Medicaid Category of Service Spending
Service County: Capital District
April - November 2011
Category of Service
Nursing Homes
April - November 2010
April - November 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
$70,362,609
$95,107,169
6,599
6,597
-
327,340
402,643
1,322,444
1,554,758
$214.95
$236.21
$10,662.62
$14,416.73
$0.00
$0.00
Non-Institutional LTC
April - November 2010
April - November 2011
$18,951,404
$18,956,326
5,067
5,166
-
503,161
504,201
3,660,380
3,964,907
$37.66
$37.60
$3,740.16
$3,669.44
$0.00
$0.00
Inpatient
April - November 2010
April - November 2011
$26,207,545
$26,860,508
19,094
19,060
-
29,615
31,015
133,599
128,398
$884.94
$866.05
$1,306.21
$1,348.06
$0.00
$0.00
Clinic
April - November 2010
April - November 2011
$10,922,067
$10,021,734
49,518
48,957
-
368,111
353,530
433,902
407,624
$29.67
$28.35
$217.95
$202.64
$0.00
$0.00
Family Health Plus
April - November 2010
April - November 2011
$11,342,682
$14,152,129
15,561
16,943
-
88,317
100,086
88,317
100,086
$128.43
$141.40
$728.92
$835.28
$0.00
$0.00
Medicaid Managed Care
April - November 2010
April - November 2011
$43,921,444
$53,003,634
99,319
109,370
-
637,150
702,313
637,150
702,313
$68.93
$75.47
$442.23
$484.63
$0.00
$0.00
Non-Institutional
April - November 2010
April - November 2011
$42,886,612
$43,553,007
112,233
123,086
2,672,996
2,704,348
6,979,992
10,021,094
$16.04
$16.10
$142.90
$133.61
$240.64
$231.11
Other State Agency / MD
April - November 2010
April - November 2011
$75,114,969
$80,889,009
13,438
16,096
-
605,589
694,335
2,133,286
2,377,352
$124.04
$116.50
$5,589.74
$5,025.41
$0.00
$0.00
$7,929,954
$7,685,689
44,525
44,313
-
319,211
304,603
422,449
405,745
$24.84
$25.23
$170.62
$166.67
$0.00
$0.00
5,551,490
5,797,074
15,811,519
19,662,277
$55.42
$60.41
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - November 2010
April - November 2011
113,696
119,552
Totals
Total: Capital District 2010
Total: Capital District 2011
$307,639,286
$350,229,205
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Central
April - November 2011
Category of Service
Nursing Homes
April - November 2010
April - November 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
$55,140,725
$61,127,459
4,945
4,788
-
209,073
345,341
953,503
992,193
$263.74
$177.01
$11,150.80
$12,766.80
$0.00
$0.00
Non-Institutional LTC
April - November 2010
April - November 2011
$11,450,527
$11,619,551
4,304
3,703
-
306,021
288,644
2,267,999
2,386,360
$37.42
$40.26
$2,660.44
$3,137.87
$0.00
$0.00
Inpatient
April - November 2010
April - November 2011
$18,058,416
$22,164,548
15,137
15,264
-
19,513
19,789
82,033
97,918
$925.46
$1,120.04
$1,114.27
$1,366.58
$0.00
$0.00
Clinic
April - November 2010
April - November 2011
$7,290,383
$8,296,339
48,435
43,361
-
307,773
331,754
368,938
387,882
$23.69
$25.01
$147.39
$187.63
$0.00
$0.00
Family Health Plus
April - November 2010
April - November 2011
$11,268,098
$13,063,874
16,052
15,983
-
80,711
93,048
80,711
93,048
$139.61
$140.40
$701.97
$817.36
$0.00
$0.00
Medicaid Managed Care
April - November 2010
April - November 2011
$39,761,068
$50,968,811
86,895
103,257
-
545,534
697,235
545,534
697,235
$72.88
$73.10
$457.58
$493.61
$0.00
$0.00
Non-Institutional
April - November 2010
April - November 2011
$32,555,373
$32,864,313
100,073
107,264
2,222,038
2,221,632
3,825,801
4,220,162
$14.65
$14.79
$122.76
$116.90
$207.39
$201.26
Other State Agency / MD
April - November 2010
April - November 2011
$36,438,748
$36,769,872
7,923
8,676
-
367,857
441,684
1,547,289
1,840,837
$99.06
$83.25
$4,599.11
$4,238.11
$0.00
$0.00
$7,611,701
$6,649,201
40,614
36,740
-
220,538
235,680
297,080
265,655
$34.51
$28.21
$177.58
$172.20
$0.00
$0.00
4,279,058
4,674,807
9,968,887
10,981,290
$51.31
$52.09
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - November 2010
April - November 2011
99,510
102,913
Totals
Total: Central 2010
Total: Central 2011
$219,575,039
$243,523,968
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Finger Lakes
April - November 2011
Category of Service
Nursing Homes
April - November 2010
April - November 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
$93,340,968
$114,765,247
7,973
7,892
-
284,854
301,932
1,510,882
1,580,964
$327.68
$380.10
$11,707.13
$14,541.97
$0.00
$0.00
Non-Institutional LTC
April - November 2010
April - November 2011
$32,653,124
$30,708,786
6,656
6,866
-
651,138
644,173
3,608,968
3,493,299
$50.15
$47.67
$4,905.82
$4,472.59
$0.00
$0.00
Inpatient
April - November 2010
April - November 2011
$28,563,141
$30,002,951
19,975
20,687
-
23,875
25,804
99,779
108,744
$1,196.36
$1,162.72
$1,337.06
$1,365.34
$0.00
$0.00
Clinic
April - November 2010
April - November 2011
$11,447,620
$9,536,338
72,096
73,238
-
467,457
441,943
533,479
1,008,838
$24.49
$21.58
$157.24
$129.83
$0.00
$0.00
Family Health Plus
April - November 2010
April - November 2011
$13,925,722
$16,900,387
24,178
20,555
-
107,740
119,074
107,740
119,074
$129.25
$141.93
$575.97
$822.20
$0.00
$0.00
Medicaid Managed Care
April - November 2010
April - November 2011
$62,652,784
$73,322,787
144,814
145,260
-
882,400
967,196
882,400
967,196
$71.00
$75.81
$432.64
$504.77
$0.00
$0.00
Non-Institutional
April - November 2010
April - November 2011
$47,153,175
$46,881,574
120,200
128,722
3,041,356
3,019,544
5,674,345
5,986,302
$15.50
$15.53
$154.17
$151.75
$213.47
$201.09
Other State Agency / MD
April - November 2010
April - November 2011
$68,425,467
$69,575,768
15,233
17,856
-
637,075
781,464
2,257,989
2,645,541
$107.41
$89.03
$4,491.92
$3,896.49
$0.00
$0.00
Outpatient/Emergency Room
April - November 2010
April - November 2011
$15,353,903
$14,579,683
81,566
85,479
-
554,451
582,979
608,878
637,633
$27.69
$25.01
$177.57
$162.03
$0.00
$0.00
6,650,346
6,884,109
15,284,459
16,547,591
$56.16
$59.02
N/A
N/A
N/A
N/A
135,730
137,812
Totals
Total: Finger Lakes 2010
Total: Finger Lakes 2011
$373,515,904
$406,273,521
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Long Island
April - November 2011
Category of Service
Nursing Homes
April - November 2010
April - November 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
$277,105,862
$285,658,408
17,253
16,864
-
861,998
897,627
3,241,277
3,256,131
$321.47
$318.24
$16,061.31
$16,938.95
$0.00
$0.00
Non-Institutional LTC
April - November 2010
April - November 2011
$103,699,602
$110,409,907
14,110
14,485
-
1,825,728
1,938,249
21,403,005
23,073,571
$56.80
$56.96
$7,349.37
$7,622.36
$0.00
$0.00
Inpatient
April - November 2010
April - November 2011
$81,984,622
$96,113,524
52,582
54,221
-
67,654
70,856
312,812
323,829
$1,211.82
$1,356.46
$1,460.81
$1,673.25
$0.00
$0.00
Clinic
April - November 2010
April - November 2011
$18,721,264
$17,822,886
47,625
43,413
-
545,935
551,239
960,143
835,398
$34.29
$32.33
$389.96
$407.75
$0.00
$0.00
Family Health Plus
April - November 2010
April - November 2011
$41,910,525
$61,829,632
42,005
49,477
-
237,481
320,597
237,481
320,597
$176.48
$192.86
$997.75
$1,249.66
$0.00
$0.00
Medicaid Managed Care
April - November 2010
April - November 2011
$113,493,940
$164,008,542
199,891
229,639
-
1,240,808
1,603,729
1,240,808
1,603,729
$91.47
$102.27
$567.78
$714.20
$0.00
$0.00
Non-Institutional
April - November 2010
April - November 2011
$128,400,996
$127,502,078
249,163
248,725
5,920,284
5,886,896
25,643,589
25,286,133
$21.69
$21.66
$188.75
$177.69
$344.20
$326.51
Other State Agency / MD
April - November 2010
April - November 2011
$165,401,398
$180,738,033
23,814
25,710
-
1,048,195
1,160,765
3,968,068
4,472,411
$157.80
$155.71
$6,945.55
$7,029.87
$0.00
$0.00
$14,006,940
$15,302,518
61,696
61,133
-
310,921
313,648
913,160
6,249,218
$45.05
$48.79
$215.40
$238.05
$0.00
$0.00
12,059,004
12,743,606
57,920,343
65,421,016
$78.34
$83.13
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - November 2010
April - November 2011
241,372
261,148
Totals
Total: Long Island 2010
Total: Long Island 2011
$944,725,149
$1,059,385,528
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mid-Hudson
April - November 2011
Category of Service
Nursing Homes
April - November 2010
April - November 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
$187,041,064
$231,492,275
14,142
13,584
-
538,231
559,031
2,455,947
2,624,471
$347.51
$414.10
$13,225.93
$17,041.54
$0.00
$0.00
Non-Institutional LTC
April - November 2010
April - November 2011
$74,958,239
$78,373,735
11,577
11,470
-
1,427,602
1,470,577
7,180,496
7,525,975
$52.51
$53.29
$6,474.76
$6,832.93
$0.00
$0.00
Inpatient
April - November 2010
April - November 2011
$76,203,108
$80,824,858
32,414
30,787
-
50,456
48,398
303,016
319,430
$1,510.29
$1,670.00
$2,215.95
$2,492.78
$0.00
$0.00
Clinic
April - November 2010
April - November 2011
$32,448,922
$36,600,059
127,597
150,863
-
1,010,026
1,103,499
1,364,534
1,318,452
$32.13
$33.17
$248.01
$235.73
$0.00
$0.00
Family Health Plus
April - November 2010
April - November 2011
$33,887,029
$43,176,664
36,678
39,571
-
200,802
241,108
200,802
241,108
$168.76
$179.08
$923.91
$1,091.12
$0.00
$0.00
$126,072,490
$153,962,562
234,437
251,232
-
1,525,146
1,725,491
1,525,146
1,725,491
$82.66
$89.23
$537.77
$612.83
$0.00
$0.00
$96,188,834
$98,965,236
275,084
278,196
5,769,763
5,841,830
27,406,821
27,718,664
$16.67
$16.94
$145.17
$148.92
$235.06
$232.08
$183,118,393
$193,427,761
24,415
26,175
-
1,188,287
1,266,523
5,352,169
5,409,482
$154.10
$152.72
$7,500.24
$7,389.79
$0.00
$0.00
$17,799,053
$16,028,122
59,607
56,751
-
478,064
473,681
653,931
623,702
$37.23
$33.84
$283.30
$269.55
$0.00
$0.00
12,188,377
12,730,138
46,442,861
47,506,774
$67.91
$73.28
N/A
N/A
N/A
N/A
Medicaid Managed Care
April - November 2010
April - November 2011
Non-Institutional
April - November 2010
April - November 2011
Other State Agency / MD
April - November 2010
April - November 2011
Outpatient/Emergency Room
April - November 2010
April - November 2011
243,125
252,522
Totals
Total: Mid-Hudson 2010
Total: Mid-Hudson 2011
$827,717,132
$932,851,272
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mohawk Valley
April - November 2011
Category of Service
Nursing Homes
April - November 2010
April - November 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
$48,536,329
$55,912,133
4,457
4,422
-
203,838
218,810
855,822
904,794
$238.11
$255.53
$10,889.91
$12,644.08
$0.00
$0.00
Non-Institutional LTC
April - November 2010
April - November 2011
$9,215,284
$8,929,293
2,982
2,953
-
276,977
256,531
1,106,918
1,048,925
$33.27
$34.81
$3,090.30
$3,023.80
$0.00
$0.00
Inpatient
April - November 2010
April - November 2011
$7,126,313
$7,780,724
9,720
8,945
-
11,460
10,319
30,119
26,253
$621.84
$754.02
$691.64
$823.12
$0.00
$0.00
Clinic
April - November 2010
April - November 2011
$3,966,244
$4,412,967
27,381
24,049
-
136,995
144,793
179,278
189,675
$28.95
$30.48
$144.80
$183.31
$0.00
$0.00
Family Health Plus
April - November 2010
April - November 2011
$9,434,824
$10,841,309
13,333
12,838
-
68,197
77,412
68,197
77,412
$138.35
$140.05
$707.63
$844.47
$0.00
$0.00
Medicaid Managed Care
April - November 2010
April - November 2011
$28,821,335
$35,825,828
69,553
73,444
-
431,155
494,256
431,155
494,256
$66.85
$72.48
$414.38
$487.80
$0.00
$0.00
Non-Institutional
April - November 2010
April - November 2011
$22,191,945
$21,698,888
77,584
84,733
75,555
76,331
1,494,088
1,448,184
3,035,646
3,409,282
$14.85
$14.98
$78.93
$72.04
$216.38
$208.26
Other State Agency / MD
April - November 2010
April - November 2011
$62,032,671
$63,169,834
8,066
10,506
-
481,409
564,002
1,762,460
1,972,479
$128.86
$112.00
$7,690.64
$6,012.74
$0.00
$0.00
$6,195,686
$5,834,966
39,695
38,314
-
207,599
192,928
268,045
230,948
$29.84
$30.24
$148.03
$145.38
$0.00
$0.00
3,311,718
3,407,235
7,737,640
8,354,023
$59.64
$62.93
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - November 2010
April - November 2011
Totals
Total: Mohawk Valley 2010
Total: Mohawk Valley 2011
$197,520,631
$214,405,942
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: New York City
April - November 2011
Category of Service
Nursing Homes
April - November 2010
April - November 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
$904,549,382
$939,453,128
56,078
55,265
-
2,783,086
2,918,232
9,561,796
9,694,657
$325.02
$321.93
$16,130.20
$16,999.06
$0.00
$0.00
Non-Institutional LTC
April - November 2010
April - November 2011
$1,003,355,272
$919,924,046
104,889
103,579
-
16,785,693
16,289,447
130,384,591
121,041,733
$59.77
$56.47
$9,565.88
$8,881.38
$0.00
$0.00
Inpatient
April - November 2010
April - November 2011
$734,442,087
$707,916,050
321,373
321,263
-
433,565
434,234
1,958,480
1,926,927
$1,693.96
$1,630.26
$2,130.82
$2,071.10
$0.00
$0.00
Clinic
April - November 2010
April - November 2011
$180,420,232
$172,004,484
542,618
535,662
-
5,568,603
5,558,939
8,060,651
6,672,617
$32.40
$30.94
$323.47
$312.65
$0.00
$0.00
Family Health Plus
April - November 2010
April - November 2011
$270,964,170
$327,833,168
350,663
371,838
-
2,062,482
2,247,766
2,062,482
2,247,766
$131.38
$145.85
$772.72
$881.66
$0.00
$0.00
$1,448,298,314
$1,885,312,023
2,366,472
2,476,789
-
16,426,859
17,572,168
16,426,859
17,572,168
$88.17
$107.29
$612.01
$761.19
$0.00
$0.00
Non-Institutional
April - November 2010
April - November 2011
$831,736,472
$792,478,923
1,008,261
1,051,690
48,209,418
45,989,586
112,961,044
116,205,769
$17.25
$17.23
$232.15
$211.32
$295.50
$283.41
Other State Agency / MD
April - November 2010
April - November 2011
$393,807,531
$463,000,120
73,757
115,306
-
2,677,793
3,025,908
12,804,108
14,261,856
$147.06
$153.01
$5,339.26
$4,015.40
$0.00
$0.00
Outpatient/Emergency Room
April - November 2010
April - November 2011
$152,261,695
$135,011,094
573,611
545,412
-
3,577,472
3,677,885
4,554,764
24,529,477
$42.56
$36.71
$249.78
$234.36
$0.00
$0.00
98,524,971
97,714,165
298,774,775
314,152,970
$60.08
$64.91
N/A
N/A
N/A
N/A
Medicaid Managed Care
April - November 2010
April - November 2011
2,059,732
2,056,594
Totals
Total: New York City 2010
Total: New York City 2011
$5,919,835,155
$6,342,933,036
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: No Service County & Out of State
April - November 2011
Category of Service
Nursing Homes
April - November 2010
April - November 2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
$43,571,369
$44,954,823
2,055
2,039
-
50,969
49,188
Non-Institutional LTC
April - November 2010
April - November 2011
-$14,437
-$3,480
75
65
-
47
173
Inpatient
April - November 2010
April - November 2011
$8,001,906
$7,891,709
3,824
3,423
-
Clinic
April - November 2010
April - November 2011
$91,602
$72,612
812
562
-
Non-Institutional
April - November 2010
April - November 2011
$28,364,990
$29,961,953
183,308
177,805
$88,705
$52,023
117
131
$1,016,669
$1,015,052
11,715
10,751
Other State Agency / MD
April - November 2010
April - November 2011
Outpatient/Emergency Room
April - November 2010
April - November 2011
Medicaid Units Of
Service
$854.86
$913.94
$21,202.61
$22,047.49
$0.00
$0.00
(1,323)
179
-$307.17
-$20.12
-$192.49
-$53.54
$0.00
$0.00
4,436
3,988
18,363
18,697
$1,803.89
$1,978.86
$2,092.59
$2,305.49
$0.00
$0.00
3,175
2,323
23,910
13,947
$28.85
$31.26
$112.81
$129.20
$0.00
$0.00
1,159,584
1,122,894
8,334,696
10,653,695
$24.46
$26.68
$56.44
$56.33
$1,737.08
$1,588.72
-
898
790
1,135
790
$98.78
$65.85
$758.16
$397.12
$0.00
$0.00
-
29,652
25,906
41,559
35,182
$34.27
$39.18
$86.75
$94.40
$0.00
$0.00
1,248,761
1,205,262
8,839,789
11,146,564
$64.96
$69.65
N/A
N/A
N/A
N/A
10,826
13,135
421,449
424,075
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
Totals
Total: No Svc Cty/OOS 2010
Total: No Svc Cty/OOS 2011
$81,120,804
$83,944,692
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: North Country
April - November 2011
Category of Service
Nursing Homes
April - November 2010
April - November 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
$29,685,990
$33,380,317
2,824
2,716
-
93,096
101,654
529,639
507,426
$318.88
$328.37
$10,512.04
$12,290.25
$0.00
$0.00
Non-Institutional LTC
April - November 2010
April - November 2011
$8,952,092
$8,792,695
2,964
2,979
-
294,685
291,802
1,657,701
1,631,110
$30.38
$30.13
$3,020.27
$2,951.56
$0.00
$0.00
Inpatient
April - November 2010
April - November 2011
$9,366,459
$11,086,282
8,120
7,653
-
13,977
14,322
53,647
53,435
$670.13
$774.07
$1,093.04
$1,378.68
$0.00
$0.00
Clinic
April - November 2010
April - November 2011
$3,621,153
$3,271,962
24,667
23,570
-
121,799
125,909
140,808
133,621
$29.73
$25.99
$146.31
$138.65
$0.00
$0.00
Family Health Plus
April - November 2010
April - November 2011
$6,949,346
$7,766,219
9,577
9,111
-
45,794
53,987
45,794
53,987
$151.75
$143.85
$725.63
$852.40
$0.00
$0.00
Medicaid Managed Care
April - November 2010
April - November 2011
$1,463,568
$3,859,731
3,574
10,560
-
20,559
53,760
20,559
53,760
$71.19
$71.80
$409.50
$365.50
$0.00
$0.00
Non-Institutional
April - November 2010
April - November 2011
$20,931,197
$20,930,376
70,695
73,243
53,977
57,182
1,377,991
1,400,539
2,153,171
2,125,355
$15.19
$14.94
$114.19
$105.99
$242.42
$234.19
Other State Agency / MD
April - November 2010
April - November 2011
$41,081,585
$41,157,180
6,235
7,354
-
312,343
382,555
1,329,338
1,468,358
$131.53
$107.59
$6,588.87
$5,596.57
$0.00
$0.00
$7,204,168
$7,241,724
41,120
41,052
-
226,392
210,029
249,659
255,033
$31.82
$34.48
$166.30
$167.72
$0.00
$0.00
2,506,636
2,634,557
6,180,315
6,282,084
$51.57
$52.19
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - November 2010
April - November 2011
Totals
Total: North Country 2010
Total: North Country 2011
$129,255,558
$137,486,486
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Southern Tier
April - November 2011
Category of Service
Nursing Homes
April - November 2010
April - November 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
$52,588,030
$60,743,710
4,734
4,656
-
108,088
108,995
913,716
935,253
$486.53
$557.31
$11,108.58
$13,046.33
$0.00
$0.00
Non-Institutional LTC
April - November 2010
April - November 2011
$8,605,201
$9,029,470
5,780
3,762
-
269,257
253,260
1,597,142
1,837,156
$31.96
$35.65
$1,488.79
$2,400.18
$0.00
$0.00
Inpatient
April - November 2010
April - November 2011
$11,128,817
$12,392,442
10,890
10,012
-
12,674
11,492
48,961
44,640
$878.08
$1,078.35
$953.20
$1,164.29
$0.00
$0.00
Clinic
April - November 2010
April - November 2011
$4,744,129
$4,291,921
20,688
20,471
-
168,739
162,839
225,154
211,617
$28.12
$26.36
$229.17
$209.49
$0.00
$0.00
Family Health Plus
April - November 2010
April - November 2011
$10,147,497
$11,225,836
13,721
12,999
-
67,532
75,664
67,532
75,664
$150.26
$148.36
$739.56
$863.59
$0.00
$0.00
Medicaid Managed Care
April - November 2010
April - November 2011
$15,161,398
$18,558,427
48,646
53,748
-
296,868
331,120
296,868
331,120
$51.07
$56.05
$311.67
$345.29
$0.00
$0.00
Non-Institutional
April - November 2010
April - November 2011
$29,102,895
$28,343,210
97,823
104,407
82,758
84,021
1,857,779
1,833,507
2,603,948
2,781,709
$15.67
$15.46
$117.44
$103.27
$216.28
$212.69
Other State Agency / MD
April - November 2010
April - November 2011
$36,314,633
$37,388,047
7,942
10,227
-
250,900
331,020
955,550
1,017,920
$144.74
$112.95
$4,572.48
$3,655.82
$0.00
$0.00
$7,870,127
$7,403,816
51,823
49,884
-
248,493
230,287
326,153
307,656
$31.67
$32.15
$144.27
$141.00
$0.00
$0.00
3,280,330
3,338,184
7,035,024
7,542,735
$53.55
$56.73
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - November 2010
April - November 2011
Totals
Total: Southern Tier 2010
Total: Southern Tier 2011
$175,662,727
$189,376,879
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Western
April - November 2011
Category of Service
Nursing Homes
April - November 2010
April - November 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
$108,442,466
$111,267,914
9,589
9,120
-
290,291
300,558
1,769,363
1,809,945
$373.56
$370.20
$11,309.05
$12,200.43
$0.00
$0.00
Non-Institutional LTC
April - November 2010
April - November 2011
$18,024,763
$17,640,613
6,568
6,011
-
522,522
499,754
2,727,729
2,605,216
$34.50
$35.30
$2,744.33
$2,934.72
$0.00
$0.00
Inpatient
April - November 2010
April - November 2011
$27,594,253
$30,696,846
25,973
24,123
-
32,533
29,850
148,481
136,728
$848.19
$1,028.37
$996.82
$1,201.61
$0.00
$0.00
Clinic
April - November 2010
April - November 2011
$13,946,545
$14,669,020
60,729
62,627
-
542,549
560,349
852,402
5,631,031
$25.71
$26.18
$228.17
$232.49
$0.00
$0.00
Family Health Plus
April - November 2010
April - November 2011
$19,212,599
$23,382,338
25,727
28,255
-
143,403
164,198
143,403
164,198
$133.98
$142.40
$746.79
$827.55
$0.00
$0.00
Medicaid Managed Care
April - November 2010
April - November 2011
$79,327,954
$96,402,415
183,697
194,211
-
1,204,275
1,320,240
1,204,275
1,320,240
$65.87
$73.02
$431.84
$496.38
$0.00
$0.00
Non-Institutional
April - November 2010
April - November 2011
$64,837,087
$63,114,998
159,224
160,527
4,110,774
3,975,267
7,361,203
7,541,965
$15.77
$15.88
$145.50
$136.94
$243.84
$235.94
Other State Agency / MD
April - November 2010
April - November 2011
$86,741,184
$95,377,602
14,469
21,016
-
767,118
1,014,257
2,391,945
2,835,112
$113.07
$94.04
$5,994.97
$4,538.33
$0.00
$0.00
Outpatient/Emergency Room
April - November 2010
April - November 2011
$10,936,148
$9,999,056
71,905
69,583
-
378,170
397,888
425,713
437,607
$28.92
$25.13
$144.04
$136.65
$0.00
$0.00
7,991,635
8,262,361
17,024,513
22,482,042
$53.69
$55.98
N/A
N/A
N/A
N/A
173,662
177,511
Totals
Total: Western 2010
Total: Western 2011
$429,062,999
$462,550,802
N/A
N/A
N/A
N/A