January 1, 2000 - September 31, 2011
Service County - Western
Medicaid State
Total Paid
Unique Recipients
with Medicaid Service Claims
Medicaid Average State
Total Paid / Total Claim
Medicaid Average State
Service Dollars / Recipient
Medicaid Average State
Drug Dollars / Recipient
Nursing Homes
April - September 2011
April - September 2010
$85,460,084
$84,445,687
8,527
9,000
0
0
226,722
225,962
1,348,298
1,353,052
$377
$374
$10,022
$9,383
$0
$0
Other State Agency / MD
April - September 2010
April - September 2011
$67,566,313
$69,535,816
13,817
19,316
0
0
598,795
664,553
1,856,907
2,021,309
$113
$105
$4,890
$3,600
$0
$0
Medicaid Managed Care
April - September 2010
April - September 2011
$60,870,880
$68,185,962
175,380
185,961
0
0
936,407
1,019,417
936,407
1,019,417
$65
$67
$347
$367
$0
$0
Non-Institutional
April - September 2010
April - September 2011
$49,800,671
$50,904,826
139,472
138,428
157,945
167,152
3,145,931
3,140,776
5,565,716
5,355,389
$16
$16
$130
$117
$205
$212
Inpatient
April - September 2010
April - September 2011
$20,183,574
$22,352,560
20,955
18,764
0
0
25,417
22,304
115,699
101,599
$753
$947
$913
$1,125
$0
$0
Family Health Plus
April - September 2010
April - September 2011
$14,696,708
$16,714,381
23,684
25,945
0
0
109,653
124,514
109,653
124,514
$134
$134
$621
$644
$0
$0
Non-Institutional LTC
April - September 2010
April - September 2011
$13,933,458
$13,291,923
6,099
5,523
0
0
402,749
375,090
2,129,958
1,938,335
$35
$35
$2,285
$2,407
$0
$0
Clinic
April - September 2010
April - September 2011
$10,681,616
$11,469,265
49,566
55,485
0
0
422,928
418,582
657,646
5,192,412
$25
$27
$214
$205
$0
$0
$8,678,361
$7,652,541
64,265
59,638
0
0
300,747
310,686
337,132
332,214
$28
$23
$129
$122
$0
$0
6,169,349
6,301,884
13,057,416
17,438,241
$54
$55
Outpatient/Emergency Room
April - September 2010
April - September 2011
Totals
Total - Western 2010
Total - Western 2011
$331,871,665
$344,552,961
N/A
N/A
Unique Recipients
Medicaid
Medicaid
with Medicaid Drug Claims * Total Claims Units of Service
N/A
N/A
N/A
N/A
NOTE: Medicaid State Total Paid reflects spending that is paid through the eMedNY system (also referred to as "online" spending) and does not include any "offline" spending that may increase or decrease overall category of service
p
g
spending.
* Reflects unique claim counts for pharmacy.
N/A
N/A
January 1, 2000 - September 31, 2011
Service County - Southern Tier
Medicaid State
Total Paid
Unique Recipients
with Medicaid Service Claims
Medicaid Average State
Total Paid / Total Claim
Medicaid Average State
Service Dollars / Recipient
Medicaid Average State
Drug Dollars / Recipient
Nursing Homes
April - September 2010
April - September 2011
$40,220,523
$47,624,025
4,454
4,319
0
0
83,028
81,633
689,911
696,396
$484
$583
$9,030
$11,027
$0
$0
Other State Agency / MD
April - September 2010
April - September 2011
$28,179,610
$27,561,522
7,695
9,645
0
0
196,211
241,560
738,769
761,139
$144
$114
$3,662
$2,858
$0
$0
Non-Institutional
April - September 2010
April - September 2011
$21,970,024
$22,260,034
86,375
91,135
74,928
77,702
1,421,245
1,418,941
2,005,186
2,017,448
$15
$16
$98
$89
$184
$186
Medicaid Managed Care
April - September 2010
April - September 2011
$11,406,599
$13,231,699
46,485
49,764
0
0
228,798
243,052
228,798
243,052
$50
$54
$245
$266
$0
$0
Family Health Plus
April - September 2010
April - September 2011
$7,941,424
$8,340,744
12,870
12,023
0
0
52 412
52,412
58,031
52,412
58,031
$152
$144
$617
$694
$0
$0
Inpatient
April - September 2010
April - September 2011
$8,044,045
$8,896,033
8,756
7,843
0
0
9,913
8,644
37,592
33,963
$767
$969
$868
$1,067
$0
$0
Non-Institutional LTC
April - September 2010
April - September 2011
$6,640,117
$6,714,449
5,516
3,460
0
0
210,308
193,951
1,212,586
1,380,732
$32
$35
$1,204
$1,941
$0
$0
Outpatient/Emergency Room
April - September 2010
April - September 2011
$6,143,430
$5,511,374
45,776
42,882
0
0
194,424
171,988
254,287
220,976
$30
$30
$129
$122
$0
$0
Clinic
April - September 2010
April - September 2011
$3,664,222
$3,117,509
16,556
17,930
0
0
132,838
119,018
175,165
149,186
$28
$26
$221
$174
$0
$0
2,529,177
2,536,818
5,394,705
5,560,922
$53
$56
Totals
Total - Southern Tier 2010
Total - Southern Tier 2011
$134,209,994
$143,257,389
N/A
N/A
Unique Recipients
Medicaid
Medicaid
with Medicaid Drug Claims* Total Claims Units of Service
N/A
N/A
N/A
N/A
NOTE: Medicaid State Total Paid reflects spending that is paid through the eMedNY system (also referred to as "online" spending) and does not include any "offline" spending that may increase or decrease overall category of service
p
g
spending.
* Reflects unique claim counts for pharmacy.
N/A
N/A
January 1, 2000 - September 31, 2011
Service County - Finger Lakes
Medicaid State
Total Paid
Unique Recipients
with Medicaid Service Claims
Medicaid Average State
Total Paid / Total Claim
Medicaid Average State
Service Dollars / Recipient
Medicaid Average State
Drug Dollars / Recipient
Nursing Homes
April - September 2010
April - September 2011
$71,182,689
$92,164,822
7,507
7,299
0
0
216,165
231,830
1,154,134
1,164,503
$329
$398
$9,482
$12,627
$0
$0
Other State Agency / MD
April - September 2010
April - September 2011
$53,257,464
$51,015,331
14,586
15,437
0
0
501,128
545,510
1,780,013
1,883,355
$106
$94
$3,651
$3,305
$0
$0
Medicaid Managed Care
April - September 2010
April - September 2011
$47,499,904
$52,034,279
138,774
137,519
0
0
661,650
723,382
661,650
723,382
$72
$72
$342
$378
$0
$0
Non-Institutional
April - September 2010
April - September 2011
$36,265,844
$38,011,254
105,085
110,839
123,969
129,390
2,330,774
2,401,101
4,252,961
4,268,784
$16
$16
$137
$134
$180
$182
Non-Institutional LTC
April - September 2010
April - September 2011
$25,326,264
$23,332,657
6,148
6,270
0
0
505 737
505,737
481,303
2,792,731
2,622,490
$50
$48
$4,119
$3,721
$0
$0
Inpatient
April - September 2010
April - September 2011
$21,600,576
$23,031,836
15,874
16,096
0
0
18,604
19,270
76,589
80,351
$1,096
$1,125
$1,285
$1,347
$0
$0
Family Health Plus
April - September 2010
April - September 2011
$10,577,207
$11,955,695
22,667
19,158
0
0
81,369
89,191
81,369
89,191
$130
$134
$467
$624
$0
$0
Outpatient/Emergency Room
April - September 2010
April - September 2011
$12,064,943
$11,096,423
72,800
74,878
0
0
433,562
435,601
482,537
468,501
$26
$24
$158
$141
$0
$0
$8,768,773
$6,754,773
57,011
60,787
0
0
359,690
328,465
406,541
869,445
$24
$21
$153
$111
$0
$0
5,108,679
5,255,653
11,688,524
12,170,002
$56
$59
Clinic
April - September 2010
April - September 2011
Totals
Total - Finger Lakes 2010
Total - Finger Lakes 2011
$286,543,664
$309,397,070
N/A
N/A
Unique Recipients
Medicaid
Medicaid
with Medicaid Drug Claims* Total Claims Units of Service
N/A
N/A
N/A
N/A
NOTE: Medicaid State Total Paid reflects spending that is paid through the eMedNY system (also referred to as "online" spending) and does not include any "offline" spending that may increase or decrease overall category of service
spending.
spending.
* Reflects unique claim counts for pharmacy.
N/A
N/A
January 1, 2000 - September 31, 2011
Service County - Central
Medicaid State
Total Paid
Unique Recipients
with Medicaid Service Claims
Medicaid Average State
Total Paid / Total Claim
Medicaid Average State
Service Dollars / Recipient
Medicaid Average State
Drug Dollars / Recipient
Nursing Homes
April - September 2010
April - September 2011
$42,013,793
$46,970,939
4,645
4,454
0
0
151,975
251,059
731,086
732,060
$276
$187
$9,045
$10,546
$0
$0
Medicaid Managed Care
April - September 2010
April - September 2011
$29,783,744
$36,263,220
82,640
97,053
0
0
413,125
520,727
413,125
520,727
$72
$70
$360
$374
$0
$0
Other State Agency / MD
April - September 2010
April - September 2011
$28,305,533
$27,143,904
7,673
8,028
0
0
288,733
313,179
1,186,334
1,332,822
$98
$87
$3,689
$3,381
$0
$0
Non-Institutional
April - September 2010
April - September 2011
$24,914,996
$26,602,216
85,250
91,117
90,134
96,230
1,697,130
1,748,247
2,941,273
2,934,155
$15
$15
$111
$103
$176
$183
Inpatient
April - September 2010
April - September 2011
$12,638,287
$17,301,093
11,997
12,160
0
0
14,756
15,201
60,437
77,724
$809
$1,072
$995
$1,340
$0
$0
Family Health Plus
April - September 2010
April - September 2011
$8,692,014
$9,777,066
14,894
14,706
0
0
61,819
70,278
61,819
70,278
$141
$139
$584
$665
$0
$0
Non-Institutional LTC
April - September 2010
April - September 2011
$8,893,372
$8,371,204
4,006
3,436
0
0
238,238
211,628
1,754,051
1,730,463
$37
$40
$2,220
$2,436
$0
$0
Clinic
April - September 2010
April - September 2011
$5,688,269
$6,506,096
36,944
38,465
0
0
242,084
253,176
288,914
295,281
$23
$25
$151
$166
$0
$0
Outpatient/Emergency Room
April - September 2010
April - September 2011
$6,027,745
$5,016,463
35,534
31,159
0
0
174,957
175,176
241,888
197,465
$33
$27
$162
$153
$0
$0
3,282,817
3,558,671
7,678,926
7,890,975
$51
$52
Totals
Total - Central 2010
Total - Central 2011
$166,957,753
$183,952,201
N/A
N/A
Unique Recipients
Medicaid
Medicaid
with Medicaid Drug Claims* Total Claims Units of Service
N/A
N/A
N/A
N/A
NOTE: Medicaid State Total Paid reflects spending that is paid through the eMedNY system (also referred to as "online" spending) and does not include any "offline" spending that may increase or decrease overall category of service
spending.
* Reflects unique claim counts for pharmacy.
N/A
N/A
January 1, 2000 - September 30, 2011
Service County - Capital District
Medicaid State
Total Paid
Unique Recipients
Unique Recipients
Medicaid
Medicaid
Medicaid Average State
with Medicaid Service Claims with Medicaid Drug Claims* Total Claims Units of Service Total Paid / Total Claim
Medicaid Average State
Medicaid Average State
Service Dollars / Recipient Drug Dollars / Recipient
Nursing Homes
April - September 2010
April - September 2011
$53,166,057
$74,801,123
6,120
6,148
0
0
255,297
293,515
1,002,659
1,158,088
$208
$255
$8,687
$12,167
$0
$0
Non-Institutional LTC
April - September 2010
April - September 2011
$14,885,019
$13,958,191
4,696
4,775
0
0
390,232
369,396
2,786,936
2,889,184
$38
$38
$3,170
$2,923
$0
$0
Inpatient
April - September 2010
April - September 2011
$19,486,811
$20,922,042
15,567
15,115
0
0
22,917
23,687
103,275
97,253
$816
$844
$1,201
$1,323
$0
$0
Clinic
April - September 2010
April - September 2011
$8,395,792
$7,511,991
40,733
42,258
0
0
289,523
266,528
341,029
303,197
$29
$28
$204
$176
$0
$0
Family Health Plus
A
Aprilil - S
September
b 2010
April - September 2011
$8,983,879
$8 983 8 9
$9,628,239
14,472
14 4 2
15,683
0
0
69,850
69 8 0
74,614
69,850
69 8 0
74,614
$129
$129
$621
$614
$0
$0
Medicaid Managed Care
April - September 2010
April - September 2011
$35,918,250
$36,485,557
94,949
103,286
0
0
525,941
516,723
525,941
516,723
$68
$71
$378
$353
$0
$0
Non-Institutional
April - September 2010
April - September 2011
$32,646,050
$34,945,601
98,198
105,544
102,255
111,711
2,038,395
2,110,337
5,271,005
6,620,578
$16
$17
$127
$115
$202
$209
Other State Agency / MD
April - September 2010
April - September 2011
$58,676,452
$60,649,954
12,972
15,019
0
0
474,474
512,648
1,625,451
1,766,630
$124
$118
$4,523
$4,038
$0
$0
$6,101,573
$5,815,187
38,953
37,941
0
0
246,923
231,069
328,029
306,567
$24
$24
$151
$147
$0
$0
4,313,552
4,398,517
12,054,176
13,732,834
$55
$60
Outpatient/Emergency Room
April - September 2010
April - September 2011
Totals
Total - Capital District 2010
Total - Capital District 2011
$238,259,883
$264,717,885
N/A
N/A
N/A
N/A
N/A
N/A
NOTE: Medicaid State Total Paid reflects spending that is paid through the eMedNY system (also referred to as "online" spending) and does not include any "offline" spending that may increase or decrease overall category of service spending.
* Reflects unique claim counts for pharmacy.
N/A
N/A
January 1, 2000 - September 30, 2011
Service County - Long Island
Medicaid State
Total Paid
Unique Recipients
Unique Recipients
Medicaid
Medicaid
Medicaid Average State
with Medicaid Service Claims with Medicaid Drug Claims* Total Claims Units of Service Total Paid / Total Claim
Medicaid Average State
Service Dollars / Recipient
Medicaid Average State
Drug Dollars / Recipient
Nursing Homes
April - September 2010
April - September 2011
$206,055,169
$214,151,862
16,209
15,816
0
0
664,537
672,178
2,461,612
2,424,583
$310
$319
$12,712
$13,540
$0
$0
Other State Agency / MD
April - September 2010
April - September 2011
$128,253,693
$125,674,938
23,062
24,379
0
0
806,713
829,657
3,091,623
3,109,257
$159
$151
$5,561
$5,155
$0
$0
Medicaid Managed Care
April - September 2010
April - September 2011
$91,147,351
$109,952,483
190,661
216,451
0
0
1,008,321
1,208,651
1,008,321
1,208,651
$90
$91
$478
$508
$0
$0
Non-Institutional
April - September 2010
April - September 2011
$98,421,758
$102,031,738
219,090
212,704
216,419
243,725
4,533,574
4,568,002
19,502,048
18,431,087
$22
$22
$167
$156
$294
$291
Non-Institutional LTC
April - September 201
2010
0
April - September 2011
$80,632,198
$79,710,853
13,218
13,492
0
0
1,423,893
1,399,762
16,468,902
16,937,579
$57
$57
$6,100
$5,908
$0
$0
Inpatient
April - September 2010
April - September 2011
$60,669,907
$73,766,344
42,461
42,198
0
0
52,919
53,085
244,235
243,531
$1,085
$1,313
$1,353
$1,651
$0
$0
Family Health Plus
April - September 2010
April - September 2011
$33,101,289
$42,015,876
39,218
45,927
0
0
187,815
240,460
187,815
240,460
$176
$175
$844
$915
$0
$0
Clinic
April - September 2010
April - September 2011
$14,311,650
$13,763,033
37,409
38,633
0
0
425,544
424,654
742,894
663,001
$33
$32
$380
$354
$0
$0
Outpatient/Emergency Room
April - September 2010
April - September 2011
$10,726,916
$11,957,480
52,324
51,586
0
0
239,473
242,075
645,924
4,857,578
$43
$47
$196
$220
$0
$0
9,342,789
9,638,524
44,353,374
48,115,728
$77
$80
Totals
Total - Long Island 2010
Total - Long Island 2011
$723,319,931
$773,024,607
N/A
N/A
N/A
N/A
N/A
N/A
NOTE: Medicaid State Total Paid reflects spending that is paid through the eMedNY system (also referred to as "online" spending) and does not include any "offline" spending that may increase or decrease overall category of service
spending.
* Reflects unique claim counts for pharmacy.
N/A
N/A
January 1, 2000 - September 30, 2011
Service County - Mid-Hudson
Medicaid State
Total Paid
Unique Recipients
Unique Recipients
Medicaid
Medicaid
Medicaid Average State
with Medicaid Service Claims with Medicaid Drug Claims* Total Claims Units of Service Total Paid / Total Claim
Medicaid Average State
Service Dollars / Recipient
Medicaid Average State
Drug Dollars / Recipient
Nursing Homes
April - September 2010
April - September 2011
$141,578,088
$174,906,869
13,327
12,644
0
0
416,868
414,321
1,885,101
1,957,261
$340
$422
$10,623
$13,833
$0
$0
Other State Agency / MD
April - September 2010
April - September 2011
$141,405,647
$142,248,512
23,296
24,485
0
0
930,745
923,789
4,127,871
4,012,070
$152
$154
$6,070
$5,810
$0
$0
Medicaid Managed Care
April - September 2010
April - September 2011
$93,770,112
$106,802,514
222,588
238,414
0
0
1,143,840
1,296,256
1,143,840
1,296,256
$82
$82
$421
$448
$0
$0
Non-Institutional
April - September 2010
April - September 2011
$74,272,014
$79,742,081
238,118
231,952
219,597
238,035
4,449,155
4,566,995
21,045,217
20,459,698
$17
$17
$130
$135
$201
$208
Non-Institutional LTC
April - September 2010
April - September 2011
$58,946,155
$59,006,417
10,904
10,787
0
0
1,124,78
1,124,783
3
1,107,956
5,616,588
5,653,333
$52
$53
$5,406
$5,470
$0
$0
Inpatient
April - September 2010
April - September 2011
$56,723,182
$60,948,295
26,388
24,382
0
0
39,246
36,567
235,091
239,547
$1,375
$1,583
$2,044
$2,375
$0
$0
Family Health Plus
April - September 2010
April - September 2011
$25,430,132
$30,847,545
33,711
36,852
0
0
150,364
181,786
150,364
181,786
$169
$170
$754
$837
$0
$0
Clinic
April - September 2010
April - September 2011
$24,772,239
$27,693,119
107,384
132,816
0
0
774,233
839,414
1,030,582
1,041,975
$31
$32
$226
$203
$0
$0
Outpatient/Emergency Room
April - September 2010
April - September 2011
$14,002,892
$11,847,029
51,887
47,950
0
0
377,565
346,889
528,612
423,248
$35
$33
$258
$236
$0
$0
9,406,799
9,713,973
35,763,266
35,265,174
$67
$71
Totals
Total - Mid-Hudson 2010
Total - Mid-Hudson 2011
$630,900,461
$694,042,381
N/A
N/A
N/A
N/A
N/A
N/A
NOTE: Medicaid State Total Paid reflects spending that is paid through the eMedNY system (also referred to as "online" spending) and does not include any "offline" spending that may increase or decrease overall category of service
spending.
*R
Reflects
fl t unique
i
claim
l i counts
t for
f pharmacy.
h
N/A
N/A
January 1, 2000 - September 30, 2011
Service County - Mohawk Valley
Medicaid State
Total Paid
Unique Recipients
with Medicaid Service Claims
Medicaid Average State
Total Paid / Total Claim
Medicaid Average State
Service Dollars / Recipient
Medicaid Average State
Drug Dollars / Recipient
Other State Agency / MD
April - September 2010
April - September 2011
$47,614,962
$47,827,633
7,856
10,106
0
0
375,002
413,454
1,338,129
1,397,999
$127
$116
$6,061
$4,733
$0
$0
Nursing Homes
April - September 2010
April - September 2011
$37,407,537
$42,967,864
4,154
4,121
0
0
154,768
164,091
654,694
663,601
$242
$262
$9,005
$10,427
$0
$0
Medicaid Managed Care
April - September 2010
April - September 2011
$22,005,114
$24,947,627
66,364
69,174
0
0
330,488
369,636
330,488
369,636
$67
$67
$332
$361
$0
$0
Non-Institutional
April - September 2010
April - September 2011
$16,950,501
$17,763,033
67,042
71,271
68,494
71,618
1,137,849
1,152,064
2,316,538
2,332,590
$15
$15
$71
$64
$183
$189
Family Health Plus
April - September 2010
April - September 2011
$7,204,453
$8,335,195
12,467
12,016
0
0
52,311
58,723
52,311
58,723
$138
$142
$578
$694
$0
$0
Non-Institutional LTC
April - September 2010
April - September 2011
$7,218,065
$6,714,525
2,864
2,785
0
0
219,475
196,623
867,486
786,337
$33
$34
$2,520
$2,411
$0
$0
Inpatient
April - September 2010
April - September 2011
$5,257,935
$5,895,364
7,819
7,132
0
0
8,909
8,002
23,237
21,212
$562
$698
$640
$783
$0
$0
Outpatient/Emergency Room
April - September 2010
April - September 2011
$4,834,839
$4,483,504
35,399
33,435
0
0
162,752
145,831
210,780
179,438
$28
$29
$131
$128
$0
$0
Clinic
April - September 2010
April - September 2011
$3,125,030
$3,312,670
20,228
21,324
0
0
106,600
106,925
143,100
135,581
$29
$31
$154
$155
$0
$0
2,548,154
2,615,349
5,936,763
5,945,116
$60
$62
Totals
Total - Mohawk Valley 2010
Total - Mohawk Valley 2011
$151,618,436
$162,247,415
N/A
N/A
Unique Recipients
Medicaid
Medicaid
with Medicaid Drug Claims* Total Claims Units of Service
N/A
N/A
N/A
N/A
NOTE: Medicaid State Total Paid reflects spending that is paid through the eMedNY system (also referred to as "online" spending) and does not include any "offline" spending that may increase or decrease overall category of service
spending.
* Reflects unique claim counts for pharmacy.
N/A
N/A
January 1, 2000 - September 30, 2011
Service County - New York City
Medicaid State
Total Paid
Unique Recipients
with Medicaid Service Claims
Medicaid Average State
Total Paid / Total Claim
Medicaid Average State
Service Dollars / Recipient
Medicaid Average State
Drug Dollars / Recipient
$1,134,660,571
$1,274,105,822
2,272,887
2,365,488
0
0
13,021,691
13,275,230
13,021,691
13,275,230
$87
$96
$499
$539
$0
$0
Non-Institutional LTC
April - September 2010
April - September 2011
$777,389,938
$722,330,695
100,035
98,080
0
0
13,015,413
12,448,259
100,994,048
93,127,972
$60
$58
$7,771
$7,365
$0
$0
Nursing Homes
April - September 2010
April - September 2011
$681,272,745
$699,924,269
52,234
50,766
0
0
2,165,494
2,161,144
7,336,729
7,149,740
$315
$324
$13,043
$13,787
$0
$0
Non-Institutional
April - September 2010
April - September 2011
$639,958,954
$658,168,246
890,778
917,953
1,880,751
1,954,083
37,053,383
37,061,582
87,145,256
85,671,165
$17
$18
$204
$182
$250
$259
Inpatient
April - September 2010
April - September 2011
$564,694,136
$538,434,247
260 189
260,189
253,030
0
0
337,326
326,686
1,523,910
1,455,088
$1,577
$1,550
$2,044
$2,001
$0
$0
Other State Agency / MD
April - September 2010
April - September 2011
$301,932,758
$344,071,338
64,472
112,407
0
0
2,069,720
2,264,615
9,953,697
10,637,635
$146
$152
$4,683
$3,061
$0
$0
Family Health Plus
April - September 2010
April - September 2011
$215,538,240
$220,497,253
329,401
343,460
0
0
1,642,895
1,692,006
1,642,895
1,692,006
$131
$130
$654
$642
$0
$0
Clinic
April - September 2010
April - September 2011
$140,151,203
$130,464,573
457,316
469,419
0
0
4,370,700
4,074,090
6,292,122
5,173,605
$31
$31
$300
$271
$0
$0
Outpatient/Emergency Room
April - September 2010
April - September 2011
$118,922,598
$101,409,056
507,630
467,624
0
0
2,807,905
2,732,504
3,560,273
18,988,867
$40
$35
$222
$205
$0
$0
N/A
N/A
76,484,527
76,036,116
231,470,620
237,171,307
$60
$62
Medicaid Managed Care
April - September 2010
April - September 2011
Totals
Total - New York City 2010
Total - New York City 2011
$4,574,521,143
$4,689,405,499
N/A
N/A
Unique Recipients
Medicaid
Medicaid
with Medicaid Drug Claims* Total Claims Units of Service
N/A
N/A
NOTE: Medicaid State Total Paid reflects spending that is paid through the eMedNY system (also referred to as "online" spending) and does not include any "offline" spending that may increase or decrease overall category of service
spending.
spending.
* Reflects unique claim counts for pharmacy.
N/A
N/A
January 1, 2000 - September 30, 2011
Service County - North Country
Medicaid State
Total Paid
Unique Recipients
with Medicaid Service Claims
Medicaid Average State
Total Paid / Total Claim
Medicaid Average State
Service Dollars / Recipient
Medicaid Average State
Drug Dollars / Recipient
Other State Agency / MD
April - September 2010
April - September 2011
$31,950,583
$30,921,883
6,040
6,779
0
0
246,509
283,426
1,018,811
1,071,337
$130
$109
$5,290
$4,561
$0
$0
Nursing Homes
April - September 2010
April - September 2011
$22,886,759
$24,521,699
2,640
2,546
0
0
72,492
75,041
407,694
379,599
$316
$327
$8,669
$9,631
$0
$0
Non-Institutional
April - September 2010
April - September 2011
$16,035,281
$16,079,960
62,780
65,277
49,200
52,625
1,054,655
1,056,065
1,646,286
1,453,717
$15
$15
$99
$89
$205
$200
Inpatient
April - September 2010
April - September 2011
$6,732,885
$8,524,363
6,540
6,101
0
0
10,774
11,263
41,106
40,988
$598
$720
$985
$1,330
$0
$0
Non-Institutional LTC
April - September 2010
April - September 2011
$7,051,305
$6,548,616
2,806
2,717
0
0
230 584
230,584
214,861
1,288,379
1,199,941
$31
$30
$2,513
$2,410
$0
$0
Family Health Plus
April - September 2010
April - September 2011
$5,449,396
$6,392,918
8,959
8,419
0
0
35,883
41,812
35,883
41,812
$152
$153
$608
$759
$0
$0
Outpatient/Emergency Room
April - September 2010
April - September 2011
$5,579,089
$5,468,918
36,818
36,392
0
0
176,281
158,902
193,524
189,789
$30
$33
$145
$143
$0
$0
Clinic
April - September 2010
April - September 2011
$3,033,533
$2,528,185
19,919
20,758
0
0
98,957
97,460
114,028
102,698
$31
$26
$152
$122
$0
$0
Medicaid Managed Care
April - September 2010
April - September 2011
$1,070,631
$2,402,785
3,168
8,574
0
0
15,136
36,387
15,136
36,387
$71
$66
$338
$280
$0
$0
1,941,271
1,975,217
4,760,847
4,516,268
$51
$52
Totals
Total - North Country 2010
Total - North Country 2011
$99,789,462
$103,389,327
N/A
N/A
Unique Recipients
Medicaid
Medicaid
with Medicaid Drug Claims* Total Claims Units of Service
N/A
N/A
N/A
N/A
NOTE: Medicaid State Total Paid reflects spending that is paid through the eMedNY system (also referred to as "online" spending) and does not include any "offline" spending that may increase or decrease overall category of service
spending.
* Reflects unique claim counts for pharmacy.
N/A
N/A
January 1, 2000 - September 30, 2011
Service County - No Service County and Out of State
Medicaid State
Total Paid
Unique Recipients
Unique Recipients
Medicaid
Medicaid
Medicaid Average State
with Medicaid Service Claims with Medicaid Drug Claims* Total Claims Units of Service Total Paid / Total Claim
Medicaid Average State
Service Dollars / Recipient
Medicaid Average State
Drug Dollars / Recipient
Nursing Homes
April - September 2010
April - September 2011
$32,917,507
$31,782,620
1,979
1,945
0
0
38,807
35,160
317,739
303,324
$848
$904
$16,633
$16,341
$0
$0
Non-Institutional
April - September 2010
April - September 2011
$21,766,207
$23,579,086
157,501
141,105
9,719
11,708
928,753
801,195
6,571,421
6,617,574
$23
$29
$52
$51
$1,485
$1,474
Inpatient
April - September 2010
April - September 2011
$5,859,199
$6,019,073
3,098
2,524
0
0
3,507
2,932
14,055
14,404
$1,671
$2,053
$1,891
$2,385
$0
$0
$800,456
$763,130
$
,
9,785
8,574
,
0
0
23,320
18,998
,
34,446
26,094
,
$34
$40
$
$82
$89
$
$0
$0
$
Clinic
April - September 2010
April - September 2011
$68,011
$53,091
717
520
0
0
2,379
1,991
18,703
11,413
$29
$27
$95
$102
$0
$0
Other State Agency / MD
April - September 2010
April - September 2011
$62,730
$44,761
104
125
0
0
613
684
791
684
$102
$65
$603
$358
$0
$0
($13,519)
($2,657)
57
54
0
0
21
184
($644)
($14)
($237)
($49)
$0
$0
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - September 2010
p - September
p
2011
April
Non-Institutional LTC
April - September 2010
April - September 2011
Totals
Total - No Svc Cty & OOS 2010
Total - No Svc Cty & OOS 2011
$61,460,591
$62,239,104
997,400
861,144
(1,252)
277
6,955,903
6,973,770
$62
$72
N/A
N/A
NOTE: Medicaid State Total Paid reflects spending that is paid through the eMedNY system (also referred to as "online" spending) and does not include any "offline" spending that may increase or decrease overall category of service
spending.
* Reflects unique claim counts for pharmacy.
N/A
N/A