Medicaid Category of Service Spending
Service County: Capital District
April - October 2011
Category of Service
Nursing Homes
April - October 2010
April - October 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$61,867,687
$85,277,397
6,371
6,324
-
294,947
338,730
1,165,305
1,328,341
$209.76
$251.76
$9,710.83
$13,484.72
$0.00
$0.00
Non-Institutional LTC
April - October 2010
April - October 2011
$16,972,840
$16,256,675
4,887
4,943
-
445,231
430,003
3,204,597
3,370,283
$38.12
$37.81
$3,473.06
$3,288.83
$0.00
$0.00
Inpatient
April - October 2010
April - October 2011
$22,880,621
$23,365,228
17,504
16,835
-
26,415
26,848
119,304
111,100
$866.20
$870.28
$1,255.11
$1,325.50
$0.00
$0.00
Clinic
April - October 2010
April - October 2011
$9,632,886
$8,665,980
46,676
45,393
-
330,917
308,985
390,180
352,876
$29.11
$28.05
$204.30
$188.99
$0.00
$0.00
Family Health Plus
April - October 2010
April - October 2011
$9,975,888
$11,522,900
14,849
16,271
-
77,595
87,144
77,595
87,144
$128.56
$132.23
$671.82
$708.19
$0.00
$0.00
Medicaid Managed Care
April - October 2010
April - October 2011
$38,297,660
$43,509,229
96,200
106,200
-
559,389
608,207
559,389
608,207
$68.46
$71.54
$398.10
$409.69
$0.00
$0.00
Non-Institutional
April - October 2010
April - October 2011
$37,772,499
$39,804,291
105,442
113,866
2,355,211
2,416,303
6,130,713
7,877,947
$16.04
$16.47
$133.96
$123.12
$222.73
$224.79
Other State Agency / MD
April - October 2010
April - October 2011
$67,427,812
$70,536,747
13,122
15,391
-
545,924
594,585
1,927,602
2,053,164
$123.51
$118.63
$5,138.53
$4,582.99
$0.00
$0.00
$7,137,344
$6,562,707
42,047
40,900
-
288,143
262,568
379,749
349,246
$24.77
$24.99
$163.77
$154.16
$0.00
$0.00
4,923,772
5,073,373
13,954,434
16,138,308
$55.24
$60.22
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - October 2010
April - October 2011
108,444
116,966
Totals
Total: Capital District 2010
Total: Capital District 2011
$271,965,237
$305,501,154
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Central
April - October 2011
Category of Service
Nursing Homes
April - October 2010
April - October 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$48,374,261
$53,598,281
4,805
4,606
-
180,017
291,153
837,612
846,054
$268.72
$184.09
$10,067.48
$11,636.62
$0.00
$0.00
Non-Institutional LTC
April - October 2010
April - October 2011
$10,161,414
$9,890,541
4,168
3,562
-
272,946
246,003
2,010,267
2,014,506
$37.23
$40.20
$2,437.96
$2,776.68
$0.00
$0.00
Inpatient
April - October 2010
April - October 2011
$15,409,442
$19,493,384
13,662
13,578
-
17,303
17,315
71,989
87,441
$890.56
$1,125.81
$1,065.45
$1,350.88
$0.00
$0.00
Clinic
April - October 2010
April - October 2011
$6,511,458
$7,309,869
44,020
40,759
-
277,324
287,805
334,961
337,822
$23.48
$25.40
$145.41
$175.92
$0.00
$0.00
Family Health Plus
April - October 2010
April - October 2011
$10,116,449
$11,528,101
15,507
15,357
-
72,287
81,654
72,287
81,654
$139.95
$141.18
$652.38
$750.67
$0.00
$0.00
Medicaid Managed Care
April - October 2010
April - October 2011
$35,214,752
$42,930,850
84,859
99,642
-
483,314
608,775
483,314
608,775
$72.86
$70.52
$414.98
$430.85
$0.00
$0.00
Non-Institutional
April - October 2010
April - October 2011
$28,752,595
$30,300,014
92,804
98,416
1,960,235
1,997,566
3,394,548
3,402,222
$14.67
$15.17
$117.12
$108.87
$192.01
$197.98
Other State Agency / MD
April - October 2010
April - October 2011
$32,326,985
$31,393,774
7,796
8,290
-
329,880
369,984
1,392,832
1,554,132
$98.00
$84.85
$4,146.61
$3,786.95
$0.00
$0.00
$6,858,422
$5,750,946
38,249
33,732
-
198,985
202,007
272,175
223,594
$34.47
$28.47
$171.33
$162.31
$0.00
$0.00
3,792,291
4,102,262
8,869,985
9,156,200
$51.08
$51.73
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - October 2010
April - October 2011
95,071
100,916
Totals
Total: Central 2010
Total: Central 2011
$193,725,778
$212,195,760
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Finger Lakes
April - October 2011
Category of Service
Nursing Homes
April - October 2010
April - October 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$82,673,973
$104,300,070
7,752
7,573
-
250,992
264,936
1,339,100
1,364,948
$329.39
$393.68
$10,664.86
$13,772.62
$0.00
$0.00
Non-Institutional LTC
April - October 2010
April - October 2011
$29,138,778
$26,782,008
6,407
6,515
-
581,344
559,219
3,233,365
3,037,307
$50.12
$47.89
$4,547.96
$4,110.82
$0.00
$0.00
Inpatient
April - October 2010
April - October 2011
$25,117,851
$26,249,295
18,162
18,110
-
21,352
22,142
89,110
94,671
$1,176.37
$1,185.50
$1,306.78
$1,363.51
$0.00
$0.00
Clinic
April - October 2010
April - October 2011
$10,059,486
$8,005,213
68,878
66,608
-
416,416
380,232
468,100
929,859
$24.16
$21.05
$144.86
$120.10
$0.00
$0.00
Family Health Plus
April - October 2010
April - October 2011
$12,190,690
$13,904,895
23,414
19,845
-
94,022
103,281
94,022
103,281
$129.66
$134.63
$520.66
$700.67
$0.00
$0.00
Medicaid Managed Care
April - October 2010
April - October 2011
$55,051,696
$60,784,854
141,998
141,250
-
770,561
843,114
770,561
843,114
$71.44
$72.10
$387.69
$430.34
$0.00
$0.00
Non-Institutional
April - October 2010
April - October 2011
$41,749,968
$43,173,918
112,999
119,327
2,688,974
2,738,723
4,912,002
4,913,230
$15.53
$15.76
$145.68
$141.68
$197.24
$196.73
Other State Agency / MD
April - October 2010
April - October 2011
$60,614,366
$59,167,494
14,920
15,934
-
570,373
632,630
2,028,346
2,200,818
$106.27
$93.53
$4,062.63
$3,713.29
$0.00
$0.00
Outpatient/Emergency Room
April - October 2010
April - October 2011
$13,577,210
$12,506,552
77,338
79,760
-
491,645
497,124
543,812
535,609
$27.62
$25.16
$166.98
$148.89
$0.00
$0.00
5,885,679
6,041,401
13,478,418
14,022,838
$56.10
$58.74
N/A
N/A
N/A
N/A
130,288
135,453
Totals
Total: Finger Lakes 2010
Total: Finger Lakes 2011
$330,174,018
$354,874,299
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Long Island
April - October 2011
Category of Service
Nursing Homes
April - October 2010
April - October 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$239,879,932
$248,674,420
16,668
16,298
-
761,837
774,893
2,838,808
2,800,370
$314.87
$320.91
$14,391.64
$15,257.97
$0.00
$0.00
Non-Institutional LTC
April - October 2010
April - October 2011
$92,135,878
$91,514,441
13,647
13,926
-
1,623,776
1,606,936
18,958,322
19,461,768
$56.74
$56.95
$6,751.36
$6,571.48
$0.00
$0.00
Inpatient
April - October 2010
April - October 2011
$70,908,211
$83,823,341
47,598
47,832
-
60,334
61,147
277,981
280,687
$1,175.26
$1,370.85
$1,410.13
$1,654.35
$0.00
$0.00
Clinic
April - October 2010
April - October 2011
$16,398,187
$15,638,227
45,005
40,758
-
483,563
481,988
852,063
750,115
$33.91
$32.45
$361.94
$381.00
$0.00
$0.00
Family Health Plus
April - October 2010
April - October 2011
$38,575,826
$49,573,625
40,782
47,273
-
218,771
276,212
218,771
276,212
$176.33
$179.48
$945.90
$1,048.67
$0.00
$0.00
Medicaid Managed Care
April - October 2010
April - October 2011
$106,003,646
$130,296,375
196,423
221,519
-
1,170,506
1,382,607
1,170,506
1,382,607
$90.56
$94.24
$539.67
$588.20
$0.00
$0.00
Non-Institutional
April - October 2010
April - October 2011
$113,017,759
$116,228,723
234,413
228,426
5,219,916
5,220,149
22,729,586
20,938,386
$21.65
$22.27
$177.76
$163.75
$319.09
$315.62
Other State Agency / MD
April - October 2010
April - October 2011
$146,042,783
$151,125,380
23,453
24,930
-
925,488
969,264
3,489,438
3,763,000
$157.80
$155.92
$6,227.04
$6,061.99
$0.00
$0.00
$12,353,462
$13,350,831
57,216
56,024
-
274,995
275,157
687,358
5,159,030
$44.92
$48.52
$206.32
$226.50
$0.00
$0.00
10,739,186
11,048,353
51,222,832
54,812,176
$77.78
$81.48
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - October 2010
April - October 2011
228,995
255,847
Totals
Total: Long Island 2010
Total: Long Island 2011
$835,315,684
$900,225,363
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mid-Hudson
April - October 2011
Category of Service
Nursing Homes
April - October 2010
April - October 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$164,400,981
$201,433,073
13,771
13,087
-
477,538
477,140
2,171,238
2,256,368
$344.27
$422.17
$11,938.20
$15,391.84
$0.00
$0.00
Non-Institutional LTC
April - October 2010
April - October 2011
$67,200,845
$68,119,595
11,285
11,120
-
1,280,853
1,279,640
6,425,203
6,542,303
$52.47
$53.23
$5,954.88
$6,125.86
$0.00
$0.00
Inpatient
April - October 2010
April - October 2011
$65,730,215
$70,462,904
29,372
27,150
-
44,805
41,918
267,825
278,028
$1,467.03
$1,680.97
$2,128.61
$2,467.36
$0.00
$0.00
Clinic
April - October 2010
April - October 2011
$28,500,499
$31,670,170
118,352
142,021
-
892,914
966,462
1,196,419
1,173,762
$31.92
$32.77
$235.71
$216.67
$0.00
$0.00
Family Health Plus
April - October 2010
April - October 2011
$29,863,187
$36,684,115
35,173
38,140
-
176,804
210,750
176,804
210,750
$168.91
$174.06
$849.04
$961.83
$0.00
$0.00
$110,891,677
$127,977,999
228,583
243,957
-
1,345,583
1,504,348
1,345,583
1,504,348
$82.41
$85.07
$485.13
$524.59
$0.00
$0.00
$85,365,372
$90,618,590
257,934
250,153
5,117,396
5,211,692
24,270,285
23,423,471
$16.68
$17.39
$138.36
$142.93
$218.61
$224.65
$162,263,051
$166,699,673
23,882
25,069
-
1,057,265
1,073,311
4,703,533
4,647,120
$153.47
$155.31
$6,794.37
$6,649.63
$0.00
$0.00
$15,926,813
$13,663,714
55,960
52,133
-
430,338
403,429
593,427
539,875
$37.01
$33.87
$272.19
$250.21
$0.00
$0.00
10,823,496
11,168,690
41,150,316
40,576,025
$67.46
$72.29
N/A
N/A
N/A
N/A
Medicaid Managed Care
April - October 2010
April - October 2011
Non-Institutional
April - October 2010
April - October 2011
Other State Agency / MD
April - October 2010
April - October 2011
Outpatient/Emergency Room
April - October 2010
April - October 2011
231,479
248,901
Totals
Total: Mid-Hudson 2010
Total: Mid-Hudson 2011
$730,142,640
$807,329,833
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mohawk Valley
April - October 2011
Category of Service
Nursing Homes
April - October 2010
April - October 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$43,117,243
$48,242,861
4,312
4,250
-
180,137
188,202
757,785
766,760
$239.36
$256.34
$9,999.36
$11,351.26
$0.00
$0.00
Non-Institutional LTC
April - October 2010
April - October 2011
$8,386,051
$7,674,952
2,953
2,895
-
254,219
220,401
1,000,766
885,907
$32.99
$34.82
$2,839.84
$2,651.11
$0.00
$0.00
Inpatient
April - October 2010
April - October 2011
$6,091,689
$7,031,786
8,748
8,031
-
10,135
9,184
26,607
24,181
$601.05
$765.66
$663.21
$832.33
$0.00
$0.00
Clinic
April - October 2010
April - October 2011
$3,598,449
$3,856,433
25,749
22,600
-
123,378
125,461
163,069
161,134
$29.17
$30.74
$139.70
$170.51
$0.00
$0.00
Family Health Plus
April - October 2010
April - October 2011
$8,325,065
$9,811,039
12,878
12,447
-
60,217
68,148
60,217
68,148
$138.25
$143.97
$646.46
$788.23
$0.00
$0.00
Medicaid Managed Care
April - October 2010
April - October 2011
$25,349,252
$30,110,305
67,776
71,144
-
380,008
432,182
380,008
432,182
$66.71
$69.67
$374.02
$423.23
$0.00
$0.00
Non-Institutional
April - October 2010
April - October 2011
$19,660,367
$20,195,837
72,749
77,875
72,204
74,969
1,320,918
1,317,129
2,683,457
2,740,523
$14.88
$15.33
$75.83
$66.71
$199.85
$204.17
Other State Agency / MD
April - October 2010
April - October 2011
$54,431,902
$54,999,856
7,955
10,261
-
427,322
479,509
1,562,486
1,677,659
$127.38
$114.70
$6,842.48
$5,360.09
$0.00
$0.00
$5,550,911
$5,011,102
37,639
35,417
-
186,003
164,652
242,883
200,785
$29.84
$30.43
$141.28
$134.99
$0.00
$0.00
2,942,337
3,004,868
6,877,277
6,957,279
$59.31
$62.21
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - October 2010
April - October 2011
Totals
Total: Mohawk Valley 2010
Total: Mohawk Valley 2011
$174,510,929
$186,934,171
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: New York City
April - October 2011
Category of Service
Nursing Homes
April - October 2010
April - October 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$791,172,176
$812,614,959
53,990
52,965
-
2,461,583
2,507,734
8,422,918
8,307,509
$321.41
$324.04
$14,654.05
$15,342.49
$0.00
$0.00
Non-Institutional LTC
April - October 2010
April - October 2011
$886,335,779
$783,630,665
102,472
100,449
-
14,849,689
14,123,275
115,199,921
105,176,848
$59.69
$55.49
$8,649.54
$7,801.28
$0.00
$0.00
Inpatient
April - October 2010
April - October 2011
$648,881,802
$612,964,691
292,208
284,583
-
386,868
375,478
1,749,344
1,669,684
$1,677.27
$1,632.49
$2,092.04
$2,024.19
$0.00
$0.00
Clinic
April - October 2010
April - October 2011
$159,437,796
$149,816,251
515,976
498,464
-
4,972,729
4,752,662
7,187,322
5,909,599
$32.06
$31.52
$302.59
$292.83
$0.00
$0.00
Family Health Plus
April - October 2010
April - October 2011
$247,467,373
$260,870,458
340,399
354,927
-
1,885,926
1,928,028
1,885,926
1,928,028
$131.22
$135.30
$726.99
$735.00
$0.00
$0.00
$1,309,267,345
$1,489,543,942
2,321,070
2,405,818
-
14,968,702
14,960,800
14,968,702
14,960,800
$87.47
$99.56
$564.08
$619.14
$0.00
$0.00
Non-Institutional
April - October 2010
April - October 2011
$735,475,938
$747,726,254
952,160
981,300
42,599,418
42,163,973
100,378,920
98,471,080
$17.26
$17.73
$218.73
$194.75
$273.23
$279.75
Other State Agency / MD
April - October 2010
April - October 2011
$347,116,818
$390,366,806
65,438
113,606
-
2,366,644
2,603,903
11,362,675
12,268,699
$146.67
$149.92
$5,304.51
$3,436.15
$0.00
$0.00
Outpatient/Emergency Room
April - October 2010
April - October 2011
$135,411,269
$115,628,649
540,135
503,036
-
3,192,892
3,132,169
4,052,723
22,200,028
$42.41
$36.92
$237.93
$217.67
$0.00
$0.00
87,684,451
86,548,022
265,208,451
270,892,274
$59.99
$61.97
N/A
N/A
N/A
N/A
Medicaid Managed Care
April - October 2010
April - October 2011
1,972,984
2,035,975
Totals
Total: New York City 2010
Total: New York City 2011
$5,260,566,296
$5,363,162,675
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: No Service County & Out of State
April - October 2011
Category of Service
Nursing Homes
April - October 2010
April - October 2011
Non-Institutional LTC
April - October 2010
April - October 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
$77,363,627
2,421
$38,185,500
2,012
$39,178,126
1,998
Unique Recipients
w/ Medicaid Drug
Claims
-
Medicaid Total
Claims
87,329
44,645
42,684
-$16,860
-$14,689
-$2,172
121
69
58
-
217
10
207
Inpatient
April - October 2010
April - October 2011
$13,882,416
$6,901,961
$6,980,455
6,028
3,467
2,946
-
Clinic
April - October 2010
April - October 2011
$134,571
$77,983
$56,588
1,092
757
538
-
Non-Institutional
April - October 2010
April - October 2011
$52,229,650
$25,090,052
$27,139,599
276,177
171,631
156,651
$132,255
$80,232
$52,023
137
107
131
$1,771,570
$904,114
$867,456
17,469
10,736
9,516
Other State Agency / MD
April - October 2010
April - October 2011
Outpatient/Emergency Room
April - October 2010
April - October 2011
Medicaid Units Of
Service
737,028
369,119
367,909
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$31,955.24
$0.00
$855.31
$18,978.88
$0.00
$917.86
$19,608.67
$0.00
(1,030)
(1,357)
327
-$1,468.90
-$10.49
-$139.34
-$212.88
-$37.44
$0.00
$0.00
$0.00
7,423
3,977
3,446
32,866
16,224
16,642
$1,735.47
$2,025.67
$2,302.99
$1,990.76
$2,369.47
$0.00
$0.00
$0.00
4,923
2,718
2,205
34,830
21,244
13,586
$28.69
$25.66
$123.23
$103.02
$105.18
$0.00
$0.00
$0.00
1,999,294
1,056,154
943,140
15,981,401
7,488,461
8,492,940
$23.76
$28.78
$64.04
$54.28
$53.43
$2,101.55
$1,615.36
$1,585.87
-
1,585
795
790
1,792
1,002
790
$100.92
$65.85
$965.37
$749.83
$397.12
$0.00
$0.00
$0.00
-
48,253
26,268
21,985
68,314
37,870
30,444
$34.42
$39.46
$101.39
$84.19
$91.14
$0.00
$0.00
$0.00
1,134,567
1,014,457
7,932,564
8,922,638
$62.78
$73.21
N/A
N/A
N/A
N/A
17,214
10,249
12,421
Totals
Total: No Svc Cty/OOS 2010
Total: No Svc Cty/OOS 2011
$71,225,153
$74,272,075
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: North Country
April - October 2011
Category of Service
Nursing Homes
April - October 2010
April - October 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$26,340,002
$29,455,890
2,740
2,620
-
83,211
86,122
469,241
438,593
$316.54
$342.03
$9,613.14
$11,242.71
$0.00
$0.00
Non-Institutional LTC
April - October 2010
April - October 2011
$8,046,884
$7,595,112
2,873
2,867
-
263,920
251,162
1,487,807
1,396,883
$30.49
$30.24
$2,800.86
$2,649.15
$0.00
$0.00
Inpatient
April - October 2010
April - October 2011
$8,055,845
$9,656,080
7,410
6,803
-
12,452
12,646
47,401
46,573
$646.95
$763.57
$1,040.40
$1,350.54
$0.00
$0.00
Clinic
April - October 2010
April - October 2011
$3,359,796
$2,856,627
23,394
21,954
-
110,712
109,772
126,630
116,491
$30.35
$26.02
$143.30
$129.98
$0.00
$0.00
Family Health Plus
April - October 2010
April - October 2011
$6,375,979
$7,347,273
9,317
8,773
-
41,874
47,916
41,874
47,916
$152.27
$153.34
$684.34
$837.49
$0.00
$0.00
Medicaid Managed Care
April - October 2010
April - October 2011
$1,266,777
$3,082,722
3,345
9,342
-
17,803
44,597
17,803
44,597
$71.16
$69.12
$378.71
$329.99
$0.00
$0.00
Non-Institutional
April - October 2010
April - October 2011
$18,491,121
$18,449,740
66,885
69,139
51,679
55,008
1,216,608
1,213,374
1,902,259
1,676,762
$15.20
$15.21
$107.09
$96.88
$223.75
$217.80
Other State Agency / MD
April - October 2010
April - October 2011
$36,762,470
$35,844,819
6,157
6,932
-
281,879
325,872
1,185,244
1,237,317
$130.42
$110.00
$5,970.84
$5,170.92
$0.00
$0.00
$6,394,290
$6,232,005
39,012
38,611
-
201,364
181,355
221,599
219,627
$31.75
$34.36
$156.84
$153.35
$0.00
$0.00
2,229,823
2,272,816
5,499,858
5,224,758
$51.62
$53.03
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - October 2010
April - October 2011
Totals
Total: North Country 2010
Total: North Country 2011
$115,093,164
$120,520,268
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Southern Tier
April - October 2011
Category of Service
Nursing Homes
April - October 2010
April - October 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$46,418,493
$54,046,240
4,583
4,455
-
96,219
93,308
801,495
799,564
$482.43
$579.22
$10,128.41
$12,131.59
$0.00
$0.00
$7,623,718
$7,696,052
5,659
3,597
-
239,841
220,214
1,414,041
1,579,737
$31.79
$34.95
$1,347.18
$2,139.58
$0.00
$0.00
Inpatient
April - October 2010
April - October 2011
$9,474,107
$10,783,212
9,839
8,877
-
11,281
10,022
43,536
39,579
$839.83
$1,075.95
$909.89
$1,146.13
$0.00
$0.00
Clinic
April - October 2010
April - October 2011
$4,315,409
$3,635,465
19,494
19,095
-
153,905
138,770
203,436
177,191
$28.04
$26.20
$221.26
$190.23
$0.00
$0.00
Family Health Plus
April - October 2010
April - October 2011
$9,128,119
$9,718,897
13,333
12,472
-
60,342
66,716
60,342
66,716
$151.27
$145.68
$684.63
$779.26
$0.00
$0.00
Medicaid Managed Care
April - October 2010
April - October 2011
$13,229,945
$15,703,963
47,662
51,395
-
265,372
288,292
265,372
288,292
$49.85
$54.47
$277.58
$305.55
$0.00
$0.00
Non-Institutional
April - October 2010
April - October 2011
$25,358,088
$25,452,801
92,676
97,336
79,075
81,257
1,644,269
1,614,346
2,310,492
2,291,274
$15.42
$15.77
$105.63
$95.84
$200.59
$202.34
Other State Agency / MD
April - October 2010
April - October 2011
$32,240,915
$32,282,444
7,808
9,906
-
224,692
282,963
855,010
875,948
$143.49
$114.09
$4,129.22
$3,258.88
$0.00
$0.00
$7,042,226
$6,265,674
49,058
45,839
-
222,163
194,535
296,095
258,024
$31.70
$32.21
$137.55
$129.85
$0.00
$0.00
2,918,084
2,909,166
6,249,819
6,376,325
$53.06
$56.92
N/A
N/A
N/A
N/A
Non-Institutional LTC
April - October 2010
April - October 2011
Outpatient/Emergency Room
April - October 2010
April - October 2011
Totals
Total: Southern Tier 2010
Total: Southern Tier 2011
$154,831,020
$165,584,748
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Western
April - October 2011
Category of Service
Nursing Homes
April - October 2010
April - October 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$96,883,645
$97,344,598
9,323
8,792
-
260,673
258,383
1,565,013
1,553,076
$371.67
$376.75
$10,391.90
$11,071.95
$0.00
$0.00
Non-Institutional LTC
April - October 2010
April - October 2011
$16,106,756
$15,299,545
6,325
5,742
-
464,743
432,853
2,432,594
2,232,228
$34.66
$35.35
$2,546.52
$2,664.50
$0.00
$0.00
Inpatient
April - October 2010
April - October 2011
$24,052,230
$26,592,094
23,646
21,218
-
29,129
25,803
133,117
118,797
$825.71
$1,030.58
$964.40
$1,186.54
$0.00
$0.00
Clinic
April - October 2010
April - October 2011
$12,243,860
$12,964,193
56,659
58,977
-
486,847
485,571
759,504
5,289,490
$25.15
$26.70
$215.00
$218.13
$0.00
$0.00
Family Health Plus
April - October 2010
April - October 2011
$16,663,637
$18,982,356
24,556
26,795
-
124,245
140,325
124,245
140,325
$134.12
$135.27
$678.60
$708.43
$0.00
$0.00
Medicaid Managed Care
April - October 2010
April - October 2011
$68,760,555
$77,707,310
179,113
189,255
-
1,055,505
1,147,504
1,055,505
1,147,504
$65.14
$67.72
$383.89
$410.60
$0.00
$0.00
Non-Institutional
April - October 2010
April - October 2011
$57,294,003
$58,150,446
149,872
149,028
3,628,359
3,598,239
6,484,055
6,157,647
$15.79
$16.16
$137.78
$126.17
$224.47
$229.60
Other State Agency / MD
April - October 2010
April - October 2011
$76,706,062
$82,088,123
14,035
20,073
-
679,588
792,328
2,131,220
2,351,576
$112.87
$103.60
$5,465.34
$4,089.48
$0.00
$0.00
$9,875,169
$8,682,569
68,362
64,298
-
341,937
349,616
384,456
379,452
$28.88
$24.83
$137.98
$128.42
$0.00
$0.00
7,071,026
7,230,622
15,069,708
19,370,095
$53.54
$55.02
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - October 2010
April - October 2011
166,381
174,669
Totals
Total: Western 2010
Total: Western 2011
$378,585,917
$397,811,234
N/A
N/A
N/A
N/A