762
1,229,698
4,138,202
3,879,244
$116.35
$133.51
$8,119.38
$7,479.67
$34,278,294
$39,044,999
92,893
97,770
-
648,345
793,811
716,793
881,026
$52.87
$49.19
$369.01
$399.36
$928,282,192
$927,856,143
579,232
591,020
8,253,839
9,590,227
23,317,653
24,028,873
N/A
N/A
N/A
N/A
49,835
144,938
Totals
Finger Lakes 2012-13
Finger Lakes 2011-12
49,835
144,938
Medicaid Category of Service Spending
Service County: Long Island
April - March 2012-13
Category of Service
Nursing Homes
April - March 2012-13
April - March 2011-12
Non-Institutional LTC
April - March 2012-13
April - March 2011-12
Inpatient
April - March 2012-13
April - March 2011-12
Clinic
April - March 2012-13
April - March 2011-12
Family Health Plus
April - March 2012-13
April - March 2011-12
Medicaid Managed Care
April - March 2012-13
April - March 2011-12
Non-Institutional
April - March 2012-13
April - March 2011-12
Other State Agency / MD
April - March 2012-13
April - March 2011-12
Outpatient/Emergency Room
April - March 2012-13
April - March 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
$496,264,323
$503,881,524
18,671
18,533
-
1,239,761
1,302,386
4,539,765
4,623,401
$400.29
$386.89
$26,579.42
$27,188.34
$201,228,137
$181,156,869
15,406
16,136
-
2,793,337
2,832,779
32,867,627
33,761,427
$72.04
$63.95
$13,061.67
$11,226.88
$189,862,815
$209,349,312
65,541
62,388
-
83,788
85,781
371,647
384,380
$2,265.99
$2,440.51
$2,896.86
$3,355.60
$41,271,081
$47,623,778
$61,884
50,992
-
772,384
785,026
905,524
1,126,788
$53.43
$60.67
$666.91
$933.95
$107,269,408
$95,254,045
59,905
55,471
-
499,803
475,306
499,803
475,306
$214.62
$200.41
$1,790.66
$1,717.19
$628,161,378
$496,303,417
288,992
256,856
-
2,653,859
2,386,306
2,653,859
2,386,306
$236.70
$207.98
$2,173.63
$1,932.22
$165,062,778
$294,384,457
272,121
290,181
5,778,825
7,737,775
29,919,749
34,401,177
$28.56
$38.05
$448.94
$519.38
$386,614,612
$420,335,922
27,130
27,754
-
1,897,427
1,755,439
6,931,267
6,354,600
$203.76
$239.45
$14,250.45
$15,145.06
$27,448,895
$30,830,026
57,821
65,335
-
292,574
371,136
277,076
510,543
$93.82
$83.07
$474.72
$471.88
$2,243,183,427
$2,279,119,350
867,471
843,646
16,011,758
17,731,934
78,966,317
84,023,929
N/A
N/A
N/A
N/A
95,548
276,616
Totals
Long Island 2012-13
Long Island 2011-12
95,548
276,616
Medicaid Category of Service Spending
Service County: Mid-Hudson
April - March 2012-13
Category of Service
Nursing Homes
April - March 2012-13
April - March 2011-12
Non-Institutional LTC
April - March 2012-13
April - March 2011-12
Inpatient
April - March 2012-13
April - March 2011-12
Clinic
April - March 2012-13
April - March 2011-12
Family Health Plus
April - March 2012-13
April - March 2011-12
Medicaid Managed Care
April - March 2012-13
April - March 2011-12
Non-Institutional
April - March 2012-13
April - March 2011-12
Other State Agency / MD
April - March 2012-13
April - March 2011-12
Outpatient/Emergency Room
April - March 2012-13
April - March 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
$390,301,039
$414,141,000
15,538
15,162
-
790,207
817,963
3,581,532
3,633,567
$493.92
$506.31
$25,119.13
$27,314.40
$148,011,224
$126,606,468
12,494
12,656
-
2,143,868
2,123,629
11,423,599
11,115,399
$69.04
$59.62
$11,846.58
$10,003.67
$186,700,170
$232,725,679
43,791
42,279
-
61,577
71,061
402,576
464,826
$3,031.98
$3,275.01
$4,263.44
$5,504.52
$84,329,431
$94,663,851
$169,355
174,795
-
1,491,292
1,585,930
1,519,808
1,802,952
$56.55
$59.69
$497.94
$541.57
$73,888,336
$67,410,248
47,334
43,600
-
363,066
360,575
363,066
360,575
$203.51
$186.95
$1,561.00
$1,546.11
$604,135,428
$471,546,151
309,703
276,949
-
2,891,250
2,603,122
2,891,250
2,603,122
$208.95
$181.15
$1,950.69
$1,702.65
$142,635,039
$231,782,077
323,521
347,470
6,034,015
7,807,254
38,883,631
40,077,987
$23.64
$29.69
$354.33
$379.04
$418,879,628
$436,573,238
28,554
27,418
-
2,078,154
1,861,267
8,364,094
7,887,058
$201.56
$234.56
$14,669.74
$15,922.87
$42,786,811
$45,036,220
63,936
68,676
-
761,844
683,052
855,083
880,241
$56.16
$65.93
$669.21
$655.78
$2,091,667,106
$2,120,484,932
1,014,226
1,009,005
16,615,273
17,913,853
68,284,639
68,825,727
N/A
N/A
N/A
N/A
79,028
264,023
Totals
Mid-Hudson 2012-13
Mid-Hudson 2011-12
79,028
264,023
Medicaid Category of Service Spending
Service County: Mohawk Valley
April - March 2012-13
Category of Service
Nursing Homes
April - March 2012-13
April - March 2011-12
Non-Institutional LTC
April - March 2012-13
April - March 2011-12
Inpatient
April - March 2012-13
April - March 2011-12
Clinic
April - March 2012-13
April - March 2011-12
Family Health Plus
April - March 2012-13
April - March 2011-12
Medicaid Managed Care
April - March 2012-13
April - March 2011-12
Non-Institutional
April - March 2012-13
April - March 2011-12
Other State Agency / MD
April - March 2012-13
April - March 2011-12
Outpatient/Emergency Room
April - March 2012-13
April - March 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
$81,896,209
$93,807,624
4,906
4,816
-
301,390
307,042
1,137,394
1,161,998
$271.73
$305.52
$16,693.07
$19,478.33
$16,894,837
$15,159,258
3,036
3,386
-
395,712
400,846
1,621,787
1,633,402
$42.69
$37.82
$5,564.83
$4,477.04
$16,226,820
$19,977,375
12,026
12,244
-
13,772
14,991
37,370
38,900
$1,178.25
$1,332.62
$1,349.31
$1,631.61
$6,670,080
$11,601,391
$23,280
28,133
-
163,247
202,648
189,909
258,935
$40.86
$57.25
$286.52
$412.38
$18,971,044
$16,968,509
14,903
14,281
-
112,203
114,327
112,203
114,327
$169.08
$148.42
$1,272.97
$1,188.19
$147,956,880
$113,322,348
89,181
81,091
-
810,197
747,013
810,197
747,013
$182.62
$151.70
$1,659.06
$1,397.47
$24,574,230
$48,802,128
88,539
105,485
30,692
80,138
1,138,136
1,859,915
4,797,202
4,821,897
$21.59
$26.24
$206.11
$262.91
$132,307,208
$132,955,432
10,183
11,335
-
860,482
828,763
2,987,214
2,909,958
$153.76
$160.43
$12,992.95
$11,729.64
$12,959,641
$15,328,480
39,567
44,803
-
208,867
264,363
210,229
319,498
$62.05
$57.98
$327.54
$342.13
$458,456,949
$467,922,545
285,621
305,574
30,692
80,138
4,004,006
4,739,908
11,903,505
12,005,927
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 - March 2012-13
Category of Service
Nursing Homes
April - March 2012-13
April - March 2011-12
Non-Institutional LTC
April - March 2012-13
April - March 2011-12
Inpatient
April - March 2012-13
April - March 2011-12
Clinic
April - March 2012-13
April - March 2011-12
Family Health Plus
April - March 2012-13
April - March 2011-12
Medicaid Managed Care
April - March 2012-13
April - March 2011-12
Non-Institutional
April - March 2012-13
April - March 2011-12
Other State Agency / MD
April - March 2012-13
April - March 2011-12
Outpatient/Emergency Room
April - March 2012-13
April - March 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
$1,650,370,703
$1,671,112,167
60,692
61,633
-
3,901,551
4,256,895
13,474,985
14,054,065
$423.00
$392.57
$27,192.56
$27,113.92
$1,204,578,085
$1,512,046,415
94,647
112,660
-
17,250,278
23,128,139
118,237,155
169,581,014
$69.83
$65.38
$12,727.06
$13,421.32
$1,770,757,760
$2,110,939,889
454,765
449,261
-
604,243
650,877
2,649,781
2,868,720
$2,930.54
$3,243.22
$3,893.79
$4,698.69
$433,782,545
$487,274,225
$627,309
636,599
-
9,230,506
8,387,217
8,900,861
9,270,117
$46.99
$58.10
$691.50
$765.43
$604,139,523
$515,194,803
407,119
420,548
-
3,304,171
3,295,745
3,304,171
3,295,745
$182.84
$156.32
$1,483.94
$1,225.06
$7,128,717,480
$5,409,932,188
2,828,651
2,692,012
-
26,896,340
25,852,163
26,896,340
25,852,163
$265.04
$209.26
$2,520.18
$2,009.62
$656,166,876
$1,741,910,939
1,077,596
1,237,727
29,944,374
56,801,745
115,598,024
154,919,691
$21.91
$30.67
$409.89
$520.07
$912,068,749
$1,030,127,837
61,657
144,406
-
4,387,560
4,449,809
20,978,735
21,078,986
$207.88
$231.50
$14,792.62
$7,133.55
$344,913,707
$388,014,023
624,569
670,019
-
5,494,628
5,349,964
35,642,847
43,571,064
$62.77
$72.53
$552.24
$579.11
$14,705,495,428
$14,866,552,486
6,237,005
6,424,865
101,013,651
132,172,554
345,682,899
444,491,565
N/A
N/A
N/A
N/A
523,227
2,111,629
Totals
New York City 2012-13
New York City 2011-12
523,227
2,111,629
Medicaid Category of Service Spending
Service County: North Country
April - March 2012-13
Category of Service
Nursing Homes
April - March 2012-13
April - March 2011-12
Non-Institutional LTC
April - March 2012-13
April - March 2011-12
Inpatient
April - March 2012-13
April - March 2011-12
Clinic
April - March 2012-13
April - March 2011-12
Family Health Plus
April - March 2012-13
April - March 2011-12
Medicaid Managed Care
April - March 2012-13
April - March 2011-12
Non-Institutional
April - March 2012-13
April - March 2011-12
Other State Agency / MD
April - March 2012-13
April - March 2011-12
Outpatient/Emergency Room
April - March 2012-13
April - March 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
$53,365,775
$56,102,617
3,044
2,960
-
150,464
145,349
741,539
732,946
$354.67
$385.99
$17,531.46
$18,953.59
$15,905,602
$14,328,479
3,024
3,365
-
373,285
422,442
2,286,753
2,379,549
$42.61
$33.92
$5,259.79
$4,258.09
$25,971,085
$30,178,533
9,644
10,374
-
23,040
19,780
66,805
77,476
$1,127.22
$1,525.71
$2,692.98
$2,909.05
$7,447,972
$8,405,623
$26,868
27,451
-
148,785
167,597
177,374
183,506
$50.06
$50.15
$277.21
$306.20
$11,830,102
$11,852,677
10,185
10,297
-
71,214
77,959
71,214
77,959
$166.12
$152.04
$1,161.52
$1,151.08
$45,833,925
$14,568,545
41,945
14,758
-
263,288
97,057
263,288
97,057
$174.08
$150.10
$1,092.71
$987.16
$41,501,253
$54,189,085
74,707
83,573
48,342
63,139
1,573,361
1,964,680
2,846,419
2,849,138
$26.38
$27.58
$337.27
$369.36
$74,698,047
$74,248,433
7,060
7,100
-
608,647
558,329
2,297,122
2,104,846
$122.73
$132.98
$10,580.46
$10,457.53
$19,625,378
$20,471,541
44,779
47,619
-
221,635
294,575
254,470
358,602
$88.55
$69.50
$438.27
$429.90
$296,179,139
$284,345,533
221,256
207,497
48,342
63,139
3,433,719
3,747,768
9,004,985
8,861,079
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 - March 2012-13
Category of Service
Nursing Homes
April - March 2012-13
April - March 2011-12
Non-Institutional LTC
April - March 2012-13
April - March 2011-12
Inpatient
April - March 2012-13
April - March 2011-12
Clinic
April - March 2012-13
April - March 2011-12
Non-Institutional
April - March 2012-13
April - March 2011-12
Other State Agency / MD
April - March 2012-13
April - March 2011-12
Outpatient/Emergency Room
April - March 2012-13
April - March 2011-12
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
$71,306,620
$78,801,788
1,937
2,147
-
68,602
71,664
-$551
-$16,057
43
91
-
194
116
$22,162,885
$22,630,039
4,559
4,848
-
5,552
5,931
$104,580
$165,176
559
622
-
$51,950,731
$75,291,543
192,264
226,120
$188,535
$175,192
159
138
$1,910,304
$2,745,102
$147,623,104
$179,792,783
Medicaid Units Of
Service
$1,039.42
$1,099.60
$36,812.92
$36,703.21
-$2.84
-$138.42
-$12.81
-$176.45
24,474
27,431
$3,991.87
$3,815.55
$4,861.35
$4,667.91
1,142
2,807
2,639
14,162
$91.58
$58.84
$187.08
$265.56
1,429,286
1,587,086
9,722,027
13,896,202
$36.35
$47.44
$253.82
$312.15
-
1,467
1,384
1,467
1,384
$128.52
$126.58
$1,185.75
$1,269.51
9,506
13,680
-
19,758
34,959
25,266
46,550
$96.69
$78.52
$200.96
$200.67
209,027
247,646
12,410
15,086
1,526,001
1,703,947
10,327,360
14,600,145
N/A
N/A
N/A
N/A
12,410
15,086
551,391
614,905
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Total Claim
Recipient
96
(490)
Totals
Out of State 2012-13
Out of State 2011-12
Medicaid Category of Service Spending
Service County: Southern Tier
April - March 2012-13
Category of Service
Nursing Homes
April - March 2012-13
April - March 2011-12
Non-Institutional LTC
April - March 2012-13
April - March 2011-12
Inpatient
April - March 2012-13
April - March 2011-12
Clinic
April - March 2012-13
April - March 2011-12
Family Health Plus
April - March 2012-13
April - March 2011-12
Medicaid Managed Care
April - March 2012-13
April - March 2011-12
Non-Institutional
April - March 2012-13
April - March 2011-12
Other State Agency / MD
April - March 2012-13
April - March 2011-12
Outpatient/Emergency Room
April - March 2012-13
April - March 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
$87,668,442
$98,785,049
5,012
5,017
-
142,289
145,698
1,200,466
1,228,674
$616.13
$678.01
$17,491.71
$19,690.06
$17,991,204
$16,782,927
3,746
4,325
-
363,651
379,052
2,823,946
2,810,936
$49.47
$44.28
$4,802.78
$3,880.45
$24,437,078
$32,310,383
13,494
14,261
-
14,927
18,296
54,681
64,907
$1,637.11
$1,765.98
$1,810.96
$2,265.65
$11,933,137
$11,938,213
$24,212
23,922
-
229,017
235,519
284,401
303,145
$52.11
$50.69
$492.86
$499.05
$19,017,938
$17,373,024
15,117
14,866
-
106,734
110,738
106,734
110,738
$178.18
$156.88
$1,258.05
$1,168.64
$117,425,516
$61,631,105
88,914
61,424
-
697,725
501,133
697,725
501,133
$168.30
$122.98
$1,320.66
$1,003.37
$43,509,862
$71,720,633
106,151
123,168
56,070
91,976
1,706,800
2,504,520
4,036,896
3,761,921
$25.49
$28.64
$268.21
$333.36
$75,681,571
$77,485,505
10,057
10,567
-
612,554
493,551
1,766,921
1,536,321
$123.55
$157.00
$7,525.26
$7,332.78
$17,919,451
$21,429,140
54,631
60,602
-
260,736
334,526
295,660
460,807
$68.73
$64.06
$328.01
$353.60
$415,584,199
$409,455,979
321,334
318,152
56,070
91,976
4,134,433
4,723,033
11,267,430
10,778,581
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 - March 2012-13
Category of Service
Nursing Homes
April - March 2012-13
April - March 2011-12
Non-Institutional LTC
April - March 2012-13
April - March 2011-12
Inpatient
April - March 2012-13
April - March 2011-12
Clinic
April - March 2012-13
April - March 2011-12
Family Health Plus
April - March 2012-13
April - March 2011-12
Medicaid Managed Care
April - March 2012-13
April - March 2011-12
Non-Institutional
April - March 2012-13
April - March 2011-12
Other State Agency / MD
April - March 2012-13
April - March 2011-12
Outpatient/Emergency Room
April - March 2012-13
April - March 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
$176,252,941
$183,994,842
9,895
9,985
-
400,578
413,304
2,289,425
2,351,582
$440.00
$445.18
$17,812.32
$18,427.12
$43,982,996
$36,582,120
6,785
7,142
-
706,905
747,301
4,381,433
4,126,580
$62.22
$48.95
$6,482.39
$5,122.11
$73,780,678
$86,242,506
35,029
33,677
-
41,776
43,942
177,979
203,023
$1,766.10
$1,962.64
$2,106.27
$2,560.87
$35,627,280
$38,128,678
$75,041
73,154
-
817,210
803,532
2,782,120
6,596,127
$43.60
$47.45
$474.77
$521.21
$41,833,335
$36,892,581
33,395
32,455
-
247,053
243,892
247,053
243,892
$169.33
$151.27
$1,252.68
$1,136.73
$409,413,384
$312,918,579
227,966
213,596
-
2,122,936
2,013,572
2,122,936
2,013,572
$192.85
$155.40
$1,795.94
$1,465.00
$71,942,725
$146,792,572
165,304
191,101
2,984,543
5,076,724
9,001,401
9,886,238
$24.11
$28.91
$310.60
$389.69
$212,577,382
$215,567,571
21,581
22,095
-
1,681,887
1,481,930
4,508,259
4,190,437
$126.39
$145.46
$9,850.21
$9,756.40
$23,371,490
$28,207,030
69,855
84,261
-
427,507
588,819
399,723
681,208
$54.67
$47.90
$334.57
$334.76
$1,088,782,211
$1,085,326,479
644,851
667,466
9,430,395
11,413,016
25,910,329
30,292,658
N/A
N/A
N/A
N/A
66,321
185,587
Totals
Western 2012-13
Western 2011-12
66,321
185,587